<?xml version="1.0" encoding="UTF-8"?>
<vocabularyModel xmlns="urn:hl7-org:v3/mif2" name="2023-11-17" title="HL7 Vocabulary"
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                 definitionKind="partial-publishing"
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   <packageLocation combinedId="DEFN=UV=VO=2023-11-17" root="DEFN" artifact="VO"
                    realmNamespace="UV"
                    version="2023-11-17"/>
   <header>
      <renderingInformation renderingTime="2023-11-17T03:37:36" application="UTG FHIR to MIF transform 0.1"/>
      <legalese copyrightOwner="Health Level Seven, Inc." copyrightYears="2023"/>
   </header>
   <conceptDomain name="AcknowledgementCondition">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Acknowledgement Condition codes describe the conditions under which accept or application level acknowledgements are required to be returned in response to the message send operation.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="AcknowledgementDetailCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A site specific code indicating the specific problem being reported by this Ack Detail.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="AcknowledgementDetailNotSupportedCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Refelects rejections because elements of the communication are not supported in the current context.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="AcknowledgementDetailCode"/>
   </conceptDomain>
   <conceptDomain name="AcknowledgementDetailSyntaxErrorCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Reflects errors in the syntax or structure of the communication.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="AcknowledgementDetailCode"/>
   </conceptDomain>
   <conceptDomain name="AcknowledgementDetailType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A code identifying the specific message to be provided.</p>
                  <p>A textual value may be specified as the print name, or for non-coded messages, as the original text.*Discussion:*</p>
                  <p>'Required attribute xxx is missing', 'System will be unavailable March 19 from 0100 to 0300'*Examples:*</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="AcknowledgementType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Acknowledgement code as described in HL7 message processing rules.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="AcknowledgmentMessageType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Identifies the the kind of information specified in the acknowledgement message. Options are: Error, Warning or Information.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="AcknowledgementDetailType"/>
   </conceptDomain>
   <conceptDomain name="ActAccountType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Types of representation groupings of financial transactions that are tracked and reported together with a single balance.<i>Examples:</i>
                  <p>* Patient billing accounts * Cost center * Cash</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.ACCT"/>
   </conceptDomain>
   <conceptDomain name="ActAdjudicationInformationCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Explanatory codes that provide information derived by an Adjudicator during the course of adjudicating an Invoice. Codes from this domain are purely information and do not materially affect the adjudicated Invoice. That is, codes do not impact or explain financial adjustments to an Invoice.</p>
                  <p>A companion domain (ActAdjudicationReason) includes information reasons which have a financial impact on an Invoice (claim).</p>
                  <p>Example adjudication information code is 54540 - Patient has reached Plan Maximum for current year.</p>
                  <p>Codes from this domain further rationalizes ActAdjudicationCodes (e.g. AA - Adjudicated with Adjustment), which are used to describe the process of adjudicating an Invoice.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActAdjudicationType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.ADJUD"/>
   </conceptDomain>
   <conceptDomain name="ActAdjudicationReason">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Explanatory codes that describe reasons why an Adjudicator has financially adjusted an invoice (claim).</p>
                  <p>A companion domain (ActAdjudicationInformationCode) includes information reasons which do not have a financial impact on an invoice (claim).</p>
                  <p>Example adjudication reason code is AA-CLAIM-0011 - Only Basic Procedure/Test Eligible.</p>
                  <p>Codes from this domain further rationalizes ActAdjudicationCodes (e.g. AA - Adjudicated with Adjustment), which are used to describe the process of adjudicating an invoice. For AS - Adjudicated as Submitted, there should be no specification of ActAdjudicationReason codes, as there are no financial adjustments against the invoice.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActReason"/>
   </conceptDomain>
   <conceptDomain name="ActAdjudicationResultActionType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Actions to be carried out by the recipient of the Adjudication Result information.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActAdjudicationType"/>
   </conceptDomain>
   <conceptDomain name="ActAdjudicationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Types of responses that will occur as a result of the adjudication of an electronic invoice at a summary level and provides guidance on interpretation of the referenced adjudication results.<i>Examples:</i>
                  <p>* adjudicated with adjustments * adjudicated as refused * adjudicated as submitted</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.ADJUD"/>
   </conceptDomain>
   <conceptDomain name="ActAntigenInvalidReason">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Describe why an antigen is considered to be invalid for use.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActReason"/>
   </conceptDomain>
   <conceptDomain name="ActAppointmentType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Types of acts that can be scheduled.<b>Examples:</b>
                  <p>* Follow-up appointment * New referral appointment * Consultation appointment * Specimen Collection appointment * Procedure appointment</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ActBillableClinicalServiceReason">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>May be sent to indicate one or more reasons for the performance of a billable clinical service or product, and not related or specified by a diagnosis.<i>Examples:</i>
                  <p>* Duplicate Therapy * Care protocol * Insurance requirement</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActBillableServiceReason"/>
   </conceptDomain>
   <conceptDomain name="ActBillableNonClinicalServiceReason">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Maybe sent to indicate one or more reasons for the performance of a non clinical service or product, and not related or specified by diagnosis.<i>Examples:</i>
                  <p>* Fraudulent prescription * Patient's preference * Physiotherapy equipment</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActBillableServiceReason"/>
   </conceptDomain>
   <conceptDomain name="ActBillableServiceCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Definition:</b>An identifying code for billable services, as opposed to codes for similar services used to identify them for functional purposes.<i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActProcedureCode"/>
   </conceptDomain>
   <conceptDomain name="ActBillableServiceReason">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Definition:</b>This domain is used to document reasons for providing a billable service; the billable services may include both clinical services and social services.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActReason"/>
   </conceptDomain>
   <conceptDomain name="ActBillableTreatmentPlanCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActBillableServiceCode"/>
   </conceptDomain>
   <conceptDomain name="ActBillingArrangementType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Types of provision(s) made for reimbursing for the deliver of healthcare services and/or goods provided by a Provider for one or more occurrence or over a specified period.<i>Examples:</i>
                  <p>* Contract * Rostering * Capitation</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActFinancialTransactionType"/>
   </conceptDomain>
   <conceptDomain name="ActBloodDonationSite">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Sites used for blood donation.<b>Examples:</b>
                  <p>* arm * leg * heel</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActSite"/>
   </conceptDomain>
   <conceptDomain name="ActBloodDonationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Defines the type of blood donation.<b>Examples:</b>
                  <p>* autologous * directed * volunteer</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActSubstanceExtractionCode"/>
   </conceptDomain>
   <conceptDomain name="ActCareProvisionCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**The type and scope of responsibility taken-on by the performer of the Act for a specific subject of care.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.PCPR"/>
   </conceptDomain>
   <conceptDomain name="ActCareProvisionRequestType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Concepts identifying different types of referral requests. These concepts identify the general type of care or category of services requested. They are not used to represent the indication or diagnosis which triggered the need for the referral. E.g. Anger management service, Intensive Care service, Orthodontics service.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCareProvisionCode"/>
   </conceptDomain>
   <conceptDomain name="ActClaimAttachmentCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Contrains the type of attachment (document, XRAY, bit map image, etc.) included to support a healthcare claim. Vocabulary bound to this domain should be a specification for the type of document (i.e. WCB First Report of Acccident - Form 8).</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActFinancialSupportingAttachmentCode"/>
   </conceptDomain>
   <conceptDomain name="ActClass">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A code specifying the major type of Act that this Act-instance represents.</p>
                  <i>Constraints:</i>The classCode domain is a tightly controlled vocabulary, not an external or user-defined vocabulary.<p>Every Act-instance must have a classCode. If the act class is not further specified, the most general Act.classCode (ACT) is used.</p>
                  <p>The Act.classCode must be a generalization of the specific Act concept (e.g., as expressed in Act.code), in other words, the Act concepts conveyed in an Act must be specializations of the Act.classCode. Especially, Act.code is not a "modifier" that can alter the meaning of a class code. (See Act.code for contrast.)</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ActClassExposure">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**The interaction of entities whereupon a subject entity is brought into proximity to a physical, chemical or biological agent. This includes intended exposure (e.g. administering a drug product) as well as accidental or environmental exposure. (Note: This class deals only with proximity and not the effectiveness of the exposure, i.e. not all exposed will suffer actual harm or benefit.)</p>
                  <p>**Examples:**Exposure to radiation, drug administration, inhalation of peanut aerosol or viral particles.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActClass"/>
   </conceptDomain>
   <conceptDomain name="ActClassGenomicObservation">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**An observation of genomic phenomena.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActClass"/>
   </conceptDomain>
   <conceptDomain name="ActClassPolicy">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**A mandate, regulation, obligation, requirement, rule, or expectation unilaterally imposed by one party on:</p>
                  <p>* The activity of another party * The behavior of another party * The manner in which an act is executed</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActClass"/>
   </conceptDomain>
   <conceptDomain name="ActClassProcedure">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>An Act whose immediate and primary outcome (post-condition) is the alteration of the physical condition of the subject.</p>
                  <i>Examples:</i>: Procedures may involve the disruption of some body surface (e.g. an incision in a surgical procedure), but they also include conservative procedures such as reduction of a luxated join, chiropractic treatment, massage, balneotherapy, acupuncture, shiatsu, etc. Outside of clinical medicine, procedures may be such things as alteration of environments (e.g. straightening rivers, draining swamps, building dams) or the repair or change of machinery etc.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActClass"/>
   </conceptDomain>
   <conceptDomain name="ActClassStorage">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>The act of putting something away for safe keeping. The "something" may be physical object such as a specimen, or information, such as observations regarding a specimen.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActClass"/>
   </conceptDomain>
   <conceptDomain name="ActCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>The table that provides the detailed or rich codes for the Act classes.</p>
                  <i>Open Issue:</i>The hierarchy has issues and several of the existing domains may be moved under this new one; this must be examined and a proposal to clean up the hierarncy in the near future is needed<i>Open Issue:</i>The description of this domain seems odd and may be a leftover from long ago and needs improvement.</text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ActCodeProcessStep">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Codes for general process steps.<b>Examples:</b>
                  <p>* lab process steps * diagnostic imaging process steps * etc. *(Missing third example)*</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.SPCTRT"/>
   </conceptDomain>
   <conceptDomain name="ActCognitiveProfessionalServiceCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Denotes the specific service that has been performed. This is obtained from the professional service catalog pertaining to the discipline of the health service provider. Professional services are generally cognitive in nature and exclude surgical procedures. E.g. Provided training, Provided drug therapy review, Gave smoking-cessation counseling, etc.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.ACT"/>
   </conceptDomain>
   <conceptDomain name="ActCommonCodedClinicalObservationCategoryListType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Lists of high-level categorizations for clinical coded observations that do not require numeric values with a specific unit of measure.</p>
                  <b>Examples:</b>
                  <p>* Symptoms * History * Observations</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActEventCategoryWorkingListType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.LIST"/>
   </conceptDomain>
   <conceptDomain name="ActCompositionType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A context representing a grouped commitment of information to the EHR. It is considered the unit of modification of the record, the unit of transmission in record extracts, and the unit of attestation by authorizing clinicians.</p>
                  <i>Examples:</i>document; authentication unit; transmission unit.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActRecordOrganizerType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.COMPOSITION"/>
   </conceptDomain>
   <conceptDomain name="ActConsentDirectiveType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Specifies the type of consent directive indicated by an ActClassPolicy e.g., a 3rd party authorization to disclose or consent for a substitute decision maker (SDM) or a notice of privacy policy. Sibling to ActPrivacyPolicyType and Child of ActPolicyType.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActPrivacyPolicyType"/>
   </conceptDomain>
   <conceptDomain name="ActConsentInformationAccessOverrideReason">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>To perform one or more operations on information to which the patient has not consented as deemed necessary by authorized entities for providing care in the best interest of the patient; providing immediately needed health care for an emergent condition; or for protecting public or third party safety.</p>
                  <i>Usage Notes:</i>Used to convey the reason that a provider or other entity may or has accessed personal healthcare information. Typically, this involves overriding the subject's consent directives.</text>
            </definition>
            <usageNotes>
               <text>Used to convey the reason that a provider or other entity may or has accessed personal healthcare information.  Typically, this involves overriding the subject's consent directives.</text>
            </usageNotes>
         </documentation>
      </annotations>
      <specializesDomain name="ActHealthInformationManagementReason"/>
   </conceptDomain>
   <conceptDomain name="ActConsentType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Definition:</b>The type of consent directive, e.g., to consent or dissent to collect, access, or use in specific ways within an EHRS or for health information exchange; or to disclose health information for purposes such as research.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.CONS"/>
   </conceptDomain>
   <conceptDomain name="ActContextLevel">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Code specifying the level within a hierarchical Act composition structure and the kind of contextual information attached to composite Acts ("containers") and propagated to component Acts within those containers. The levelCode signifies the position within such a containment hierarchy and the applicable constraints.<i>Examples:</i>The "extract level" and the "folder level" must contain data about a single individual, whereas the "multiple subject level" may contain data about multiple individuals. While "extract" can originate from multiple sources, a "folder" should originate from a single source. The "composition" level usually has a single author.<i>Constraints:</i>The constraints applicable to a particular level may include differing requirements for participations (e.g. patient, source organization, author or other signatory), relationships to or inclusion of other Acts, documents or use of templates. The constraints pertaining to a level may also specify the permissible levels that may be contained as components of that level. Several nested levels with the same levelCode may be permitted, prohibited (or limited). Instance of the next subordinate level are usually permitted within any level but some levels may be omitted from a model and it may be permissible to skip several layers.<i>Discussion:</i>The levelCode concepts have been defined to meet specific health record transfer requirements. While these concepts are known to be applicable to some other types of transactions, they are not intended to a be a complete closed list. Options exist for other sets of orthogonal levels where required to meet a business purpose (e.g. a multiple patient communication may be subdivided by a super-ordinate level of subject areas).</text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ActContextOfUseType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Identifies the heading under which a document is to appear in a pre-defined, pro forma table of contents for a collection of documents within a regulatory category.</p>
                  <b>Examples:</b>
                  <p>* m1-1-forms (eCTD module 1, forms) * m1-1-1-fda-form-1571 (eCTD. Module 1, specific FDA form) * m3-2-s-drug-substance (eCTD module 3, section 2, drug substance by substance)</p>
                  <i>Usage Note:</i>This usage is confined to a specific set of requirements related to regulatory documents in the context of RPS documents.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCompositionType"/>
   </conceptDomain>
   <conceptDomain name="ActContractType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>An agreement of obligation between two or more parties that is subject to contractual law and enforcement.</p>
                  <i>Examples:</i>approvals granted by a regulatory agency; contracts measured in financial terms; insurance coverage contracts.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.CNTRCT"/>
   </conceptDomain>
   <conceptDomain name="ActCoverageAssessmentObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Codes specify the category of observation, evidence, or document used to assess for services, e.g., discharge planning, or to establish eligibility for coverage under a policy or program. The type of evidence is coded as observation values.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationValue"/>
   </conceptDomain>
   <conceptDomain name="ActCoverageEligibilityConfirmationCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Indication of eligibility coverage for healthcare service(s) and/or product(s).</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCoverageTypeCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.COV"/>
   </conceptDomain>
   <conceptDomain name="ActCoverageLevelRasonCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Represents the reason for the level of coverage provided under the policy or program in terms of the types of entities that may play covered parties based on their personal relationships or employment status.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActReason"/>
   </conceptDomain>
   <conceptDomain name="ActCoverageLimitCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Criteria that are applicable to the authorized coverage.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCoverageTypeCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.COV"/>
   </conceptDomain>
   <conceptDomain name="ActCoveragePartyLimitGroupCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Codes representing the level of coverage provided under the policy or program in terms of the types of entities that may play covered parties based on their personal relationships or employment status.</p>
                  <i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCoveredPartyLimitCode"/>
   </conceptDomain>
   <conceptDomain name="ActCoverageProviderReason">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Identifies the reason or rationale for coverage of a service or product based on characteristics of the provider, e.g., contractual relationship to payor, such as in or out-of-network; relationship of the covered party to the provider.</p>
                  <p>**Example:**In closed managed care plan, a covered party is assigned a primary care provider who provides primary care services and authorizes referrals and ancillary and non-primary care services.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCoverageReason"/>
   </conceptDomain>
   <conceptDomain name="ActCoverageQuantityLimitCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Maximum amount paid or maximum number of services/products covered; or maximum amount or number covered during a specified time period under the policy or program.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCoverageLimitCode"/>
   </conceptDomain>
   <conceptDomain name="ActCoverageReason">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Codes used to specify reasons or criteria relating to coverage provided under a policy or program. May be used to convey reasons pertaining to coverage contractual provisions, including criteria for eligibility, coverage limitations, coverage maximums, or financial participation required of covered parties.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActReason"/>
   </conceptDomain>
   <conceptDomain name="ActCoverageServiceReason">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Identifies the reason or rationale for coverage of a service or product based on clinical efficacy criteria or practices prescribed by the payor.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCoverageReason"/>
   </conceptDomain>
   <conceptDomain name="ActCoverageTypeCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Definition:</b>Set of codes indicating the type of insurance policy or program that pays for the cost of benefits provided to covered parties.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActFinancialContractType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.COV"/>
   </conceptDomain>
   <conceptDomain name="ActCoveredPartyLimitCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Codes representing the types of covered parties that may receive covered benefits under a policy or program.</p>
                  <i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCoverageLimitCode"/>
   </conceptDomain>
   <conceptDomain name="ActCredentialedCareCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by a credentialing agency, i.e. government or non-government agency. Failure in executing this Act may result in loss of credential to the person or organization who participates as performer of the Act. Excludes employment agreements.</p>
                  <p>**Example:**Hospital license; physician license; clinic accreditation.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCareProvisionCode"/>
   </conceptDomain>
   <conceptDomain name="ActCredentialedCareProvisionPersonCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by an agency for credentialing individuals.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCredentialedCareCode"/>
   </conceptDomain>
   <conceptDomain name="ActCredentialedCareProvisionProgramCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by an agency for credentialing programs within organizations.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCredentialedCareCode"/>
   </conceptDomain>
   <conceptDomain name="ActDataAccessOperationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Types of operations that may accomplish access of information. Here, objects are broadly understood as information system-related entities (e.g., devices, files, records, tables, processes, programs, domains) containing or receiving information.<b>Examples:</b>
                  <p>* Query * Search * Transport * Send * Receive</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActDataOperationType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.CACT"/>
   </conceptDomain>
   <conceptDomain name="ActDataCollectionOperationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Types of operations that may accomplish collection or related management of information. Here, objects are broadly understood as information system-related entities (e.g., devices, files, records, tables, processes, programs, domains) containing or receiving information.<b>Examples:</b>
                  <p>* Create * Store * Archive</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActDataOperationType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.CACT"/>
   </conceptDomain>
   <conceptDomain name="ActDataConsentType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**The type of data consent directive.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActConsentType"/>
   </conceptDomain>
   <conceptDomain name="ActDataDisclosureOperationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Types of operations that may accomplish disclosure of information. Here, objects are broadly understood as information system-related entities (e.g., devices, files, records, tables, processes, programs, domains) containing or receiving information.<b>Examples:</b>
                  <p>* Disclose * Forward * Publish</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActDataOperationType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.CACT"/>
   </conceptDomain>
   <conceptDomain name="ActDataOperationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Types of operations that may be performed on objects. Here, objects are broadly understood as information system-related entities (e.g., devices, files, records, tables, processes, programs, domains) containing or receiving information.<b>Examples:</b>
                  <p>* Create * Update * Delete</p>
                  <i>Open Issue:</i>This is too restrictive to deal with what CBCC wants.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.CACT"/>
   </conceptDomain>
   <conceptDomain name="ActDataUseOperationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Types of operations that may accomplish usage of information. Here, objects are broadly understood as information system-related entities (e.g., devices, files, records, tables, processes, programs, domains) containing or receiving information.<b>Examples:</b>
                  <p>* Activate * Release * Execute Read * Display * Update * Append * Amend</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActDataOperationType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.CACT"/>
   </conceptDomain>
   <conceptDomain name="ActDetectedIssueCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Definition:**Identifies what type of issue detected during occurrence of an act (e.g. unrecognized identifiers, drug-drug contraindications, drug-allergy alerts).</p>
                  <b>Examples:</b>
                  <p>* High dosage alert * Conditional element missing * Timing detected issue</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.ALRT"/>
   </conceptDomain>
   <conceptDomain name="ActDetectedIssueManagementType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Issue management types that dealing with detected issue observations.<i>Rationale:</i>Allows for consistent specification and interpretation of issue management.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
   </conceptDomain>
   <conceptDomain name="ActDisciplinaryActionCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Includes coded types of actions that can be taken by a supervising entity in response to inappropriate action (or inaction) on the part of a supervised entity.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.DISPACT"/>
   </conceptDomain>
   <conceptDomain name="ActEncounterAmbulatoryType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Definition:**A comprehensive term for health care provided in a healthcare facility (e.g. a practitioneraTMs office, clinic setting, or hospital) on a nonresident basis. The term ambulatory usually implies that the patient has come to the location and is not assigned to a bed. Sometimes referred to as an outpatient encounter.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActEncounterType"/>
      <specializesDomain name="ActEncounterCode"/>
   </conceptDomain>
   <conceptDomain name="ActEncounterEmergencyType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Definition:**A patient encounter that takes place at a dedicated healthcare service delivery location where the patient receives immediate evaluation and treatment, provided until the patient can be discharged or responsibility for the patient's care is transferred elsewhere (for example, the patient could be admitted as an inpatient or transferred to another facility.)</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActEncounterType"/>
      <specializesDomain name="ActEncounterCode"/>
   </conceptDomain>
   <conceptDomain name="ActEncounterFieldType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Definition:**A patient encounter that takes place both outside a dedicated service delivery location and outside a patient's residence. Example locations might include an accident site and at a supermarket.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActEncounterType"/>
      <specializesDomain name="ActEncounterCode"/>
   </conceptDomain>
   <conceptDomain name="ActEncounterHomeHealthType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Definition:**Healthcare encounter that takes place in the residence of the patient or a designee</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActEncounterType"/>
      <specializesDomain name="ActEncounterCode"/>
   </conceptDomain>
   <conceptDomain name="ActEncounterInpatientType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Definition:**A patient encounter where a patient is admitted by a hospital or equivalent facility, assigned to a location where patients generally stay at least overnight and provided with room, board, and continuous nursing service.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActEncounterType"/>
      <specializesDomain name="ActEncounterCode"/>
   </conceptDomain>
   <conceptDomain name="ActEncounterPriority">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Types of priorities to determine start of an encounter.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActPriority"/>
   </conceptDomain>
   <conceptDomain name="ActEncounterReason">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Administration reasons for patient encounters.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActReason"/>
   </conceptDomain>
   <conceptDomain name="ActEncounterShortStayType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Definition:**An encounter where the patient is admitted to a health care facility for a predetermined length of time, usually less than 24 hours.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActEncounterType"/>
      <specializesDomain name="ActEncounterCode"/>
   </conceptDomain>
   <conceptDomain name="ActEncounterType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Concepts representing types of patient encounter such as ambulatory encounter, inpatient encounter or emergency encounter.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCareProvisionCode"/>
   </conceptDomain>
   <conceptDomain name="ActEncounterVirtualType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Definition:**A patient encounter where the patient and the practitioner(s) are not in the same physical location. Examples include telephone conference, email exchange, robotic surgery, and televideo conference.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActEncounterType"/>
      <specializesDomain name="ActEncounterCode"/>
   </conceptDomain>
   <conceptDomain name="ActEntityInformationSensitivityPrivacyPolicyType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Types of Sensitivity policies that may apply to a sensitive attribute on an Entity.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActSensitivityPrivacyPolicyType"/>
   </conceptDomain>
   <conceptDomain name="ActEventCategoryWorkingListType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>List of broad catagorizations of clinical event records.<b>Examples:</b>
                  <p>* Allergies * Drugs * Referrals</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.LIST"/>
   </conceptDomain>
   <conceptDomain name="ActEventCriteriaType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Describes types of criteria used when making observations, conducting procedures, and substance administrations.<b>Examples:</b>
                  <p>* medications * immunizations</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.ACT"/>
   </conceptDomain>
   <conceptDomain name="ActExposureCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Concepts that identify the type or nature of exposure interaction. Examples include "household", "care giver", "intimate partner", "common space", "common substance", etc. to further describe the nature of interaction.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.EXPOS"/>
   </conceptDomain>
   <conceptDomain name="ActExposureLevelCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A qualitative measure of the degree of exposure to the causative agent. This includes concepts such as "low", "medium" and "high". This quantifies how the quantity that was available to be administered to the target differs from typical or background levels of the substance.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ActFinancialContractType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A type of Act representing a contract whose value is measured in monetary terms.</p>
                  <b>Examples:</b>
                  <p>* insurance policy * providercontract * billing arrangement</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActContractType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.FCNTRCT"/>
   </conceptDomain>
   <conceptDomain name="ActFinancialDetectedIssueCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Identifies types of detected issues for Act class "ALRT" for the financial acts domain.</p>
                  <i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActDetectedIssueCode"/>
   </conceptDomain>
   <conceptDomain name="ActFinancialDetectedIssueManagementCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Codes dealing with the management of Detected Issue observations for the financial acts domain.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.ACT"/>
   </conceptDomain>
   <conceptDomain name="ActFinancialParticipationConsentType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**The type of financial participation consent directive.</p>
                  <b>Examples:</b>The Advanced Beneficiary Notice that Medicare patients consent or dissent to prior to receiving health services in the U.S. \\ Current values include consent to financial responsibility (1) if the service is not deemed medically necessary; (2) will self pay for a service; or (3) requests that payer be billed.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActConsentType"/>
   </conceptDomain>
   <conceptDomain name="ActFinancialStatusObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Code specifying financial indicators used to assess or establish eligibility for coverage under a policy or program; e.g., pay stub; tax or income document; asset document; living expenses.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCoverageAssessmentObservationValue"/>
   </conceptDomain>
   <conceptDomain name="ActFinancialSupportingAttachmentCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Identifies the type of document that was attached to support the processing of claims, adjudication decision determination or extensions to coverage.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="DocumentType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.DOC"/>
   </conceptDomain>
   <conceptDomain name="ActFinancialTransactionType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A type of Act representing any transaction between two accounts whose value is measured in monetary terms.</p>
                  <b>Examples:</b>
                  <p>* patient account transaction * encounter accounttransaction * cost center transaction</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActContractType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.XACT"/>
   </conceptDomain>
   <conceptDomain name="ActGrouperType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Further defines the type of grouping of orders or events. This concept domain is intended to be used with the GROUPER Act class code.<b>Examples:</b>
                  <p>* requisition * pre-coordinated order set * custom order set</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActRecordOrganizerType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.GROUPER"/>
   </conceptDomain>
   <conceptDomain name="ActHealthInformationManagementReason">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>The rationale or purpose for an act relating to health information management, such as archiving information for the purpose of complying with an organization policy or jurisdictional law relating to data retention.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActInformationManagementReason"/>
   </conceptDomain>
   <conceptDomain name="ActHealthInformationPrivacyReason">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>The rationale or purpose for an act relating to the management of personal health information, such as collecting personal health information for research or public health purposes.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActHealthInformationManagementReason"/>
   </conceptDomain>
   <conceptDomain name="ActHealthInformationPurposeOfUseReason">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Reason for performing one or more operations on information, which may be permitted by source system's security policy in accordance with one or more privacy policies and consent directives.</p>
                  <i>Usage Notes:</i>The rationale or purpose for an act relating to the management of personal health information, such as collecting personal health information for research or public health purposes.</text>
            </definition>
            <usageNotes>
               <text>The rationale or purpose for an act relating to the management of personal health information, such as collecting personal health information for research or public health purposes.</text>
            </usageNotes>
         </documentation>
      </annotations>
      <specializesDomain name="ActHealthInformationManagementReason"/>
   </conceptDomain>
   <conceptDomain name="ActHealthInsuranceTypeCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Definition:</b>Set of codes indicating the type of health insurance policy that covers health services provided to covered parties. A health insurance policy is a written contract for insurance between the insurance company and the policyholder, and contains pertinent facts about the policy owner (the policy holder), the health insurance coverage, the insured subscribers and dependents, and the insurer. Health insurance is typically administered in accordance with a plan, which specifies (1) the type of health services and health conditions that will be covered under what circumstances (e.g., exclusion of a pre-existing condition, service must be deemed medically necessary; service must not be experimental; service must provided in accordance with a protocol; drug must be on a formulary; service must be prior authorized; or be a referral from a primary care provider); (2) the type and affiliation of providers (e.g., only allopathic physicians, only in network, only providers employed by an HMO); (3) financial participations required of covered parties (e.g., co-pays, coinsurance, deductibles, out-of-pocket); and (4) the manner in which services will be paid (e.g., under indemnity or fee-for-service health plans, the covered party typically pays out-of-pocket and then file a claim for reimbursement, while health plans that have contractual relationships with providers, i.e., network providers, typically do not allow the providers to bill the covered party for the cost of the service until after filing a claim with the payer and receiving reimbursement).</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActInsuranceTypeCode"/>
   </conceptDomain>
   <conceptDomain name="ActICSRDocumentType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>A type of document that has information related to the investigation of an adverse event or product problem report.<b>Examples:</b>
                  <p>* Autopsy report * toxicology report * clinical journal article</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="DocumentType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.DOC"/>
   </conceptDomain>
   <conceptDomain name="ActICSRRecordOrganizerType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>A type of concept that is used within adverse event and product problem reporting to organize data - often clinical in nature - provided for an investigative subject or other party within the scope of the investigation.<b>Examples:</b>
                  <p>* Medical history * previous drug reactions * immunization history</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActRecordOrganizerType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.CATEGORY"/>
   </conceptDomain>
   <conceptDomain name="ActIdentityDocumentCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Code identifying the type of identification document (e.g. passport, drivers license)</p>
                  <p>**Implementation Note:**The proposal called for a domain, but a code was also provided. When codes are available for the value set the code IDENTDOC (identity document) will be used as the headcode for the specializable value set.</p>
                  <i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="DocumentType"/>
   </conceptDomain>
   <conceptDomain name="ActImmunizationReason">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Reasons why an immunization was administered.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActReason"/>
   </conceptDomain>
   <conceptDomain name="ActIncidentCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Definition:</b>Set of codes indicating the type of incident or accident.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.INC"/>
   </conceptDomain>
   <conceptDomain name="ActInfoPersistCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>The act of storing information to long term storage.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActLabProcessCodes"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.STORE"/>
   </conceptDomain>
   <conceptDomain name="ActInformRequestType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Information type for which a provider is requesting routing of health information. This could include messaging of results or documents especially in the context of a specific service delivery location.<b>Examples:</b>
                  <p>* Diagnostic Image Interpretations * Lab Test Results * Electrocardiogram Reports</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="DocumentType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.DOC"/>
   </conceptDomain>
   <conceptDomain name="ActInformationAccessCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>The type of health information to which the subject of the information or the subject&amp;\#039;s delegate consents or dissents.<b>Examples:</b>
                  <p>* allergy information * medication information * professional services information</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActConsentType"/>
   </conceptDomain>
   <conceptDomain name="ActInformationAccessOverrideReason">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Use to convey the reason that a provider may or has accessed personal healthcare information. Typically, this involves overriding the subject's consent directives.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActInformationManagementReason"/>
   </conceptDomain>
   <conceptDomain name="ActInformationCategoryCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Definition:**Indicates the set of information types which may be manipulated or referenced, such as for recommending access restrictions.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="DocumentType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.DOC"/>
   </conceptDomain>
   <conceptDomain name="ActInformationManagementReason">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>The rationale or purpose for an act relating to information management, such as archiving information for the purpose of complying with an enterprise data retention policy.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActReason"/>
   </conceptDomain>
   <conceptDomain name="ActInformationPrivacyReason">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>The rationale or purpose for an act relating to the management of personal information, such as disclosing personal tax information for the purpose of complying with a court order.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActReason"/>
   </conceptDomain>
   <conceptDomain name="ActInformationSensitivityPrivacyPolicyType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Types of sensitivity policies that apply to Acts.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActSensitivityPrivacyPolicyType"/>
   </conceptDomain>
   <conceptDomain name="ActInformationTransferCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Conveyance of the type of information transfer protocol.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.TRFR"/>
   </conceptDomain>
   <conceptDomain name="ActInsurancePolicyType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Types of insurance coverage legal documentation to cover healthcare costs.<i>Examples:</i>
                  <p>* Automobile * Extended healthcare * Worker's compensation</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCoverageTypeCode"/>
   </conceptDomain>
   <conceptDomain name="ActInsuranceTypeCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Definition:</b>Set of codes indicating the type of insurance policy. Insurance, in law and economics, is a form of risk management primarily used to hedge against the risk of potential financial loss. Insurance is defined as the equitable transfer of the risk of a potential loss, from one entity to another, in exchange for a premium and duty of care. A policy holder is an individual or an organization enters into a contract with an underwriter which stipulates that, in exchange for payment of a sum of money (a premium), one or more covered parties (insureds) is guaranteed compensation for losses resulting from certain perils under specified conditions. The underwriter analyzes the risk of loss, makes a decision as to whether the risk is insurable, and prices the premium accordingly. A policy provides benefits that indemnify or cover the cost of a loss incurred by a covered party, and may include coverage for services required to remediate a loss. An insurance policy contains pertinent facts about the policy holder, the insurance coverage, the covered parties, and the insurer. A policy may include exemptions and provisions specifying the extent to which the indemnification clause cannot be enforced for intentional tortious conduct of a covered party, e.g., whether the covered parties are jointly or severably insured.<i>Discussion:</i>In contrast to programs, an insurance policy has one or more policy holders, who own the policy. The policy holder may be the covered party, a relative of the covered party, a partnership, or a corporation, e.g., an employer. A subscriber of a self-insured health insurance policy is a policy holder. A subscriber of an employer sponsored health insurance policy is holds a certificate of coverage, but is not a policy holder; the policy holder is the employer. See CoveredRoleType.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCoverageTypeCode"/>
   </conceptDomain>
   <conceptDomain name="ActInvoiceAdjudicationPaymentSummaryType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Types of grouping of invoice elements (totals, sub-totals), reported through a Payment Advice or a Statement of Financial Activity (SOFA). The code can represent summaries by day, location, payee and other cost elements such as bonus, retroactive adjustment and transaction fees.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActInvoiceElementSummaryType"/>
   </conceptDomain>
   <conceptDomain name="ActInvoiceDetailClinicalProductCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>\*\*\*\* MISSING DEFINITIONS \*\*\*\*</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActInvoiceDetailCode"/>
   </conceptDomain>
   <conceptDomain name="ActInvoiceDetailClinicalServiceCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>An identifying data string for healthcare procedures.</p>
                  <i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActInvoiceDetailCode"/>
   </conceptDomain>
   <conceptDomain name="ActInvoiceDetailCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Codes representing a service or product that is being invoiced (billed). The code can represent such concepts as "office visit", "drug X", "wheelchair" and other billable items such as taxes, service charges and discounts.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActInvoiceElementCode"/>
   </conceptDomain>
   <conceptDomain name="ActInvoiceDetailTaxType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Types of tax associated with billable services or products.<i>Examples:</i>
                  <p>* Provincial or State sales tax * Harmonized sales tax * Federal sales tax</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActInvoiceDetailCode"/>
   </conceptDomain>
   <conceptDomain name="ActInvoiceElementCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.INVE"/>
   </conceptDomain>
   <conceptDomain name="ActInvoiceElementModifier">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Processing consideration and clarification codes.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ActInvoiceElementSummaryType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Types of summary information that can be reported by queries dealing with Statement of Financial Activity (SOFA). The summary information is generally used to help resolve balance discrepancies between providers and payors.<i>Examples:</i>
                  <p>* number and total value of payable items; * number and value of same period nullify items; * number and value of prior nullify; * number of non-payable nullify items; * number of pending items; * number of rejected items; * number of adjudicated to zero items; * reimbursement items (e.g., pay patient) * Adjudicated non-payee payable prior-period electronic amount * Adjudicated nullified prior-period electronic amount * Adjudicated refused prior-period electronic amount</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActInvoiceElementCode"/>
   </conceptDomain>
   <conceptDomain name="ActInvoiceGroupType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Types of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results.<p>Invoice elements of this type signify a grouping of one or more children (detail) invoice elements. They do not have intrinsic costing associated with them, but merely reflect the sum of all costing for its immediate children invoice elements.</p>
                  <i>Examples:</i>
                  <p>* CPINV - Clinical product invoice * CSINV- Clinical service invoice * RXDINV - Drug invoice * RXCINV - Compound invoice * CSPINV - Combined service and clinical product invoice</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActInvoiceElementCode"/>
   </conceptDomain>
   <conceptDomain name="ActInvoiceOverrideType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Types of responses that will occur as a result of the adjudication of an electronic invoice at a summary level and provides guidance on interpretation of the referenced adjudication results.<i>Examples:</i>
                  <p>* Re-bill for the professional fee * Good faith override * Wasted Drug</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActInvoiceElementCode"/>
   </conceptDomain>
   <conceptDomain name="ActIssuePriority">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Indicates the importance or priority associated with a detected issue.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActPriority"/>
   </conceptDomain>
   <conceptDomain name="ActKeywordsType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Codes for additional metadata to be assigned to document or context of use instances to organize a group of documents within the same table of contents heading. These external code systems specify the category or type of keyword (e.g. Species) and the applicable values.</p>
                  <b>Examples:</b>
                  <p>* Species code system * Species code * Sponsor's manufacturing site code system</p>
                  <i>Usage Note:</i>This usage is confined to a specific set of requirements related to regulatory documents in the context of RPS documents.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCompositionType"/>
   </conceptDomain>
   <conceptDomain name="ActLabProcessCodes">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Codes for general laboratory process steps.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCodeProcessStep"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.ACT"/>
   </conceptDomain>
   <conceptDomain name="ActListCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Provides codes associated with ActClass value of LIST (working list)</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.LIST"/>
   </conceptDomain>
   <conceptDomain name="ActMedicalBillableServiceCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Definition:</b>An identifying code for billable medical services, as opposed to codes for similar services to identify them for clinical purposes.<i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActBillableServiceCode"/>
   </conceptDomain>
   <conceptDomain name="ActMedicationDocumentCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Indicates the types of documents that can be associated with a medication or group of medications.</p>
                  <i>Examples include:</i>Patient monographs, Provider monographs, Drug protocols, etc.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="DocumentType"/>
   </conceptDomain>
   <conceptDomain name="ActMedicationTherapyDurationWorkingListCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Definition:**A collection of concepts that identifies different types of 'duration-based' mediation working lists.</p>
                  <p>**Examples:**"Continuous/Chronic" "Short-Term" and "As Needed"</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActTherapyDurationWorkingListCode"/>
   </conceptDomain>
   <conceptDomain name="ActMolecularInteractionType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Chemical reactions in the widest sense of the word.</p>
                  <i>Examples:</i>Transcription (creating mRNA from a DNA gene), translation (creating a protein from mRNA), cleavage (hydrolysis of a peptide), substitution (replacing an element or residue with another, such as in glycosylation, phosphorylation), addition (adding a residue to a double bond), receptor binding.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActProcedureCode"/>
   </conceptDomain>
   <conceptDomain name="ActMonitoringProtocolType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Identifies types of monitoring programs such as tracking specified medication prescribing e.g. narcotic(s), identifying investigational studies or identifying programs regarding reimbursement or prescribing privileges.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
   </conceptDomain>
   <conceptDomain name="ActMood">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A code distinguishing whether an Act is conceived of as a factual statement or in some other manner as a command, possibility, goal, etc.</p>
                  <i>Constraints:</i>An Act-instance must have one and only one moodCode value.<p>The moodCode of a single Act-instance never changes. Mood is not state.</p>
                  <p>To describe the progression of a business activity from defined to planned to executed, etc. one must instantiate different Act-instances in the different moods and link them using ActRelationship of general type "sequel". (See ActRelationship.type.)</p>
                  <i>Discussion:</i>The Act.moodCode includes the following notions: (1) event, i.e., factual description of an actions that occurred; (2) definition of possible actions and action plans (the master file layer); (3) intent, i.e., an action plan instantiated for a patient as a care plan or order; (4) goal, i.e., an desired outcome attached to patient problems and plans; and (5) criterion, i.e., a predicate used as<p>The Act.moodCode modifies the meaning of the Act class in a controlled way, just as in natural language, grammatical form of a verb modify the meaning of a sentence in defined ways. For example, if the mood is factual (event,) then the entire act object represents a known fact. If the mood expresses a plan (intent,) the entire act object represents the expectation of what should be done. The mood does not change the meaning of individual act properties in peculiar ways.</p>
                  <p>Since the mood code is a determining factor for the meaning of an entire Act object, the mood must always be known. This means, whenever an act object is instantiated, the mood attribute must be assigned to a valid code, and the mood assignment can not change throughout the lifetime of an act object.</p>
                  <p>As the meaning of an act object is factored in the mood code, the mood code affects the interpretation of the entire Act object and with it every property (attributes and associations.) Note that the mood code affects the interpretation of the act object, and the meaning of the act object in turn determines the meaning of the attributes. However, the mood code does not arbitrarily change the meaning of individual attributes.</p>
                  <i>Inert vs. descriptive properties of Acts:</i>Acts have two kinds of act properties, inert and descriptive properties. Inert properties are not affected by the mood, descriptive properties follow the mood of the object. For example, there is an identifier attribute Act.id, which gives a unique identification to an act object. Being a unique identifier for the object is in no way dependent on the mood of the act object. Therefore, the "interpretation" of the Act.id attribute is inert with respect to the act object's mood.<p>By contrast, most of the Act class' attributes are descriptive for what the Act statement expresses. Descriptive properties of the Act class give answer to the questions who, whom, where, with what, how and when the action is done. The questions who, whom, with what, and where are answered by Participatons, while how and when is answered by descriptive attributes and ActRelationships. The interpretation of a descriptive attribute is aligned to the interpretation of the entire act object, and controlled by the mood.</p>
                  <i>Examples:</i>To illustrate the effect of mood code, consider a "blood glucose" observation:<p>The DEFINITION mood specifies the Act of "obtaining blood glucose". Participations describe in general the characteristics of the people who must be involved in the act, and the required objects, e.g., specimen, facility, equipment, etc. involved. The Observation.value specifies the absolute domain (range) of the observation (e.g., 15-500 mg/dl.)</p>
                  <p>In INTENT mood the author of the intent expresses the intent that he or someone else "should obtain blood glucose". The participations are the people actually or supposedly involved in the intended act, especially the author of the intent or any individual assignments for group intents, and the objects actually or supposedly involved in the act (e.g., specimen sent, equipment requirements, etc.) The Observation.value is usually not specified, since the intent is not to measure blood glucose, not to measure blood glucose in a specific range. (But compare with GOAL below.)</p>
                  <p>In ORDER mood, a kind of intent, the author requests to "please obtain blood glucose". The Participations are the people actually and supposedly involved in the act, especially the placer and the designated filler, and the objects actually or supposedly involved in the act (e.g., specimen sent, equipment requirements, etc.) The Observation.value is usually not specified, since the order is not to measure blood glucose in a specific range.</p>
                  <p>In EVENT mood, the author states that "blood glucose was obtained". Participations are the people actually involved in the act, and the objects actually involved (e.g., specimen, facilities, equipment.) The Observation.value is the value actually obtained (e.g., 80 mg/dL, or &lt;15 mg/dL.)</p>
                  <p>In event-CRITERION mood, an author considers a certain class of "obtaining blood glucose" possibly with a certain value (range) as outcome. The Participations constrain the criterion, for instance, to a particular patient. The Observation.value is the range in which the criterion would hold (e.g. &gt; 180 mg/dL or 200?300 mg/dL.)</p>
                  <p>In GOAL mood (a kind of criterion) the author states that "our goal is to be able to obtain blood glucose with the given value (range)". The Participations are similar to intents, especially the author of the goal and the patient for whom the goal is made. The Observation.value is the range which defined when the goal is met (e.g. 80?120 mg/dl.)</p>
                  <i>Rationale:</i>The notion of "mood" is borrowed from natural language grammar, the mood of a verb (lat. modus verbi).<p>The notion of mood also resembles the various extensions of the logic of facts in modal logic and logic with modalities, where the moodCode specifies the modality (fact, possibility, intention, goal, etc.) under which the Act-statement is judged as appropriate or defective.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ActMoodProposal">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A non-mandated intent to perform an act. Used to record intents that are explicitly not Orders. Professional responsibility for the 'proposal' may or may not be present.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActMood"/>
   </conceptDomain>
   <conceptDomain name="ActNoImmunizationReason">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Reasons why a patient did not receive an immunization.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActReason"/>
   </conceptDomain>
   <conceptDomain name="ActNonMedicalBillableServiceCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Definition:</b>An identifying code for billable services that are not medical procedures, such as social services or governmental program services.<b>Example:</b>Building a wheelchair ramp, help with groceries, giving someone a ride, etc.<i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActBillableServiceCode"/>
   </conceptDomain>
   <conceptDomain name="ActNonObservationIndicationCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Concepts representing indications (reasons for clinical action) other than diagnosis and symptoms.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.ACT"/>
   </conceptDomain>
   <conceptDomain name="ActObligationSecurityPolicyType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Conveys the mandated workflow action that an information custodian, receiver, or user must perform.</p>
                  <i>Usage Note:</i>Per ISO 22600-2, ObligationPolicy instances "are event-triggered and define actions to be performed by manager agent". Per HL7 Composite Security and Privacy Domain Analysis Model: This value set refers to the action required to receive the permission specified in the privacy rule. Per OASIS XACML, an obligation is an operation specified in a policy or policy that is performed in conjunction with the enforcement of an access control decision.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActSecurityPolicyType"/>
   </conceptDomain>
   <conceptDomain name="ActObservationVerificationCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>The act of verifying an observations. The subject act related to the observation verification (act relationship SUBJ) must be an observation (OBS)</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActLabProcessCodes"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.OBS"/>
   </conceptDomain>
   <conceptDomain name="ActObservationVerificationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Identifies the type of verification investigation being undertaken with respect to the subject of the verification activity.</p>
                  <b>Examples:</b>
                  <ul>
                     <li>
                        <p>Verification of eligibility for coverage under a policy or program - aka enrolled/covered by a policy or program</p>
                     </li>
                     <li>
                        <p>Verification of record - e.g., person has record in an immunization registry</p>
                     </li>
                     <li>
                        <p>Verification of enumeration - e.g. NPI</p>
                     </li>
                     <li>
                        <p>Verification of Board Certification - provider specific</p>
                     </li>
                     <li>
                        <p>Verification of Certification - e.g. JAHCO, NCQA, URAC</p>
                     </li>
                     <li>
                        <p>Verification of Conformance - e.g. entity use with HIPAA, conformant to the CCHIT EHR system criteria</p>
                     </li>
                     <li>
                        <p>Verification of Provider Credentials</p>
                     </li>
                     <li>
                        <p>Verification of no adverse findings - e.g. on National Provider Data Bank, Health Integrity Protection Data Base (HIPDB)</p>
                     </li>
                  </ul>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.VERIF"/>
   </conceptDomain>
   <conceptDomain name="ActOralHealthProcedureCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**An identifying code for oral health interventions/procedures.</p>
                  <i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActProcedureCode"/>
   </conceptDomain>
   <conceptDomain name="ActOrderCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>The type of order that was fulfilled by the clinical service</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.ACT"/>
   </conceptDomain>
   <conceptDomain name="ActOrderableProcedureCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Concept domain which includes those ActProcedureCodes which are appropriate for ordering.<b>Examples:</b>
                  <p>* physical therapies * excisions * surgery</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActProcedureCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.PROC"/>
   </conceptDomain>
   <conceptDomain name="ActPatientAnnotationCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Provides a categorization for annotations recorded directly against the patient</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.OBS"/>
   </conceptDomain>
   <conceptDomain name="ActPatientSafetyIncidentCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Definition:</b>A code specifying the particular kind of Patient Safety Incident that the Incident class instance represents.<p>**Examples:**"Medication incident", "slips, trips and falls incident".The actual value set for the domain will be determined by each (realm) implementation, whose Patient Safety terminology will be specific, although probably linked to the WHO Patient Safety Taxonomy that is currently under development</p>
                  <i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActIncidentCode"/>
   </conceptDomain>
   <conceptDomain name="ActPatientTransportationModeCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Definition: Characterizes how a patient was or will be transported to the site of a patient encounter.</p>
                  <i>Examples:</i>Via ambulance, via public transit, on foot.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActTransportationModeCode"/>
   </conceptDomain>
   <conceptDomain name="ActPaymentReason">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>\*\*\*\* MISSING DEFINITIONS \*\*\*\*</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActReason"/>
   </conceptDomain>
   <conceptDomain name="ActPharmacySupplyType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Definition:**Identifies types of dispensing events.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActSupplyType"/>
   </conceptDomain>
   <conceptDomain name="ActPolicyType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Types of policies that further specify the ActClassPolicy value set.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.POLICY"/>
   </conceptDomain>
   <conceptDomain name="ActPreferenceReason">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Reasons why a preference has been specified.</p>
                  <b>Examples:</b>
                  <p>* Side Effects * Religious * Request</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActReason"/>
   </conceptDomain>
   <conceptDomain name="ActPreferenceType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Concepts representing a type of preference that can be specified.</p>
                  <b>Examples:</b>
                  <p>* Food * Drug * Vegetarian * Sweets</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
   </conceptDomain>
   <conceptDomain name="ActPriority">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A code or set of codes (e.g., for routine, emergency,) specifying the urgency under which the Act happened, can happen, is happening, is intended to happen, or is requested/demanded to happen.</p>
                  <i>Discussion:</i>This attribute is used in orders to indicate the ordered priority, and in event documentation it indicates the actual priority used to perform the act. In definition mood it indicates the available priorities.</text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ActPrivacyLawPolicyType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Types of jurisdictional mandates relating to privacy.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActPrivacyPolicyType"/>
   </conceptDomain>
   <conceptDomain name="ActPrivacyPolicyType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Types of privacy policies that further specify the ActClassPolicy value set e.g. override policy, minor's rights to mask sensitive information policy, opt-in, opt-out policy.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActPolicyType"/>
   </conceptDomain>
   <conceptDomain name="ActPrivilegeCategorization">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>An Act which characterizes a Privilege can have additional observations to provide a finer definition of the requested or conferred privilege. This domain describes the categories under which this additional information is classified.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.OBS"/>
   </conceptDomain>
   <conceptDomain name="ActPrivilegeCategorizationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>This domain includes observations used to characterize a privilege, under which this additional information is classified.</p>
                  <p>*Examples:*A privilege to prescribe drugs has a RESTRICTION that excludes prescribing narcotics; a surgical procedure privilege has a PRE-CONDITION that it requires prior Board approval.</p>
                  <i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="ActProcedureCategoryList">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Describes the high level classification of professional services for grouping.</p>
                  <p>**Examples:**Education, Counseling, Surgery, etc.</p>
                  <i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActListCode"/>
   </conceptDomain>
   <conceptDomain name="ActProcedureCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>An identifying code for healthcare interventions/procedures.<b>Examples:</b>
                  <p>* immunization * appendectomy * physiotherapy</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.PROC"/>
   </conceptDomain>
   <conceptDomain name="ActProcedureEventCriteriaType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>of procedure used for evaluating a precondition, goal, or trigger.<b>Examples:</b>
                  <p>* some radiology procedures * respiratory therapy * physical therapy</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActEventCriteriaType"/>
      <property name="ConceptualSpaceForClassCode" value="ActMood.EVN.CRT"/>
   </conceptDomain>
   <conceptDomain name="ActProductAcquisitionType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Financial Acquisition Terms: categorizations of acquisition terms for a product.<p>Types of method a product can be obtained for use by the subject of the supply act (e.g. patient). Product examples are consumable or durable goods.</p>
                  <i>Examples:</i>
                  <p>* Loan * Rent * Sale</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActSupplyType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.SPLY"/>
   </conceptDomain>
   <conceptDomain name="ActProductApprovalApplicationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>A type of application made in order to obtain a product approval from a regulatory agency or other government body.<b>Examples:</b>
                  <p>* Application for new approval * Application for renewal of approval * Application for variation of approval</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActProductApprovalType"/>
   </conceptDomain>
   <conceptDomain name="ActProductApprovalProcessType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>A type of approval process by which a product approval is obtained from a regulatory agency or other government body.<b>Examples:</b>
                  <p>* Centralized process approval * Mutual recognition process approval * National process approval</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActProductApprovalType"/>
   </conceptDomain>
   <conceptDomain name="ActProductApprovalType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>An approval granted to a product by a regulatory agency or other government body.<b>Examples:</b>
                  <p>* Approval to sell * Approval to initiate clinical trial * Approval to market (i.e., advertise)</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.CNTRCT"/>
   </conceptDomain>
   <conceptDomain name="ActProductDocumentationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>
                  <p>A type of documentation that is used to convey information about a product or an aspect of its life as a product - ranging from production to disposition.</p>
                  <b>Examples:</b>
                  <p>* Bill of lading * product label * Report of Product Disposal</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="DocumentType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.DOC"/>
   </conceptDomain>
   <conceptDomain name="ActProductLifeCycleEventType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>A type of activity that takes place during the life of a product as it moves from the point of production to the point of consumption, use, or disposition (most notably in the case of contaminated products). It will be possible for concepts at different levels of granularity to be included.<b>Examples:</b>
                  <p>* Manufacture * paint * wholesale * dispose</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActSupplyType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.ACT"/>
   </conceptDomain>
   <conceptDomain name="ActProductReconstitutionType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>DESCRIPTION</p>
                  <p>Identifies the nature (or type) of transformation that a (medicinal) product may undergo, prior to its administration to a patient.</p>
                  <b>Examples:</b>
                  <p>* Dilution * Dissolution * Suspension</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActProcedureCode"/>
   </conceptDomain>
   <conceptDomain name="ActProfessionalServiceCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Denotes the specific professional service that has been performed. This is obtained from the professional service catalog pertaining to the discipline of the health service provider.<b>Examples:</b>
                  <p>* adjustment of hearing aid * excision of skin lesion * stitching skin lacerations</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActProcedureCode"/>
   </conceptDomain>
   <conceptDomain name="ActProgramTypeCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Definition:</b>A set of codes used to indicate coverage under a program. A program is an organized structure for administering and funding coverage of a benefit package for covered parties meeting eligibility criteria, typically related to employment, health, financial, and demographic status. Programs are typically established or permitted by legislation with provisions for ongoing government oversight. Regulations may mandate the structure of the program, the manner in which it is funded and administered, covered benefits, provider types, eligibility criteria and financial participation. A government agency may be charged with implementing the program in accordance to the regulation. Risk of loss under a program in most cases would not meet what an underwriter would consider an insurable risk, i.e., the risk is not random in nature, not financially measurable, and likely requires subsidization with government funds.<i>Discussion:</i>Programs do not have policy holders or subscribers. Program eligibles are enrolled based on health status, statutory eligibility, financial status, or age. Program eligibles who are covered parties under the program may be referred to as members, beneficiaries, eligibles, or recipients. Programs risk are underwritten by not for profit organizations such as governmental entities, and the beneficiaries typically do not pay for any or some portion of the cost of coverage. See CoveredPartyRoleType.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCoverageTypeCode"/>
   </conceptDomain>
   <conceptDomain name="ActProvenanceEventCurrentStateType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Types of state an act may exist in.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
   </conceptDomain>
   <conceptDomain name="ActQualityMeasureDocumentType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A type of document used to represent a health quality measure (aka eMeasure).</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="DocumentType"/>
   </conceptDomain>
   <conceptDomain name="ActQualityMeasureSectionType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A type of document section within a health quality measure (aka eMeasure), used to cluster the various parts of the eMeasure into a more human navigable format.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="DocumentSectionType"/>
   </conceptDomain>
   <conceptDomain name="ActRPSDocumentType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Identifies the document type from a regulator-defined set of codes similar to the ICH-defined File Tags used on clinical study documents in an eCTD.</p>
                  <b>Examples:</b>
                  <p>* Pre-clinical study report * Study report * Sample CRF</p>
                  <i>Usage Note:</i>This usage is confined to a specific set of requirements related to regulatory documents in the context of RPS documents.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="DocumentType"/>
   </conceptDomain>
   <conceptDomain name="ActRPSProductCategoryType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Identifies the legal or administrative category assigned to a regulated product that determines or influences the way in which its submission is reviewed.</p>
                  <b>Examples:</b>
                  <p>* New active ingredients * New ethical combination drug * New administrative route</p>
                  <i>Usage Note:</i>This usage is confined to a specific set of requirements related to regulatory documents in the context of RPS documents.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActRPSRegulatoryPolicy"/>
   </conceptDomain>
   <conceptDomain name="ActRPSRegulatoryPolicy">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Identifies different classes of regulatory policy that can be applied within a Regulated Product Submission.</p>
                  <i>Usage Note:</i>This Domain is used to administratively group its subdomains specifically for usage in the RPS model, and is not intended to participate in any binidngs.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
   </conceptDomain>
   <conceptDomain name="ActRPSRelatedApplicationReason">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Identifies the reason for citing a related application.</p>
                  <b>Examples:</b>
                  <p>* Data protection period expiry reference * Bioequivalence reference * Drug Master File reference</p>
                  <i>Usage Note:</i>This usage is confined to a specific set of requirements related to regulatory documents in the context of RPS documents.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActReason"/>
   </conceptDomain>
   <conceptDomain name="ActRPSReviewTimeType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Identifies the time period in which a submission of a given type is to be reviewed as established by law or practice in the particular regulatory realm.</p>
                  <b>Examples:</b>
                  <p>* 30 days, reduced time * 60 days, regular time * 90 days, extended time</p>
                  <i>Usage Note:</i>This usage is confined to a specific set of requirements related to regulatory documents in the context of RPS documents.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActRPSRegulatoryPolicy"/>
   </conceptDomain>
   <conceptDomain name="ActReactionActionTakenType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>A type of act that indicates the action taken by a practitioner or other responsible party in response to the reaction/event that is reported in the ICSR.<b>Examples:</b>
                  <p>* failing device replaced * medication stopped * medication dose adjusted</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.ACT"/>
   </conceptDomain>
   <conceptDomain name="ActReason">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A code specifying the motivation, cause, or rationale of an Act, when such rationale is not reasonably representable as an ActRelationship of type "has reason" linking to another Act.</p>
                  <i>Examples:</i>Example reasons that might qualify for being coded in this field might be: "routine requirement", "infectious disease reporting requirement", "on patient request", "required by law".<p>Discussion</p>
                  <p>Most reasons for acts can be clearly expressed by linking the new Act to another prior Act using an ActRelationship of type "has reason". This simply states that the prior Act is a reason for the new Act (see ActRelationship.) The prior act can then be a specific existing act or a textual explanation. This works for most cases, and the more specific the reason data is, the more should this reason ActRelationship be used instead of the reasonCode.</p>
                  <p>The reasonCode remains as a place for common reasons that are not related to a prior Act or any other condition expressed in Acts. Indicators that something was required by law or was on the request of a patient etc. may qualify. However, if that piece of legislation, regulation, or the contract or the patient request can be represented as an Act (and they usually can), the reasonCode should not be used.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ActRecordContainerType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Container of clinical statements. Navigational. No semantic content. Knowledge of the section code is not required to interpret contained observations. Represents a heading in a heading structure, or "container tree".<i>Examples:</i>category; document section; document body.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActRecordOrganizerType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.CONTAINER"/>
   </conceptDomain>
   <conceptDomain name="ActRecordOrganizerType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>A code further classifying the type of record organizer. Used with the ActClassRecordOrganizer ActClass concept domain.<b>Examples:</b>
                  <p>* CDA R2 * * Electrolytes Battery * Specimen Cluster</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass._ActClassRecordOrganizer"/>
   </conceptDomain>
   <conceptDomain name="ActRefrainSecurityPolicyType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Conveys prohibited actions which an information custodian, receiver, or user is not permitted to perform unless otherwise authorized or permitted under specified circumstances.</p>
                  <i>Usage Notes:</i>ISO 22600-2 species that a Refrain Policy "defines actions the subjects must refrain from performing". Per HL7 Composite Security and Privacy Domain Analysis Model: May be used to indicate that a specific action is prohibited based on specific access control attributes e.g., purpose of use, information type, user role, etc.</text>
            </definition>
            <usageNotes>
               <text>ISO 22600-2 species that a Refrain Policy "defines actions the subjects must refrain from performing".  Per HL7 Composite Security and Privacy Domain Analysis Model:  May be used to indicate that a specific action is prohibited based on specific access control attributes e.g., purpose of use, information type, user role, etc.</text>
            </usageNotes>
         </documentation>
      </annotations>
      <specializesDomain name="ActSecurityPolicyType"/>
   </conceptDomain>
   <conceptDomain name="ActRegistryCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>This is the domain of registry types. Examples include Master Patient Registry, Staff Registry, Employee Registry, Tumor Registry.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.REG"/>
   </conceptDomain>
   <conceptDomain name="ActRegulatoryCategoryType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Identifies the regulatory processes and/or submission contents specified in law or practice for a particular realm used to organize submitted materials.</p>
                  <b>Examples:</b>
                  <p>* Application Type: NDA * Submission Type: Efficacy Supplement * Submission Unit Type: Amendment</p>
                  <i>Usage Note:</i>This usage is confined to a specific set of requirements related to regulatory documents in the context of RPS documents.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCompositionType"/>
   </conceptDomain>
   <conceptDomain name="ActRegulatoryStatusType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Identifies a temporary or final legal status assigned to a submission by a particular regulatory realm based on the laws and practices of the realm.</p>
                  <b>Examples:</b>
                  <p>* Active (as authorized by section abc) * Approved (under section xyz) * Withdrawn (under section pqr)</p>
                  <i>Usage Note:</i>This usage is confined to a specific set of requirements related to regulatory documents in the context of RPS documents.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActRPSRegulatoryPolicy"/>
   </conceptDomain>
   <conceptDomain name="ActRelationshipCheckpoint">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A code specifying when in the course of an Act a precondition for the Act is evaluated (e.g., before the Act starts for the first time, before every repetition, after each repetition but not before the first, or throughout the entire time of the Act.)</p>
                  <i>Discussion:</i>This attribute is part of the workflow control suite of attributes. An action plan is a composite Act with component Acts. In a sequential plan, each component has a sequenceNumber that specifies the ordering of the plan steps. Before each step is executed and has preconditions these conditions are tested and if the test is positive, the Act has clearance for execution. The repeatNumber may indicate that an Act may be repeatedly executed. The checkpointCode is specifies when the precondition is checked and is analogous to the various conditional statements and loop constructs in programming languages "while-do" vs. "do-while" or "repeat-until" vs. "loop-exit".<p>For all checkpointCodes, except "end", preconditions are being checked at the time when the preceding step of the plan has terminated and this step would be next in the sequence established by the sequenceNumber attribute.</p>
                  <p>When the checkpointCode for a criterion of a repeatable Act is "end", the criterion is tested only at the end of each repetition of that Act. When the condition holds true, the next repetition is ready for execution.</p>
                  <p>When the checkpointCode is "entry" the criterion is checked at the beginning of each repetition (if any) whereas "beginning" means the criterion is checked only once before the repetition "loop" starts.</p>
                  <p>The checkpointCode "through" is special in that it requires the condition to hold throughout the execution of the Act, even throughout a single execution. As soon as the condition turns false, the Act should receive an interrupt event (see interruptibleInd) and will eventually terminate.</p>
                  <p>The checkpointCode "exit" is only used on a special plan step that represents a loop exit step. This allows an action plan to exit due to a condition tested inside the execution of this plan. Such exit criteria are sequenced with the other plan components using the ActRelationship.sequenceNumber.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ActRelationshipEntry">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Used to enumerate the relationships between a CDA section and its contained entries.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActRelationshipType"/>
   </conceptDomain>
   <conceptDomain name="ActRelationshipEntryRelationship">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Description still needed</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActRelationshipType"/>
   </conceptDomain>
   <conceptDomain name="ActRelationshipJoin">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A code specifying how concurrent Acts are resynchronized in a parallel branch construct.</p>
                  <i>Discussion:</i>This attribute is part of the workflow control suite of attributes. An action plan is a composite Act with component Acts. In a sequential plan, each component has a sequenceNumber that specifies the ordering of the plan steps. Branches exist when multiple components have the same sequenceNumber. Branches are parallel if the splitCode specifies that more than one branch can be executed at the same time. The joinCode then specifies if and how the braches are resynchronized.<p>The principal re-synchronization actions are (1) the control flow waits for a branch to terminate (wait-branch), (2) the branch that is not yet terminated is aborted (kill-branch), (3) the branch is not re-synchronized at all and continues in parallel (detached branch).</p>
                  <p>A kill branch is only executed if there is at least one active wait (or exclusive wait) branch. If there is no other wait branch active, a kill branch is not started at all (rather than being aborted shortly after it is started.) Since a detached branch is unrelated to all other branches, active detached branches do not protect a kill-branch from being aborted.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ActRelationshipRelatedOrder">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Description still needed</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActRelationshipType"/>
   </conceptDomain>
   <conceptDomain name="ActRelationshipSplit">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A code specifying how branches in an action plan are selected among other branches.</p>
                  <i>Discussion:</i>This attribute is part of the workflow control suite of attributes. An action plan is a composite Act with component Acts. In a sequential plan, each component has a sequenceNumber that specifies the ordering of the plan steps. Branches exist when multiple components have the same sequenceNumber. The splitCode specifies whether a branch is executed exclusively (case-switch) or inclusively, i.e., in parallel with other branches.<p>In addition to exlusive and inclusive split the splitCode specifies how the pre-condition (also known as "guard conditions" on the branch) are evaluated. A guard condition may be evaluated once when the branching step is entered and if the conditions do not hold at that time, the branch is abandoned. Conversely execution of a branch may wait until the guard condition turns true.</p>
                  <p>In exclusive wait branches, the first branch whose guard conditions turn true will be executed and all other branches abandoned. In inclusive wait branches some branches may already be executed while other branches still wait for their guard conditions to turn true.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ActRelationshipSubset">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Used to indicate that the target of the relationship will be a filtered subset of the total related set of targets.</p>
                  <p>Used when there is a need to limit the number of components to the first, the last, the next, the total, the average or some other filtered or calculated subset.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ActRelationshipType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A code specifying the meaning and purpose of every ActRelationship instance. Each of its values implies specific constraints to what kinds of Act objects can be related and in which way.</p>
                  <i>Discussion:</i>The types of act relationships fall under one of 5 categories:<p>1.) (De)-composition, with composite (source) and component (target)</p>
                  <p>2.) Sequel which includes follow-up, fulfillment, instantiation, replacement, transformation, etc. that all have in common that source and target are Acts of essentially the same kind but with variances in mood and other attributes, and where the target exists before the source and the source refers to the target that it links back to.</p>
                  <p>3.) Pre-condition, trigger, reason, contraindication, with the conditioned Act at the source and the condition or reason at the target.</p>
                  <p>4.) Post-condition, outcome, goal and risk, with the Act at the source having the outcome or goal at the target.</p>
                  <p>5.) A host of functional relationships including support, cause, derivation, etc. generalized under the notion of "pertinence".</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ActRoleInformationSensitivityPrivacyPolicyType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Types of sensitivity policies that apply to Roles.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActSensitivityPrivacyPolicyType"/>
   </conceptDomain>
   <conceptDomain name="ActSecurityObjectCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**An access control object used to manage permissions and capabilities of users within information systems. (See HL7 RBAC specification fo examples of thes objects.)</p>
                  <i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="ActSecurityPolicyType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Types of security policies that further specify the ActClassPolicy value set.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActPolicyType"/>
   </conceptDomain>
   <conceptDomain name="ActSensitivityPrivacyPolicyType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A sensitivity policy is adopted by an enterprise or group of enterprises (a "policy domain") through a formal data use agreement that stipulates the value, importance, and vulnerability of information. A sensitivity code representing a sensitivity policy may be associated with criteria such as categories of information or sets of information identifiers (e.g., a value set of clinical codes or branch in a code system hierarchy). These criteria may in turn be used for the Policy Decision Point in a Security Engine. A sensitivity code may be used to set the confidentiality code used on information about Acts and Roles to trigger the security mechanisms required to control how security principals (i.e., a person, a machine, a software application) may act on the information (e.g., collection, access, use, or disclosure). Sensitivity codes are never assigned to the transport or business envelope containing patient specific information being exchanged outside of a policy domain as this would disclose the information intended to be protected by the policy. When sensitive information is exchanged with others outside of a policy domain, the confidentiality code on the transport or business envelope conveys the receiver's responsibilities and indicates the how the information is to be safeguarded without unauthorized disclosure of the sensitive information. This ensures that sensitive information is treated by receivers as the sender intends, accomplishing interoperability without point to point negotiations.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActPrivacyPolicyType"/>
   </conceptDomain>
   <conceptDomain name="ActServiceDeliveryLocationServiceType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Concepts representing the categorization of health services available at a particular delivery location site.</p>
                  <b>Examples:</b>
                  <p>* anesthetic service * colonoscopy service * orthopedic service</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
   </conceptDomain>
   <conceptDomain name="ActServiceEventType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Concepts identifying the general type of care or category of services being documented.</p>
                  <b>Examples:</b>
                  <p>* Colonoscopy * appendectomy * laboratory test</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
   </conceptDomain>
   <conceptDomain name="ActSimpleMeasurableClinicalObservationCategoryListType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>of high-level categorization for clinical non-laboratory and non-diagnostic image measured observations with numeric values and specific units of measure.<b>Examples:</b>
                  <p>* Vital Signs * Physiological Measurements * Procedure Results</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActEventCategoryWorkingListType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.LIST"/>
   </conceptDomain>
   <conceptDomain name="ActSite">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>An anatomical location on an organism which can be the focus of an act.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ActSpecialAuthorizationAttachmentCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Identifies the type of document that is used to support a request which requires special authorization. Example values in this concept domain could be: coverage extensions, step therapy, medical report, lab result, etc.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActFinancialSupportingAttachmentCode"/>
   </conceptDomain>
   <conceptDomain name="ActSpecialAuthorizationCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Constrains vocabulary to that which describes the type of documents that can be attached to a financial transaction such as a Special Authorization Request.</p>
                  <p>Example values under this concept domain could be: drug, device, service, etc.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="DocumentType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.DOC"/>
   </conceptDomain>
   <conceptDomain name="ActSpecimenAccessionCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>The accession act related to a specimen or group of specimens.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActLabProcessCodes"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.ACSN"/>
   </conceptDomain>
   <conceptDomain name="ActSpecimenCollectionProcedureType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Used to further classify the type of specimen collection procedure being documented.<b>Examples:</b>
                  <p>* Venipuncture * Swab * Biopsy</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActProcedureCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.SPECCOLLECT"/>
   </conceptDomain>
   <conceptDomain name="ActSpecimenLabelCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>The act of printing a specimen label. The printing of a label for a specimen container is a significant act in the workflow for collecting specimens.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActLabProcessCodes"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.PROC"/>
   </conceptDomain>
   <conceptDomain name="ActSpecimenManifestCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>The act of adding a specimen to a transportation manifest. For example a laboratory will pack together in a carton all the specimens to be shipped to a reference lab. An electronic manifest showing all the specimens in the shippment is communicated to the reference lab.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActLabProcessCodes"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.TRNS"/>
   </conceptDomain>
   <conceptDomain name="ActSpecimenTransportCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Transportation of a specimen.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActLabProcessCodes"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.TRNS"/>
   </conceptDomain>
   <conceptDomain name="ActStatus">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Concepts representing the states in the state-machine of the RIM Act class.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ActSubstanceAdminSubstitutionCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Definition:**Identifies the types of substitution that may be permitted when ordering a medication, as well as those which have actually occurred during the act of dispensing.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.SUBST"/>
   </conceptDomain>
   <conceptDomain name="ActSubstanceAdministrationCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Describes the type of substance administration being performed. This should not be used to carry codes for identification of products. Use an associated role or entity to carry such information.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActProcedureCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.SBADM"/>
   </conceptDomain>
   <conceptDomain name="SubstanceAdministrationActCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Describes the type of substance administration being performed. This should not be used to carry codes for identification of products. Use an associated role or entity to carry such information.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActProcedureCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.SBADM"/>
   </conceptDomain>
   <conceptDomain name="ActSubstanceAdministrationEventCriteriaType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Type of substance administration used for evaluating a precondition, goal, or trigger.<b>Examples:</b>
                  <p>* other substance administrations * respiratory therapy * immunizations</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActEventCriteriaType"/>
      <property name="ConceptualSpaceForClassCode" value="ActMood.EVN.CRT"/>
   </conceptDomain>
   <conceptDomain name="ActSubstanceAdministrationImmunizationCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>The introduction of ??? with the intent of stimulating an immune response, aimed at preventing subsequent infections by more viable agents.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActSubstanceAdministrationCode"/>
      <specializesDomain name="SubstanceAdministrationActCode"/>
   </conceptDomain>
   <conceptDomain name="ActSubstanceDerivationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Acts of producing a substance by processing input material in any way thus deriving the product substance from the inputs</p>
                  <i>Examples:</i>Fermentation, filtration, separation, extraction, or any complex procedure involving multiple such steps.<i>UsageNotes:</i>This domain may involve molecular interactions as components, but substance derivation - even if implementing a single defined reaction on the molecular level - implies not only that reaction but the methods and devices by which to induce that reaction.</text>
            </definition>
            <usageNotes>
               <text>This domain may involve molecular interactions as components, but substance derivation - even if implementing a single defined reaction on the molecular level - implies not only that reaction but the methods and devices by which to induce that reaction.</text>
            </usageNotes>
         </documentation>
      </annotations>
      <specializesDomain name="ActProcedureCode"/>
   </conceptDomain>
   <conceptDomain name="ActSubstanceExtractionCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>In addition to the class code, further defines the type of substance extraction.<b>Examples:</b>
                  <p>* excision * surgical * passive</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActProcedureCode"/>
   </conceptDomain>
   <conceptDomain name="ActSupplyFulfillmentRefusalReason">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Indicates why a fulfiller refused to fulfill a supply order, and considered it important to notify other providers of their decision. E.g. "Suspect fraud", "Possible abuse", "Contraindicated".</p>
                  <p>(used when capturing 'refusal to fill' annotations)</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActReason"/>
   </conceptDomain>
   <conceptDomain name="ActSupplyType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Further defines the type of supply for order or distribution.<b>Examples:</b>
                  <p>* central supply * materials management * nurse station supply</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.SPLY"/>
   </conceptDomain>
   <conceptDomain name="ActTaskCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>A task or action that a user may perform in a clinical information system<b>Examples:</b>
                  <p>* medication order entry * laboratory test results review * problem list entry</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.ACT"/>
   </conceptDomain>
   <conceptDomain name="ActTherapyDurationWorkingListCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Codes used to identify different types of 'duration-based' working lists. Examples include "Continuous/Chronic", "Short-Term" and "As-Needed".</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActListCode"/>
   </conceptDomain>
   <conceptDomain name="ActTransportationModeCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Characterizes how a transportation act was or will be carried out.</p>
                  <i>Examples:</i>Via private transport, via public transit, via courier.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.TRNS"/>
   </conceptDomain>
   <conceptDomain name="ActTrustPolicyType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A mandate, obligation, requirement, rule, or expectation conveyed as security metadata between senders and receivers required to establish the reliability, authenticity, and trustworthiness of their transactions.</p>
                  <p>Trust security metadata are observation made about aspects of trust applicable to an IT resource (data, information object, service, or system capability).</p>
                  <p>Trust applicable to IT resources is established and maintained in and among security domains, and may be comprised of observations about the domain's trust authority, trust framework, trust policy, trust interaction rules, means for assessing and monitoring adherence to trust policies, mechanisms that enforce trust, and quality and reliability measures of assurance in those mechanisms. \[Based on ISO IEC 10181-1 and NIST SP 800-63-2\]</p>
                  <p>For example, identity proofing level of assurance and Trust Framework.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActSecurityPolicyType"/>
   </conceptDomain>
   <conceptDomain name="ActUncertainty">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A code indicating whether the Act statement as a whole, with its subordinate components has been asserted to be uncertain in any way.</p>
                  <i>Examples:</i>Patient might have had a cholecystectomy procedure in the past (but isn't sure).<i>Constraints:</i>Uncertainty asserted using this attribute applies to the combined meaning of the Act statement established by all descriptive attributes (e.g., Act.code, Act.effectiveTime, Observation.value, SubstanceAdministration.doseQuantity, etc.), and the meanings of any components.<p>*Discussion:*This is not intended for use to replace or compete with uncertainty associated with a Observation.values alone or other individual attributes of the class. Such pointed indications of uncertainty should be specified by applying the PPD, UVP or UVN data type extensions to the specific attribute. Particularly if the uncertainty is uncertainty of a quantitative measurement value, this must still be represented by a PPD&lt;PQ&gt; in the value and NOT using the uncertaintyCode. Also, when differential diagnoses are enumerated or weighed for probability, the UVP&lt;CD&gt; or UVN&lt;CD&gt; must be used, not the uncertaintyCode. The use of the uncertaintyCode is appropriate only if the entirety of the Act and its dependent Acts is questioned.</p>
                  <p>Note that very vague uncertainty may be thought related to negationInd, however, the two concepts are really independent. One may be very uncertain about an event, but that does not mean that one is certain about the negation of the event.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ActiveIngredientDrugEntityType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Any substance which, when combined with other ingredients, delivers all or part of the therapeutic benefit associated with a medication.</p>
                  <i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ClinicalDrug"/>
   </conceptDomain>
   <conceptDomain name="ActiveMoitySubstanceType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A molecular structure (molecule or part of a molecule) which is the part of the molecule causing the intended pharmacological action. The value set for ActiveMoietySubstanceType may often be a subset of a SubstanceType value set. Candidate value sets are subsets of ChEBI, PubChem CID, CAS Number, InChi Key, and UNII.</p>
                  <b>Examples:</b>
                  <p>* Metoprolol (without the succinate or tartrate) * Amoxicillin (anhydrous) * Heparin (ion, without the matching Na or K cation)</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ClinicalDrug"/>
      <property name="ConceptualSpaceForClassCode" value="EntityClass.MMAT"/>
   </conceptDomain>
   <conceptDomain name="AddressPartType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Discussion: The hierarchical nature of these concepts shows composition. E.g. "Street Name" is part of "Street Address Line"</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="AdministrableDrugForm">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Indicates the form in which the drug product should be administered.</p>
                  <p>This element only needs to be specified when (a) the form in which the drug is measured for dispensing differs from the form in which the drug is administered; and (b) the form in which the quantity of the administered drug being administered is not expressed as a discrete measured mass or volume, e.g. the dose is to be measured in "number of actuations."</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="DoseForm"/>
   </conceptDomain>
   <conceptDomain name="AdministratableDrugForm">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Indicates the form in which the drug product should be administered.</p>
                  <p>This element only needs to be specified when (a) the form in which the drug is measured for dispensing differs from the form in which the drug is administered; and (b) the form in which the quantity of the administered drug being administered is not expressed as a discrete measured mass or volume, e.g. the dose is to be measured in "number of actuations."</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="DoseForm"/>
   </conceptDomain>
   <conceptDomain name="AdministrativeContactRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Indicates the role an entity (player) is playing as the appropriate contact on behalf of another entity (scoper).</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="AgentRoleType"/>
   </conceptDomain>
   <conceptDomain name="AdministrativeGender">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>The gender of a person used for adminstrative purposes (as opposed to clinical gender)</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="AdministrativeLocationRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <i>OpenIssue:</i>This concept domain has **no valid description**.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="PassiveRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass._RoleClassPassive"/>
   </conceptDomain>
   <conceptDomain name="AdvanceBeneficiaryNoticeType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>
                  <p>Represents types of consent that patient must sign prior to receipt of service, which is required for billing purposes.</p>
                  <b>Examples:</b>
                  <p>* Advanced beneficiary medically necessity notice. * Advanced beneficiary agreement to pay notice. * Advanced beneficiary requests payer billed.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActConsentType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.CONS"/>
   </conceptDomain>
   <conceptDomain name="AdverseEventProductRelatedInvestigationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Different types that are used to organize and classify product related investigations.<b>Examples:</b>
                  <p>* Original source investigation * Secondary party investigation * Report to regulatory authority</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
   </conceptDomain>
   <conceptDomain name="AdverseSubstanceAdministrationEventActionTakenType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Definition:</b>Indicates the class of actions taken with regard to a substance administration related adverse event. This characterization offers a judgment of the practitioner"s response to the patient"s problem.<b>Examples:</b>Example values include dose withdrawn, dose reduced, dose not changed.<b>NOTE:</b>The concept domain is currently supported by a value set created by the International Conference on Harmonization<i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="AffiliationRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Concepts characterizing the type of association formed by player and scoper when there is a recognized Affiliate role by which the two parties are related.</p>
                  <i>Examples:</i>Business Partner, Business Associate, Colleague</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="FormalRelationshipRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.AFFL"/>
   </conceptDomain>
   <conceptDomain name="AgeGroupObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Observation value of a person's age group (e.g., newborn infant, child preschool, young adult).</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationValue"/>
   </conceptDomain>
   <conceptDomain name="AgeObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Categorization of types of observation that captures a person's age as a numeric quantity.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="AgentRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>An entity (player) that acts or is authorized to act on behalf of another entity (scoper).</p>
                  <i>Examples:</i>next of kin; assigned entity; contact.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="MutualRelationshipRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.AGNT"/>
   </conceptDomain>
   <conceptDomain name="AllergyTestObservationMethod">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Provides additional methodology information not present in the associated AllergyTestCode term.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationMethod"/>
   </conceptDomain>
   <conceptDomain name="AllergyTestValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Indicates the result of a particular allergy test. E.g. Negative, Mild, Moderate, Severe</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationValue"/>
   </conceptDomain>
   <conceptDomain name="AnimalActSite">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>An anatomical location on a non-human animal which can be the focus of an act.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActSite"/>
   </conceptDomain>
   <conceptDomain name="AnimalEntityType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>A categorizing and grouping mechanism for different types of animal in order to support treatment and reporting. The categories are expected to correspond to a single animal species, or to a related group of species.<b>Examples:</b>
                  <p>* Dog * Reptile * Deer</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="NonPersonLivingSubjectEntityType"/>
      <property name="ConceptualSpaceForClassCode" value="EntityClass.ANM"/>
   </conceptDomain>
   <conceptDomain name="AnnotationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>\*\*\*\* MISSING DEFINITIONS \*\*\*\*</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationValue"/>
   </conceptDomain>
   <conceptDomain name="AssignedNonLivingSubjectRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A role type that is used to further qualify an inanimate subject playing a role where the playing entity acts or is authorized to act on behalf of a scoping entity.</p>
                  <b>Examples:</b>
                  <p>* Assistive device for impaired or challenged person * Non-living entities that may participate as assigned therapeutic agents * Entities that may be provided to patients to improve general mood, decrease depression and loneliness, and distract from stress-inducing concerns to improve quality of life.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="AssignedRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.ASSIGNED"/>
   </conceptDomain>
   <conceptDomain name="AssignedNonPersonLivingSubjectRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**A role type that is used to further qualify a non-person subject playing a role where the role class attribute is set to RoleClass AssignedEntity</p>
                  <i>Open Issue:</i>The definition should be modified to clarify the fact that it is a living non-person subject. (AK 11/2014 cycle)</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="AssignedRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.ASSIGNED"/>
   </conceptDomain>
   <conceptDomain name="AssignedRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>A role type that is used to further qualify an entity playing a role where the role class attribute is set to RoleClass AssignedEntity. The suggested values from V2.x include clinic receptionist, referral agent, staff physician, courtesy physician, resident, physician assistant, physical therapist, psychiatrist, psychologist, pharmacist, registered nurse, licensed practical nurse, licensed vocational nurse, nurse practitioner, etc.<b>Examples:</b>
                  <p>* Janitor * Chief of Staff * Referral Agent * Security Guard * ICU Runner * Visiting professor</p>
                  <i>Open Issue:</i>There needs to be work undertaken to clean up the hierarchy under this Domain as there seems to be some muddling between D:ProductLifecycleAssginedRoleType and D:ClinicalOrganizationRoleType and this new D:AssignedNonLivingSubjectRoleType. There may be other issues that need improvement in this hierarchy, and there may be some issue with the corresponding hierarchy in the code system. (identified in 11/2014 cycle)</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="AgentRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.ASSIGNED"/>
   </conceptDomain>
   <conceptDomain name="AssocativeRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A general association between two entities that is neither partitive nor ontological.</p>
                  <i>Examples:</i>affiliate; agent; birthplace.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="RoleCode"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass._RoleClassAssociative"/>
   </conceptDomain>
   <conceptDomain name="AttentionKeyword">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Provides coded key words for attribute AttentionLine.keyWordText, which has data type SC.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="AttentionLineValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Definition:**The domain of possible values used as the value of attention line specifications in AttentionLine directives.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="AuthorizedParticipationFunction">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>This code is used to specify the exact function an actor is authorized to have in a service in all necessary detail.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ParticipationFunction"/>
   </conceptDomain>
   <conceptDomain name="AuthorizedReceiverParticipationFunction">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>This code is used to specify the exact function an actor is authorized to have as a receiver of information that is the subject of a consent directive or consent override.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="AuthorizedParticipationFunction"/>
   </conceptDomain>
   <conceptDomain name="BatchName">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Provides coded names for attribute Batch.name, which has data type SC.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="BloodDonationProcedureMethod">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Specific method used to extract the blood from the donor subject.<b>Examples:</b>
                  <i>No examples supplied with proposal.</i>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ProcedureMethod"/>
   </conceptDomain>
   <conceptDomain name="CPT4">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Physicians Current Procedural Terminology (CPT) Manual is a listing of descriptive terms and identifying codes for reporting medical services and procedures performed by physicians. Available for the AMA at the address listed for CPT above. These codes are found in Appendix A of CPT 2000 Standard Edition. (CPT 2000 Standard Edition, American Medical Association, Chicago, IL).</p>
                  <i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActInvoiceDetailClinicalServiceCode"/>
   </conceptDomain>
   <conceptDomain name="CPT5">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Physicians Current Procedural Terminology (CPT) Manual is a listing of descriptive terms and identifying codes for reporting medical services and procedures performed by physicians. Available for the AMA at the address listed for CPT above. These codes are found in Appendix A of CPT 2000 Standard Edition. (CPT 2000 Standard Edition, American Medical Association, Chicago, IL).</p>
                  <i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActInvoiceDetailClinicalServiceCode"/>
   </conceptDomain>
   <conceptDomain name="Calendar">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>\*\*\*\* MISSING DEFINITIONS \*\*\*\*</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="CalendarCycle">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>\*\*\*\* MISSING DEFINITIONS \*\*\*\*</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="CalendarCycleOneLetter">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>One letter calendar cycle abbreviations (Temporary - remove when RoseTree is fixed)</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="CalendarCycle"/>
   </conceptDomain>
   <conceptDomain name="CalendarCycleTwoLetter">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Two letter calendar cycle abbreviations (Temporary - remove when RoseTree is fixed)</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="CalendarCycle"/>
   </conceptDomain>
   <conceptDomain name="CalendarType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>\*\*\*\* MISSING DEFINITIONS \*\*\*\*</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="CaseDetectionMethod">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Code for the method by which the public health department was made aware of the case. Includes provider report, patient self-referral, laboratory report, case or outbreak investigation, contact investigation, active surveillance, routine physical, prenatal testing, perinatal testing, prison entry screening, occupational disease surveillance, medical record review, etc.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="CaseDiseaseImported">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Code that indicates whether the disease was likely acquired outside the jurisdiction of observation, and if so, the nature of the inter-jurisdictional relationship. Possible values include not imported, imported from another country, imported from another state, imported from another jurisdiction, and insufficient information to determine.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationValue"/>
   </conceptDomain>
   <conceptDomain name="CaseSeriousnessCriteria">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A code that provides information on the overall effect or outcome of the adverse reaction/adverse event reported in the ICSR. Note the criterion applies to the case as a whole and not to an individual reaction.</p>
                  <p>Example concepts are: death, disability, hospitalization, congenital anomaly/ birth defect, and other medically important condition.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="IndividualCaseSafetyReportValueDomains"/>
      <property name="ConceptualSpaceForClassCode" value="ActCode.CASESER"/>
   </conceptDomain>
   <conceptDomain name="CaseTransmissionMode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Code for the mechanism by which disease was acquired by the living subject involved in the public health case. Includes sexually transmitted, airborne, bloodborne, vectorborne, foodborne, zoonotic, nosocomial, mechanical, dermal, congenital, environmental exposure, indeterminate.</p>
                  <p>OpenIssue: Consider moving this attribute to Observation.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationValue"/>
   </conceptDomain>
   <conceptDomain name="CertifiedEntityType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Defines types of certifications for all entities</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="QualifiedRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.QUAL"/>
   </conceptDomain>
   <conceptDomain name="Charset">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Internet Assigned Numbers Authority (IANA) Charset Types</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="CitizenRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A role type used to qualify a person's legal status within a country or nation.</p>
                  <b>Examples:</b>
                  <p>* Full citizen * Asylum seeker * Permit card holder</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="FormalRelationshipRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.CIT"/>
   </conceptDomain>
   <conceptDomain name="ClinicalActionDetectedIssueCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Identifies types of issues detected regarding the performance of a clinical action on a patient.</p>
                  <i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActDetectedIssueCode"/>
   </conceptDomain>
   <conceptDomain name="ClinicalDrug">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Any substance or mixture of substances manufactured, sold or represented for use in: (a) the diagnosis, treatment, mitigation or prevention of a disease, disorder, abnormal physical state, or its symptoms, in human beings or animals; (b) restoring, correcting or modifying organic functions in human beings or animals.</p>
                  <i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="DrugEntity"/>
   </conceptDomain>
   <conceptDomain name="ClinicalOrganizationRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A role of an organization that further classifies the clincial responsibility for the healthcare care delivered during an encounter. E.g. cardiology service, pediatric service, nursing services.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="AssignedRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.ASSIGNED"/>
   </conceptDomain>
   <conceptDomain name="ClinicalResearchEventReason">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Definition:**Specifies the reason that an event occurred in a clinical research study.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ClinicalResearchReason"/>
   </conceptDomain>
   <conceptDomain name="ClinicalResearchObservationReason">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Definition:**SSpecifies the reason that a test was performed or observation collected in a clinical research study.</p>
                  <p>**Note:**This set of codes are not strictly reasons, but are used in the currently Normative standard. Future revisions of the specification will model these as ActRelationships and thes codes may subsequently be retired. Thus, these codes should not be used for new specifications.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ClinicalResearchReason"/>
   </conceptDomain>
   <conceptDomain name="ClinicalResearchReason">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Definition:**Contains domains for act reasons used in clinical research.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActReason"/>
   </conceptDomain>
   <conceptDomain name="CodingRationale">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Identifies how to interpret the instance of the code, codeSystem value in a set of translations. Since HL7 (or a government body) may mandate that codes from certain code systems be sent in conformant messages, other synonyms that are sent in the translation set need to be distinguished among the originally captured source, the HL7 specified code, or some future role. When this code is NULL, it indicates that the translation is an undefined type. When valued, this property must contain one of the following values:</p>
                  <p>SRC - Source (or original) code HL7 - HL7 Specified or Mandated SH - both HL7 mandated and the original code (precoordination)</p>
                  <p>There may be additional values added to this value set as we work through the use of codes in messages and determine other Use Cases requiring special interpretation of the translations.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="CombinedDoseForm">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>The description of this is: "Identifies, as a single concept, a combination dose form description for those products that contain two or more manufactured items in a single authorized product".</p>
                  <i>Usage Notes:</i>This element needs only to be specified when the product entity describes a complete product that contains two or more manufactured items (sometimes called a combination product or a kit product); it should not be valued for (normal) products which consist of a single manufactured item with a single dose form. The combined dose form describes the orderable (manufactured) dose form of each manufactured item and (if appropriate, separately) the administrable dose form of the pharmaceutical product (as in example one below).<b>Examples:</b>
                  <p>* Powder and solvent for solution for injection * Pessary and vaginal cream * Tablets and capsules</p>
               </text>
            </definition>
            <usageNotes>
               <text>This element needs only to be specified when the product entity describes a complete product that contains two or more manufactured items (sometimes called a combination product or a kit product); it should not be valued for (normal) products which consist of a single manufactured item with a single dose form.  The combined dose form describes the orderable (manufactured) dose form of each manufactured item and (if appropriate, separately) the administrable dose form of the pharmaceutical product (as in example one below).</text>
            </usageNotes>
         </documentation>
      </annotations>
      <specializesDomain name="DoseForm"/>
   </conceptDomain>
   <conceptDomain name="CombinedPharmacyOrderSuspendReasonCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Indicates why the prescription should be suspended.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ControlActReason"/>
   </conceptDomain>
   <conceptDomain name="CommissioningPartyRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <i>OpenIssue:</i>This concept domain has **no valid description**.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="AssignedRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.COMPAR"/>
   </conceptDomain>
   <conceptDomain name="CommonClinicalObservationAssertionValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Definition:</b>The non-laboratory, non-DI (diagnostic imaging) coded observation if no value is also required to convey the full meaning of the observation. This may be a single concept code or a complex expression.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="CommonClinicalObservationValue"/>
   </conceptDomain>
   <conceptDomain name="CommonClinicalObservationComponentValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Represents observations for components of a clinical observation whose value is expressed as a code.<b>Examples:</b>
                  <p>* results for individual components of an APGAR score * aberrant * ABO incompatibility reaction</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="CommonClinicalObservationValue"/>
   </conceptDomain>
   <conceptDomain name="CommonClinicalObservationMethod">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Used in a patient care message to value simple clinical (non-lab) observation methods, such as found in SOAP (subjective, objective, assessment, plan) progress notes: subjective section (used for history from patient and other informants); objective section (used for physical exam, lab, and other common results), and assessment section (used for the clinicians assessment of the implications of subjective and objective sections).</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationMethod"/>
   </conceptDomain>
   <conceptDomain name="CommonClinicalObservationResultValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Definition:</b>The non-laboratory, non-diagnostic imaging coded result of the coded observable or "question" represented by the paired concept from the the NonLabDICodedObservationType domain.<p>\]</p>
                  <p>**Examples:**An APGAR result, a functional assessment, etc. The value must not require a specific unit of measure.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="CommonClinicalObservationValue"/>
   </conceptDomain>
   <conceptDomain name="CommonClinicalObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Used in a patient care message to report and query simple clinical (non-lab) observations.</p>
                  <i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="CommonClinicalObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Used in a patient care message to value simple clinical (non-lab) observations.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationValue"/>
   </conceptDomain>
   <conceptDomain name="CommonCodedClinicalObservationComponentType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Represents the components of a coded clinical observation.<b>Examples:</b>
                  <p>* ability to articulate * ability to chop food * ability to crouch</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="CommonCodedClinicalObservationType"/>
   </conceptDomain>
   <conceptDomain name="CommonCodedClinicalObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Identifies the type for a clinical observation whose value is expressed as a code.<b>Examples:</b>
                  <p>* Home support level * Tumor staging * abdominal pain characteristic</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="CommonClinicalObservationType"/>
   </conceptDomain>
   <conceptDomain name="CommunicationFunctionType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Describes the type of communication function that the associated entity plays in the associated transmission.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="CompliancePackageEntityType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Definition:**A container intended to contain sufficient material for more than one use, but grouped or organized to provide individual access to sufficient material for a single use. Often used to ensure that the proper type and amount of material is consumed/expended for each use.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="CompressionAlgorithm">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>\*\*\*\* MISSING DEFINITIONS \*\*\*\*</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="Confidentiality">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Types of privacy metadata classifying an IT resource (data, information object, service, or system capability) according to its level of sensitivity, which is based on an analysis of applicable privacy policies and the risk of financial, reputational, or other harm to an individual or entity that could result if made available or disclosed to unauthorized individuals, entities, or processes.</p>
                  <i>Usage Note:</i>Confidentiality codes may be used in security labels and privacy markings to classify IT resources based on sensitivity to indicate the obligation of a custodian or receiver to ensure that the protected resource is not made available or disclosed to individuals, entities, or processes (security principals) unless authorized per applicable policies. Confidentiality codes may also be used in the clearances of initiators requesting access to protected resources.<i>Map:</i>Definition aligns with ISO 7498-2:1989 - Confidentiality is the property that information is not made available or disclosed to unauthorized individuals, entities, or processes.</text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ConrolActNullificationReasonCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Identifies reasons for nullifying (retracting) a particular control act.</p>
                  <p>**Examples:**"Entered in error", "altered decision", etc.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ControlActReason"/>
   </conceptDomain>
   <conceptDomain name="ConsenterParticipationFunction">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>This code is used to specify the exact function an actor is authorized to have in authoring a consent directive.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="AuthorizedParticipationFunction"/>
   </conceptDomain>
   <conceptDomain name="ConsultantParticipationFunction">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Identifies functions appropriate to consultant participations.<b>Examples:</b>
                  <p>* cardiologist * anesthetist * dietician</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ParticipationFunction"/>
      <property name="ConceptualSpaceForClassCode" value="ParticipationType.CON"/>
   </conceptDomain>
   <conceptDomain name="ContactRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>A role type that is used to further qualify or describe the role of the contact person or organization.<b>Examples:</b>
                  <p>* Legal representative * Primary contact * Alternative contact</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="AgentRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.CON"/>
   </conceptDomain>
   <conceptDomain name="ContainerCap">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>The type of cap associated with a container</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ContainerEntityType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Definition:**An object used to hold other entities.</p>
                  <b>Examples:</b>
                  <p>* Test tube * Shoe box * Drinking glass</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="MaterialEntityClassType"/>
      <property name="ConceptualSpaceForClassCode" value="EntityClass.CONT"/>
   </conceptDomain>
   <conceptDomain name="ContainerForm">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Describes the nature (or type) of the container.</p>
                  <b>Examples:</b>
                  <p>* Carton * Bottle * Vial</p>
                  <p>**DesignNote:**The material of the container should be separately specified (e.g. the "cardboard" part of cardboard carton or the "glass" part of glass vial should be described elsewhere).</p>
                  <p>**OpenIssue:**This usage of material form is used in Common Product Model,but it is at variance of what has been done in Specimen where the same information is captured in the Entity.code values. These differences need further study.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="MaterialForm"/>
   </conceptDomain>
   <conceptDomain name="ContainerSeparator">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A material in a blood collection container that facilites the separation of of blood cells from serum or plasma</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ContentProcessingMode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Identifies the order in which content should be processed.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ContextConductionStyle">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>The styles of context conduction usable by relationships within a static model derived from tyhe HL7 Reference Information Model.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ContextControl">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Identifies the control codes that are used to manage the propagation and scope of a particular ActRelationship or Participation within a set of Acts.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ControlActNullificationReasonCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Identifies reasons for nullifying (retracting) a particular control act.</p>
                  <p>**Examples:**"Entered in error", "altered decision", etc.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ControlActReason"/>
   </conceptDomain>
   <conceptDomain name="ControlActNullificationRefusalReasonType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Indicates why a specific transaction which was requested to be undone; was not undone.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ControlActReason"/>
   </conceptDomain>
   <conceptDomain name="ControlActReason">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Indicates the motivation, cause or rationale of an Act which results in a trigger event.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActReason"/>
   </conceptDomain>
   <conceptDomain name="ControlActReasonConditionNullify">
      <annotations>
         <documentation>
            <definition>
               <text>Indicates why the ConditionaTMs status was changed to Nullified.<i>Examples</i>administrative error, diagnostic error.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ControlActReason"/>
   </conceptDomain>
   <conceptDomain name="Country">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Countries of the world. ISO 3166, part 1, alpha-3 set.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="CoverageChemicalDependencyValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Definition:</b>The category of addiction used for coverage purposes that may refer to a substance, the consumption of which may result in physical or emotional harm.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationValue"/>
   </conceptDomain>
   <conceptDomain name="CoverageEligibilityReason">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Definition: Identifies the reason or rational for why a person is eligibile for benefits under an insurance policy or progam.</p>
                  <i>Examples:</i>A person is a claimant under an automobile insurance policy are client deceased &amp; adopted client has been given a new policy identifier. A new employee is eligible for health insurance as an employment benefit. A person meets a government program eligibility criteria for financial, age or health status.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="EligibilityActReasonCode"/>
   </conceptDomain>
   <conceptDomain name="CoverageExclusionReason">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Identifies the reason or rationale for coverage of a service or product based on coverage exclusions related the risk of adverse selection by covered parties.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCoverageReason"/>
   </conceptDomain>
   <conceptDomain name="CoverageFinancialParticipationReason">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Identifies the reason or rationale for coverage of a service or product based on financial participation responsibilities of the covered party.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCoverageReason"/>
   </conceptDomain>
   <conceptDomain name="CoverageItemLimitObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Coded observation values for types or instances of items for which coverage is provided under a policy or program, e.g., a type of vehicle or a named work of art.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="CoverageLimitObservationValue"/>
   </conceptDomain>
   <conceptDomain name="CoverageLevelObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Coded observation values for types of covered parties under a policy or program based on their personal relationships or employment status.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="CoverageLimitObservationValue"/>
   </conceptDomain>
   <conceptDomain name="CoverageLimitObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Coded observation values for coverage limitations, for e.g., types of claims or types of parties covered under a policy or program.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationValue"/>
   </conceptDomain>
   <conceptDomain name="CoverageLimitationReason">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Identifies the reason or rationale for limitations on the coverage of a service or product based on coverage contract provisions.</p>
                  <p>**Example:**The maximum cost per unit; or the maximum number of units per period, which is typically the policy or program effective time.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCoverageReason"/>
   </conceptDomain>
   <conceptDomain name="CoverageLocationLimitObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Coded observation values for types or instances of locations for which coverage is provided under a policy or program, e.g., in the covered party home, in state or in the country.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="CoverageLimitObservationValue"/>
   </conceptDomain>
   <conceptDomain name="CoverageParticipationFunction">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Definition:</b>Set of codes indicating the manner in which sponsors, underwriters, and payers participate in a policy or program.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ParticipationFunction"/>
   </conceptDomain>
   <conceptDomain name="CoverageSponsorRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Codes that indicate a specific type of sponsor. Used when the sponsor's role is only either as a fully insured sponsor or only as a self-insured sponsor. NOTE: Where a sponsor may be either, use the SponsorParticipationFunction.code (fully insured or self insured) to indicate the type of responsibility. (CO6-0057)</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="AffiliationRoleType"/>
   </conceptDomain>
   <conceptDomain name="CoveredPartyRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A role recognized through the eligibility of an identified living subject for benefits covered under an insurance policy or a program. Eligibility as a covered party may be conditioned on a relationship with (1) the policy holder such as the policy holder who is covered as an individual under a poliy or as a party sponsored for coverage by the policy holder.</p>
                  <p>**Example:**An employee as a subscriber; or (2) on being scoped another covered party such as the subscriber, as in the case of a dependent.</p>
                  <b>Discussion:</b>The Abstract Value Set "CoverageRoleType", which was developed for use in the Canadian realm "pre-coordinate" coverage roles with other roles that a covered party must play in order to be eligible for coverage, e.g., "handicapped dependent". Other codes in the Abstract Value Set CoveredPartyRoleType domain can be "post-coordinated" with the EligiblePartyRoleType codes to denote comparable concepts. Decoupling the concepts is intended to support a wider range of concepts and semantic comparability of coded concepts.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="FormalRelationshipRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.COVPTY"/>
   </conceptDomain>
   <conceptDomain name="CriticalityObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Values that represent a clinical judgment as to the worst case result of a future exposure (including substance administration).</p>
                  <b>Examples:</b>
                  <p>* High criticality * Low criticality * Unable to assess criticality</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationValue"/>
   </conceptDomain>
   <conceptDomain name="CultureObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**To be used to code and identify the Microbiology laboratory orderable and resultable observation question.</p>
                  <b>Examples:</b>
                  <p>* Urine; Culture * Deep Wound; Aerobic Culture * Microscopic Examination; Gram Stain</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.OBS"/>
   </conceptDomain>
   <conceptDomain name="CultureObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Used to code and identify the Microbiology laboratory result value when a result is reported.</p>
                  <b>Examples:</b>
                  <p>* Gram Positive Rods * Epithelial Cells * Polymorphonuclear Leukocyte</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationValue"/>
   </conceptDomain>
   <conceptDomain name="Currency">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>The currency unit as defined in ISO 4217</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="DEADrugSchedule">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>DEA schedule for a drug.</p>
                  <i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
   </conceptDomain>
   <conceptDomain name="DecisionObservationMethod">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Provides codes for decision methods, initially for assessing the causality of events.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationMethod"/>
   </conceptDomain>
   <conceptDomain name="DedicatedServiceDeliveryLocationRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A role of a place that further classifies a setting that is intended to house the provision of services.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="HealthcareServiceLocation"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.DSDLOC"/>
   </conceptDomain>
   <conceptDomain name="DerivedSpecimenRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Specimen types which further classify the types of specimens that are derived from other specimens.<b>Examples:</b>Examples include specimen sections and specimen components.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SpecimenRoleType"/>
   </conceptDomain>
   <conceptDomain name="DeviceAlertLevel">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Domain values for the Device.Alert\_levelCode</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="DeviceCharacteristicObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Identifies characteristics (physical, visual, clinical) that may be observed for a particular device or device type.</p>
                  <b>Examples:</b>
                  <p>* Height * Sterility * External diameter</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.OBS"/>
   </conceptDomain>
   <conceptDomain name="DeviceGenericType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Includes the set of codes used to identify a device that may be referred to in an ICSR report. Example code set reference is the FDA Center for Devices and Radiological Health product code list.</p>
                  <p>Example product codes include: FOZ = Catheter, Intravascular, Therapeutic, short-term less than 30 days, MOP = Rotator, Prosthetic Heart Valve.</p>
                  <i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="MaterialEntityClassType"/>
   </conceptDomain>
   <conceptDomain name="DeviceManufacturerEvaluationInterpretation">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A code set that includes codes that are used to characterize the outcome of the device evaluation process. The code defines the manufacturer's conclusions following the evaluation.</p>
                  <p>Examples include: inadequate alarms, device maintenance contributed to event, device failed just prior to use, user error caused event</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="IndividualCaseSafetyReportValueDomains"/>
   </conceptDomain>
   <conceptDomain name="DeviceManufacturerEvaluationMethod">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Code assigned to indicate a relevant fact within the context of the evaluation of a reported product. There are a number of concept types including the status of the evaluation, the type of evaluation findings, and the type of activity carried out as part of the evaluation process.</p>
                  <p>Examples include: Actual device involved in incident was evaluated, electrical tests performed, visual examination.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="IndividualCaseSafetyReportValueDomains"/>
   </conceptDomain>
   <conceptDomain name="DeviceManufacturerEvaluationResult">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Code assigned to indicate an outcome of the manufacturer's investigation of a product for which a defect has been reported.</p>
                  <p>Examples include:.component/subassembly failure: air cleaner, computer-, imaging system-, microprocessor-controlled device problem: cache memory, design -- not fail safe.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="IndividualCaseSafetyReportValueDomains"/>
   </conceptDomain>
   <conceptDomain name="DeviceOperatorType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Indicates the type of person that is responsible for operating the device related to the incident reported in ICSR.</p>
                  <p>Examples include: Physician, Nurse, Medical Technician, Respiratory Technician.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="AssignedRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.ASSIGNED"/>
   </conceptDomain>
   <conceptDomain name="Diagnosis">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Set of codes depicting clinical disease and conditions</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationValue"/>
   </conceptDomain>
   <conceptDomain name="DiagnosisValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Diagnosis Value</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="IndicationValue"/>
   </conceptDomain>
   <conceptDomain name="DiagnosticImageCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Identifies the types of diagnostic image.</p>
                  <i>Examples:</i>Echocardiogram, electocardiogram, X-ray.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="DiagnosticImageReportObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Identifies the type of diagnostic image report.</p>
                  <b>Examples:</b>
                  <p>* Echocardiogram Report * Ultrasound Report * Nuclear Medicine Imaging Report</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="DietTextureModificationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A set of concepts that identifies any texture modifications that should be made to a diet order.</p>
                  <b>Examples:</b>
                  <p>* Pudding Thick * Pureed * Easy to Chew</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="NutritionModificationType"/>
   </conceptDomain>
   <conceptDomain name="DiseaseCategorizationObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>An observation that categorizes an existing observation of a disease, symptom or condition.<i>Usage Note:</i>The act being categorized should be an observation of a disease, symptom or condition; the categorizing act should be an observation of the category of that disease, symptom or condition, and the relationship between the two acts should be a "has generalization" relationship.<b>Examples:</b>
                  <p>* \[Observation of\] "thrombocytopenia" is categorized as an observation of "Haematologic system" category * \[Observation of\] "duodenal ulcer" is categorized as an observation of "Gastro-intestinal system" category * \[Observation of\] "eczema" is categorized as an observation of "Dermatologic system" category</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="DistributedMaterialRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Codes that further characterize the distribution of a material. Used only with the DST (distributed material) role classCode.</p>
                  <p>**Examples:**Intensive distribution, Selective distribution and Exclusive distribution.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ProductRelatedRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.DST"/>
   </conceptDomain>
   <conceptDomain name="DocumentCompletion">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Identifies the current completion state of a clinical document.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="DocumentSectionType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A type of document section (specialization of ActClass "DOCSECT").</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActRecordContainerType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.DOCSECT"/>
   </conceptDomain>
   <conceptDomain name="DocumentStorage">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Identifies the storage status of a document.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="DocumentType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>The kind of document. Possible values: discharge summary, progress note, Oncology note, etc.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCompositionType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.DOC"/>
   </conceptDomain>
   <conceptDomain name="DoseForm">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**The physical manifestation "entity" that contains the active and/or inactive ingredients that deliver a dose of medicine (i.e., drug). The key defining characteristics of the dose form can be the state of matter, delivery method, release characteristics, and the administration site or route for which the product is formulated. (Derived from ISO IDMP specification, and SNOMED CT).</p>
                  <b>Examples:</b>
                  <p>* Tablet * Capsule * Oral solution</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="MaterialForm"/>
   </conceptDomain>
   <conceptDomain name="DrugActionDetectedIssueCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Proposed therapy may be contraindicated or ineffective based on an existing or recent drug therapy</p>
                  <i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="MedicationIssueTypeCode"/>
   </conceptDomain>
   <conceptDomain name="DrugEntity">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A substance whose therapeutic effect is produced by chemical action within the body.</p>
                  <i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="MaterialEntityClassType"/>
   </conceptDomain>
   <conceptDomain name="ECGAnnotationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="ECGAnnotationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>\*\*\*\* MISSING DEFINITIONS \*\*\*\*</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="AnnotationValue"/>
   </conceptDomain>
   <conceptDomain name="ECGControlVariable">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Identifies types of observations about the parameters required for acquisition and processing of ECG data.</p>
                  <b>Examples:</b>
                  <p>* item byte order * sample rate * displayed sweep rate</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.OBS"/>
   </conceptDomain>
   <conceptDomain name="ECGObservationSequenceType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="EducationLevel">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Highest level of education a person has achieved.<b>Examples:</b>
                  <p>* Elementary School * College or baccalaureate degree complete * High School</p>
                  <i>Rationale:</i>These are levels, not numeric years</text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ElementName">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Provides coded names for attribute SortControl.elementName , which has data type SC.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="EligibilityActReasonCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Identifies the reason or rational for why a person is eligibile for benefits under an insurance policy or progam.</p>
                  <i>Examples:</i>A person is a claimant under an automobile insurance policy are client deceased &amp; adopted client has been given a new policy identifier. A new employee is eligible for health insurance as an employment benefit. A person meets a government program eligibility criteria for financial, age or health status.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCoverageReason"/>
   </conceptDomain>
   <conceptDomain name="EmployeeJob">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A code specifying the job performed by the employee for the employer. For example, accountant, programmer analyst, patient care associate, staff nurse, etc.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="EmployeeJobClass">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A code qualifying the employment in various ways, such as, full-time vs. part time, etc.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="EmployeeOccupationCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Industry and/or jurisdictional classification system for kind-of-work performed by an employee.</p>
                  <p>Occupation codes are intended primarily as work descriptions that are suitable for a multitude of public uses e.g., job matching, employment counseling, occupational and career guidance, and labor market information services.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="EmployeeJobClass"/>
   </conceptDomain>
   <conceptDomain name="EmployeeRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>A role type that is used to further qualify an entity playing a role where the role class attribute is set to RoleClass Employee. This specifies the relationship the staff person has with the institution for whom he/she provides services.<b>Examples:</b>
                  <p>* Employee * Volunteer * Consultant</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="FormalRelationshipRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.EMP"/>
   </conceptDomain>
   <conceptDomain name="EmployeeSalaryType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A value representing the method used by an employer to compute an employee's salary or wages.</p>
                  <i>Examples:</i>Hourly, annual, commission</text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="EmploymentStatus">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A code used to define the employment status of the insured individual identified in UB-92 FL 58. UB-92 Form locator 64:Employment Status Code of the Insured. Can be used with Employee\_Employer\_statusCode in HL7. Values include Employed Full Time, Employed Part Time, Not Employed, Retired, On Active Military Duty</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="EncounterAccident">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>\*\*\*\* MISSING DEFINITIONS \*\*\*\*</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActEncounterType"/>
      <specializesDomain name="ActEncounterCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.ENC"/>
   </conceptDomain>
   <conceptDomain name="EncounterAcuity">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A code depicting the acuity (complexity of patient care, resource intensiveness of the patient care) of a patient's medical condition upon arrival. Values may be derived from formal acuity coding schemes such as RBS.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="EncounterAdmissionSource">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>\*\*\*\* MISSING DEFINITIONS \*\*\*\*</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="EncounterDischargeDisposition">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A code indicating patient status as of the ending service date of the period covered on this bill, as reported in FL6, Statement Covers Period. Values such as: Discharged to home or self care; Discharged/transferred to SNF, Discharged/transferred to an intermediate care facility (ICF); Expired; Hospice-medical facility. NUBC Form Locator 22</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="EncounterReferralSource">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A code used to define the place or organization responsible for the patient immediately prior to their admission; for example, in the United States, as this is identified in UB-92 Form Locator 20, Source of Adm(ission).</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="EncounterSpecialCourtesy">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A code identifying special courtesies extended to the patient. For example, no courtesies, extended courtesies, professional courtesy, VIP courtesies.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="EnteralAdministrationMethodType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A concept that conveys how a material will be administered enterally.</p>
                  <b>Examples:</b>
                  <p>* Continuous Tube Feeding * Gravity Drip * Bolus Feeding</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ProcedureMethod"/>
   </conceptDomain>
   <conceptDomain name="EntityClass">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Classifies the Entity class and all of its subclasses. The terminology is hierarchical. At the top is this HL7-defined domain of high-level categories (such as represented by the Entity subclasses). Each of these terms must be harmonized and is specializable.</p>
                  <p>The value sets beneath are encoded in Entity.code and are drawn from multiple, frequently external, domains that reflect much more fine-grained typing.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="EntityCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A value representing the specific kind of Entity the instance represents.</p>
                  <i>Examples:</i>A medical building, a Doberman Pinscher, a blood collection tube, a tissue biopsy.<i>Rationale:</i>For each Entity, the value for this attribute is drawn from one of several coding systems depending on the Entity classCode, such as living subjects (animal and plant taxonomies), chemical substance (e.g., IUPAC code), organizations, insurance company, government agency, hospital, park, lake, syringe, etc. It is possible that Entity.code may be so fine grained that it represents a single instance. An example is the CDC vaccine manufacturer code, modeled as a concept vocabulary, when in fact each concept refers to a single instance.</text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="EntityDeterminer">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>EntityDeterminer in natural language grammar is the class of words that comprises articles, demonstrative pronouns, and quantifiers. In the RIM, determiner is a structural code in the Entity class to distinguish whether any given Entity object stands for some, any one, or a specific thing.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="EntityDeviceTrackingTagType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**The specific kind of location-tracking tag.</p>
                  <p>Examples:</p>
                  <p>* RFID * WiFi * Infrared</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="EntityDeviceType"/>
      <property name="ConceptualSpaceForClassCode" value="EntityClass.DEV"/>
   </conceptDomain>
   <conceptDomain name="EntityDeviceType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A type of manufactured material used in an activity, without being substantially changed through that activity.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ManufacturedMaterialEntityType"/>
      <property name="ConceptualSpaceForClassCode" value="EntityClass.DEV"/>
   </conceptDomain>
   <conceptDomain name="EntityHandling">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Special handling requirements for an Entity.</p>
                  <p>*Example:*Keep at room temperature; Keep frozen below 0 C; Keep in a dry environment; Keep upright, do not turn upside down.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="EntityNamePartQualifier">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>The qualifier is a set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type. For example, a given name may be flagged as a nickname, a family name may be a pseudonym or a name of public records.</text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="EntityNamePartQualifierR2">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**The qualifier is a set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type. For example, a given name may be flagged as a nickname, a family name may be a pseudonym or a name of public records.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="EntityNamePartType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>\*\*\*\* MISSING DEFINITIONS \*\*\*\*</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="EntityNamePartTypeR2">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Indicates whether the name part is a given name, family name, prefix, suffix, etc.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="EntityNameSearchUse">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A name intended for use in searching or matching</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="EntityNameUse"/>
   </conceptDomain>
   <conceptDomain name="EntityNameUse">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>\*\*\*\* MISSING DEFINITIONS \*\*\*\*</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="EntityNameUseR2">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**A set of codes advising a system or user which name in a set of names to select for a given purpose.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="EntityRisk">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Risk associated with the handling of the material.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="EntityStatus">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>The status of an instance of the RIM Entity class.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="EquipmentAlertLevel">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>\*\*\*\* MISSING DEFINITIONS \*\*\*\*</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="EquivalenceEvaluationRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A code specifying in what way two products are considered equivalent. One example for a value set in the US can be found in U.S. FDA "Orange Book" at the FDA website but the concept is universal and not a U.S. only issue.</p>
                  <b>Examples:</b>
                  <p>* No known or suspected bioequivalence problems * Potential bioequivalence problems have been resolved with evidence supporting bioequivalence * Bioequivalence problems have not been fully resolved</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="OntologicalRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.EQUIV"/>
   </conceptDomain>
   <conceptDomain name="Ethnicity">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>In the United States, federal standards for classifying data on ethnicity determine the categories used by federal agencies and exert a strong influence on categorization by state and local agencies and private sector organizations. The federal standards do not conceptually define ethnicity, and they recognize the absence of an anthropological or scientific basis for ethnicity classification. Instead, the federal standards acknowledge that ethnicity is a social-political construct in which an individual's own identification with a particular ethnicity is preferred to observer identification. The standards specify two minimum ethnicity categories: Hispanic or Latino, and Not Hispanic or Latino. The standards define a Hispanic or Latino as a person of "Mexican, Puerto Rican, Cuban, South or Central America, or other Spanish culture or origin, regardless of race." The standards stipulate that ethnicity data need not be limited to the two minimum categories, but any expansion must be collapsible to those categories. In addition, the standards stipulate that an individual can be Hispanic or Latino or can be Not Hispanic or Latino, but cannot be both.</p>
                  <i>OpenIssue:</i>This concept domain definition does not align with current vocabulary practices and is much too US-centric to be appropriate as a "universal" domain.</text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="EventFrequencyObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Identifies types of observations that describe or categorize an observation in terms of the frequency of the observed event occurring.<b>Examples:</b>
                  <p>* Very common * Uncommon * Rare</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="ExposureAgentEntityType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Indicates the material to which the patient was exposed which is believed to be related to the adverse reaction</p>
                  <i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="MaterialEntityClassType"/>
   </conceptDomain>
   <conceptDomain name="ExposureMode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Code for the mechanism by which the exposure agent was exchanged or potentially exchanged by the participants involved in the exposure.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="FDALabelData">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>FDA label data</p>
                  <i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="FamilyMemberRelationshipRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>The type of familial relationship between a living subject and another living subject.</p>
                  <b>Examples:</b>
                  <p>* Father * Mother * Uncle</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="PersonalRelationshipRoleType"/>
   </conceptDomain>
   <conceptDomain name="FeedingDeviceType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A manufactured material that is used during the nutrition process but is not changed via the process.</p>
                  <b>Examples:</b>
                  <p>* Disposable Utensils * Plate Guard * Sippy Cup</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="EntityDeviceType"/>
   </conceptDomain>
   <conceptDomain name="FinancialClinicalSupportingObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Describes the supporting information for financial transactions such as a Special Authorization Request.</p>
                  <p>Example values under this concept domain could be: height, weight, duration of disease, site of fistula, etc.</p>
                  <p>This concept domain is intended to be used as part of a code/value pair within a generic structure that would convey ANY sort of information or proof of criteria that is needed to support a special authorization request.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="FinancialClinicalSupportingObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Contains the supporting information values for financial transactions such as a Special Authorization Request.</p>
                  <p>This concept domain is intended to be used as the "value" part of a code/value pair within a generic structure that would convey any sort of information or proof of criteria that is needed to support a special authorization request. For example:</p>
                  <p>One wishes to convey a patient's DSM IV diagnosis to support a special authorization request. One code/value pair is used:</p>
                  <p>ActSupportingInformationCode1 = DSM IV Diagnosis, value= 315.4</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationValue"/>
   </conceptDomain>
   <conceptDomain name="FoodType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Concepts that identify raw, cooked or edible substances or ingredients that are intended for consumption by humans or animals to supply nourishment.</p>
                  <b>Examples:</b>
                  <p>* Orange * Meat * Milk</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="NutritionalMaterialType"/>
   </conceptDomain>
   <conceptDomain name="FormalRelationshipRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A relationship between two entities that is formally recognized, frequently by a contract or similar agreement.</p>
                  <i>Examples:</i>agent; guarantor; patient.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="MutualRelationshipRoleType"/>
      <property name="ConceptualSpaceForClassCode"
                value="RoleClass._RoleClassRelationshipFormal"/>
   </conceptDomain>
   <conceptDomain name="GISPositionAccuracyTierCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Categorizes the accuracy of spatial data assignment utilizing a variety of tools for capturing coordinates including digitizers, geocoding software and global positioning system devices.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationValue"/>
   </conceptDomain>
   <conceptDomain name="GTSAbbreviation">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>\*\*\*\* MISSING DEFINITIONS \*\*\*\*</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="GenderStatus">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A value representing whether the primary reproductive organs of NonPersonLivingSubject are present.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="GenericUpdateReasonCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Identifies why a change is being made to a record.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ControlActReason"/>
   </conceptDomain>
   <conceptDomain name="GeneticObservationInterpretation">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Concepts that specify interpretation of genetic analysis.</p>
                  <b>Examples:</b>
                  <p>* positive * negative * carrier * responsive</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationInterpretation"/>
   </conceptDomain>
   <conceptDomain name="GeneticObservationMethod">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A code that provides additional detail about the means or technique used to ascertain the genetic analysis. Example, PCR, Micro Array.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationMethod"/>
   </conceptDomain>
   <conceptDomain name="GeneticObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Identifies the kinds of genetic observations that can be performed.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="GeneticObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>The domain contains genetic analysis specific observation values, e.g. Homozygote, Heterozygote, etc.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationValue"/>
   </conceptDomain>
   <conceptDomain name="GrantorOrganizationRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>The specific kinds of organizational roles that issue information privacy grants that permit or prohibit potential actions on information artifacts.<b>Examples:</b>
                  <p>* Clearinghouse * Billing Service * Health Information Exchange</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="GrantorRoleType"/>
   </conceptDomain>
   <conceptDomain name="GrantorPersonRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>The specific kinds of person roles that issue information privacy grants that permit or prohibit potential actions on information artifacts.<b>Examples:</b>
                  <p>* Self * Parent * Legal Guardian</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="GrantorRoleType"/>
   </conceptDomain>
   <conceptDomain name="GrantorRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>The specific kinds of roles that issue information privacy grants that permit or prohibit potential actions on information artifacts.<b>Examples:</b>
                  <p>* Parent * Legal Guardian * Health Information Exchange</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="CommissioningPartyRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.ASSIGNED"/>
   </conceptDomain>
   <conceptDomain name="GuardianRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Qualify the holder or scope of a guardianship relationship over a living subject.</p>
                  <b>Examples:</b>
                  <p>* Guardianship held jointly by separated parents * Guardianship held jointly by parent and another person * Natural guardian * Special guardian * Guardian of property</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="AgentRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.GUARD"/>
   </conceptDomain>
   <conceptDomain name="HCPCS">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Health Care Financing Administration Common Procedural Coding System (HCPCS) Codes are procedure identifying codes. HCPCS is Health Care Finance AdministrationaTMs (HFCA) coding scheme to group procedures performed for payment to providers. contains codes for medical equipment, injectable drugs, transportation services, and other services not found in CPT4.</p>
                  <i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActInvoiceDetailClinicalServiceCode"/>
   </conceptDomain>
   <conceptDomain name="HCPCSAccommodationCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**External value set for accommodation types used in the U.S. Health Care Financing Administration (HCFA) Common Procedure Coding System (HCPCS) including modifiers.</p>
                  <i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActInvoiceDetailCode"/>
   </conceptDomain>
   <conceptDomain name="HL7AccommodationCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Accommodation type. In Intent mood, represents the accommodation type requested. In Event mood, represents accommodation assigned/used. In Definition mood, represents the available accommodation type.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.ACCM"/>
   </conceptDomain>
   <conceptDomain name="HL7ITSVersionCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>HL7 implementation technology specification versions. These codes will document the ITS type and version for message encoding. The code will appear in the instances based upon rules expressed in the ITS, and do not appear in the abstract message, either as it is presented to received from the ITS.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="HL7StandardVersionCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>This is the domain of HL7 version codes for the Version 3 standards. Values are to be determined by HL7 and added with each new version of the HL7 Standard.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="HL7TriggerEventCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>The trigger event referenced by the Control Act instance. Values are drawn from the available trigger events used in the release of HL7 identified by the versionCode.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.CACT"/>
   </conceptDomain>
   <conceptDomain name="HL7UpdateMode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>The possible modes of updating that occur when an attribute is received by a system that already contains values for that attribute.</p>
                  <b>Open Issue:</b>From April 2008 harmonization: "Definition needs to be modified. Make contents to HL7 content mode code system match contents in this table" Clear that this needs to be revisited.</text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="HealthcareProviderRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A role type that is used to categorize an entity that delivers health care in an expected and professional manner to a subject in need of health care services.</p>
                  <b>Examples:</b>
                  <p>* Registered Nurse * Physician * Custodial Care Clinic</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="AssignedRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.ASSIGNED"/>
   </conceptDomain>
   <conceptDomain name="HealthcareServiceLocation">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A set of concepts representing locations and settings where healthcare services are provided.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="PassiveRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.SDLOC"/>
   </conceptDomain>
   <conceptDomain name="HolderEntityType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Holders are containers that hold other containers or holders.<b>Examples:</b>
                  <p>* Tube rack * Specimen carrier * Tray</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ContainerEntityType"/>
      <property name="ConceptualSpaceForClassCode" value="EntityClass.HOLD"/>
   </conceptDomain>
   <conceptDomain name="HtmlLinkType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>HtmlLinkType values are drawn from HTML 4.0 and describe the relationship between the current document and the anchor that is the target of the link</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="HumanActSite">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>An anatomical location on a human which can be the focus of an act.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActSite"/>
   </conceptDomain>
   <conceptDomain name="HumanLabSpecimenEntityType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>To be used to code the anatomic component of the human-sourced specimen that the lab observation relates to.<b>Examples:</b>
                  <p>* Endometrial biopsy * Thyroid fine needle aspirate * Urine</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SpecimenEntityType"/>
      <property name="ConceptualSpaceForClassCode" value="EntityClass.ENT"/>
   </conceptDomain>
   <conceptDomain name="HumanLanguage">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Codes for the representation of the names of human languages.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="LivingSubjectLanguageTypes"/>
   </conceptDomain>
   <conceptDomain name="HumanSubstanceAdministrationSite">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>The set of body locations to or through which a substance or product may be administered.<b>Examples:</b>
                  <p>* buttock * left upper arm * bilateral eyes</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="HumanActSite"/>
   </conceptDomain>
   <conceptDomain name="ICD10PCS">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**International Classification of Diseases, 10th Revision, Procedure Coding System (ICD-10-PCS) are procedure identifying codes. ICD-10-PCS describes the classification of inpatient procedures for statistical purposes.</p>
                  <i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActInvoiceDetailClinicalServiceCode"/>
   </conceptDomain>
   <conceptDomain name="ICD9PCS">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**International Classification of Diseases, 9th Revision, Procedure Coding System (ICD-9-PCS) are procedure identifying codes. ICD-9-PCS describes the classification of inpatient procedures for statistical purposes.</p>
                  <i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActInvoiceDetailClinicalServiceCode"/>
   </conceptDomain>
   <conceptDomain name="ICSRContextualObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>A type of observation on an investigative subject or a related entity that might be collected to provide the medical and social context for an adverse event report.<b>Examples:</b>
                  <p>* Diagnosis * laboratory result * autopsy determined cause of death</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="ICSRParticipantRoleQualificationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Different types of qualification that could be applicable for a party involved in sending or receiving a case safety report, providing the original notification or report of an adverse event or product problem.</p>
                  <b>Examples:</b>
                  <p>* Physician * Veterinarian * Lawyer * Member of the public</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="RoleCode"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.QUAL"/>
   </conceptDomain>
   <conceptDomain name="ICSRReportingRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>A role that is played by a party which is involved in the process originating or managing reports of adverse events or product problems.<b>Examples:</b>
                  <p>* Marketing Authorization Holder * Regulatory Agency * Healthcare Practitioner</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="AssignedRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.ASSIGNED"/>
   </conceptDomain>
   <conceptDomain name="ICSR_InvestigationAssessmentActType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Concepts that define the primary orientation of a product related investigation.<b>Examples:</b>
                  <p>* Product defect * adverse event</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="IndividualCaseSafetyReportType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.ACT"/>
   </conceptDomain>
   <conceptDomain name="IDMPProductType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Provides a set of values for defining the type of Pharmaceutical Product that is related to a PhPID. This in turn determines the type of information that may be conveyed when using the Common Product Model as a vehicle for IDMP model data.</p>
                  <b>Examples:</b>
                  <p>* Chemical Type * Radionuclides (radioactive) Type * Biological Substance</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="IDMPRoleCodeType"/>
   </conceptDomain>
   <conceptDomain name="IDMPRelationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Provides a set of values for defining the relationship between different concepts when using the Common Product Model as a vehicle for IDMP model data</p>
                  <b>Examples:</b>
                  <p>* Medicinal identifier * Pharmaceutical identifier * Underlying pharmaceutical concept identifier</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="IDMPRoleCodeType"/>
   </conceptDomain>
   <conceptDomain name="IDMPRoleCodeType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Defines elements of the IDMP model, whether concepts defined by role, or relationships between concepts defined by role, that cannot otherwise easily be distinguished within the Common Product Model structures and associated vocabulary. This domain is a collector for the different types of semantics associated with the IDMP role concept spaces.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="RoleCode"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.ROL"/>
   </conceptDomain>
   <conceptDomain name="IdentifiedEntityType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Definition:</b>A code representing the type of identifier that has been assigned to the identified entity (IDENT).<b>Examples:</b>Example values include Social Insurance Number, Product Catalog ID, Product Model Number.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="PassiveRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.IDENT"/>
   </conceptDomain>
   <conceptDomain name="IdentifierReliability">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>The identifier was issued by the system responsible for constructing the instance.</text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="IdentifierScope">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Codes to specify the scope in which the identifier applies to the object with which it is associated, and used in the datatype property II.</text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ImagingSubjectOrientation">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A code specifying qualitatively the spatial relation between imaged object and imaging film or detector.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SubjectPhysicalPosition"/>
   </conceptDomain>
   <conceptDomain name="ImmunizationForecastDate">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Specifies the type of date that is specified in an immunization forecast. The immunization forecast defines the schedule for a vaccine based on variables like the subject's age, the type of vaccine, and the supply unit. The immunization forecast may involve multiple administrations in a series or just one administration. Each of the administrations has one or more recommended dates.</p>
                  <b>Examples:</b>
                  <p>* Earliest recommended date * Recommended date * Latest acceptable date * Overdue date (date after which to start sending reminders)</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="ImmunizationForecastStatus">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Used to represent the patient's status with respect to their immunization guideline as of an evaluation date.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
   </conceptDomain>
   <conceptDomain name="ImmunizationObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Types of observations which describe characteristics of the immunization material.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="IncidentalServiceDeliveryLocationRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Types of locations,that are not designed for the purpose of providing health care services but where care provision takes place.</p>
                  <b>Examples:</b>
                  <p>* Accident site * Patient's residence * School * Work site</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="HealthcareServiceLocation"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.ISDLOC"/>
   </conceptDomain>
   <conceptDomain name="IndicationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Indicates the specific observation result which is the reason for the action (prescription, lab test, etc.). E.g. Headache, Ear infection, planned diagnostic image (requiring contrast agent), etc.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationValue"/>
   </conceptDomain>
   <conceptDomain name="IndividualCaseSafetyReportCriteria">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Includes those concepts that are provided to justify the fact that an adverse event or product problem is required to be reported in an expedited fashion.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="IndividualCaseSafetyReportType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.INVSTG"/>
   </conceptDomain>
   <conceptDomain name="IndividualCaseSafetyReportProductCharacteristic">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Includes relevant pieces of information about a product or its process of creation. The vocabulary domain is used to characterize products when they are cited in adverse event or product problem reports.<p>**Examples:**Weight, color, dimensions.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="IndividualCaseSafetyReportType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.INVSTG"/>
   </conceptDomain>
   <conceptDomain name="IndividualCaseSafetyReportSenderType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A code that is used to indicate the type of organization which is originating and sending the ICSR. The current code example reference is from the International Conference on Harmonisation (ICH) Expert Workgroup guideline on Clinical Safety Data Management: Data Elements for Transmission of Individual Case Safety Reports.</p>
                  <p>Example concepts are: Pharmaceutical Company, Regulatory Authority, Health Professional, Regional Pharmacovigilence Center, World Health Organization Collaborating Center for International Drug Monitoring.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="OrganizationEntityType"/>
      <property name="ConceptualSpaceForClassCode" value="EntityClass.ORG"/>
   </conceptDomain>
   <conceptDomain name="IndividualCaseSafetyReportType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Types of case safety report received from sender. The current code example reference is from the International Conference on Harmonization (ICH) Expert Workgroup guideline on Clinical Safety Data Management: Data Elements for Transmission of Individual Case Safety Reports. The unknown/unavailable option allows the transmission of information from a secondary sender where the initial sender did not specify the type of report.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="IndividualCaseSafetyReportValueDomains">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>This domain is established as a parent to a variety of value domains being defined to support the communication of Individual Case Safety Reports to regulatory bodies. Arguably, this aggregation is not taxonomically pure, but the grouping will facilitate the management of these domains.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationValue"/>
   </conceptDomain>
   <conceptDomain name="IndustryClassificationSystem">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>North American Industry Classification System(NAICS) for the United States, a new economic classification system that replaces the 1987 Standard Industrial Classification (SIC) for statistical purposes. NAICS is a system for classifying establishments by type of economic activity. Its purposes are: (1) to facilitate the collection, tabulation, presentation, and analysis of data relating to establishments, and (2) to promote uniformity and comparability in the presentation of statistical data describing the economy. NAICS will be used by Federal statistical agencies that collect or publish data by industry. http://www.census.gov/epcd/www/naicsusr.html</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="InjuryActSite">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>An anatomical location on a human of an injury or disease which is the focus of an act.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="HumanActSite"/>
   </conceptDomain>
   <conceptDomain name="InjuryObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Values for observations of injuries.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationValue"/>
   </conceptDomain>
   <conceptDomain name="IntegrityCheckAlgorithm">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>\*\*\*\* MISSING DEFINITIONS \*\*\*\*</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="IntoleranceValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Codes identifying pariticular groupings of allergens and other agents which cause allergies and intolerances. E.g. the drug, allergen group, food or environmental agent which triggers the intolerance</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationValue"/>
   </conceptDomain>
   <conceptDomain name="InvestigatedSubjectRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>A code further classifying the type of investigated subject role. Used with the INVSBJ role class code.<b>Examples:</b>
                  <p>* Case subject * Suspect * Person of interest</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="FormalRelationshipRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.INVSBJ"/>
   </conceptDomain>
   <conceptDomain name="InvoiceElementModifier">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Designates a modifier to the code attribute to provide additional information about the invoice element.</p>
                  <i>Examples:</i>Isolation allowance; After-hours service<i>Rationale:</i>This is not pre-coordinated into the CD attribute because the modifier code set may not be specifically designed for use with the Act.code code set. This violates the constraint for using the 'modifier' property that the modifier code set must be defined as part of, or specifically for the base code set.</text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="IsolateObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**To be used in the message when there is a requirement to communicate a result observation code that relates to a specific isolate.</p>
                  <b>Examples:</b>
                  <p>* Colony count * Colony count; Viability count FDA method * Growth rate; Visual method</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.OBS"/>
   </conceptDomain>
   <conceptDomain name="IsolateObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Used to code and identify the Isolate observation result value when a coded result is reported.</p>
                  <b>Examples:</b>
                  <p>* Heavy growth * Scant growth * Moderate growth</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationValue"/>
   </conceptDomain>
   <conceptDomain name="IssueFilterCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Indicates how result sets should be filtered based on whether they have associated issues.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="QueryParameterValue"/>
   </conceptDomain>
   <conceptDomain name="IssueTriggerObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>The combined domain for different types of coded observation issue triggers, such as diagnoses, allergies, etc.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationValue"/>
   </conceptDomain>
   <conceptDomain name="JobTitleName">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Provides coded names for attribute Employee.jobTitleName, which has data type SC.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="KnowledgeSubTopicObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Categorization of types of observation that capture a knowledge subtopic which might be treatment, etiology, or prognosis.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="KnowledgeSubTopicObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Observation values that document the types of observations belonging to the domain KnowledgeSubTopicObservationType.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationValue"/>
   </conceptDomain>
   <conceptDomain name="KnowledgeSubjectObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Categorization of types of observation that capture the main clinical knowledge subject which may be a medication, a laboratory test, a disease.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="KnowledgeSubjectObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Observation values that document the types of observations belonging to the domain KnowledgeSubjectObservationType.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationValue"/>
   </conceptDomain>
   <conceptDomain name="LabResultObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Used to code and identify the laboratory result value when a coded result is reported.<b>Examples:</b>
                  <p>* Sickle cell trait * Hereditary Spherocytosis * Deficiency of butyryl-CoA dehydrogenase</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationValue"/>
   </conceptDomain>
   <conceptDomain name="LabResultReportingProcessStepCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Definition:**Used to identify if a lab result is reported as preliminary, final, or corrected. Provides a consistent way to distinguish the business or reporting status of the lab result.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActLabProcessCodes"/>
   </conceptDomain>
   <conceptDomain name="LabSpecimenCollectionProviders">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Providers used in Laboratory messaging.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="HealthcareProviderRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.PROV"/>
   </conceptDomain>
   <conceptDomain name="LaboratoryTriggerEventType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Trigger events associated with laboratory results.<b>Examples:</b>
                  <p>* Lab result activate * Lab result complete * Lab result abort</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="HL7TriggerEventCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.CACT"/>
   </conceptDomain>
   <conceptDomain name="LanguageAbilityMode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A value representing the method of expression of the language.</p>
                  <p>*Example:*Expressed spoken, expressed written, expressed signed, received spoken, received written, received signed.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="LanguageAbilityProficiency">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A value representing the level of proficiency in a language.</p>
                  <p>*Example:*Excellent, good, fair, poor.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="LicensedRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <i>OpenIssue:</i>This concept domain has **no valid description**.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="FormalRelationshipRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.LIC"/>
   </conceptDomain>
   <conceptDomain name="ListOwnershipLevel">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A dynamic list of individual instances of Act which reflect the needs of an individual worker, team of workers, or an organization to view roups of Acts for clinical or administrative reasons.</p>
                  <i>Discussion:</i>The grouped Acts are related to the WorkingList via an ActRelationship of type 'COMP' component).<i>Examples:</i>Problem lists, goal lists, allergy lists, to-do lists, etc.<i>Design note:</i>This physical class contains but a single attribute, other than those that it inherits from Act. Use of that attribute in the design of RIM-based static models has been<b>DEPRECATED</b>in HL7 RIM Harmonization, effective November 2005. This action was based on ecommendations from the Patient Care Technical Committee.<p>As a consequence, this class will cease to be shown as a physical class in the RIM, once the attribute is retired. Nevertheless, use of this class via an Act.classCode value of 'LIST' is entirely appropriate so long as only the attibutes inherited from Act are used.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="LivingArrangement">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A code depicting the living arrangements of a person</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="LivingSubjectEntityType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Anything that essentially has the property of life, independent of current state (a dead human corpse is still essentially a living subject).</p>
                  <i>Examples:</i>persons, animals, trees .</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="EntityCode"/>
      <property name="ConceptualSpaceForClassCode" value="EntityClass.LIV"/>
   </conceptDomain>
   <conceptDomain name="LivingSubjectLanguageTypes">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Types of language sourced from an entity that is a living subject.</p>
                  <i>Usage Note:</i>Intended to be used for CD or CV data types. Use HumanLanguage concept domain to convey languages represented in ED.Language or other CS data types.</text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="LocalMarkupIgnore">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Tells a receiver to ignore just the local markup tags (local\_markup, local\_header, local\_attr) when value="markup", or to ignore the local markup tags and all contained content when value="all"</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="LocalRemoteControlState">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A value representing the current state of control associated with the device.</p>
                  <i>Examples:</i>A device can either work autonomously (localRemoteControlStateCode="Local") or it can be controlled by another system (localRemoteControlStateCode="Remote").<i>Rationale:</i>The control status of a device must be communicated between devices prior to remote commands being transmitted. If the device is not in "Remote" status then external commands will be ignored.</text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="LocatedEntityRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Constrains the concepts used to further characterize the association between an entity and itaTMs location. Used only with the LOCE (located entity) role classCode.<b>Example:</b>home, business and vacation home.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="PartitiveRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.LOCE"/>
   </conceptDomain>
   <conceptDomain name="LocationIdentifiedEntityRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Describes types of identifiers other than the primary location registry identifier for a service delivery location. Identifiers may be assigned by a local service delivery organization, a formal body capable of accrediting the location for the capability to provide specific services or the identifier may be assigned at a jurisdictional level.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="IdentifiedEntityType"/>
   </conceptDomain>
   <conceptDomain name="ManagedParticipationStatus">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>The status of an instance of the RIM Participation class.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ManufacturedDrug">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Identifies a drug or the use of a drug as produced by a specific manufacturer</p>
                  <i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ClinicalDrug"/>
   </conceptDomain>
   <conceptDomain name="ManufacturedMaterialEntityType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>An Entity or combination of Entities transformed for a particular purpose by a manufacturing process.</p>
                  <i>Examples:</i>Processed food products, disposable syringes, chemistry analyzer, saline for infusion</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="MaterialEntityClassType"/>
      <property name="ConceptualSpaceForClassCode" value="EntityClass.MMAT"/>
   </conceptDomain>
   <conceptDomain name="ManufacturedMaterialSpecimenEntityType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>A specimen that is manufactured or a specimen from a manufactured material. This may be a quality control specimen or a manufactured substance.<b>Examples:</b>
                  <p>* Quality control specimen * Aspirin * Breakfast sausage</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SpecimenEntityType"/>
      <property name="ConceptualSpaceForClassCode" value="EntityClass.MMAT"/>
   </conceptDomain>
   <conceptDomain name="ManufacturedProductRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**A role type that is used to further qualify an entity playing a role where the role class attribute is set to RoleClass ManufacturedProduct.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ProductRelatedRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.MANU"/>
   </conceptDomain>
   <conceptDomain name="ManufacturerActivityActType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>The activity of businesses operating in the manufacture and distribution of products.<b>Examples:</b>
                  <p>* manufacture * repack * import</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.ACT"/>
   </conceptDomain>
   <conceptDomain name="ManufacturerModelName">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Provides coded names for attribute Device.manufacturerModelName, which has data type SC.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="MapRelationship">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>The closeness or quality of the mapping between the HL7 concept (as represented by the HL7 concept identifier) and the source coding system. The values are patterned after the similar relationships used in the UMLS Metathesaurus. Because the HL7 coding sy</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="MaritalStatus">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>The domestic partnership status of a person.</p>
                  <p>*Example:*Married, separated, divorced, widowed, common-law marriage.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="MarketingActivityActType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>The broad activity of businesses operating in the distribution of products, the general act of making a product available to the public.<b>Examples:</b>
                  <p>* Marketing, (this is required as a singleton value set, as there may be no other use case for this than to distinguish one Act of handling products from other Acts, such as manufacturing.)</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ManufacturerActivityActType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.ACT"/>
   </conceptDomain>
   <conceptDomain name="MaskableMaterialEntityType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Indicates the types of products whose associated records are allowed to be masked.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ManufacturedMaterialEntityType"/>
      <property name="ConceptualSpaceForClassCode" value="EntityClass.MMAT"/>
   </conceptDomain>
   <conceptDomain name="MaterialEntityClassType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Types of Material for EntityClass "MAT"</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="EntityCode"/>
      <property name="ConceptualSpaceForClassCode" value="EntityClass.MAT"/>
   </conceptDomain>
   <conceptDomain name="MaterialForm">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>This identifies the physical state, nature or manifestation of the material.</p>
                  <i>Usage Notes:</i>When the Material class is specialised to Manufactured Material, which it is to routinely to describe Medicinal products and ingredient Substances, and to Containers and Devices, the Material Form attribute is used more explicitly to describe the form and manifestation of these types of concepts - for example for medicinal products, the formCode describes their dose form (tablet, ointment); and for containers, it is their physical type (box, carton, vial).<p>Examples:</p>
                  <p>* Powder * Liquid * Gas</p>
               </text>
            </definition>
            <usageNotes>
               <text>When the Material class is specialised to Manufactured Material, which it is to routinely to describe Medicinal products and ingredient Substances, and to Containers and Devices, the Material Form attribute is used more explicitly to describe the form and manifestation of these types of concepts - for example for medicinal products, the formCode describes their dose form (tablet, ointment); and for containers, it is their physical type (box, carton, vial). Examples:  Powder Liquid Gas</text>
            </usageNotes>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="MeasureAttributeItemsCountedObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Observation values used for an items counted measure attribute in a health quality measure (eMeasure).</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="MeasureAttributeObservationValue"/>
   </conceptDomain>
   <conceptDomain name="MeasureAttributeJurisdictionObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Observation values used for a jurisdiction measure attribute in a health quality measure (eMeasure).</p>
                  <b>Examples:</b>
                  <p>* ISO Country codes * State and County codes * FIPS value sets of postal codes * districts * regions</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="MeasureAttributeObservationValue"/>
   </conceptDomain>
   <conceptDomain name="MeasureAttributeObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Observation values used for various types of coded measure attributes in a health quality measure (eMeasure).</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationValue"/>
   </conceptDomain>
   <conceptDomain name="MeasureAttributeReporterTypeObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Observation values used for a reporter type measure attribute in a health quality measure (eMeasure).</p>
                  <b>Examples:</b>
                  <p>* Laboratory * Healthcare Providers * Hospitals * Healthcare facilities that are NOT hospitals * Schools * Pharmacists * Veterinary lab * Veterinarian * Prison/Jail * Institutions * Employers</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="MeasureAttributeObservationValue"/>
   </conceptDomain>
   <conceptDomain name="MeasureAttributeServiceDeliveryLocationObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Observation values used for a service delivery location measure attribute in a health quality measure (eMeasure).</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="MeasureAttributeObservationValue"/>
   </conceptDomain>
   <conceptDomain name="MediaType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Internet Assigned Numbers Authority (IANA) Mime Media Types</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="MedicalDeviceType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Definition:**A device with direct or indirect therapeutic purpose.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ProductEntityType"/>
      <property name="ConceptualSpaceForClassCode" value="EntityClass.DEV"/>
   </conceptDomain>
   <conceptDomain name="MedicallyNecessaryDuplicateProcedureReason">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Definition:</b>This domain is used to document why the procedure is a duplicate of one ordered/charged previously for the same patient within the same date of service and has been determined to be medically necessary.<b>Example:</b>A doctor needs a different view in a chest X-Ray.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActBillableClinicalServiceReason"/>
   </conceptDomain>
   <conceptDomain name="MedicationGeneralizationRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Identifies the specific hierarchical relationship between the playing and scoping medications.</p>
                  <i>Examples:</i>Generic, Generic Formulation, Therapeutic Class, etc.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="OntologicalRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.GEN"/>
   </conceptDomain>
   <conceptDomain name="MedicationIssueTypeCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Any type of issue that identifies a potential adverse situation that would or might occur with the described substance administration.<b>Examples:</b>
                  <p>* adverse effect * drug interaction * drug-food interaction</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActDetectedIssueCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.ALRT"/>
   </conceptDomain>
   <conceptDomain name="MedicationObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Identifies types of observations that can be made about a particular drug or medication.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="MedicationOrderAbortReasonCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Indicates the reason the medication order should be aborted.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ControlActReason"/>
   </conceptDomain>
   <conceptDomain name="MedicationOrderReleaseReasonCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Definition:**A collection of concepts that indicate why the prescription should be released from suspended state.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ControlActReason"/>
   </conceptDomain>
   <conceptDomain name="MedicationSafetyReportObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Identifies types of observations about the Safety Reports required for a particular medication.<b>Examples:</b>
                  <p>* \[Observation of\] International Birth Date * \[Observation of\] Data Lock Point * \[Observation of\] Frequency of Safety Report Submission</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="MedicationObservationType"/>
   </conceptDomain>
   <conceptDomain name="MemberRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A classification for further qualifying an entity playing a Member RoleClass.</p>
                  <i>Examples:</i>
                  <p>* tribal member * elected member * *ex officio* member * part-time member</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="PartitiveRoleType"/>
   </conceptDomain>
   <conceptDomain name="MessageWaitingPriority">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Indicates the highest importance level of the set of messages the acknowledging application has waiting on a queue for the receiving application.</p>
                  <i>Discussion:</i>These messages would need to be retrieved via a query. This facilitates receiving applications that cannot receive unsolicited messages (i.e. polling). The specific code specified identifies how important the most important waiting message is (and may govern how soon the receiving application is required to poll for the message).<p>Priority may be used by local agreement to determine the timeframe in which the receiving application is expected to retrieve the messages from the queue.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="MicroorganismEntityType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**To be used to identify a microorganism when required by an act.</p>
                  <b>Examples:</b>
                  <p>* Escherichia coli * Caulimoviridae * Pseudomonas aeruginosa</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="MaterialEntityClassType"/>
   </conceptDomain>
   <conceptDomain name="ModifyIndicator">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Indicates whether the subscription to a query is new or is being modified.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ModifyPrescriptionReasonType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Types of reason why a prescription is revised.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ControlActReason"/>
   </conceptDomain>
   <conceptDomain name="MolecularBondRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>The nature of the bonds by which two molecular parts may be connected.</p>
                  <i>Examples:</i>(1) simple bonds such as, single bond, double bond, triple bond, (2) specialized bonds such as peptide bond, disulfide bond, etc., (3) weak bonds such as van-der-Waals, chelate, and ion-associations.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="PassiveRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.BOND"/>
   </conceptDomain>
   <conceptDomain name="MolecularFeatureRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>The generalization of molecular parts (partitive role) and molecular bonds (associative role), or possibly any other role type used for the expression of structural molecular features.</p>
                  <i>Examples:</i>(1) acetyl group (a moiety), (2) disulfide bond (a bond), (3) O-linked glycosylation (a moiety).</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="PassiveRoleType"/>
   </conceptDomain>
   <conceptDomain name="MolecularInteractionFunction">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Specific functiona that a participant may have in a molecular interaction.</p>
                  <i>Examples:</i>Receptor, allosteric inhibitor, co-factor, catalyst, co-enzyme, competitive inhibitor, etc.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ParticipationFunction"/>
   </conceptDomain>
   <conceptDomain name="MolecularPartRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>The senses in which a molecule may be conceptually or actually divided into parts.</p>
                  <i>Examples:</i>
                  <ul>
                     <li>
                        <p>sub-unit of a protein (i.e., sequences held together usually by disulfide bonds);</p>
                     </li>
                     <li>
                        <p>domain of a protein or component of a nucleic acid sequence (i.e., a sub-sequence identified to have a certain folding structure or function, e.g. signaling peptide of a protein precursor or promoter and open reading frame of a nucleic acid);</p>
                     </li>
                     <li>
                        <p>residue on a molecular base skeleton; atom of a molecule (e.g., to identify substitution with a radioactive isotope);</p>
                     </li>
                     <li>
                        <p>dissociable ion.</p>
                     </li>
                  </ul>
                  <i>UsageNotes:</i>The specific code system and concepts are left to be externally defined. However, when the positionNumber attribute is to be used with the part role to indicate where the part is placed, the part role code must specify how the position number vector is to be interpreted. For example, for subunits of a protein oligomer (such as fibrinogen) held together by disulfide bonds, the part relationship would need to specify the position of the links</text>
            </definition>
            <usageNotes>
               <text>The specific code system and concepts are left to be externally defined. However, when the positionNumber attribute is to be used with the part role to indicate where the part is placed, the part role code must specify how the position number vector is to be interpreted. For example, for subunits of a protein oligomer (such as fibrinogen) held together by disulfide bonds, the part relationship would need to specify the position of the links</text>
            </usageNotes>
         </documentation>
      </annotations>
      <specializesDomain name="PartRoleType"/>
   </conceptDomain>
   <conceptDomain name="MutualRelationshipRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Concepts which further characterizing the type of mutual relationships. Used only with the abstract code\_RoleClassMutualRelationship.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="AssocativeRoleType"/>
      <property name="ConceptualSpaceForClassCode"
                value="RoleClass._RoleClassMutualRelationship"/>
   </conceptDomain>
   <conceptDomain name="NDCRelatedDrugEntityType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>NDC Regulated Drug Entity Type</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="PassiveRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.RGPR"/>
   </conceptDomain>
   <conceptDomain name="NationEntityType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Codes identifying nation states. Allows for finer grained specification of Entity with classcode &lt;= NAT</p>
                  <p>*Example:*ISO3166 country codes.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="PlaceEntityType"/>
      <property name="ConceptualSpaceForClassCode" value="EntityClass.COUNTRY"/>
   </conceptDomain>
   <conceptDomain name="NonClinicalDuplicateServiceReason">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>A duplicate non-clinical service or product is being re-billed.<i>Examples:</i>
                  <p>* Duplicate transportation required for physician visit * Wrong size of a product * Rebuilding wheel chair ramp due to a weather condition</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActBillableNonClinicalServiceReason"/>
   </conceptDomain>
   <conceptDomain name="NonDrugAgentEntity">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Indicates types of allergy and intolerance agents which are non-drugs. (E.g. foods, latex, etc.)</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ExposureAgentEntityType"/>
   </conceptDomain>
   <conceptDomain name="NonPerformanceReasonCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>The reason the action was not performed, e.g. why the medication was not taken. If an action was not performed, it is often clinically important to know why the action was not taken.</p>
                  <p>*Examples:*Patient refused, clinically inappropriate, absolute contraindication etc.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActReason"/>
   </conceptDomain>
   <conceptDomain name="NonPersonLivingSubjectEntityType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Types of NonPersonLivingSubjects for the EntityClass "NLIV"</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="LivingSubjectEntityType"/>
      <property name="ConceptualSpaceForClassCode" value="EntityClass.NLIV"/>
   </conceptDomain>
   <conceptDomain name="NullFlavor">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Indication or reason why a valid value is not present.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="NutrientType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Concepts that identify the component source substance (e.g., chemical compound class and/or element) that supply nourishment by providing energy or metabolic support.</p>
                  <b>Examples:</b>
                  <p>* Carbohydrates * Protein * Fat * Calcium * Vitamin D * Fiber</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="NutritionalMaterialType"/>
   </conceptDomain>
   <conceptDomain name="NutritionModificationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Concepts that are used to convey modifications to the food or serving utensils that should be given in a diet order. These can be derived from patient allergies, intolerances, or preferences. They can also be specific to the order and not have any relationship to the allergies, intolerances, or preferences.</p>
                  <b>Examples:</b>
                  <p>* Vegetarian * Liquids separate from solids * Small Portions * disposable utensils (for psych or isolation rooms)</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActProcedureCode"/>
   </conceptDomain>
   <conceptDomain name="NutritionalFormulaType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Concepts that identify a type of natural or manufactured food product, typically liquid or powder mixed with water, for complete or supplemental feeding.</p>
                  <b>Examples:</b>
                  <p>* Milk-based * Breast-milk * Soy-based * Peptide-based * Elemental</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="FoodType"/>
   </conceptDomain>
   <conceptDomain name="NutritionalMaterialType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A material that is used to provide nutritional value.</p>
                  <b>Examples:</b>
                  <p>* Food * Formula * Supplements</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="MaterialEntityClassType"/>
   </conceptDomain>
   <conceptDomain name="NutritionalSupplementType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Concepts that identify a type of natural or manufactured food product used to provide additional nutrients or nourishment replacements beyond those consumed in the normal diet.</p>
                  <b>Examples:</b>
                  <p>* High-calorie * High-protein * Clear liquid * Oral electrolyte Replacement</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="FoodType"/>
   </conceptDomain>
   <conceptDomain name="ObservationActAgeGroupType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**To allow queries to specify useful information about the age of the patient without disclosing possible protected health information.</p>
                  <i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="ObservationAllergyTestCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Dianostic procedures ordered or performed to evaluate whether a sensitivity to a substance is present. This test may be associated with specimen collection and/or substance administration challenge actiivities.</p>
                  <p>**Example:**Skin tests and eosinophilia evaluations.</p>
                  <i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="ObservationAllergyTestType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Indicates the type of allergy test performed or to be performed. E.g. the specific antibody or skin test performed</p>
                  <i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="ObservationCaseStatusType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>A code used to further identify the type of case status observation. Used with the OBS ActClass.<b>Examples:</b>
                  <p>* Clinical status * Administrative status * Reporting status</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="ObservationCaseStatusValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>A code used to identify the status of a case. Used with the OBS ActClass.<b>Examples:</b>
                  <p>* Suspect * Confirmed * Probable</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationValue"/>
   </conceptDomain>
   <conceptDomain name="ObservationCausalityAssessmentType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**A kind of observation that allows a Secondary Observation (source act) to assert (at various levels of probability) that the target act of the association (which may be of any type of act) is implicated in the etiology of another observation that is named as the subject of the Secondary Observation</p>
                  <p>**Example:**Causality assertions where an accident is the cause of a symptom; predisposition assertions where the genetic state plus environmental factors are implicated in the development of a disease; reaction assertions where a substance exposure is associated with a finding of wheezing.</p>
                  <i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="ObservationCoordinateAxisType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Identifies the individual coordinate in the coordinate system inclusive of any transformations or projections.<b>Examples:</b>meridian, range, township, longitude, latitude, lot, block, etc.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="ObservationCoordinateSystemType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Identifies the coordinate system inclusive of any transformation projections.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="ObservationCriteriaValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Type of coded observation values in evaluating reference ranges.</p>
                  <b>Examples:</b>
                  <p>* Surgically transgendered transsexual, female-to-male * AIDS-associated disorder * Asian race</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationValue"/>
   </conceptDomain>
   <conceptDomain name="ObservationDosageDefinitionPreconditionType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Definition:</b>
                  <p>The set of observation type concepts that can be used to express pre-conditions to a particular dosage definition.</p>
                  <p>Rationale: Used to constrain the set of observations to those related to the applicability of a dosage, such as height, weight, age, pregnancy, liver function, kidney function, etc. For example, in drug master-file type records indicating when a specified dose is applicable.</p>
                  <i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="ObservationEventCriteriaType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>of observation used for evaluating a precondition, goal, or trigger.<b>Examples:</b>
                  <p>* age-based criteria * diagnostic-based criteria * simple observation-based criteria (vital signs)</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActEventCriteriaType"/>
      <property name="ConceptualSpaceForClassCode" value="ActMood.EVN.CRT"/>
   </conceptDomain>
   <conceptDomain name="ObservationEventLabCriteriaType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Type of observation used in lab for evaluating reference ranges.<b>Examples:</b>
                  <p>* age-based criteria * sex-based criteria * condition-based criteria</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationEventCriteriaType"/>
      <property name="ConceptualSpaceForClassCode" value="ActMood.EVN.CRT"/>
   </conceptDomain>
   <conceptDomain name="ObservationGenomicFamilyHistoryType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="ObservationIndicationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Includes all codes defining types of indications such as diagnosis, symptom and other indications such as contrast agents for lab tests</p>
                  <i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="ObservationInterpretation">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>The domain of possible values for a categorical assessment of an observation value.</p>
                  <i>Discussion:</i>These interpretation codes are sometimes called "abnormal flags", however, the judgment of normalcy is just one of the common rough interpretations, and is often not relevant. For example, the susceptibility interpretations are not about "normalcy", and for any observation of a pathologic condition, it does not make sense to state the normalcy, since pathologic conditions are never considered "normal."</text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ObservationInterpretationChange">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Interpretations of change of quantity and/or severity.</p>
                  <b>Examples:</b>
                  <p>* better * worse * increased</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationInterpretation"/>
   </conceptDomain>
   <conceptDomain name="ObservationInterpretationDetected">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Interpretations of the presence or absence of a component / analyte or organism in a test or of a sign in a clinical observation. In keeping with laboratory data processing practice, this provides a categorical interpretation of the "meaning" of the quantitative value for the same observation.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationInterpretation"/>
   </conceptDomain>
   <conceptDomain name="ObservationInterpretationExceptions">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Technical exceptions resulting in the inability to provide an interpretation, such as "off scale". Does not include normality or severity.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationInterpretation"/>
   </conceptDomain>
   <conceptDomain name="ObservationInterpretationExpectation">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Interpretation of the observed result taking into account additional information (contraindicators) about the patient's situation. Concepts in this category are mutually exclusive, i.e., at most one is allowed.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationInterpretation"/>
   </conceptDomain>
   <conceptDomain name="ObservationInterpretationNormality">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Interpretations of normality or degree of abnormality (including critical or "alert" level). Concepts in this category are mutually exclusive, i.e., at most one is allowed.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationInterpretation"/>
   </conceptDomain>
   <conceptDomain name="ObservationInterpretationSusceptibility">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Interpretations of anti-microbial susceptibility testing results (microbiology). At most one allowed.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationInterpretation"/>
   </conceptDomain>
   <conceptDomain name="ObservationIntoleranceType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Types of sensitivity caused by an exposure to a substance which results in an abnormal immunologic or non-immunologic response.<b>Examples:</b>
                  <p>* Food allergy * Environmental allergy * Fod intolerance</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="ObservationInvestigationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Used to further classify the type of investigation being documented. This concept domain is intended to be used with the INVSTG Act class code.<b>Examples:</b>
                  <p>* Public health case investigation * Safety investigation * Surveillance investigation</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="ObservationIssueTriggerCodedObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Distinguishes the kinds of coded observations that could be the trigger for clinical issue detection. These are observations that are not measurable, but instead can be defined with codes. Coded observation types include: Allergy, Intolerance, Medical Condition, Pregnancy status, etc.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="ObservationIssueTriggerMeasuredObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Distinguishes between the kinds of measurable observations that could be the trigger for clinical issue detection. Measurable observation types include: Lab Results, Height, Weight.</p>
                  <i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="ObservationLabReportType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>A set of codes specifying the type of Laboratory Report.<b>Examples:</b>
                  <p>* Hematology reports * Chemistry reports * Blood gas reports</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.OBS"/>
   </conceptDomain>
   <conceptDomain name="ObservationMeasureScoring">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Observation values used to indicate the type of scoring (e.g. proportion, ratio) used by a health quality measure.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="MeasureAttributeObservationValue"/>
   </conceptDomain>
   <conceptDomain name="ObservationMeasureType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Observation values used to indicate whether a health quality measure is used to sample a process or outcome over time.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="MeasureAttributeObservationValue"/>
   </conceptDomain>
   <conceptDomain name="ObservationMethod">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A code that provides additional detail about the means or technique used to ascertain the observation.</p>
                  <i>Examples:</i>Blood pressure measurement method: arterial puncture vs. sphygmomanometer (Riva-Rocci), sitting vs. supine position, etc.<i>Constraints:</i>In all observations the method is already partially specified by the Act.code. In this case, the methodCode NEED NOT be used at all. The methodCode MAY still be used to identify this method more clearly in addition to what is implied from the Act.code. However, an information consumer system or process SHOULD NOT depend on this methodCode information for method detail that is implied by the Act.code.<p>If the methodCode is used to express method detail that is also implied by the Act.code, the methodCode MUST NOT be in conflict with the implied method of the Act.code.</p>
                  <i>Discussion:</i>In all observations the method is already partially specified by simply knowing the kind of observation (observation definition, Act.code) and this implicit information about the method does not need to be specified in Observation.methodCode. Particularly, most LOINC codes are defined for specific methods as long as the method makes a practical difference in interpretation. For example, the difference between susceptibility studies using the "minimal inhibitory concentration" (MIC) or the "agar diffusion method" (Kirby-Baur) are specifically assigned to different LOINC codes. The methodCode therefore is only an additional qualifier to specify what may not be known already from the Act.code.<p>Also, some variances in methods may be tied to the particular device used. The methodCode should not be used to identify the specific device or test-kit material used in the observation. Such information about devices or test-kits should be associated with the observation as "device" participations.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ObservationOrderableLabType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Identifies the ordered lab test. Also known as the lab order code or test code.<b>Examples:</b>
                  <p>* red blood cell count * components of a chemistry panel * microbiology sensitivity testing</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationOrderableType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.OBS"/>
   </conceptDomain>
   <conceptDomain name="ObservationOrderableType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Identifies the type of observations that can be ordered.<b>Examples:</b>
                  <p>* lab tests * diagnostic imaging * device summary</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.OBS"/>
   </conceptDomain>
   <conceptDomain name="ObservationOutbreakExtentType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>A code used to further identify the type of Outbreak Extent Observation. Used with the OBS ActClass.<b>Examples:</b>
                  <p>* Geographic extent * Jurisdictional extent</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="ObservationOutbreakExtentValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>A code used to identify the extent of an outbreak. Used with the OBS.<b>Examples:</b>
                  <p>* Local * Regional * National</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationValue"/>
   </conceptDomain>
   <conceptDomain name="ObservationPopulationInclusionType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Observation values used to assert that a subject falls into a particular population.</p>
                  <b>Examples:</b>
                  <p>* Included in denominator * Included in numerator</p>
               </text>
            </definition>
         </documentation>
         <appInfo>
            <deprecationInfo deprecationEffectiveVersion="1221">
               <text>
                  <p>This element was deprecated as of the release indicated.</p>
               </text>
            </deprecationInfo>
         </appInfo>
      </annotations>
      <specializesDomain name="ObservationValue"/>
   </conceptDomain>
   <conceptDomain name="ObservationPositionAccuracyType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Identifies the type of position accuracy carried in observation value.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="ObservationPublicHealthCaseType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Definition:**Identifies the kinds of public health cases. Used only with the CASE Act class code.</p>
                  <p>Examples of types of public health cases includes reportable disease cases, radiation exposure cases and chemical exposure cases.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="ObservationPublicHealthOutbreakType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>
                  <p>Used to further classify the type of Outbreak being documented. This concept domain is intended to be used with the OUTB Act class code.</p>
                  <b>Examples:</b>
                  <p>* Epidemic * Pandemic * Endemic</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="ObservationQualityMeasureAttributeType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Codes used to define various metadata aspects of a health quality measure (specialization of ActClass "OBS").</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="ObservationQueryMatchType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Definition:</b>An observation related to a query response.<p>**Example:**The degree of match or match weight returned by a matching algorithm in a response to a query.</p>
                  <i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="ObservationResultableLabType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>The type of lab observation being resulted. There are some lab tests which are not ordered and are performed and resulted when the outcome of an ordered test meets some criteria.<b>Examples:</b>
                  <p>* red blood cell count * results of micro sensitivity testing * *Missing third example*</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationResultableType"/>
   </conceptDomain>
   <conceptDomain name="ObservationResultableType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Identifies the type of observation that can be resulted. There are some labs which are not ordered and are performed and resulted when the outcome of an ordered test meets some criteria.<b>Examples:</b>
                  <p>* outcomes of lab tests * device summary * therapeutic drug level testing</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.OBS"/>
   </conceptDomain>
   <conceptDomain name="ObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Identifies the kinds of observations that can be performed</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.OBS"/>
   </conceptDomain>
   <conceptDomain name="ObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>This domain is the root domain to which all HL7-recognized value sets for the Observation.value attribute will be linked when Observation.value has a coded data type.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ObservationVisionPrescriptionType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Definition:</b>Identifies the type of Vision Prescription Observation that is being described.<i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="OntologicalRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A relationship in which the scoping Entity defines or specifies what the playing Entity is. Thus, the player's "being" (Greek: ontos) is specified.</p>
                  <i>Examples:</i>sameness; instance; generalization.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="RoleCode"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass._RoleClassOntological"/>
   </conceptDomain>
   <conceptDomain name="OralDietSupplyType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Concepts representing diets that can be taken via the mouth.</p>
                  <b>Examples:</b>
                  <p>* General * Pureed * Easy to Chew</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActSupplyType"/>
   </conceptDomain>
   <conceptDomain name="OrderableDrugForm">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Indicates the form in which the drug product must be, or has been manufactured, or extemporaneous/magistral prepared .</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="DoseForm"/>
   </conceptDomain>
   <conceptDomain name="OrganismIdentificationObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**To be used to code and identify the Microbiology laboratory observation code that relates to the microorganism identification.</p>
                  <b>Examples:</b>
                  <p>* Bacteria identified * Bacteria identified in tissue * Fungus identified</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="CultureObservationType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.OBS"/>
   </conceptDomain>
   <conceptDomain name="OrganizationEntityType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Further classifies entities of EntityClass ORG.</p>
                  <b>Examples:</b>
                  <p>* HL7 workgroup * corporation * fraternal organization</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="EntityCode"/>
      <property name="ConceptualSpaceForClassCode" value="EntityClass.ORG"/>
   </conceptDomain>
   <conceptDomain name="OrganizationIndustryClass">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Domain provides classification systems for industries.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="OrganizationPartRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Concepts which further characterize the association between two Entities which are organizations where the playing Entity (the part) is a component of the whole (scoper). Used only with the PART (part) role classCode.</p>
                  <b>Examples:</b>
                  <p>* business unit * department * executive team</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="PartRoleType"/>
   </conceptDomain>
   <conceptDomain name="OtherIndicationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Indicates an observed reason for a medical action other than an indication or symptom. E.g. Need for a contrast agent prior to a diagnostic image, need for anesthesia prior to surgery, etc.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="IndicationValue"/>
   </conceptDomain>
   <conceptDomain name="OutbreakObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>The OutbreakObservationValue is used to identify the primary condition or disease associated with an Outbreak. This concept domain is intended to be used with the OUTB Act class code and the ObservationPublicHealthOutbreakType ActCode concept domain.<b>Examples:</b>
                  <p>* Tuberculosis * Lyme Disease * SARS</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="PublicHealthCaseObservationValue"/>
   </conceptDomain>
   <conceptDomain name="OverriderParticipationFunction">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>This code is used to specify the exact function an actor is authorized to have in authoring a consent override.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="AuthorizedParticipationFunction"/>
   </conceptDomain>
   <conceptDomain name="PackagedDrugProductEntity">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A drug product identified at the level of the package in which it is commonly distributed. Code systems such as UPC (Universal Product Code), NDC (National Drug Code), GTIN(Global Trade Item Number) might be bound to this domain in a given realm.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ManufacturedDrug"/>
   </conceptDomain>
   <conceptDomain name="PackagedProductEntityType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Identifies products such as (1) the GS1 (was UPC and EAN); (2) the U.S., the National Drug Code, which is the U.S. version of what is internationally named the (3) "Medicinal Product Identifier" (MPID). For device products such product code is also known as the "Unique Device Identifier" and may or may not use the GS1 system of product codes. In local contexts the product code can come from local coding systems also, as long as it is a code that denotes to a description of a manufactured product.<b>Examples:</b>
                  <p>* 0049-3980-41 (NDC for Geodon Roerig 80 mg capsules 10 capsules x 8 blister packs in a carton)</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="MaterialEntityClassType"/>
      <property name="ConceptualSpaceForClassCode" value="EntityClass.MMAT"/>
   </conceptDomain>
   <conceptDomain name="ParameterItemSemanticsType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A code indicating the name of a parameter item. ParameterItem classes are defined in the RIM as name-value pairs and this domain provides the name part of the ParameterItem.</p>
                  <b>Examples:</b>Patient Name, Drug Code, Order Effective Date</text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="PartRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Concepts which further characterizing the association two Entities where the playing Entity (the part) is a component of the whole (scoper). Used only with the PART (part) role classCode.<p>Example: Body part, organization part and moiety.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="PartitiveRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.PART"/>
   </conceptDomain>
   <conceptDomain name="ParticipationFunction">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>This code is used to specify the exact function an actor had in a service in all necessary detail. This domain may include local extensions (CWE).</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <property name="ConceptualSpaceForClassCode" value="ParticipationType.PRF"/>
   </conceptDomain>
   <conceptDomain name="ParticipationMode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Identifies a means by which an Entity participates in an Act.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ParticipationSignature">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A code specifying whether and how the participant has attested his participation through a signature and or whether such a signature is needed.</p>
                  <i>Examples:</i>A surgical Procedure act object (representing a procedure report) requires a signature of the performing and responsible surgeon, and possibly other participants. (See also: Participation.signatureText.)</text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ParticipationSubset">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Used to indicate that the participation is a filtered subset of the total participations of the same type owned by the Act.</p>
                  <p>Used when there is a need to limit the participations to the first, the last, the next or some other filtered subset.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActRelationshipSubset"/>
   </conceptDomain>
   <conceptDomain name="ParticipationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A code specifying the kind of Participation or involvement the Entity playing the Role associated with the Participation has with regard to the associated Act.</p>
                  <i>Constraints:</i>The Participant.typeCode contains only categories that have crisp semantic relevance in the scope of HL7. It is a coded attribute without exceptions and no alternative coding systems allowed.</text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="PartitiveRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>An association between two Entities where the playing Entity is considered in some way "part" of the scoping Entity, e.g., as a member, component, ingredient, or content. Being "part" in the broadest sense of the word can mean anything from being an integral structural component to a mere incidental temporary association of a playing Entity with a (generally larger) scoping Entity.</p>
                  <i>Examples:</i>part; member; ingredient.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="RoleCode"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass._RoleClassPartitive"/>
   </conceptDomain>
   <conceptDomain name="PassiveRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>An association for a playing Entity that is used, known, treated, handled, built, or destroyed, etc. under the auspices of the scoping Entity. The playing Entity is passive in these roles (even though it may be active in other roles), in the sense that the kinds of things done to it in this role happen without an agreement from the playing Entity.</p>
                  <i>Examples:</i>birthplace; owned entity; used entity.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="AssocativeRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass._RoleClassPassive"/>
   </conceptDomain>
   <conceptDomain name="PatientCharacteristicObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Indicates the type of characteristics a patient should have for a given therapy to be appropriate. E.g. Weight, Age, certain lab values, etc.</p>
                  <i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="PatientImmunizationRelatedObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Reporting codes that are related to an immunization event.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="PatientImportance">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Patient VIP code</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="PatientProfileQueryReasonCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Definition:**A collection of concepts identifying why the patient's profile is being queried.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ControlActReason"/>
   </conceptDomain>
   <conceptDomain name="PaymentTerms">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Describes payment terms for a financial transaction, used in an invoice.</p>
                  <p>This is typically expressed as a responsibility of the acceptor or payor of an invoice.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="PayorParticipationFunction">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Definition:</b>Set of codes indicating the manner in which payors participate in a policy or program.&lt;/</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="CoverageParticipationFunction"/>
   </conceptDomain>
   <conceptDomain name="PayorRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**PayorRoleType for a particular type of policy or program benefit package or plan where more detail about the coverage administration role of the Payor is required. The functions performed by a Payor qualified by a PayorRoleType may be specified by the PayorParticpationFunction value set.</p>
                  <p>**Examples:**A Payor that is a TPA may administer a managed care plan without underwriting the risk.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="AffiliationRoleType"/>
   </conceptDomain>
   <conceptDomain name="PerformerParticipationFunction">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Identifies functions appropriate to performer participations.<b>Examples:</b>
                  <p>* surgeon * lab technician * janitor</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ParticipationFunction"/>
      <property name="ConceptualSpaceForClassCode" value="ParticipationType.PRF"/>
   </conceptDomain>
   <conceptDomain name="PersonDisabilityType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A code identifying a person's disability.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="PersonIdentifierRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Types of identifiers for persons.</p>
                  <b>Examples:</b>
                  <p>* Social insurance number * Passport number * Drivers license number * Jurisdiction health number</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="IdentifiedEntityType"/>
   </conceptDomain>
   <conceptDomain name="PersonalAndLegalAssignedRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A "personal and legal" assigned relationship records the role of a person in relation to another person, or a person to himself or herself. These concepts are to be used when recording relationships based on personal or family ties or through legal assignment of responsibility.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="AssignedRoleType"/>
   </conceptDomain>
   <conceptDomain name="PersonalRelationshipRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Types of personal relationships between two living subjects.<b>Examples:</b>
                  <p>* Parent * sibling * unrelated friend * neighbor</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="MutualRelationshipRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.PRS"/>
   </conceptDomain>
   <conceptDomain name="PertinentReactionRelatedness">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A code to capture the reporter's assessment of the extent to which the reaction is related to the suspect product reported in the ICSR.</p>
                  <p>Example concepts include: related, not related, possibly related and unlikely related.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="IndividualCaseSafetyReportValueDomains"/>
   </conceptDomain>
   <conceptDomain name="PharmacySupplyEventAbortReasonType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Definition:**Identifies why the dispense event was not completed</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ControlActReason"/>
   </conceptDomain>
   <conceptDomain name="PharmacySupplyEventStockReasonCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Definition:**A collection of concepts that indicates the reason for a "bulk supply" of medication.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ControlActReason"/>
   </conceptDomain>
   <conceptDomain name="PharmacySupplyRequestFulfillerRevisionRefusalReasonCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Definition:**Indicates why the request to transfer a prescription from one dispensing facility to another has been refused.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ControlActReason"/>
   </conceptDomain>
   <conceptDomain name="PharmacySupplyRequestRenewalRefusalReasonCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Identifies the reason why a request for a prescription renewal has been refused.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ControlActReason"/>
   </conceptDomain>
   <conceptDomain name="PhysicalCharacteristicsMedicationObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Identifies physical characteristics that may be observed for a particular medicinal product or medicinal product package of types thereof.</p>
                  <b>Examples:</b>
                  <p>* Height * Imprint * Shape * Color</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="MedicationObservationType"/>
   </conceptDomain>
   <conceptDomain name="PlaceEntityType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A physical place or site with its containing structure. May be natural or man-made. The geographic position of a place may or may not be constant.</p>
                  <i>Examples:</i>dam; city; state.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="EntityCode"/>
      <property name="ConceptualSpaceForClassCode" value="EntityClass.PLC"/>
   </conceptDomain>
   <conceptDomain name="PopulationInclusionObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Observation types for specifying criteria used to assert that a subject is included in a particular population.</p>
                  <b>Examples:</b>
                  <p>* denominator * numerator * initial population</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="PostalAddressUse">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>\*\*\*\* MISSING DEFINITIONS \*\*\*\*</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="PowerOfAttorney">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A relationship between two people in which one person authorizes another to act for him in a manner which is a legally binding upon the person giving such authority as if he or she personally were to do the acts.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ResponsibleParty"/>
   </conceptDomain>
   <conceptDomain name="PractitionerCertifiedEntityType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Defines types of certifications for practitioners</p>
                  <i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="CertifiedEntityType"/>
   </conceptDomain>
   <conceptDomain name="PreferenceStrengthObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Values that indicate how important a preference is to the target of the reporter.</p>
                  <b>Examples:</b>
                  <p>* Very Important * Important * Suggested</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationValue"/>
   </conceptDomain>
   <conceptDomain name="PrescriptionDispenseFilterCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A "helper" vocabulary used to construct complex query filters based on how and whether a prescription has been dispensed.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="QueryParameterValue"/>
   </conceptDomain>
   <conceptDomain name="PrescriptionObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Observations specific to a particular prescription to express concepts that cannot be expressed via other modeling approaches.</p>
                  <i>Examples:</i>"Patient Medication On Hand Quantity", "Patient Medication On Hand Days Supply", "Patient Expected Supply Run-out Date", "Percentage Dispensed".</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="ProbabilityDistributionType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>\*\*\*\* MISSING DEFINITIONS \*\*\*\*</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ProcedureMethod">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**A concept whose description/definition provides additional detail about the means or technique used for the procedure.</p>
                  <b>Examples:</b>
                  <p>* neuromuscular reeducation * functional activity * Laparoscopic Gastric Bypass Roux-en-Y</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ProcessingID">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>This attribute defines whether the message is part of a production, training, or debugging system.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ProcessingMode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>This attribute defines whether the message is being sent in current processing, archive mode, initial load mode, restore from archive mode, etc.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ProductCharacterization">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A code that characterizes the role that the primary reporter felt that the suspect intervention -- either a substance administration or a device related procedure - played in the incident being reported. This code will capture the primary reporter's assessment of the role that the suspect product played in the incident reported in the ICSR.</p>
                  <p>Examples include: Suspect, Concomitant, Interacting, Re-challenge.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="IndividualCaseSafetyReportValueDomains"/>
   </conceptDomain>
   <conceptDomain name="ProductEntityType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>An identifying data string for healthcare products.</p>
                  <p>Example code sets include Healthcare Common Procedure Coding System (HCPCS) and Universal Product Code (UPC).</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="MaterialEntityClassType"/>
      <property name="ConceptualSpaceForClassCode" value="EntityClass.MMAT"/>
   </conceptDomain>
   <conceptDomain name="ProductIngredientSubstanceEntityType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>A type of substance that is used as an ingredient within a product.<b>Examples:</b>
                  <p>* Morphine * wheat germ * calcium</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="MaterialEntityClassType"/>
      <property name="ConceptualSpaceForClassCode" value="EntityClass.MMAT"/>
   </conceptDomain>
   <conceptDomain name="ProductLifecycleAssignedRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A code specifying a type of responsibility that an entity may take on with respect the lifecycle of a product.</p>
                  <b>Examples:</b>
                  <p>* Manufacturer * Distributor * Retailer</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="AssignedRoleType"/>
   </conceptDomain>
   <conceptDomain name="ProductProcessingOrganizationRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Indicates the role that an organization takes in the process by which a product goes from an original manufacturer to the eventual consumer.<p>**Examples:**Manufacturer, re-processor</p>
                  <p>**Note:**These two values are currently used in adverse event and product problem reporting.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="PassiveRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.MANU"/>
   </conceptDomain>
   <conceptDomain name="ProductRegulatoryServicesLocationRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Provides the description of the role of a place in terms of its provision of services and functions in the product regulatory domain.<b>Examples:</b>
                  <p>* pharmacovigilance masterfile location * COSHH (Control of Substances Hazardous to Health) masterfile location * regulatory dossier storage location * batch release masterfile location</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="PassiveRoleType"/>
   </conceptDomain>
   <conceptDomain name="ProductRelatedRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Concepts characterizing product related roles.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="PassiveRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass._RoleClassPassive"/>
   </conceptDomain>
   <conceptDomain name="ProductSafetyReportPartyRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Captures the different roles that are recorded to characterize the qualifications or stations in life of persons or organizations who participate as senders or as receivers of adverse event or product problem reports.</p>
                  <p>**Example:**Example values may include: physician, healthcare facility, attorney, family member, regulatory agency. Initial effort to find defined concepts for this value set will focus on the HIPAA provider taxonomy.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="AgentRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.AGNT"/>
   </conceptDomain>
   <conceptDomain name="ProvenanceAssignedDeviceRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A role type, which indicates the type of device that authors or in some manner contributes to the generation, management, and/or transmission of health information, the use of which may be tracked for purposes of determining the provenance of health information. The playing device acts or is authorized to act on behalf of a scoping entity..</p>
                  <b>Examples:</b>
                  <p>* Patient selected home monitoring device e.g., to detect and report falls * Provider selected medication adherence monitoring, reporting, and alerting device * Provider designated EKG measuring and reporting device</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="AssignedNonLivingSubjectRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.ASSIGNED"/>
   </conceptDomain>
   <conceptDomain name="ProvenancePassiveDeviceRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A role type, which indicates the type of device that in some manner contributes to the generation, management, and/or transmission of health information, the use of which may be tracked for purposes of determining the provenance of health information. The playing device is passive in these roles in the sense that the device is not authorized to act on behalf of a scoping entity.</p>
                  <b>Examples:</b>
                  <p>* Software that aggregates pre-existing content to facilitate the authorship of a new artifact by an assigned entity * Software that translates pre-existing content to facilitate the management of that content by an assigned entity * Software that transmits content to facilitate the exchange of that content by an assigned entity * Privacy protective software that facilitates privacy protection and security enforcement by filtering health information and applying protections such as de-identification, masking, or redaction, and privacy marking.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="PassiveRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass._RoleClassPassive"/>
   </conceptDomain>
   <conceptDomain name="ProviderCodes">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Healthcare Provider Taxonomy Codes</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="LicensedRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.PROV"/>
   </conceptDomain>
   <conceptDomain name="PublicHealthCaseObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>The PublicHealthCaseObservationValue is used to identify the primary condition or disease associated with a Public Health Case.. This concept domain is intended to be used with the CASE Act class code and the ObservationInvestigationType ActCode concept domain.<b>Examples:</b>
                  <p>* Tuberculosis * Lyme Disease * SARS * Lung Cancer</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationValue"/>
   </conceptDomain>
   <conceptDomain name="QualifiedRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>A category to which a person can be assigned on the basis of professional qualification, experience, and/or job assignment.<b>Examples:</b>
                  <p>* Physician * Registered Nurse * Product Quality Manager</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="FormalRelationshipRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.QUAL"/>
   </conceptDomain>
   <conceptDomain name="QueryParameterValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>The domain of coded values used as parameters within QueryByParameter queries.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="QueryPriority">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Identifies the time frame in which the response is expected.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="QueryRequestLimit">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Defines the units associated with the magnitude of the maximum size limit of a query response that can be accepted by the requesting application</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="QueryResponse">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Values in this domain allow a query response system to return a precise response status.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="QueryStatusCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>State attributes for Query event</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="Race">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>In the United States, federal standards for classifying data on race determine the categories used by federal agencies and exert a strong influence on categorization by state and local agencies and private sector organizations. The federal standards do not conceptually define race, and they recognize the absence of an anthropological or scientific basis for racial classification. Instead, the federal standards acknowledge that race is a social-political construct in which an individual's own identification with one more race categories is preferred to observer identification. The standards use a variety of features to define five minimum race categories. Among these features are descent from "the original peoples" of a specified region or nation. The minimum race categories are American Indian or Alaska Native, Asian, Black or African American, Native Hawaiian or Other Pacific Islander, and White. The federal standards stipulate that race data need not be limited to the five minimum categories, but any expansion must be collapsible to those categories.</p>
                  <i>OpenIssue:</i>This concept domain definition does not align with current vocabulary practices and is much too US-centric to be appropriate as a "universal" domain.</text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ReactivityObservationInterpretation">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Interpretations of the presence and level of reactivity of the specified component / analyte with the reagent in the performed laboratory test.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationInterpretation"/>
   </conceptDomain>
   <conceptDomain name="Realm">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>All binding realms allowed for linking concept domains to value sets.</text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ReasonForNotEvaluatingDevice">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Code assigned to indicate the rationale for not performing an evaluation investigation on a device for which a defect has been reported.</p>
                  <p>Examples include: device received in a condition that made analysis impossible, device evaluation anticipated but not yet begun, device not made by company.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActReason"/>
   </conceptDomain>
   <conceptDomain name="ReferralReasonCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>The reason a referral was made.</p>
                  <p>*Examples:*Specialized Medical Assistance, Other Care Requirements.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActReason"/>
   </conceptDomain>
   <conceptDomain name="RefusalReasonCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Identifies why a request to add (or activate) a record is being refused. Examples include the receiving system not able to match the identifier and find that record in the receiving system, having no permission, or a detected issue exists which precludes the requested action.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActReason"/>
   </conceptDomain>
   <conceptDomain name="RegulatedProductRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Codes that further characterize a regulated product role. Used only with the RGPR (regulated product) role classCode.</p>
                  <b>Example:</b>Regulated drug and regulated device.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ProductRelatedRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.RGPR"/>
   </conceptDomain>
   <conceptDomain name="RegulationPolicyActType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>A rule set by regulators of product that somehow constrain the use of products. Regulator may be any organization with a mandate to issue such rules, regardless of level, regional, country, state, and local (e.g., an institutional Pharmaceutical and Treatment Committee.)<b>Examples:</b>
                  <p>* Prescription Only * Controlled Substance Schedule II * Standard of Practice</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.POLICY"/>
   </conceptDomain>
   <conceptDomain name="RelationalName">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Provides coded names for attribute RelationalExpression.elementName, which has data type SC.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="RelationalOperator">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Identifies common relational operators used in selection criteria.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="RelationshipConjunction">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A code specifying the logical conjunction of the criteria among all the condition-links of Acts (e.g., and, or, exclusive-or.)</p>
                  <i>Constraints:</i>All AND criteria must be true. If OR and AND criteria occur together, one criterion out of the OR-group must be true and all AND criteria must be true also. If XOR criteria occur together with OR and AND criteria, exactly one of the XOR criteria must be true, and at least one of the OR criteria and all AND criteria must be true. In other words, the sets of AND, OR, and XOR criteria are in turn combined by a logical AND operator (all AND criteria and at least one OR criterion and exactly one XOR criterion.) To overcome this ordering, Act criteria can be nested in any way necessary.</text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ReligiousAffiliation">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Assigment of spiritual faith affiliation</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ResearchStudyType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Different types of research studies that may be conducted and reported on.<b>Examples:</b>
                  <p>* Observational * Investigational</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.INVSTG"/>
   </conceptDomain>
   <conceptDomain name="ResearchSubjectRoleBasis">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Specifies the administrative functionality within a formal experimental design for which the ResearchSubject role was established. Examples: screening - role is used for pre-enrollment evaluation portion of the design; enrolled - role is used for subjects admitted to the active treatment portion of the design.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="InvestigatedSubjectRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.RESBJ"/>
   </conceptDomain>
   <conceptDomain name="ResourceGroupEntityType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Codes to characterize a Resource Group using categories that typify its membership and/or function</p>
                  <p>.</p>
                  <i>Example:</i>PractitionerGroup</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="EntityCode"/>
      <property name="ConceptualSpaceForClassCode" value="EntityClass.RGRP"/>
   </conceptDomain>
   <conceptDomain name="ResponseLevel">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Specifies whether a response is expected from the addressee of this interaction and what level of detail that response should include</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ResponseModality">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Defines the timing and grouping of the response instances.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ResponseMode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Specifies the mode, immediate versus deferred or queued, by which a receiver should communicate its receiver responsibilities.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="ResponsibleParty">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>The role played by a party who has legal responsibility for another party.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="AffiliationRoleType"/>
   </conceptDomain>
   <conceptDomain name="RetailedMaterialRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Codes that further characterize the association of a material playing the role of a retailed material to the scoper which retails the material. Used only with the RET (retailed material) role classCode.</p>
                  <b>Examples:</b>Department store, Self-service and Online.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ProductRelatedRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.RET"/>
   </conceptDomain>
   <conceptDomain name="RoleAccessType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Type of material that provides access to another entity.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="PassiveRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.ACCESS"/>
   </conceptDomain>
   <conceptDomain name="RoleClass">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>This table includes codes for the Role class hierarchy. The values in this hierarchy, represent a Role which is an association or relationship between two entities - the entity that plays the role and the entity that scopes the role. Roles names are derived from the name of the playing entity in that role.</p>
                  <p>The role hierarchy stems from three core concepts, or abstract domains:</p>
                  <p>* **RoleClassOntological** is an abstract domain that collects roles in which the playing entity is defined or specified by the scoping entity. * **RoleClassPartitive** collects roles in which the playing entity is in some sense a "part" of the scoping entity. * **RoleClassAssociative** collects all of the remaining forms of association between the playing entity and the scoping entity. This set of roles is further partitioned between: * **RoleClassPassive** which are roles in which the playing entity is used, known, treated, handled, built, or destroyed, etc. under the auspices of the scoping entity. The playing entity is passive in these roles in that the role exists without an agreement from the playing entity. * **RoleClassMutualRelationship** which are relationships based on mutual behavior of the two entities. The basis of these relationship may be formal agreements or they may be *de facto* behavior. Thus, this sub-domain is further divided into: * **RoleClassRelationshipFormal** in which the relationship is formally defined, frequently by a contract or agreement. * **Personal relationship** which inks two people in a personal relationship.</p>
                  <p>The hierarchy discussed above is represented In the current vocabulary tables as a set of abstract domains, with the exception of the "Personal relationship" which is a leaf concept.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="RoleCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Specific classification codes for further qualifying RoleClass codes.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="RoleLinkStatus">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**The status of an instance of the RIM RoleLink class.</p>
                  <b>Constraint:</b>It is intended to be used based on usage of the ParticipationType concept domain.<b>Examples:</b>
                  <p>* Active * No longer active * Nullified</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="RoleLinkType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A code specifying the kind of connection represented by this RoleLink, e.g., has-part, has-authority.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="RoleStatus">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>The status of an instance of the RIM Role class.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="RouteOfAdministration">
      <annotations>
         <documentation>
            <definition>
               <text>**Description:**This describes which path the administered medication takes to get into the body or into contact with the body and constitutes part of the<i>where</i>(the other part being site - see below). It is the<i>way in</i>or the course the medication must take to get to its destination.<p>Note that a path is in no sense a description of a *final destination*; it is a stylized description of the path taken. For example, an oral antibiotic may be used to treat a severe infection on a toe; the oral route is used to get the medicine to be able to reach and treat the infection in the toe. For some specific routes of administration there may be an incidental sense of *final destination*, for example an ocular administration usually occurs when treatment of an eye condition is required. However, this is in no sense definitional: rectal administration of a medicine may be for a local effect (a steroid foam for treatment of colitis) or for a systemic effect (metronidazole for treatment of infection). The route of administration of a medicine should only be a description of the path taken and not the form.</p>
                  <b>Examples:</b>
                  <p>* oral * rectal * intravenous (IV) * subcutaneous (SC) * intramuscular (IM)</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="SafetyInvestigationReportReasonType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Possible reasons generating a report providing information developed during the investigation of an adverse event or a product problem.<b>Examples:</b>
                  <p>* Correction * Additional information/Follow-up * Response to regulatory agency request</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActReason"/>
   </conceptDomain>
   <conceptDomain name="SecurityAlterationIntegrityObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Type of security metadata observation made about the alteration integrity of an altered IT resource (data, information object, service, or system capability), which indicates the mechanism used for authorized transformation of the resource.</p>
                  <b>Examples:</b>Types of security alteration integrity observation metadata, which may value the observation with a code used to indicate the mechanism used for authorized transformation of an IT resource, include:<p>* translation * syntactic transformation * semantic mapping * redaction * masking * pseudonymization * anonymization</p>
                  <i>Usage Note:</i>SecurityAlterationIntegrityObservationType concept domain designates a code system used to name a security label field type that may be valued with a "security label tag" such as a code from the security label tag set "SecurityAlterationIntegrityObservationValue" value set, which convey the mechanism used for authorized transformation of an IT resource.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SecurityIntegrityObservationType"/>
   </conceptDomain>
   <conceptDomain name="SecurityAlterationIntegrityObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Security observation values used to indicate security alteration integrity metadata.</p>
                  <b>Examples:</b>Codes conveying the mechanisms used to make authorized alteration of an IT resource, such as:<p>* translation * masking * anonymization</p>
                  <i>Usage Note:</i>SecurityAlterationIntegrityObservationValue codes are members of a security label "tag set" used to populate or "tag" a security label field named by the associated SecurityAlterationIntegrityObservationType code. \[FIPS 188\]</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SecurityIntegrityObservationValue"/>
   </conceptDomain>
   <conceptDomain name="SecurityCategoryObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Type of security metadata observation made about the category of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security category metadata is defined by ISO/IEC 2382-8:1998(E/F)/ T-REC-X.812-1995 as: "A nonhierarchical grouping of sensitive information used to control access to data more finely than with hierarchical security classification alone."</p>
                  <i>Rationale:</i>A security category observation supports the requirement to specify the type of IT resource in order to facilitate application of appropriate levels of security according to a range of levels of impact or consequences that might result form the unauthorized disclosure, modification, or use of the information or information system. A resource is assigned to a specific category of information (e.g., privacy, medical, proprietary, financial, investigative, contractor sensitive, security management) defined by an organization or in some instances, by a specific law, Executive Order, directive, policy, or regulation. \[FIPS 188\]<b>Examples:</b>Types of security categories include:<p>* Compartment: A division of data into isolated blocks with separate security controls for the purpose of reducing risk. (ISO 2382-8). Security label metadata that "segments" an IT resource by indicating that access and use is restricted to members of a defined community or project. (HL7 Healthcare Classification System) * Sensitivity: The characteristic of a resource which implies its value or importance and may include its vulnerability. (ISO 7492-2) Privacy metadata for information perceived as undesirable to share. (HL7 Healthcare Classification System)</p>
                  <i>Usage Note:</i>SecurityCategoryObservationType concept domain designates a code system used to name a security label field type that may be valued with a "security label tag" such as a code from the security label tage set "SecurityCategoryObservatonValue" value set.<p>Codes may be drawn from the union of the following value sets: V:PrivacyPolicyType, V:ActPrivacyLaw, V:ActConsentDirective, V:InformationSensitivityPolicy, V:ActInformationSensitivityPolicy, V:RoleInformationSensitivityPolicy, EntitySensitivityPolicy, and V:ActConsentType. Could be bound R1 to a V:ActUSPrivacyPolicy in a future US Realm.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SecurityObservationType"/>
   </conceptDomain>
   <conceptDomain name="SecurityCategoryObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Security observation values used to indicate security category metadata.</p>
                  <b>Examples:</b>Codes conveying the category of an IT resource such as:<p>* applicable privacy policy * sensitivity * consent directive type</p>
                  <i>Usage Note:</i>SecurityCategoryObservationValue codes are members of a security label "tag set" used to populate or "tag" a security label field named by the associated SecurityCategoryObservationType code. \[FIPS 188\]</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SecurityObservationValue"/>
   </conceptDomain>
   <conceptDomain name="SecurityClassificationObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Type of security metadata observation made about the classification of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security classification is defined by ISO/IEC 2382-8:1998(E/F)/ T-REC-X.812-1995 as: "The determination of which specific degree of protection against access the data or information requires, together with a designation of that degree of protection." Security classification metadata is based on an analysis of applicable policies and the risk of harm to an individual that could result from unauthorized disclosure.</p>
                  <b>Examples:</b>Types of security classification include: HL7 Confidentiality Codes such as very restricted, unrestricted, and normal. Intelligence community examples include top secret, security, and confidential.<i>Usage Note:</i>SecurityClassificationObservationType concept domain designates a code system used to name a security label field type that may be valued with a "security label tag" such as a code from the security label tag set "SecurityClassificationObservationValue" value set.<p>Note that an Act or Role may be associated with an Observation coded as SecurityClassificationObservationType with a SecurityClassificationObservationValue coded with a confidentiality code from V:Confidentiality Code to indicate that the confidentiality level indicated by an Act or Role confidentiality attribute has been overridden by the entity responsible for assigning the SecurityClassificationObservationValue. This supports the business requirement for increasing or decreasing the level of confidentiality (classification or declassification) based on parameters beyond the original assignment of an Act or Role confidentiality.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SecurityObservationType"/>
   </conceptDomain>
   <conceptDomain name="SecurityClassificationObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Security observation values used to indicate security classification metadata.</p>
                  <b>Examples:</b>Codes conveying the classification of an IT resource, such as confidentiality codes.<i>Usage Note:</i>SecurityClassificationObservationValue codes are members of a security label "tag set" used to populate or "tag" a security label field named by the associated SecurityClassificationObservationType code. \[FIPS 188\]</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SecurityObservationValue"/>
   </conceptDomain>
   <conceptDomain name="SecurityControlObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Type of security metadata observation made about the control of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security control metadata convey instructions to users and receivers for secure distribution, transmission,and storage; dictate obligations or mandated actions; specify any action prohibited by refrain policy such as dissemination controls; and stipulate the permissible purpose of use of an IT resource.</p>
                  <b>Examples:</b>Types of security control metadata include handling:<p>* caveats * dissemination controls * obligations * refrain policies * purpose of use constraints</p>
                  <i>Usage Note:</i>SecurityControlObservationType concept domain designates a code system used to name a security label field type that may be valued with a "security label tag" such as a code from the security label tag set "SecurityControlObservationValue" value set. Codes may be drawn from the union of the following value sets: V:SecurityPolicy, V:ObligationiPolicy, V:RefrainPolicy, V:PurposeOfUse, and V:GeneralPurposeOfUse.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SecurityObservationType"/>
   </conceptDomain>
   <conceptDomain name="SecurityControlObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Security observation values used to indicate security control metadata.</p>
                  <b>Examples:</b>Codes conveying dissemination controls, handling caveats, purpose of use, and obligations to which an IT resource custodian or receiver must comply.<i>Usage Note:</i>SecurityControlObservationValue codes are members of a security label "tag set" used to populate or "tag" a security label field named by the associated SecurityControlObservationType code. \[FIPS 188\]</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SecurityObservationValue"/>
   </conceptDomain>
   <conceptDomain name="SecurityDataIntegrityObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Type of security metadata observation made about the data integrity of an IT resource (data, information object, service, or system capability), which indicates the security mechanism used to preserve resource accuracy and consistency. Data integrity is defined by ISO 22600-23.3.21 as: "The property that data has not been altered or destroyed in an unauthorized manner", and by ISO/IEC 2382-8: "The property of data whose accuracy and consistency are preserved regardless of changes made."</p>
                  <i>Rationale:</i>In accordance with the HL7 RM-ES EHR-FM Profile Standard: The validity of a patient record entry requires an indelible statement (e.g., attestation or electronic signature) by the author(s) of completeness, accuracy, and affirmation that the record cannot be repudiated, assigning each author to his/her actual contributed content.<b>Examples:</b>Types of security data integrity observation metadata, which may value the observation, include:<p>* cryptographic hash function * digital signature</p>
                  <i>Usage Note:</i>SecurityDataIntegrityObservationType concept domain designates a code system used to name a security label field type that may be valued with a "security label tag" such as a code from the security label tag set "SecurityIntegrityConfidenceObservationValue" value set.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SecurityIntegrityObservationType"/>
   </conceptDomain>
   <conceptDomain name="SecurityDataIntegrityObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Security observation values used to indicate security data integrity metadata.</p>
                  <b>Examples:</b>Codes conveying the mechanisms used to preserve the accuracy and consistency of an IT resource such as:<p>* a digital signature * a cryptographic hash function</p>
                  <i>Usage Note:</i>SecurityDataIntegrityObservationValue codes are members of a security label "tag set" used to populate or "tag" a security label field named by the associated SecurityDataIntegrityObservationType code. \[FIPS 188\]</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SecurityIntegrityObservationValue"/>
   </conceptDomain>
   <conceptDomain name="SecurityIntegrityConfidenceObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Type of security metadata observation made about the integrity confidence of an IT resource (data, information object,service, or system capability) that indicates the reliability or trustworthiness of a resource, which may be used to make access control decisions.</p>
                  <b>Examples:</b>Types of security integrity confidence observation metadata, which may value the observation, include:<p>* highly reliable * uncertain reliability * not reliable</p>
                  <i>Usage Note:</i>A security integrity confidence observation on an Act may indicated that a valued Act.uncertainty attribute has been overridden by the entity responsible for assigning the SecurityIntegrityConfidenceObservationValue. This supports the business requirements for increasing or decreasing the assessment of the reliability or trustworthiness of an IT resource based on parameters beyond the original assignment of an Act.uncertaintyCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SecurityIntegrityObservationType"/>
   </conceptDomain>
   <conceptDomain name="SecurityIntegrityConfidenceObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Security observation values used to indicate security integrity confidence metadata.</p>
                  <b>Examples:</b>Codes conveying the level of veracity, reliability, and trustworthiness of an IT resource.<i>Usage Note:</i>Codes conveying the level of veracity, reliability, and trustworthiness of an IT resource.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SecurityIntegrityObservationValue"/>
   </conceptDomain>
   <conceptDomain name="SecurityIntegrityObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Type of security metadata observation made about the integrity of an IT resource (data, information object,service, or system capability), which may be used to make access control decisions.</p>
                  <i>Rationale:</i>Integrity security label fields support integrity models such as the Biba Integrity Model, the Lipner Full Integrity Model, and the Clar-Wilson Model. The value in the integrity label field indicates the degree of confidence that may be placed in the data and also indicates which measures the data requires for protection from modification and destruction.<b>Examples:</b>Types of security integrity observation metadata, which may value the observation include:<p>* Integrity status, which indicates the completeness or workflow status of a resource (data, information object, service, or system capability); * Integrity confidence, which indicates the reliability and trustworthiness of the resource; * Integrity control, which indicates pertinent handling caveats, obligations, refrain policies, and purpose of use for the resource; * Data integrity, which indicate the security mechanisms used to ensure that the accuracy and consistency are preserved regardless of changes made (ISO/IEC DIS 2382-8); * Alteration integrity, which indicate the security mechanisms used for authorized transformations of the resource; * Integrity provenance, which indicates the second-hand origins of a reported or asserted resource.</p>
                  <i>Usage Note:</i>SecurityIntegrityObservationType concept domain designates a code system used to name a security label field type that may be valued with a "security label tag" such as a code from the security label tag set "SecurityIntegrityObservationValue" value set.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SecurityObservationType"/>
   </conceptDomain>
   <conceptDomain name="SecurityIntegrityObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Security observation values used to indicate security integrity metadata.</p>
                  <b>Examples:</b>Codes conveying an IT resource:<p>* veracity * reliability * trustworthiness * provenance</p>
                  <i>Usage Note:</i>SecurityIntegrityObservationValue codes are members of a security label "tag set" used to populate or "tag" a security label field named by the associated SecurityIntegrityObservationType code. \[FIPS 188\]</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SecurityObservationValue"/>
   </conceptDomain>
   <conceptDomain name="SecurityIntegrityProvenanceAssertedByObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Type of security metadata observation made about the provenance integrity of an IT resource (data, information object, service, or system capability), which indicates the entity responsible for an assertion relayed "second-hand" about an IT resource.</p>
                  <i>Rationale:</i>In accordance with HL7 RM-ES EHR-FM Profile at IN:1.8: If more than one author contributed to the EHR content, then the system shall provide the ability to associate and maintain all authors/contributors with their content.<b>Examples:</b>Types of security integrity provenance asserted by observation metadata, which may value the observation, include assertions about an IT resource by a patient, a clinician, or a device.<i>Usage Note:</i>SecurityIntegrityProvenanceAssertedByObservationType concept domain designates a code system used to name a security label field type that may be valued with a "security label tag" such as a code from the security label tag set "SecurityIntegrityProvenanceAssertedByObservationValue" value set.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SecurityIntegrityProvenanceObservationType"/>
   </conceptDomain>
   <conceptDomain name="SecurityIntegrityProvenanceAssertedByObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Security observation values used to indicate security integrity provenance asserted by metadata.</p>
                  <b>Examples:</b>Codes conveying the provenance metadata about the entity asserting an IT resource.<i>Usage Note:</i>SecurityIntegrityProvenanceAssertedByObservationValue codes are members of a security label "tag set" used to populate or "tag" a security label field named by the associated SecurityIntegrityProvenanceAssertedByObservationType code. \[FIPS 188\]</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SecurityIntegrityProvenanceObservationValue"/>
   </conceptDomain>
   <conceptDomain name="SecurityIntegrityProvenanceObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Type of security metadata observation made about the provenance integrity of an IT resource (data, information object, service, or system capability), which indicates the lifecycle completeness and workflow status of an IT resource, such as create, modify, append, amend, suspend, archive, and delete; locations in which the resource has been collected or archived, from which it may be retrieved, and the history of its distribution and disclosure. Integrity provenance metadata about an IT resource may be used to assess its veracity, reliability, and trustworthiness.</p>
                  <b>Examples:</b>Types of security integrity provenance observation metadata, which may value the observation with a code used to indicate provenance, include the entity responsible for a report or assertion relayed "second-hand" about an IT resource.<i>Usage Note:</i>SecurityIntegrityProvenanceObservationType concept domain designates a code system used to name a security label field type that may be valued with a "security label tag" such as a code from the security label tag set "SecurityIntegrityProvenanceObservationValue" value set.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SecurityIntegrityObservationType"/>
   </conceptDomain>
   <conceptDomain name="SecurityIntegrityProvenanceObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Security observation values used to indicate security alteration integrity metadata.</p>
                  <b>Examples:</b>Codes conveying the provenance of an IT resource such as the entity responsible for a report or assertion relayed "second-hand" about an IT resource.<i>Usage Note:</i>SecurityIntegrityProvenanceObservationValue codes are members of a security label "tag set" used to populate or "tag" a security label field named by the associated SecurityIntegrityProvenanceObservationType code. \[FIPS 188\]</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SecurityIntegrityObservationValue"/>
   </conceptDomain>
   <conceptDomain name="SecurityIntegrityProvenanceReportedByObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Type of security metadata observation made about the provenance integrity of an IT resource (data, information object, service, or system capability), which indicates the entity responsible for a report relayed "second-hand" about an IT resource.</p>
                  <i>Rationale:</i>In accordance with HL7 RM-ES EHR-FM Profile at IN:1.8: If more than one author contributed to the EHR content, then the system shall provide the ability to associate and maintain all authors/contributors with their content.<b>Examples:</b>Types of security integrity provenance observation metadata, which may value the observation with a code used to indicate provenance, include reports about an IT resource by a patient, a clinician, or a device.<i>Usage Note:</i>SecurityIntegrityProvenanceReportedByObservationType concept domain designates a code system used to name a security label field type that may be valued with a "security label tag" such as a code from the security label tag set "SecurityIntegrityProvenanceReportedByObservationValue" value set.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SecurityIntegrityProvenanceObservationType"/>
   </conceptDomain>
   <conceptDomain name="SecurityIntegrityProvenanceReportedByObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Security observation values used to indicate security integrity provenance reported by metadata.</p>
                  <b>Examples:</b>Codes conveying the provenance metadata about the entity reporting an IT resource.<i>Usage Note:</i>SecurityIntegrityProvenanceReportedByObservationValue codes are members of a security label "tag set" used to populate or "tag" a security label field named by the associated SecurityIntegrityProvenanceReportedByObservationType code. \[FIPS 188\]</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SecurityIntegrityProvenanceObservationValue"/>
   </conceptDomain>
   <conceptDomain name="SecurityIntegrityStatusObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Type of security metadata observation made about the integrity status of an IT resource (data, information object,service, or system capability), which may be used to make access control decisions. Indicates the completeness or workflow status of an IT resource, which may impact which users that are authorized to access and use the resource.</p>
                  <i>Rationale:</i>In accordance with the HL7 RM-ES Profile Standard: The validity of a patient record entry requires an indelible statement (e.g., attestation or electronic signature) by the author(s) of completeness, accuracy, and affirmation that the record cannot be repudiated, assigning each author to his/her actual contributed content.<b>Examples:</b>Types of security integrity status observation metadata, which may value the observation, include codes from the HL7 DocumentCompletion value set such as:<p>* legally authenticated * in progress * incomplete</p>
                  <i>Usage Note:</i>SecurityIntegrityStatusObservationType concept domain designates a code system used to name a security label field type that may be valued with a "security label tag" such as a code from the security label tag set "SecurityIntegrityStatusObservationValue" concept domain, which may be valued with coded concepts from the HL7 DocumentCompletion value set.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SecurityIntegrityObservationType"/>
   </conceptDomain>
   <conceptDomain name="SecurityIntegrityStatusObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Security observation values used to indicate security integrity status metadata.</p>
                  <b>Examples:</b>Codes conveying the completeness of an IT resource in terms of workflow status such as:<p>* authenticated * legally authenticated * in progress</p>
                  <i>Usage Note:</i>SecurityIntegrityStatusObservationValue codes are members of a security label "tag set" used to populate or "tag" a security label field named by the associated SecurityIntegrityStatusObservationType code. \[FIPS 188\]</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SecurityIntegrityObservationValue"/>
   </conceptDomain>
   <conceptDomain name="SecurityObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Type of security metadata observation made about an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security metadata are used in security labels.</p>
                  <i>Rationale:</i>According to ISO/TS 22600-3:2009(E) A.9.1.7 SECURITY LABEL MATCHING, Security label matching compares the initiatorÃs clearance to the targetÃs security label. All of the following must be true for authorization to be granted:<p>* The security policy identifiers shall be identical, * The classification level of the initiator shall be greater than or equal to that of the target (that is, there shall be at least one value in the classification list of the clearance greater than or equal to the classification of the target), and * For each security category in the target label, there shall be a security category of the same type in the initiatorÃs clearance and the initiatorÃs classification level shall dominate that of the target.</p>
                  <i>Usage Note:</i>SecurityObservationType concept domain designates a code system used to name a security label field type that may be valued with a "security label tag" such as a code from the securty label tag set "SecurityObservationValue" value set.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="SecurityObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Observation values used to indicate security observation metadata.</p>
                  <b>Examples:</b>
                  <p>* Codes conveying the classification of an IT resource, such as confidentiality codes * Codes conveying privacy law, sensitivity, and consent directive types governing an IT resource * Codes conveying dissemination controls, handling caveats, purpose of use, refrain policies, and obligations to which an IT resource custodian or receiver must comply. * Codes conveying an IT resource completeness, veracity, reliability, trustworthiness, and provenance * Codes conveying the mechanism used to preserve the accuracy and consistency of an IT resource such as a digital signature and a cryptographic hash function * Codes conveying the mechanism used to make authorized alterations of an IT resource, such as translation, masking, and anonymization</p>
                  <i>Usage Note:</i>SecurityObservationValue codes are members of a security label "tag set" used to populate or "tag" a security label field named by the associated SecurityObservationType code. \[FIPS 188\]</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationValue"/>
   </conceptDomain>
   <conceptDomain name="SecurityTrustAccreditationObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Type of security metadata observation made about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SecurityTrustObservationType"/>
   </conceptDomain>
   <conceptDomain name="SecurityTrustAccreditationObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Values for security metadata observation made about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework.</p>
                  <p>For example, DirectTrust, Kantara Initiative, Open Identity</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SecurityTrustObservationValue"/>
   </conceptDomain>
   <conceptDomain name="SecurityTrustAgreementObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Type of security metadata observation made about security requirements for a security domain. \[ISO IEC 10181-1\]</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SecurityTrustObservationType"/>
   </conceptDomain>
   <conceptDomain name="SecurityTrustAgreementObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Values for security metadata observation made about security requirements with which a security domain must comply. \[ISO IEC 10181-1\] Conveys the agreement of an asserter to comply with jurisdictional, community, or contractual (security domains) codes of conduct which an information custodian requires as a condition of authorizing collection, access, use or disclosure.</p>
                  <p>For example, DURSA, DIRECT Applicability Statement, HIPAA Covered Entity and Business Associate Agreement, and FTC PHR Vendor, Related Entity, and third party agreements.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SecurityTrustObservationValue"/>
   </conceptDomain>
   <conceptDomain name="SecurityTrustAssuranceObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Type of security metadata observation made about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SecurityTrustObservationType"/>
   </conceptDomain>
   <conceptDomain name="SecurityTrustAssuranceObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Values for security metadata observation made about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol.</p>
                  <p>For example, authentication, identity proofing, and non-repudiation level of assurance.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SecurityTrustObservationValue"/>
   </conceptDomain>
   <conceptDomain name="SecurityTrustCertificateObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Type of security metadata observation made about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability). \[Based on ISO IEC 10181-1\]</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SecurityTrustObservationType"/>
   </conceptDomain>
   <conceptDomain name="SecurityTrustCertificateObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Values for security metadata observation made about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability). \[Based on ISO IEC 10181-1\]</p>
                  <p>For example, a single use certificate, dual use certificate, digital signature certificate.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SecurityTrustObservationValue"/>
   </conceptDomain>
   <conceptDomain name="SecurityTrustFrameworkObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Type of security metadata observation made about a complete set of contracts, regulations, or commitments that enable participating actors to rely on certain assertions by other actors to fulfill their information security requirements. \[Kantara Initiative\]</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SecurityTrustObservationType"/>
   </conceptDomain>
   <conceptDomain name="SecurityTrustFrameworkObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Values for security metadata observation made about a complete set of contracts, regulations or commitments that enable participating actors to rely on certain assertions by other actors to fulfill their information security requirements. \[Kantara Initiative\]</p>
                  <p>For example, FICAM, DirectTrust, and HITRUST.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SecurityTrustObservationValue"/>
   </conceptDomain>
   <conceptDomain name="SecurityTrustMechanismObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Type of security metadata observation made about a security architecture system component that supports enforcement of security policies.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SecurityTrustObservationType"/>
   </conceptDomain>
   <conceptDomain name="SecurityTrustMechanismObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Values for security metadata observation made about a security architecture system component that supports enforcement of security policies.</p>
                  <p>For example, Digital signature, authorization scheme, and certificate token.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SecurityTrustObservationValue"/>
   </conceptDomain>
   <conceptDomain name="SecurityTrustObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Type of security metadata observation made about aspects of trust applicable to an IT resource (data, information object, service, or system capability). Trust applicable to IT resources is established and maintained in and among security domains, and may be comprised of observations about the domain's trust authority, trust framework, trust policy, trust interaction rules, means for assessing and monitoring adherence to trust policies, mechanisms that enforce trust, and quality and reliability measures of assurance in those mechanisms. \[Based on ISO IEC 10181-1 and NIST SP 800-63-2\]</p>
                  <i>Usage Note:</i>SecurityTrustObservationType may be used as a trust attribute in a computable trust policy, trust credential, trust assertion, or trust label field in a security label and populated with trust observation values. The valued trust attributes may be used for used for authentication, authorization, and access control decisions. These may also be used to negotiate trust relationships, adjudicate or bridge trust policies, and to specify requirements for participation in a Trust Domain or for asserting compliance with a Trust Framework.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SecurityObservationType"/>
   </conceptDomain>
   <conceptDomain name="SecurityTrustObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Observation value used to indicate aspects of trust policy applicable to an IT resource (data, information object, service, or system capability).</p>
                  <p>For example, applicable trust framework, policy, or mechanisms.</p>
                  <i>Usage Note:</i>Security trust metadata values may be used as the trust attribute value populating a computable trust policy, trust credential, trust assertion, or trust label field in a security label and principally used for authentication, authorization, and access control decisions.<p>SecurityTrustObservationValue may be used as a trust attribute value populating a computable trust policy, trust credential, trust assertion, or trust label field in a security label with trust observation values. The valued trust attributes may be used for used for authentication, authorization, and access control decisions. These may also be used to negotiate trust relationships, adjudicate or bridge trust policies, and to specify requirements for participation in a Trust Domain or for asserting compliance with a Trust Framework.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SecurityObservationValue"/>
   </conceptDomain>
   <conceptDomain name="Sequencing">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>DESCRIPTION:</b>
                  <p>Specifies direction of sort.</p>
                  <b>Examples:</b>
                  <p>* Ascending * Descending * None</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="SetOperator">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>\*\*\*\* MISSING DEFINITIONS \*\*\*\*</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="SeverityObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Categorization of types of observation that capture the interpretation of the result of a laboratory test in terms of normality.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="SeverityObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>An indication of the seriousness of the subject's condition or issue.<b>Examples:</b>
                  <p>* Mild * Moderate * Severe</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationValue"/>
   </conceptDomain>
   <conceptDomain name="SimpleMeasurableClinicalObservationComponentType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Represents the components of a measured clinical observation.<b>Examples:</b>
                  <p>* the systolic and diastolic components of a blood pressure * 24-hour urine output * ARAC gene</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SimpleMeasurableClinicalObservationType"/>
   </conceptDomain>
   <conceptDomain name="SimpleMeasurableClinicalObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Types of measurement observations typically performed in a clinical (non-lab) setting. E.g. Height, Weight, Blood-pressure</p>
                  <i>OpenIssue:</i>This concept domain should be reviewed to determine whether it needs a "ConceptualSpaceForClassCode" property to link to a RIM classCode.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="SoftwareName">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Provides coded names for attribute Device.softwareName, which has data type SC.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="SpecialArrangement">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A code indicating the type of special arrangements provided for a patient encounter (e.g., wheelchair, stretcher, interpreter, attendant, seeing eye dog). For encounters in intention moods, this information can be used to identify special arrangements that will need to be made for the incoming patient.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="SpecimenAdditiveEntityType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Definition:**Materials introduced to a specimen. These additives may be introduced in order to preserve, maintain or enhance the particular nature or component of the specimen.</p>
                  <b>Examples:</b>
                  <p>* Ammonium heparin * Boric Acid * Phenol</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="MaterialEntityClassType"/>
      <property name="ConceptualSpaceForClassCode" value="EntityClass.MAT"/>
   </conceptDomain>
   <conceptDomain name="SpecimenEntityType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>A specimen is defined as a physical entity that is an individual, a group, an item, or a part representative of a larger group, class or whole that is the target of an observation or analysis for the purpose of drawing conclusions about the group, class, or whole. This can be used to code a component of the specimen that the observation diagnosis relates to. Note that any physical entity in the universe has the potential to become a specimen.<b>Examples:</b>
                  <p>* Blood * Water * Animal cadaver</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="MaterialEntityClassType"/>
      <property name="ConceptualSpaceForClassCode" value="EntityClass.ENT"/>
   </conceptDomain>
   <conceptDomain name="SpecimenIdentifierRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>A role by which one can communicate additional identifiers for a specimen.<b>Examples:</b>
                  <p>* specimen identifier * accession identifier * container identifier</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="IdentifiedEntityType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.IDENT"/>
   </conceptDomain>
   <conceptDomain name="SpecimenProcessTriggerEventType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Trigger events associated with specimen process steps.<b>Examples:</b>
                  <p>* Specimen process step activate * Specimen process step complete * Specimen process step abort</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="HL7TriggerEventCode"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.CACT"/>
   </conceptDomain>
   <conceptDomain name="SpecimenRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Further classifies the types of specimen roles.<b>Examples:</b>Examples include Quality control specimens, grouped specimens and patient specimens.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="PartitiveRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.SPEC"/>
   </conceptDomain>
   <conceptDomain name="SponsorParticipationFunction">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Definition:</b>Set of codes indicating the manner in which sponsors participate in a policy or program. NOTE: use only when the Sponsor is not further specified with a SponsorRoleType as being either a fully insured sponsor or a self insured sponsor.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="CoverageParticipationFunction"/>
   </conceptDomain>
   <conceptDomain name="StatusRevisionRefusalReasonType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Indicates why the act revision (status update) is being refused.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ControlActReason"/>
   </conceptDomain>
   <conceptDomain name="StudentRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Type of role attendance the covered party has at a recognized educational institution as defined by a particular insurance policy.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="CoveredPartyRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.NAMED"/>
   </conceptDomain>
   <conceptDomain name="StyleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>(abstract) Used within an instance to give the author some control over various aspects of rendering</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="SubjectBodyPosition">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Contains codes for defining the observed, physical position of a subject, such as during an observation, assessment, collection of a specimen, etc. ECG waveforms and vital signs, such as blood pressure, are two examples where a general, observed position typically needs to be noted.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SubjectPhysicalPosition"/>
   </conceptDomain>
   <conceptDomain name="SubjectPhysicalPosition">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>The spatial relationship of a subject whether human, other animal, or plant, to a frame of reference such as gravity or a collection device.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActClass"/>
   </conceptDomain>
   <conceptDomain name="SubjectReaction">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A code to capture the kind of reaction that was suffered by the investigated subject, and that is being reported in the ICSR. At this point, SNOMED or MedDRA have been suggested as code systems to be used for providing this information.</p>
                  <p>Example concepts include hives, swelling, rash, anaphylactic shock.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="IndividualCaseSafetyReportValueDomains"/>
   </conceptDomain>
   <conceptDomain name="SubjectReactionEmphasis">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Code that captures the emphasis that the reporter placed on this reaction.</p>
                  <p>Examples include: highlighted by the reporter, NOT serious, Not highlighted by the reporter, NOT serious, Highlighted by the reporter, SERIOUS, Not highlighted by the reporter, SERIOUS.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="IndividualCaseSafetyReportValueDomains"/>
   </conceptDomain>
   <conceptDomain name="SubjectReactionOutcome">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Code that captures the type of outcome from an individual outcome of a reaction to the suspect product reported in the ICSR.</p>
                  <p>Examples include: Recovered/resolved. Recovering/resolving, Not recovered/not resolved, Recovered/resolved with sequelae, Fatal.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="IndividualCaseSafetyReportValueDomains"/>
   </conceptDomain>
   <conceptDomain name="SubstanceAdminSubstitutionNotAllowedReason">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Reasons why substitution of a substance administration request is not permitted.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActReason"/>
   </conceptDomain>
   <conceptDomain name="SubstanceAdminSubstitutionReason">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Indicates the reason for substitution when substitution occurs, or reason for non-substitution when substitution is expected.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActReason"/>
   </conceptDomain>
   <conceptDomain name="SubstanceAdministrationNoSubstitutionReason">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Indicates the reason for non-substitution when substitution was expected.</p>
                  <b>Examples:</b>
                  <p>* prescriber request * patient request * continuing therapy (where this latter means that the prescribed item was not substituted, even though "policy" implied it should be, so as not to change from the item that the patient had previously received)</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SubstanceAdminSubstitutionReason"/>
   </conceptDomain>
   <conceptDomain name="SubstanceAdministrationPerformedSubstitutionReason">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Indicates the reason for substitution when substitution has occurred.</p>
                  <b>Examples:</b>
                  <p>* formulary policy * regulatory requirement * out of stock (where this latter means that the prescribed item was out of stock and an equivalent product was substituted)</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="SubstanceAdminSubstitutionReason"/>
   </conceptDomain>
   <conceptDomain name="SubstanceAdministrationPermissionRefusalReasonCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Definition:**Indicates why the requested authorization to prescribe or dispense a medication has been refused.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ControlActReason"/>
   </conceptDomain>
   <conceptDomain name="SubstanceCharacteristicObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Distinguishing traits, qualities, or properties given about substances, including chemical structure (as encapsulated data in SMILES, MolFile, InChi), nucleic acid sequence, amino acid sequence, molecular sum formula; molecular mass; stereochemistry and optical activity properties; viscosity; pH, pKa, catalytic activity, etc.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
   </conceptDomain>
   <conceptDomain name="SubstitutionCondition">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Identifies what sort of change is permitted or has occurred between the item that was ordered/requested and the one that was/will be provided.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="SupplyOrderAbortReasonCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Indicates why the prescription should no longer be allowed to be dispensed (but can still administer what already has been dispensed).</p>
                  <i>UsageNote:</i>This is typically used in the scenario where the prescription allows for repeats or refills.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ControlActReason"/>
   </conceptDomain>
   <conceptDomain name="SusceptibilityBatteryType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Ensures consistent coding of the susceptibility battery or panel.</p>
                  <b>Examples:</b>
                  <p>* Bacterial susceptibility panel * Fungal susceptibility panel * Mycobacterial susceptibility panel * Viral susceptibility panel</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.OBS"/>
   </conceptDomain>
   <conceptDomain name="SusceptibilityObservationMethodType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>
                  <b>Examples:</b>
                  <p>* Disk Diffusion (Kirby-Bauer) * Minimum Inhibitory Concentration * Viral Genotype Susceptibility * Gradient Strip (E-Strip)</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationMethod"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.OBS"/>
   </conceptDomain>
   <conceptDomain name="SusceptibilityObservationType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Ensures consistent coding of antimicrobial information in the Microbiology lab message.</p>
                  <b>Examples:</b>
                  <p>* Ciprofloxacin; Disk Diffusion (Kirby-Bauer) * Vancomycin * Tetracycline; Minimum Inhibitory Concentration</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationType"/>
      <property name="ConceptualSpaceForClassCode" value="ActClass.OBS"/>
   </conceptDomain>
   <conceptDomain name="SusceptibilityObservationValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Used to code and identify the Susceptibility Observation result value when a coded result is reported.</p>
                  <b>Examples:</b>
                  <p>* Susceptible * Resistant * Moderately susceptible</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationValue"/>
   </conceptDomain>
   <conceptDomain name="SymptomValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Indicates an observed abnormality in the patientaTMs condition, but does not assert causation. E.g. Runny nose, swelling, flaky skin, etc.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="IndicationValue"/>
   </conceptDomain>
   <conceptDomain name="TableCellHorizontalAlign">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>These values are defined within the XHTML 4.0 Table Model</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="TableCellScope">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>These values are defined within the XHTML 4.0 Table Model</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="TableCellVerticalAlign">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>These values are defined within the XHTML 4.0 Table Model</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="TableFrame">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>These values are defined within the XHTML 4.0 Table Model</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="TableRules">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>These values are defined within the XHTML 4.0 Table Model</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="TargetAwareness">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A code specifying the extent to which the Entity playing the participating Role (usually as a target Participation) is aware of the associated Act.</p>
                  <i>Examples:</i>For diagnostic observations, is the patient, family member or other participant aware of his terminal illness?<i>Discussion:</i>If the awareness, denial, unconsciousness, etc. is the subject of medical considerations (e.g., part of the problem list), one should use explicit observations in these matters as well, and should not solely rely on this simple attribute in the Participation.</text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="TelecommunicationAddressUse">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>\*\*\*\* MISSING DEFINITIONS \*\*\*\*</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="TelecommunicationCapabilities">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Concepts that define the telecommunication capabilities of a particular device. Used to identify the expected capabilities to be found at a particular telecommunication address.</text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="TerritorialAuthorityRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Concepts which further characterizing the type of territorial authority. Used only with the TERR (territorial authority) role classCode.<b>Example:</b>public health authority, judicial authority and national authority.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="PassiveRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.TERR"/>
   </conceptDomain>
   <conceptDomain name="TerritoryEntityType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>A territorial entity that may be cited as the body over which an agency exercises jurisdiction, or which defines a sphere in which a party has a particular responsibility.<b>Examples:</b>
                  <p>* United States * New York * European Union</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="PlaceEntityType"/>
      <property name="ConceptualSpaceForClassCode" value="EntityClass.PLC"/>
   </conceptDomain>
   <conceptDomain name="TheraputicAgentRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Codes that further characterize the Theraputic Agent as a manufactured product. Used only with the THER (therapeutic agent) role classCode.</p>
                  <b>Examples:</b>Generic and Brand name.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ProductRelatedRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.THER"/>
   </conceptDomain>
   <conceptDomain name="TimingEvent">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>\*\*\*\* MISSING DEFINITIONS \*\*\*\*</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="TransmissionRelationshipType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A codes specifying the meaning and purpose of every TransmissionRelationship instance. Each of the values implies specific constraints to what kinds of Transmission objects can be related and in which way.</p>
               </text>
            </definition>
         </documentation>
         <appInfo>
            <deprecationInfo deprecationEffectiveVersion="822">
               <text>
                  <p>This element was deprecated as of the release indicated.</p>
               </text>
            </deprecationInfo>
         </appInfo>
      </annotations>
   </conceptDomain>
   <conceptDomain name="TransmissionRelationshipTypeCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**A code specifying the meaning and purpose of every TransmissionRelationship instance. Each of its values implies specific constraints to what kinds of Transmission objects can be related and in which way.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="TriggerEventID">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Trigger Event ID as published in the standard.<b>Deprecation Comment:</b>This Domain has been deprecated as the Domain HL7TriggerEventCode is being used instead, along with its subDomains. Please update designs that refer to this Domain and instead refer to the appropriate Domain in the HL7TriggerEventCode hierarchy.</text>
            </definition>
         </documentation>
         <appInfo>
            <deprecationInfo deprecationEffectiveVersion="866">
               <text>
                  <p>This element was deprecated as of the release indicated.</p>
               </text>
            </deprecationInfo>
         </appInfo>
      </annotations>
      <specializesDomain name="ActCode"/>
   </conceptDomain>
   <conceptDomain name="URLScheme">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>A Universal Resource Locator (URL) is a type of telecommunications address specified as Internet standard RFC 1738 \[http://www.isi.edu/in-notes/rfc1738.txt\]. The URL specifies the protocol and the contact point defined by that protocol for the resource.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="UnderwriterParticipationFunction">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Definition:</b>Set of codes indicating the manner in which underwriters participate in a policy or program.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="CoverageParticipationFunction"/>
   </conceptDomain>
   <conceptDomain name="UnitsOfMeasureCaseSensitive">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>\*\*\*\* MISSING DEFINITIONS \*\*\*\*</p>
               </text>
            </definition>
         </documentation>
      </annotations>
   </conceptDomain>
   <conceptDomain name="UpdateRefusalReasonCode">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <b>Description:</b>Identifies why a request to update to a record is being refused. Examples include the receiving system not able to match the identifier and find that record in the receiving system, having no permission, or a detected issue exists which precludes the requested action.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ActReason"/>
   </conceptDomain>
   <conceptDomain name="VaccineManufacturer">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>The manufacturer of a vaccine.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="OrganizationEntityType"/>
      <property name="ConceptualSpaceForClassCode" value="EntityClass.ORG"/>
   </conceptDomain>
   <conceptDomain name="VaccineType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Types of manufactured material that when administered are intended to confer protection against specific disease(s).</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="MaterialEntityClassType"/>
   </conceptDomain>
   <conceptDomain name="VerificationMethod">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>\*\*\*\* MISSING DEFINITIONS \*\*\*\*</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationMethod"/>
   </conceptDomain>
   <conceptDomain name="VerificationOutcomeValue">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>Values for observations of verification act results</p>
                  <b>Examples:</b>Verified, not verified, verified with warning.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ObservationValue"/>
   </conceptDomain>
   <conceptDomain name="VisionProductRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**A role type that is used to further qualify an entity playing a role where the role is that of a vision product such as lenses, frames, etc.</p>
               </text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ManufacturedProductRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.MANU"/>
   </conceptDomain>
   <conceptDomain name="WarrantedProductRoleType">
      <annotations>
         <documentation>
            <definition>
               <text>
                  <p>**Description:**Codes that further characterize a warranted product role. Used only with the WRTE (warranted product) role classCode.</p>
                  <b>Example:</b>Express warranty, Implied Warranty and Lifetime Warranty.</text>
            </definition>
         </documentation>
      </annotations>
      <specializesDomain name="ProductRelatedRoleType"/>
      <property name="ConceptualSpaceForClassCode" value="RoleClass.WRTE"/>
   </conceptDomain>
   <codeSystem name="AbcCodes" title="ABCcodes" codeSystemId="2.16.840.1.113883.6.25">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Five character alphabetic codes fit into current claims processing software or onto standard paper claim forms. ABC Codes give business parity to licensed CAM and nurse providers who file claims to insurance companies. .</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="AcknowledgementCondition" title="AcknowledgementCondition"
               codeSystemId="2.16.840.1.113883.5.1050">
      <historyItem dateTime="2020-05-06" id="v3-AcknowledgementCondition-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The codes identify the conditions under which accept acknowledgements are required to be returned in response to this message. Note that accept acknowledgement address two different issues at the same time: reliable transport as well as syntactical correctness</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired..</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Always send an acknowledgement.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10126"/>
            <printName language="en" preferredForLanguage="true" text="Always"/>
            <code code="AL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Send an acknowledgement for error/reject conditions only.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10128"/>
            <printName language="en" preferredForLanguage="true" text="Error/reject only"/>
            <code code="ER" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Never send an acknowledgement.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10127"/>
            <printName language="en" preferredForLanguage="true" text="Never"/>
            <code code="NE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Send an acknowledgement for successful completions only.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10129"/>
            <printName language="en" preferredForLanguage="true" text="Successful only"/>
            <code code="SU" status="retired"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="AcknowledgementDetailCode" title="AcknowledgementDetailCode"
               codeSystemId="2.16.840.1.113883.5.1100">
      <historyItem dateTime="2020-05-06" id="v3-AcknowledgementDetailCode-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>*OpenIssue:*Missing description.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired..</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An internal software component (database, application, queue mechanism, etc.) has failed, leading to inability to process the message.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22074"/>
            <printName language="en" preferredForLanguage="true" text="Internal system error"/>
            <code code="INTERR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Rejection:</b>The message can't be stored by the receiver due to an unspecified internal application issue. The message was neither processed nor stored by the receiving application.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21442"/>
            <printName language="en" preferredForLanguage="true" text="No storage space for message."/>
            <code code="NOSTORE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The interaction (or: this version of the interaction) is not supported.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AcknowledgementDetailNotSupportedCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21420"/>
            <printName language="en" preferredForLanguage="true" text="Unsupported interaction"/>
            <code code="NS200" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The Processing ID is not supported.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AcknowledgementDetailNotSupportedCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21421"/>
            <printName language="en" preferredForLanguage="true" text="Unsupported processing id"/>
            <code code="NS202" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The Version ID is not supported.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AcknowledgementDetailNotSupportedCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21423"/>
            <printName language="en" preferredForLanguage="true" text="Unsupported version id"/>
            <code code="NS203" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The processing mode is not supported.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AcknowledgementDetailNotSupportedCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21422"/>
            <printName language="en" preferredForLanguage="true" text="Unsupported processing Mode"/>
            <code code="NS250" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The Device.id of the sender is unknown.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AcknowledgementDetailNotSupportedCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21424"/>
            <printName language="en" preferredForLanguage="true" text="Unknown sender"/>
            <code code="NS260" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The receiver requires information in the attentionLine classes for routing purposes.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AcknowledgementDetailNotSupportedCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21425"/>
            <printName language="en" preferredForLanguage="true" text="Unrecognized attentionline"/>
            <code code="NS261" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Error:</b>The destination of this message is known to the receiving application. Messages have been successfully routed to that destination in the past. The link to the destination application or an intermediate application is unavailable.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21443"/>
            <printName language="en" preferredForLanguage="true"
                       text="Message routing error, destination unreachable."/>
            <code code="RTEDEST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The destination of this message is unknown to the receiving application. The receiving application in the message does not match the application which received the message. The message was neither routed, processed nor stored by the receiving application.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21440"/>
            <printName language="en" preferredForLanguage="true"
                       text="Error: Message routing error, unknown destination."/>
            <code code="RTUDEST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Warning:</b>The destination of this message is known to the receiving application. Messages have been successfully routed to that destination in the past. The link to the destination application or an intermediate application is (temporarily) unavailable. The receiving application will forward the message as soon as the destination can be reached again.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21441"/>
            <printName language="en" preferredForLanguage="true"
                       text="Message routing warning, destination unreachable."/>
            <code code="RTWDEST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Reflects errors in the syntax or structure of the communication.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22075"/>
            <printName language="en" preferredForLanguage="true" text="Syntax error"/>
            <code code="SYN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Required association missing in message; or the sequence of the classes is different than required by the standard or one of the conformance profiles identified in the message.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SYN105"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21412"/>
            <printName language="en" preferredForLanguage="true" text="Required association missing"/>
            <code code="SYN100" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A required attribute is missing in a class.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SYN105"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21413"/>
            <printName language="en" preferredForLanguage="true" text="Required attribute missing"/>
            <code code="SYN101" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The attribute contained data of the wrong data type, e.g. a numeric attribute contained "FOO".</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SYN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21414"/>
            <printName language="en" preferredForLanguage="true" text="Data type error"/>
            <code code="SYN102" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An attribute value was compared against the corresponding code system, and no match was found.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SYN106"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21415"/>
            <printName language="en" preferredForLanguage="true" text="Value not found in code system"/>
            <code code="SYN103" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An attribute value referenced a code system that is not valid for an attribute constrained to CNE.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SYN106"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21416"/>
            <printName language="en" preferredForLanguage="true" text="Invalid code system in CNE"/>
            <code code="SYN104" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Required association or attribute missing in message; or the sequence of the classes is different than required by the standard or one of the conformance profiles identified in the message.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SYN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22747"/>
            <printName language="en" preferredForLanguage="true" text="Required element missing"/>
            <code code="SYN105" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A coded attribute or datatype property violates one of the terminology constraints specified in the standard or one of the conformance profiles or templates declared by the instance.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SYN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22749"/>
            <printName language="en" preferredForLanguage="true" text="Terminology error"/>
            <code code="SYN106" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A coded attribute is referencing a code that has been deprecated by the owning code system.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SYN106"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22750"/>
            <printName language="en" preferredForLanguage="true" text="Deprecated code"/>
            <code code="SYN107" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The number of repetitions of a (group of) association(s) or attribute(s) exceeds the limits of the standard or of one of the conformance profiles or templates identified in the message.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SYN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22751"/>
            <printName language="en" preferredForLanguage="true"
                       text="Number of repetitions exceeds limit"/>
            <code code="SYN108" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>An attribute or association identified as mandatory in a specification or declared conformance profile or template has been specified with a null flavor.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SYN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22752"/>
            <printName language="en" preferredForLanguage="true"
                       text="Mandatory element with null value"/>
            <code code="SYN109" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The number of repetitions of a (group of) association(s) exceeds the limits of the standard or of one of the conformance profiles identified in the message.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SYN108"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21417"/>
            <printName language="en" preferredForLanguage="true"
                       text="Number of association repetitions exceeds limit"/>
            <code code="SYN110" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The value of an attribute or property differs from the fixed value asserted in the standard or one of the conformance profiles or templates declared in the message.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SYN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22753"/>
            <printName language="en" preferredForLanguage="true"
                       text="Value does not match fixed value"/>
            <code code="SYN111" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The number of repetitions of an attribute exceeds the limits of the standard or of one of the conformance profiles identified in the message.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SYN108"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21418"/>
            <printName language="en" preferredForLanguage="true"
                       text="Number of attribute repetitions exceeds limit"/>
            <code code="SYN112" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A formal constraint asserted in the standard or one of the conformance profiles or templates declared in the message has been violated.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SYN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22754"/>
            <printName language="en" preferredForLanguage="true" text="Formal constraint violation"/>
            <code code="SYN113" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The number of repetitions of a group of association or attributes is less than the required minimum for the standard or of one of the conformance profiles or templates identified in the message.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SYN105"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22748"/>
            <printName language="en" preferredForLanguage="true" text="Insufficient repetitions"/>
            <code code="SYN114" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Refelects rejections because elements of the communication are not supported in the current context.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21419"/>
            <printName language="en" preferredForLanguage="true"
                       text="AcknowledgementDetailNotSupportedCode"/>
            <code code="_AcknowledgementDetailNotSupportedCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Reflects errors in the syntax or structure of the communication.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21411"/>
            <printName language="en" preferredForLanguage="true"
                       text="AcknowledgementDetailSyntaxErrorCode"/>
            <code code="_AcknowledgementDetailSyntaxErrorCode" status="retired"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="AcknowledgementDetailType" title="AcknowledgementDetailType"
               codeSystemId="2.16.840.1.113883.5.1082">
      <historyItem dateTime="2020-05-06" id="v3-AcknowledgementDetailType-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A code identifying the specific message to be provided.</p>
                  <i>Discussion:</i>A textual value may be specified as the print name, or for non-coded messages, as the original text.<i>Examples:</i>'Required attribute xxx is missing', 'System will be unavailable March 19 from 0100 to 0300'</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired..</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**An issue which has prevented, or will prevent (unless a management is provided for the issue by the sender), the successful processing of an interaction. Response interactions which include an issue which is an Error are a 'rejection', indicating that the request was not successfully processed.</p>
                        <p>**Example:**Unable to find specified patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19786"/>
            <printName language="en" preferredForLanguage="true" text="Error"/>
            <code code="E" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="20071"/>
            <code code="ERR" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>The message relates to an issue which has no bearing on the successful processing of the request. Information issues cannot be overridden by specifying a management.<b>Example:</b>A Patient's coverage will expire in 5 days.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19788"/>
            <printName language="en" preferredForLanguage="true" text="Information"/>
            <code code="I" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="20073"/>
            <code code="INFO" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>The message relates to an issue which cannot prevent the successful processing of a request, but which could result in the processing not having the ideal or intended effect. Managing a warning issue is not required for successful processing, but will suppress the warning from being raised.<b>Example:</b>
                        <p>Unexpected additional repetitions of phone number have been ignored.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19787"/>
            <printName language="en" preferredForLanguage="true" text="Warning"/>
            <code code="W" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="20072"/>
            <code code="WARN" status="retired"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="AcknowledgementType" title="AcknowledgementType"
               codeSystemId="2.16.840.1.113883.5.18">
      <historyItem dateTime="2020-05-06" id="v3-AcknowledgementType-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>This attribute contains an acknowledgement code as described in the HL7 message processing rules.</p>
                  <i>OpenIssue:</i>Description was copied from attribute and needs to be improved to be appropriate for a code system.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Receiving application successfully processed message.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="16022"/>
            <printName language="en" preferredForLanguage="true"
                       text="Application Acknowledgement Accept"/>
            <code code="AA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Receiving application found error in processing message. Sending error response with additional error detail information.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="16023"/>
            <printName language="en" preferredForLanguage="true"
                       text="Application Acknowledgement Error"/>
            <code code="AE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Receiving application failed to process message for reason unrelated to content or format. Original message sender must decide on whether to automatically send message again.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="16024"/>
            <printName language="en" preferredForLanguage="true"
                       text="Application Acknowledgement Reject"/>
            <code code="AR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Receiving message handling service accepts responsibility for passing message onto receiving application.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="16025"/>
            <printName language="en" preferredForLanguage="true"
                       text="Accept Acknowledgement Commit Accept"/>
            <code code="CA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Receiving message handling service cannot accept message for any other reason (e.g. message sequence number, etc.).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="16027"/>
            <printName language="en" preferredForLanguage="true"
                       text="Accept Acknowledgement Commit Error"/>
            <code code="CE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Receiving message handling service rejects message if interaction identifier, version or processing mode is incompatible with known receiving application role information.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="16026"/>
            <printName language="en" preferredForLanguage="true"
                       text="Accept Acknowledgement Commit Reject"/>
            <code code="CR" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="ACR" title="American College of Radiology finding codes"
               codeSystemId="2.16.840.1.113883.6.76">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>American College of Radiology finding codes</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="ActClass" title="ActClass" codeSystemId="2.16.840.1.113883.5.6">
      <historyItem dateTime="2020-05-06" id="v3-ActClass-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A code specifying the major type of Act that this Act-instance represents.</p>
                  <i>Constraints:</i>The classCode domain is a tightly controlled vocabulary, not an external or user-defined vocabulary.<p>Every Act-instance must have a classCode. If the act class is not further specified, the most general Act.classCode (ACT) is used.</p>
                  <p>The Act.classCode must be a generalization of the specific Act concept (e.g., as expressed in Act.code), in other words, the Act concepts conveyed in an Act must be specializations of the Act.classCode. Especially, Act.code is not a "modifier" that can alter the meaning of a class code. (See Act.code for contrast.)</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>A property that indicates the status of the concept. One of active, experimental, deprecated, or retired.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="Name:Class" type="Token" isMandatoryIndicator="false">
            <description>The formal name for the class clone under this code</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="Name:Participation:act:Act" type="String"
                                   isMandatoryIndicator="false">
            <description>The formal name for relationship from Participation to Act</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="synonymCode" type="Token" isMandatoryIndicator="false">
            <description>An additional concept code that was also attributed to a concept</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An accommodation is a service provided for a Person or other LivingSubject in which a place is provided for the subject to reside for a period of time. Commonly used to track the provision of ward, private and semi-private accommodations for a patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16137"/>
            <conceptProperty name="Name:Class" value="Accommodation"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="accommodation"/>
            <code code="ACCM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A financial account established to track the net result of financial acts.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="13991"/>
            <conceptProperty name="Name:Class" value="Account"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="account"/>
            <code code="ACCT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A unit of work, a grouper of work items as defined by the system performing that work. Typically some laboratory order fulfillers communicate references to accessions in their communications regarding laboratory orders. Often one or more specimens are related to an accession such that in some environments the accession number is taken as an identifier for a specimen (group).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16740"/>
            <conceptProperty name="Name:Class" value="Accession"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="accession"/>
            <code code="ACSN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A record of something that is being done, has been done, can be done, or is intended or requested to be done.</p>
                        <p>*Examples:*The kinds of acts that are common in health care are (1) a clinical observation, (2) an assessment of health condition (such as problems and diagnoses), (3) healthcare goals, (4) treatment services (such as medication, surgery, physical and psychological therapy), (5) assisting, monitoring or attending, (6) training and education services to patients and their next of kin, (7) and notary services (such as advanced directives or living will), (8) editing and maintaining documents, and many others.</p>
                        <i>Discussion and Rationale:</i>Acts are the pivot of the RIM; all domain information and processes are represented primarily in Acts. Any profession or business, including healthcare, is primarily constituted of intentional and occasionally non-intentional actions, performed and recorded by responsible actors. An Act-instance is a record of such an action.<p>Acts connect to Entities in their Roles through Participations and connect to other Acts through ActRelationships. Participations are the authors, performers and other responsible parties as well as subjects and beneficiaries (which includes tools and material used in the performance of the act, which are also subjects). The moodCode distinguishes between Acts that are meant as factual records, vs. records of intended or ordered services, and the other modalities in which act can appear.</p>
                        <p>One of the Participations that all acts have (at least implicitly) is a primary author, who is responsible of the Act and who "owns" the act. Responsibility for the act means responsibility for what is being stated in the Act and as what it is stated. Ownership of the act is assumed in the sense of who may operationally modify the same act. Ownership and responsibility of the Act is not the same as ownership or responsibility of what the Act-object refers to in the real world. The same real world activity can be described by two people, each being the author of their Act, describing the same real world activity. Yet one can be a witness while the other can be a principal performer. The performer has responsibilities for the physical actions; the witness only has responsibility for making a true statement to the best of his or her ability. The two Act-instances may even disagree, but because each is properly attributed to its author, such disagreements can exist side by side and left to arbitration by a recipient of these Act-instances.</p>
                        <p>In this sense, an Act-instance represents a "statement" according to Rector and Nowlan (1991) \[Foundations for an electronic medical record. Methods Inf Med. 30.\] Rector and Nowlan have emphasized the importance of understanding the medical record not as a collection of facts, but "a faithful record of what clinicians have heard, seen, thought, and done." Rector and Nowlan go on saying that "the other requirements for a medical record, e.g., that it be attributable and permanent, follow naturally from this view." Indeed the Act class is this attributable statement, and the rules of updating acts (discussed in the state-transition model, see Act.statusCode) versus generating new Act-instances are designed according to this principle of permanent attributable statements.</p>
                        <p>Rector and Nolan focus on the electronic medical record as a collection of statements, while attributed statements, these are still mostly factual statements. However, the Act class goes beyond this limitation to attributed factual statements, representing what is known as "speech-acts" in linguistics and philosophy. The notion of speech-act includes that there is pragmatic meaning in language utterances, aside from just factual statements; and that these utterances interact with the real world to change the state of affairs, even directly cause physical activities to happen. For example, an order is a speech act that (provided it is issued adequately) will cause the ordered action to be physically performed. The speech act theory has culminated in the seminal work by Austin (1962) \[How to do things with words. Oxford University Press\].</p>
                        <p>An activity in the real world may progress from defined, through planned and ordered to executed, which is represented as the mood of the Act. Even though one might think of a single activity as progressing from planned to executed, this progression is reflected by multiple Act-instances, each having one and only one mood that will not change along the Act-instance life cycle. This is because the attribution and content of speech acts along this progression of an activity may be different, and it is often critical that a permanent and faithful record be maintained of this progression. The specification of orders or promises or plans must not be overwritten by the specification of what was actually done, so as to allow comparing actions with their earlier specifications. Act-instances that describe this progression of the same real world activity are linked through the ActRelationships (of the relationship category "sequel").</p>
                        <p>Act as statements or speech-acts are the only representation of real world facts or processes in the HL7 RIM. The truth about the real world is constructed through a combination (and arbitration) of such attributed statements only, and there is no class in the RIM whose objects represent "objective state of affairs" or "real processes" independent from attributed statements. As such, there is no distinction between an activity and its documentation. Every Act includes both to varying degrees. For example, a factual statement made about recent (but past) activities, authored (and signed) by the performer of such activities, is commonly known as a procedure report or original documentation (e.g., surgical procedure report, clinic note etc.). Conversely, a status update on an activity that is presently in progress, authored by the performer (or a close observer) is considered to capture that activity (and is later superceded by a full procedure report). However, both status update and procedure report are acts of the same kind, only distinguished by mood and state (see statusCode) and completeness of the information.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="13856"/>
            <conceptProperty name="Name:Class" value="Act"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="act"/>
            <code code="ACT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Sender asks addressee to do something depending on the focal Act of the payload. An example is "fulfill this order". Addressee has responsibilities to either reject the message or to act on it in an appropriate way (specified by the specific receiver responsibilities for the interaction).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18952"/>
            <conceptProperty name="Name:Class" value="ActionControlAct"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="action"/>
            <code code="ACTN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A transformation process where a requested invoice is transformed into an agreed invoice. Represents the adjudication processing of an invoice (claim). Adjudication results can be adjudicated as submitted, with adjustments or refused.</p>
                        <p>Adjudication results comprise 2 components: the adjudication processing results and a restated (or adjudicated) invoice or claim</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16747"/>
            <conceptProperty name="Name:Class" value="InvoiceAdjudication"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="financial adjudication"/>
            <printName language="en" preferredForLanguage="false"
                       text="financial adjudication results"/>
            <code code="ADJUD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>
                        <p>An acquisition exposure act describes the proximity (location and time) through which the participating entity was potentially exposed to a physical (including energy), chemical or biological agent from another entity. The acquisition exposure act is used in conjunction with transmission exposure acts as part of an analysis technique for contact tracing. Although an exposure can be decomposed into transmission and acquisition exposures, there is no requirement that all exposures be treated in this fashion.</p>
                        <b>Constraints:</b>The Acquisition Exposure inherits the participation constraints that apply to Exposure with the following exception. The EXPSRC (exposure source) participation must never be associated with the Transmission Exposure either directly or via context conduction.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="EXPOS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22349"/>
            <conceptProperty name="Name:Class" value="AcquisitionExposure"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="acquisition exposure"/>
            <code code="AEXPOS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An observation identifying a potential adverse outcome as a result of an Act or combination of Acts.</p>
                        <i>Examples:</i>Detection of a drug-drug interaction; Identification of a late-submission for an invoice; Requesting discharge for a patient who does not meet hospital-defined discharge criteria.<i>Discussion:</i>This class is commonly used for identifying 'business rule' or 'process' problems that may result in a refusal to carry out a particular request. In some circumstances it may be possible to 'bypass' a problem by modifying the request to acknowledge the issue and/or by providing some form of mitigation.<i>Constraints:</i>the Act or Acts that may cause the the adverse outcome are the target of a subject ActRelationship. The subbtypes of this concept indicate the type of problem being detected (e.g. drug-drug interaction) while the Observation.value is used to repesent a specific problem code (e.g. specific drug-drug interaction id).</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OBS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16123"/>
            <conceptProperty name="Name:Class" value="DetectedIssue"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="detected issue"/>
            <code code="ALRT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>An observation that is composed of a set of observations. These observations typically have a logical or practical grouping for generally accepted clinical or functional purposes, such as observations that are run together because of automation. A battery can define required and optional component observations and, in some cases, will define complex rules that determine whether or not a particular observation is made. BATTERY is a constraint on the Observation class in that it is understood to always be composed of component observations.<b>UsageNotes:</b>The focus in a BATTERY is that it is composed of individual observations. In request (RQO) mood, a battery is a request to perform the component observations. In event (EVN) mood a battery is a reporting of associated set of observation events. In definition mood a battery is the definition of the associated set of observations.<b>Examples:</b>Vital signs, Full blood count, Chemistry panel.</text>
                  </definition>
                  <usageNotes>
                     <text>The focus in a BATTERY is that it is composed of individual observations. In request (RQO) mood, a battery is a request to perform the component observations. In event (EVN) mood a battery is a reporting of associated set of observation events. In definition mood a battery is the definition of the associated set of observations.</text>
                  </usageNotes>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OBS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20089"/>
            <conceptProperty name="Name:Class" value="Battery"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="battery"/>
            <code code="BATTERY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An act representing a system action such as the change of state of another act or the initiation of a query. All control acts represent trigger events in the HL7 context. ControlActs may occur in different moods.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11534"/>
            <conceptProperty name="Name:Class" value="ControlAct"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="control act"/>
            <code code="CACT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A public health case is an Observation representing a condition or event that has a specific significance for public health. Typically it involves an instance or instances of a reportable infectious disease or other condition. The public health case can include a health-related event concerning a single individual or it may refer to multiple health-related events that are occurrences of the same disease or condition of interest to public health. An outbreak involving multiple individuals may be considered as a type of public health case. A public health case definition (Act.moodCode = "definition") includes the description of the clinical, laboratory, and epidemiologic indicators associated with a disease or condition of interest to public health. There are case definitions for conditions that are reportable, as well as for those that are not. There are also case definitions for outbreaks. A public health case definition is a construct used by public health for the purpose of counting cases, and should not be used as clinical indications for treatment. Examples include AIDS, toxic-shock syndrome, and salmonellosis and their associated indicators that are used to define a case.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="COND"/>
            </conceptRelationship>
            <conceptProperty name="deprecationDate" value="2012-11-09"/>
            <conceptProperty name="internalId" value="11530"/>
            <conceptProperty name="Name:Class" value="PublicHealthCase"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="public health case"/>
            <code code="CASE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A group of entries within a composition or topic that have a common characteristic - for example, Examination, Diagnosis, Management OR Subjective, Objective, Analysis, Plan.</p>
                        <p>The distinction from Topic relates to value sets. For Category there is a bounded list of things like "Examination", "Diagnosis" or SOAP categories. For Topic the list is wide open to any clinical condition or reason for a part of an encounter.</p>
                        <p>A CATEGORY MAY CONTAIN ENTRIES.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CONTAINER"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20086"/>
            <conceptProperty name="Name:Class" value="Category"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="category"/>
            <code code="CATEGORY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A clinical document that conforms to Level One of the HL7 Clinical Document Architecture (CDA)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DOCCLIN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14795"/>
            <conceptProperty name="Name:Class" value="CDALevelOneClinicalDocument"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true"
                       text="CDA Level One clinical document"/>
            <code code="CDALVLONE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The set of actions that define an experiment to assess the effectiveness and/or safety of a biopharmaceutical product (food, drug, device, etc.). In definition mood, this set of actions is often embodied in a clinical trial protocol; in event mood, this designates the aggregate act of applying the actions to one or more subjects.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OBS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18972"/>
            <conceptProperty name="Name:Class" value="ClinicalTrial"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="clinical trial"/>
            <code code="CLNTRL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**An ACT that organizes a set of component acts into a semantic grouping that have a shared subject. The subject may be either a subject participation (SBJ), subject act relationship (SUBJ), or child participation/act relationship types.</p>
                        <b>Discussion:</b>The focus in a CLUSTER act is the grouping of the contained acts. For example "a request to cluster" (RQO), "a type of cluster that is allowed to occur" (DEF), etc.<b>Examples:</b>
                        <p>* Radiologic investigations that might include administration of a dye, followed by radiographic observations; * "Isolate cluster" which includes all testing and specimen processing performed on a specific isolate; * a set of actions to perform at a particular stage in a clinical trial.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="GROUPER"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20088"/>
            <conceptProperty name="Name:Class" value="Cluster"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="Cluster"/>
            <code code="CLUSTER" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An instance of Observation of a Condition at a point in time that includes any Observations or Procedures associated with that Condition as well as links to previous instances of Condition Node for the same Condition</p>
                        <b>Deprecation Comment:</b>This concept has been deprecated because an alternative structure for tracking the evolution of a problem has been presented and adopted by the Care Provision Work Group.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OBS"/>
            </conceptRelationship>
            <conceptProperty name="deprecationDate" value="2009-07-12"/>
            <conceptProperty name="internalId" value="18863"/>
            <conceptProperty name="Name:Class" value="ConditionNode"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="Condition Node"/>
            <code code="CNOD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An agreement of obligation between two or more parties that is subject to contractual law and enforcement.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14002"/>
            <conceptProperty name="Name:Class" value="Contract"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="contract"/>
            <code code="CNTRCT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A context representing a grouped commitment of information to the EHR. It is considered the unit of modification of the record, the unit of transmission in record extracts, and the unit of attestation by authorizing clinicians.</p>
                        <p>A composition represents part of a patient record originating from a single interaction between an authenticator and the record.</p>
                        <p>Unless otherwise stated all statements within a composition have the same authenticator, apply to the same patient and were recorded in a single session of use of a single application.</p>
                        <p>A composition contains organizers and entries.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActClassRecordOrganizer"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20083"/>
            <conceptProperty name="Name:Class" value="Composition"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="composition"/>
            <printName language="en" preferredForLanguage="false" text="Attestable unit"/>
            <code code="COMPOSITION" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A worry that tends to persist over time and has as its subject a state or process. The subject of the worry has the potential to require intervention or management.<b>Examples:</b>an observation result, procedure, substance administration, equipment repair status, device recall status, a health risk, a financial risk, public health risk, pregnancy, health maintenance, allergy, and acute or chronic illness.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22933"/>
            <conceptProperty name="Name:Class" value="Concern"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="concern"/>
            <code code="CONC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An observable finding or state that persists over time and tends to require intervention or management, and, therefore, distinguished from an Observation made at a point in time; may exist before an Observation of the Condition is made or after interventions to manage the Condition are undertaken. Examples: equipment repair status, device recall status, a health risk, a financial risk, public health risk, pregnancy, health maintenance, chronic illness</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OBS"/>
            </conceptRelationship>
            <conceptProperty name="deprecationDate" value="2012-11-09"/>
            <conceptProperty name="internalId" value="18862"/>
            <conceptProperty name="Name:Class" value="Condition"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="Condition"/>
            <code code="COND" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The Consent class represents informed consents and all similar medico-legal transactions between the patient (or his legal guardian) and the provider. Examples are informed consent for surgical procedures, informed consent for clinical trials, advanced beneficiary notice, against medical advice decline from service, release of information agreement, etc.</p>
                        <p>The details of consents vary. Often an institution has a number of different consent forms for various purposes, including reminding the physician about the topics to mention. Such forms also include patient education material. In electronic medical record communication, consents thus are information-generating acts on their own and need to be managed similar to medical activities. Thus, Consent is modeled as a special class of Act.</p>
                        <p>The "signatures" to the consent document are represented electronically through Participation instances to the consent object. Typically an informed consent has Participation.typeCode of "performer", the healthcare provider informing the patient, and "consenter", the patient or legal guardian. Some consent may associate a witness or a notary public (e.g., living wills, advanced directives). In consents where a healthcare provider is not required (e.g. living will), the performer may be the patient himself or a notary public.</p>
                        <p>Some consent has a minimum required delay between the consent and the service, so as to allow the patient to rethink his decisions. This minimum delay can be expressed in the act definition by the ActRelationship.pauseQuantity attribute that delays the service until the pause time has elapsed after the consent has been completed.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11537"/>
            <conceptProperty name="Name:Class" value="Consent"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="consent"/>
            <code code="CONS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Container of clinical statements. Navigational. No semantic content. Knowledge of the section code is not required to interpret contained observations. Represents a heading in a heading structure, or "container tree".<p>The record entries relating to a single clinical session are usually grouped under headings that represent phases of the encounter, or assist with layout and navigation. Clinical headings usually reflect the clinical workflow during a care session, and might also reflect the main author's reasoning processes. Much research has demonstrated that headings are used differently by different professional groups and specialties, and that headings are not used consistently enough to support safe automatic processing of the E H R.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActClassRecordOrganizer"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22712"/>
            <conceptProperty name="Name:Class" value="Container"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="record container"/>
            <code code="CONTAINER" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An Act where a container is registered either via an automated sensor, such as a barcode reader, or by manual receipt</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14005"/>
            <conceptProperty name="Name:Class" value="ContainerRegistration"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="container registration"/>
            <code code="CONTREG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>When used in the EVN mood, this concept means with respect to a covered party:</p>
                        <ul>
                           <li>
                              <p>A health care insurance policy or plan that is contractually binding between two or more parties; or</p>
                           </li>
                           <li>
                              <p>A health care program, usually administered by government entities, that provides coverage to persons determined eligible under the terms of the program.</p>
                           </li>
                        </ul>
                        <p>* When used in the definition (DEF) mood, COV means potential coverage for a patient who may or may not be a covered party. * The concept's meaning is fully specified by the choice of ActCoverageTypeCode (abstract) ActProgramCode or ActInsurancePolicyCode.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="FCNTRCT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14004"/>
            <conceptProperty name="Name:Class" value="Coverage"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="coverage"/>
            <code code="COV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An identified point during a clinical trial at which one or more actions are scheduled to be performed (definition mood), or are actually performed (event mood). The actions may or may not involve an encounter between the subject and a healthcare professional.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18973"/>
            <conceptProperty name="Name:Class" value="TimePointEvent"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="clinical trial timepoint event"/>
            <code code="CTTEVENT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A determinant peptide in a polypeptide as described by polypeptide.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="GEN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22002"/>
            <conceptProperty name="Name:Class" value="DeterminantPeptide"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="determinant peptide"/>
            <code code="DETPOL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Class for holding attributes unique to diagnostic images.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OBS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="13921"/>
            <conceptProperty name="Name:Class" value="DiagnosticImage"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="diagnostic image"/>
            <code code="DGIMG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Diet services are supply services, with some aspects resembling Medication services: the detail of the diet is given as a description of the Material associated via Participation.typeCode="product". Medically relevant diet types may be communicated in the Diet.code attribute using domain ActDietCode, however, the detail of the food supplied and the various combinations of dishes should be communicated as Material instances.</p>
                        <b>Deprecation Note</b>
                        <b>Class:</b>Use either the Supply class (if dealing with what should be given to the patient) or SubstanceAdministration class (if dealing with what the patient should consume)<b>energyQuantity:</b>This quantity can be conveyed by using a Content relationship with a quantity attribute expressing the calories<p>**carbohydrateQuantity:**This quantity can be conveyed using a Content relationship to an Entity with a code of carbohydrate and a quantity attribute on the content relationship.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SPLY"/>
            </conceptRelationship>
            <conceptProperty name="deprecationDate" value="2009-08-20"/>
            <conceptProperty name="internalId" value="16109"/>
            <conceptProperty name="Name:Class" value="Diet"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="diet"/>
            <code code="DIET" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An action taken with respect to a subject Entity by a regulatory or authoritative body with supervisory capacity over that entity. The action is taken in response to behavior by the subject Entity that body finds to be undesirable.</p>
                        <p>Suspension, license restrictions, monetary fine, letter of reprimand, mandated training, mandated supervision, etc.*Examples:*</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21428"/>
            <conceptProperty name="Name:Class" value="DisciplinaryAction"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="disciplinary action"/>
            <code code="DISPACT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The notion of a document comes particularly from the paper world, where it corresponds to the contents recorded on discrete pieces of paper. In the electronic world, a document is a kind of composition that bears resemblance to their paper world counter-parts. Documents typically are meant to be human-readable.</p>
                        <p>HL7's notion of document differs from that described in the W3C XML Recommendation, in which a document refers specifically to the contents that fall between the root element's start-tag and end-tag. Not all XML documents are HL7 documents.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="COMPOSITION"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18938"/>
            <conceptProperty name="Name:Class" value="Document"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="document"/>
            <code code="DOC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A context that distinguishes the body of a document from the document header. This is seen, for instance, in HTML documents, which have discrete &lt;head&gt; and &lt;body&gt; elements.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CONTAINER"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="13947"/>
            <conceptProperty name="Name:Class" value="DocumentBody"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="document body"/>
            <code code="DOCBODY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A clinical document is a documentation of clinical observations and services, with the following characteristics:</p>
                        <ul>
                           <li>
                              <p>Persistence - A clinical document continues to exist in an unaltered state, for a time period defined by local and regulatory requirements;</p>
                           </li>
                           <li>
                              <p>Stewardship - A clinical document is maintained by a person or organization entrusted with its care;</p>
                           </li>
                           <li>
                              <p>Potential for authentication - A clinical document is an assemblage of information that is intended to be legally authenticated;</p>
                           </li>
                           <li>
                              <p>Wholeness - Authentication of a clinical document applies to the whole and does not apply to portions of the document without the full context of the document;</p>
                           </li>
                           <li>
                              <p>Human readability - A clinical document is human readable.</p>
                           </li>
                        </ul>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DOC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="13948"/>
            <conceptProperty name="Name:Class" value="ClinicalDocument"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="clinical document"/>
            <code code="DOCCLIN" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="14785"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <code code="DOCCNTNT" status="retired"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="14787"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <code code="DOCLIST" status="retired"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="14789"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <code code="DOCLSTITM" status="retired"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="14786"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <code code="DOCPARA" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A context that subdivides the body of a document. Document sections are typically used for human navigation, to give a reader a clue as to the expected content. Document sections are used to organize and provide consistency to the contents of a document body. Document sections can contain document sections and can contain entries.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CONTAINER"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="13946"/>
            <conceptProperty name="Name:Class" value="DocumentSection"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="document section"/>
            <printName language="en" preferredForLanguage="false" text="Section"/>
            <code code="DOCSECT" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="14784"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <code code="DOCTBL" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A context that comprises all compositions. The EHR is an extract that includes the entire chart.</p>
                        <b>NOTE:</b>In an exchange scenario, an EHR is a specialization of an extract.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="EXTRACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20081"/>
            <conceptProperty name="Name:Class" value="ElectronicHealthRecord"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="electronic health record"/>
            <code code="EHR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An interaction between a patient and healthcare participant(s) for the purpose of providing patient service(s) or assessing the health status of a patient. For example, outpatient visit to multiple departments, home health support (including physical therapy), inpatient hospital stay, emergency room visit, field visit (e.g., traffic accident), office visit, occupational therapy, telephone call.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PCPR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11542"/>
            <conceptProperty name="Name:Class" value="Encounter"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="encounter"/>
            <code code="ENC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This context represents the information acquired and recorded for an observation, a clinical statement such as a portion of the patient's history or an inference or assertion, or an action that might be intended or has actually been performed. This class may represent both the actual data describing the observation, inference, or action, and optionally the details supporting the clinical reasoning process such as a reference to an electronic guideline, decision support system, or other knowledge reference.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActClassContainer"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActContainer"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20087"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="entry"/>
            <code code="ENTRY" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**An expression level of genes/proteins or other expressed genomic entities.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="GEN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22000"/>
            <conceptProperty name="Name:Class" value="ExpressionLevel"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="expression level"/>
            <code code="EXP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An interaction between entities that provides opportunity for transmission of a physical, chemical, or biological agent from an exposure source entity to an exposure target entity.</p>
                        <i>Examples:</i>The following examples are provided to indicate what interactions are considered exposures rather than other types of Acts:<p>* A patient accidentally receives three times the recommended dose of their medication due to a dosing error. * This is a substance administration. Public health and/or safety authorities may also be interested in documenting this with an associated exposure. * A patient accidentally is dispensed an incorrect medicine (e.g., clomiphene instead of clomipramine). They have taken several doses before the mistake is detected. They are therefore "exposed" to a medicine that there was no therapeutic indication for them to receive. * There are several substance administrations in this example. Public health and/or safety authorities may also be interested in documenting this with associated exposures. * In a busy medical ward, a patient is receiving chemotherapy for a lymphoma. Unfortunately, the IV infusion bag containing the medicine splits, spraying cytotoxic medication over the patient being treated and the patient in the adjacent bed. * There are three substance administrations in this example. The first is the intended one (IV infusion) with its associated (implicit) exposure. There is an incident with an associated substance administration to the same patient involving the medication sprayed over the patient as well as an associated exposure. Additionally, the incident includes a substance administration involving the spraying of medication on the adjacent patient, also with an associated exposure. * A patient who is a refugee from a war-torn African nation arrives in a busy inner city A&amp;E department suffering from a cough with bloody sputum. Not understanding the registration and triage process, they sit in the waiting room for several hours before it is noticed that they have not booked in. As soon as they are being processed, it is suspected that they are suffering from TB. Vulnerable (immunosuppressed) patients who were sharing the waiting room with this patient may have been exposed to the tubercule bacillus, and must be traced for investigation. * This is an exposure (or possibly multiple exposures) in the waiting room involving the refugee and everyone else in the waiting room during the period. There might also be a number of known or presumed substance administrations (coughing) via several possible routes. The substance administrations are only hypotheses until confirmed by further testing. * A patient who has received an elective total hip replacement procedure suffers a prolonged stay in hospital, due to contracting an MRSA infection in the surgical wound site after the surgery. * This is an exposure to MRSA. Although there was some sort of substance administration, it's possible the exact mechanism for introduction of the MRSA into the wound will not be identified. * Routine maintenance of the X-ray machines at a local hospital reveals a serious breach of the shielding on one of the machines. Patients who have undergone investigations using that machine in the last month are likely to have been exposed to significantly higher doses of X-rays than was intended, and must be tracked for possible adverse effects. * There has been an exposure of each patient who used the machine in the past 30 days. Some patients may have had substance administrations. * A new member of staff is employed in the laundry processing room of a small cottage hospital, and a misreading of the instructions for adding detergents results in fifty times the usual concentration of cleaning materials being added to a batch of hospital bedding. As a result, several patients have been exposed to very high levels of detergents still present in the "clean" bedding, and have experienced dermatological reactions to this. * There has been an incident with multiple exposures to several patients. Although there are substance administrations involving the application of the detergent to the skin of the patients, it is expected that the substance administrations would not be directly documented. * Seven patients who are residents in a health care facility for the elderly mentally ill have developed respiratory problems. After several months of various tests having been performed and various medications prescribed to these patients, the problem is traced to their being "sensitive" to a new fungicide used in the wall plaster of the ward where these patients reside. * The patients have been continuously exposed to the fungicide. Although there have been continuous substance administrations (via breathing) this would not normally be documented as a substance administration. * A patient with osteoarthritis of the knees is treated symptomatically using analgesia, paracetamol (acetaminophen) 1g up to four times a day for pain relief. His GP does not realize that the patient has, 20 years previously (while at college) had severe alcohol addiction problems, and now, although this is completely under control, his liver has suffered significantly, leaving him more sensitive to hepatic toxicity from paracetamol use. Later that year, the patient returns with a noticeable level of jaundice. Paracetamol is immediately withdrawn and alternative solutions for the knee pain are sought. The jaundice gradually subsides with conservative management, but referral to the gastroenterologist is required for advice and monitoring. * There is a substance administration with an associated exposure. The exposure component is based on the relative toxic level of the substance to a patient with a compromised liver function. * A patient goes to their GP complaining of abdominal pain, having been discharged from the local hospital ten days' previously after an emergency appendectomy. The GP can find nothing particularly amiss, and presumes it is post operative surgical pain that will resolve. The patient returns a fortnight later, when the GP prescribes further analgesia, but does decide to request an outpatient surgical follow-up appointment. At this post-surgical outpatient review, the registrar decides to order an ultrasound, which, when performed three weeks later, shows a small faint inexplicable mass. A laparoscopy is then performed, as a day case procedure, and a piece of a surgical swab is removed from the patient's abdominal cavity. Thankfully, a full recovery then takes place. * This is a procedural sequelae. There may be an Incident recorded for this also. * A patient is slightly late for a regular pacemaker battery check in the Cardiology department of the local hospital. They are hurrying down the second floor corridor. A sudden summer squall has recently passed over the area, and rain has come in through an open corridor window leaving a small puddle on the corridor floor. In their haste, the patient slips in the puddle and falls so badly that they have to be taken to the A&amp;E department, where it is discovered on investigation they have slightly torn the cruciate ligament in their left knee. * This is not an exposure. There has been an incident.</p>
                        <i>Usage Notes:</i>This class deals only with opportunity and not the outcome of the exposure; i.e. not all exposed parties will necessarily experience actual harm or benefit.<p>Exposure differs from Substance Administration by the absence of the participation of a performer in the act.</p>
                        <p>The following participations SHOULD be used with the following participations to distinguish the specific entities:</p>
                        <p>* The exposed entity participates via the "exposure target" (EXPTRGT) participation. * An entity that has carried the agent transmitted in the exposure participates via the "exposure source" (EXSRC) participation. For example: * a person or animal who carried an infectious disease and interacts (EXSRC) with another person or animal (EXPTRGT) transmitting the disease agent; * a place or other environment (EXSRC) and a person or animal (EXPTRGT) who is exposed in the presence of this environment. * When it is unknown whether a participating entity is the source of the agent (EXSRC) or the target of the transmission (EXPTRGT), the "exposure participant" (EXPART) is used. * The physical (including energy), chemical or biological substance which is participating in the exposure uses the "exposure agent" (EXPAGNT) participation. There are at least three scenarios: 1. the player of the Role that participates as EXPAGNT is the chemical or biological substance mixed or carried by the scoper-entity of the Role (e.g., ingredient role); or 2. the player of the Role that participates as EXPAGNT is a mixture known to contain the chemical, radiological or biological substance of interest; or 3. the player of the Role that participates as a EXPAGNT is known to carry the agent (i.e., the player is a fomite, vector, etc.).</p>
                        <p>The Exposure.statusCode attribute should be interpreted as the state of the Exposure business object (e.g., active, aborted, completed) and not the clinical status of the exposure (e.g., probable, confirmed). The clinical status of the exposure should be associated with the exposure via a subject observation.</p>
                        <i>Design Comment:</i>The usage notes require a clear criterion for determining whether an act is an exposure or substance administration-deleterious potential, uncertainty of actual transmission, or otherwise. SBADM states that the criterion is the presence of a performer-but there are examples above that call this criterion into question (e.g., the first one, concerning a dosing error).</text>
                  </definition>
                  <usageNotes>
                     <text>This class deals only with opportunity and not the outcome of the exposure; i.e. not all exposed parties will necessarily experience actual harm or benefit. Exposure differs from Substance Administration by the absence of the participation of a performer in the act. The following participations SHOULD be used with the following participations to distinguish the specific entities:   The exposed entity participates via the "exposure target" (EXPTRGT) participation.  An entity that has carried the agent transmitted in the exposure participates via the "exposure source" (EXSRC) participation.  For example:   a person or animal who carried an infectious disease and interacts (EXSRC) with another person or animal (EXPTRGT) transmitting the disease agent;  a place or other environment (EXSRC) and a person or animal (EXPTRGT) who is exposed in the presence of this environment.  When it is unknown whether a participating entity is the source of the agent (EXSRC) or the target of the transmission (EXPTRGT), the "exposure participant" (EXPART) is used.  The physical (including energy), chemical or biological substance which is participating in the exposure uses the "exposure agent" (EXPAGNT) participation.  There are at least three scenarios:   the player of the Role that participates as EXPAGNT is the chemical or biological substance mixed or carried by the scoper-entity of the Role (e.g., ingredient role); or  the player of the Role that participates as EXPAGNT is a mixture known to contain the chemical, radiological or biological substance of interest; or  the player of the Role that participates as a EXPAGNT is known to carry the agent (i.e., the player is a fomite, vector, etc.). The Exposure.statusCode attribute should be interpreted as the state of the Exposure business object (e.g., active, aborted, completed) and not the clinical status of the exposure (e.g., probable, confirmed).  The clinical status of the exposure should be associated with the exposure via a subject observation.</text>
                  </usageNotes>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21980"/>
            <conceptProperty name="Name:Class" value="Exposure"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="exposure"/>
            <code code="EXPOS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This context represents the part of a patient record conveyed in a single communication. It is drawn from a providing system for the purposes of communication to a requesting process (which might be another repository, a client application or a middleware service such as an electronic guideline engine), and supporting the faithful inclusion of the communicated data in the receiving system.</p>
                        <p>An extract may be the entirety of the patient record as held by the sender or it may be a part of that record (e.g. changes since a specified date).</p>
                        <p>An extract contains folders or compositions.</p>
                        <p>An extract cannot contain another extract.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActClassRecordOrganizer"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20080"/>
            <conceptProperty name="Name:Class" value="Extract"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="extract"/>
            <code code="EXTRACT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A contract whose value is measured in monetary terms.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CNTRCT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14003"/>
            <conceptProperty name="Name:Class" value="FinancialContract"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="financial contract"/>
            <code code="FCNTRCT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A context representing the high-level organization of an extract e.g. to group parts of the record by episode, care team, clinical specialty, clinical condition, or source application. Internationally, this kind of organizing structure is used variably: in some centers and systems the folder is treated as an informal compartmentalization of the overall health record; in others it might represent a significant legal portion of the EHR relating to the originating enterprise or team.</p>
                        <p>A folder contains compositions.</p>
                        <p>Folders may be nested within folders.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActClassRecordOrganizer"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20082"/>
            <conceptProperty name="Name:Class" value="Folder"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="folder"/>
            <code code="FOLDER" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**An observation of genomic phenomena.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OBS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21997"/>
            <conceptProperty name="Name:Class" value="GenomicObservation"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="genomic observation"/>
            <code code="GEN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>An ACT that organizes a set of component acts into a semantic grouping that share a particular context such as timeframe, patient, etc.<b>UsageNotes:</b>The focus in a GROUPER act is the grouping of the contained acts. For example "a request to group" (RQO), "a type of grouping that is allowed to occur" (DEF), etc.<p>Unlike WorkingList, which represents a dynamic, shared, continuously updated collection to provide a "view" of a set of objects, GROUPER collections tend to be static and simply indicate a shared set of semantics. Note that sharing of semantics can be achieved using ACT as well. However, with GROUPER, the sole semantic is of grouping.</p>
                     </text>
                  </definition>
                  <usageNotes>
                     <text>The focus in a GROUPER act is the grouping of the contained acts.  For example "a request to group" (RQO), "a type of grouping that is allowed to occur" (DEF), etc. Unlike WorkingList, which represents a dynamic, shared, continuously updated collection to provide a "view" of a set of objects, GROUPER collections tend to be static and simply indicate a shared set of semantics.  Note that sharing of semantics can be achieved using ACT as well.  However, with GROUPER, the sole semantic is of grouping.</text>
                  </usageNotes>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActClassRecordOrganizer"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22713"/>
            <conceptProperty name="Name:Class" value="Grouper"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="grouper"/>
            <code code="GROUPER" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A public health case is a Concern about an observation or event that has a specific significance for public health. The creation of a PublicHealthCase initiates the tracking of the object of concern. The decision to track is related to but somewhat independent of the underlying event or observation.</p>
                        <b>UsageNotes:</b>Typically a Public Health Case involves an instance or instances of a reportable infectious disease or other condition. The public health case can include a health-related event concerning a single individual or it may refer to multiple health-related events that are occurrences of the same disease or condition of interest to public health.<p>A public health case definition (Act.moodCode = "definition") includes the description of the clinical, laboratory, and epidemiologic indicators associated with a disease or condition of interest to public health. There are case definitions for conditions that are reportable, as well as for those that are not. A public health case definition is a construct used by public health for the purpose of counting cases, and should not be used as clinical indications for treatment. Examples include AIDS, toxic-shock syndrome, and salmonellosis and their associated indicators that are used to define a case.</p>
                     </text>
                  </definition>
                  <usageNotes>
                     <text>Typically a Public Health Case involves an instance or instances of a reportable infectious disease or other condition. The public health case can include a health-related event concerning a single individual or it may refer to multiple health-related events that are occurrences of the same disease or condition of interest to public health. A public health case definition (Act.moodCode = "definition") includes the description of the clinical, laboratory, and epidemiologic indicators associated with a disease or condition of interest to public health. There are case definitions for conditions that are reportable, as well as for those that are not. A public health case definition is a construct used by public health for the purpose of counting cases, and should not be used as clinical indications for treatment. Examples include AIDS, toxic-shock syndrome, and salmonellosis and their associated indicators that are used to define a case.</text>
                  </usageNotes>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CONC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23464"/>
            <conceptProperty name="Name:Class" value="PublicHealthCase"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="public health case"/>
            <code code="HCASE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An event that occurred outside of the control of one or more of the parties involved. Includes the concept of an accident.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="13989"/>
            <conceptProperty name="Name:Class" value="Incident"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="incident"/>
            <code code="INC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Sender sends payload to addressee as information. Addressee does not have responsibilities beyond serving addressee's own interest (i.e., read and memorize if you see fit). This is equivalent to an FYI on a memo.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18953"/>
            <conceptProperty name="Name:Class" value="InformationControlAct"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="information"/>
            <code code="INFO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The act of transmitting information and understanding about a topic to a subject where the participation association must be SBJ.</p>
                        <b>Discussion:</b>This act may be used to request that a patient or provider be informed about an Act, or to indicate that a person was informed about a particular act.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18908"/>
            <conceptProperty name="Name:Class" value="Inform"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="inform"/>
            <code code="INFRM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Represents concepts related to invoice processing in health care</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="13992"/>
            <conceptProperty name="Name:Class" value="InvoiceElement"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="invoice element"/>
            <code code="INVE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An formalized inquiry into the circumstances surrounding a particular unplanned event or potential event for the purposes of identifying possible causes and contributing factors for the event. This investigation could be conducted at a local institutional level or at the level of a local or national government.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OBS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21323"/>
            <conceptProperty name="Name:Class" value="Investigation"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="investigation"/>
            <code code="INVSTG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A mandate, regulation, obligation, requirement, rule, or expectation unilaterally imposed by a jurisdiction on:</p>
                        <p>* The activity of another party * The behavior of another party * The manner in which an act is executed</p>
                        <p>**Examples:**A jurisdictional mandate regarding the prescribing and dispensing of a particular medication. A jurisdictional privacy or security regulation dictating the manner in which personal health information is disclosed. A jurisdictional requirement that certain services or health conditions are reported to a monitoring program, e.g., immunizations, methadone treatment, or cancer registries.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="POLICY"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21982"/>
            <conceptProperty name="Name:Class" value="JurisdictionalPolicy"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="jurisdictional policy"/>
            <code code="JURISPOL" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="16902"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <code code="LINKHTML" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Working list collects a dynamic list of individual instances of Act via ActRelationship which reflects the need of an individual worker, team of workers, or an organization to manage lists of acts for many different clinical and administrative reasons. Examples of working lists include problem lists, goal lists, allergy lists, and to-do lists.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11541"/>
            <conceptProperty name="Name:Class" value="WorkingList"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="working list"/>
            <code code="LIST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Lying on the left side.</p>
                        <b>Deprecation Comment:</b>This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SubjectBodyPosition"/>
            </conceptRelationship>
            <conceptProperty name="deprecationDate" value="2009-07-12"/>
            <conceptProperty name="internalId" value="21939"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="left lateral decubitus"/>
            <code code="LLD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The position of a gene (or other significant sequence) on the genome.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="GEN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22003"/>
            <conceptProperty name="Name:Class" value="Locus"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="locus"/>
            <code code="LOC" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="16903"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <code code="LOCALATTR" status="retired"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="16904"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <code code="LOCALMRKP" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An officially or unofficially instituted program to track acts of a particular type or categorization.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16230"/>
            <conceptProperty name="Name:Class" value="MonitoringProgram"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="monitoring program"/>
            <code code="MPROT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>**Description:**An act that is intended to result in new information about a subject. The main difference between Observations and other Acts is that Observations have a value attribute. The<b>code</b>attribute of Observation and the<b>value</b>attribute of Observation must be considered in combination to determine the semantics of the observation.<b>Discussion:</b>
                        <p>Structurally, many observations are name-value-pairs, where the Observation.code (inherited from Act) is the name and the Observation.value is the value of the property. Such a construct is also known as a variable (a named feature that can assume a value) hence, the Observation class is always used to hold generic name-value-pairs or variables, even though the variable valuation may not be the result of an elaborate observation method. It may be a simple answer to a question or it may be an assertion or setting of a parameter.</p>
                        <p>As with all Act statements, Observation statements describe what was done, and in the case of Observations, this includes a description of what was actually observed (results or answers); and those results or answers are part of the observation and not split off into other objects.</p>
                        <p>The method of action is asserted by the Observation classCode or its subclasses at the least granular level, by the Observation.code attribute value at the medium level of granularity, and by the attribute value of observation.methodCode when a finer level of granularity is required. The method in whole or in part may also appear in the attribute value of Observation.value when using coded data types to express the value of the attribute. Relevant aspects of methodology may also be restated in value when the results themselves imply or state a methodology.</p>
                        <p>An observation may consist of component observations each having their own Observation.code and Observation.value. In this case, the composite observation may not have an Observation.value for itself. For instance, a white blood cell count consists of the sub-observations for the counts of the various granulocytes, lymphocytes and other normal or abnormal blood cells (e.g., blasts). The overall white blood cell count Observation itself may therefore not have a value by itself (even though it could have one, e.g., the sum total of white blood cells). Thus, as long as an Act is essentially an Act of recognizing and noting information about a subject, it is an Observation, regardless of whether it has a simple value by itself or whether it has sub-observations.</p>
                        <p>Even though observations are professional acts (see Act) and as such are intentional actions, this does not require that every possible outcome of an observation be pondered in advance of it being actually made. For instance, differential white blood cell counts (WBC) rarely show blasts, but if they do, this is part of the WBC observation even though blasts might not be predefined in the structure of a normal WBC.</p>
                        <p>Clinical documents commonly have Subjective and Objective findings, both of which are kinds of Observations. In addition, clinical documents commonly contain Assessments, which are also kinds of Observations. Thus, the establishment of a diagnosis is an Observation.</p>
                        <b>Examples:</b>
                        <p>* Recording the results of a Family History Assessment * Laboratory test and associated result * Physical exam test and associated result * Device temperature * Soil lead level</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11529"/>
            <conceptProperty name="Name:Class" value="Observation"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="observation"/>
            <code code="OBS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Container for Observation Sequences (Observations whose values are contained in LIST&lt;&gt;'s) having values correlated with each other. Each contained Observation Sequence LIST&lt;&gt; must be the same length. Values in the LIST&lt;&gt;'s are correlated based on index. E.g. the values in position 2 in all the LIST&lt;&gt;'s are correlated. This is analogous to a table where each column is an Observation Sequence with a LIST&lt;&gt; of values, and each row in the table is a correlation between the columns. For example, a 12-lead ECG would contain 13 sequences: one sequence for time, and a sequence for each of the 12 leads.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OBSSER"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18876"/>
            <conceptProperty name="Name:Class" value="CorrelatedObservation"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true"
                       text="correlated observation sequences"/>
            <code code="OBSCOR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Container for Correlated Observation Sequences sharing a common frame of reference. All Observations of the same cd must be comparable and relative to the common frame of reference. For example, a 3-channel ECG device records a 12-lead ECG in 4 steps (3 leads at a time). Each of the separate 3-channel recordings would be in their own "OBSCOR". And, all 4 OBSCOR would be contained in one OBSSER because all the times are relative to the same origin (beginning of the recording) and all the ECG signals were from a fixed set of electrodes.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OBS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18875"/>
            <conceptProperty name="Name:Class" value="ObservationSeries"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="observation series"/>
            <code code="OBSSER" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Organizer of entries. Navigational. No semantic content. Knowledge of the section code is not required to interpret contained observations. Represents a heading in a heading structure, or "organizer tree".</p>
                        <p>The record entries relating to a single clinical session are usually grouped under headings that represent phases of the encounter, or assist with layout and navigation. Clinical headings usually reflect the clinical workflow during a care session, and might also reflect the main author's reasoning processes. Much research has demonstrated that headings are used differently by different professional groups and specialties, and that headings are not used consistently enough to support safe automatic processing of the E H R.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActClassContainer"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActContainer"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20084"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="organizer"/>
            <code code="ORGANIZER" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A mandate, obligation, requirement, rule, or expectation unilaterally imposed by an organization on:</p>
                        <p>* The activity of another party * The behavior of another party * The manner in which an act is executed</p>
                        <p>**Examples:**A clinical or research protocols imposed by a payer, a malpractice insurer, or an institution to which a provider must adhere. A mandate imposed by a denominational institution for a provider to provide or withhold certain information from the patient about treatment options.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="POLICY"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21983"/>
            <conceptProperty name="Name:Class" value="OrganizationalPolicy"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="organizational policy"/>
            <code code="ORGPOL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An outbreak represents a series of public health cases. The date on which an outbreak starts is the earliest date of onset among the cases assigned to the outbreak, and its ending date is the last date of onset among the cases assigned to the outbreak.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CASE"/>
            </conceptRelationship>
            <conceptProperty name="deprecationDate" value="2012-11-09"/>
            <conceptProperty name="internalId" value="11531"/>
            <conceptProperty name="Name:Class" value="Outbreak"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="outbreak"/>
            <code code="OUTB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An Outbreak is a concern resulting from a series of public health cases.</p>
                        <b>UsageNotes:</b>The date on which an outbreak starts is the earliest date of onset among the cases assigned to the outbreak and its ending date is the last date of onset among the cases assigned to the outbreak. The effectiveTime attribute is used to convey the relevant dates for the case. An outbreak definition (Act.moodCode = "definition" includes the criteria for the number, types and occurrence pattern of cases necessary to declare an outbreak and to judge the severity of an outbreak.</text>
                  </definition>
                  <usageNotes>
                     <text>The date on which an outbreak starts is the earliest date of onset among the cases assigned to the outbreak and its ending date is the last date of onset among the cases assigned to the outbreak. The effectiveTime attribute is used to convey the relevant dates for the case. An outbreak definition (Act.moodCode = "definition" includes the criteria for the number, types and occurrence pattern of cases necessary to declare an outbreak and to judge the severity of an outbreak.</text>
                  </usageNotes>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CONC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23465"/>
            <conceptProperty name="Name:Class" value="Outbreak"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="outbreak"/>
            <code code="OUTBR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>An<b>Act</b>that of taking on whole or partial responsibility for, or attention to, safety and well-being of a subject of care.<i>Discussion:</i>A<b>care provision</b>event may exist without any other care actions taking place. For example, when a patient is assigned to the care of a particular health professional.In<b>request</b>(RQO) mood<b>care provision</b>communicates a referral, which is a request:<p>* from one party (linked as a **participant** of type **author** (AUT)), * to another party (linked as a **participant** of type **performer** (PRF), * to take responsibility for a scope specified by the code attribute, * for an entity (linked as a **participant** of type **subject** (SBJ)).</p>The scope of the care for which responsibility is taken is identified by<i>code</i>attribute.In<b>event</b>(EVN) mood<b>care provision</b>indicates the effective time interval of a specified scope of responsibility by a<b>performer</b>(PRF) or set of<b>performers</b>(PRF) for a<b>subject</b>(SBJ).<i>Examples:</i>
                        <ul>
                           <li>
                              <p>Referral from GP to a specialist.</p>
                           </li>
                           <li>
                              <p>Assignment of a patient or group of patients to the case list of a health professional.</p>
                           </li>
                           <li>
                              <p>Assignment of inpatients to the care of particular nurses for a working shift.</p>
                           </li>
                        </ul>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18964"/>
            <conceptProperty name="Name:Class" value="CareProvision"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="care provision"/>
            <code code="PCPR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A genomic phenomenon that is expressed externally in the organism.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="GEN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22004"/>
            <conceptProperty name="Name:Class" value="Phenotype"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="phenotype"/>
            <code code="PHN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A polypeptide resulting from the translation of a gene.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="GEN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22001"/>
            <conceptProperty name="Name:Class" value="Polypeptide"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="polypeptide"/>
            <code code="POL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A mandate, regulation, obligation, requirement, rule, or expectation unilaterally imposed by one party on:</p>
                        <p>* The activity of another party * The behavior of another party * The manner in which an act is executed</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21981"/>
            <conceptProperty name="Name:Class" value="Policy"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="policy"/>
            <code code="POLICY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An observation denoting the physical location of a person or thing based on a reference coordinate system.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OBS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21646"/>
            <conceptProperty name="Name:Class" value="Position"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="position"/>
            <code code="POS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**An observation representing the degree to which the assignment of the spatial coordinates, based on a matching algorithm by a geocoding engine against a reference spatial database, matches true or accepted values.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="POS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21648"/>
            <conceptProperty name="Name:Class" value="PositionAccuracy"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="position accuracy"/>
            <code code="POSACC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**An observation representing one of a set of numerical values used to determine the position of a place. The name of the coordinate value is determined by the reference coordinate system.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="POS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21647"/>
            <conceptProperty name="Name:Class" value="PositionCoordinate"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="position coordinate"/>
            <code code="POSCOORD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Lying with the front or ventral surface downward; lying face down.</p>
                        <b>Deprecation Comment:</b>This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SubjectBodyPosition"/>
            </conceptRelationship>
            <conceptProperty name="deprecationDate" value="2009-07-12"/>
            <conceptProperty name="internalId" value="21932"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="prone"/>
            <code code="PRN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An Act whose immediate and primary outcome (post-condition) is the alteration of the physical condition of the subject.</p>
                        <i>Examples:</i>: Procedures may involve the disruption of some body surface (e.g. an incision in a surgical procedure), but they also include conservative procedures such as reduction of a luxated join, chiropractic treatment, massage, balneotherapy, acupuncture, shiatsu, etc. Outside of clinical medicine, procedures may be such things as alteration of environments (e.g. straightening rivers, draining swamps, building dams) or the repair or change of machinery etc.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11532"/>
            <conceptProperty name="Name:Class" value="Procedure"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="procedure"/>
            <code code="PROC" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="11538"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <code code="REFR" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Represents the act of maintaining information about the registration of its associated registered subject. The subject can be either an Act or a Role, and includes subjects such as lab exam definitions, drug protocol definitions, prescriptions, persons, patients, practitioners, and equipment.</p>
                        <p>The registration may have a unique identifier - separate from the unique identification of the subject - as well as a core set of related participations and act relationships that characterize the registration event and aid in the disposition of the subject information by a receiving system.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15932"/>
            <conceptProperty name="Name:Class" value="Registration"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="registration"/>
            <code code="REG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The act of examining and evaluating the subject, usually another act. For example, "This prescription needs to be reviewed in 2 months."</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21380"/>
            <conceptProperty name="Name:Class" value="Review"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="review"/>
            <code code="REV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Lying on the right side.</p>
                        <b>Deprecation Comment:</b>This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SubjectBodyPosition"/>
            </conceptRelationship>
            <conceptProperty name="deprecationDate" value="2009-07-12"/>
            <conceptProperty name="internalId" value="21938"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="right lateral decubitus"/>
            <code code="RLD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A Region of Interest (ROI) specified for a multidimensional observation, such as an Observation Series (OBSSER). The ROI is specified using a set of observation criteria, each delineating the boundary of the region in one of the dimensions in the multidimensional observation. The relationship between a ROI and its referenced Act is specified through an ActRelationship of type subject (SUBJ), which must always be present. Each of the boundary criteria observations is connected with the ROI using ActRelationships of type "has component" (COMP). In each boundary criterion, the Act.code names the dimension and the Observation.value specifies the range of values inside the region. Typically the bounded dimension is continuous, and so the Observation.value will be an interval (IVL) data type. The Observation.value need not be specified if the respective dimension is only named but not constrained. For example, an ROI for the QT interval of a certain beat in ECG Lead II would contain 2 boundary criteria, one naming the interval in time (constrained), and the other naming the interval in ECG Lead II (only named, but not constrained).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActClassROI"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17895"/>
            <conceptProperty name="Name:Class" value="BoundedROI"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="bounded ROI"/>
            <code code="ROIBND" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A Region of Interest (ROI) specified for an image using an overlay shape. Typically used to make reference to specific regions in images, e.g., to specify the location of a radiologic finding in an image or to specify the site of a physical finding by "circling" a region in a schematic picture of a human body. The units of the coordinate values are in pixels. The origin is in the upper left hand corner, with positive X values going to the right and positive Y values going down. The relationship between a ROI and its referenced Act is specified through an ActRelationship of type "subject" (SUBJ), which must always be present.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActClassROI"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16392"/>
            <conceptProperty name="Name:Class" value="OverlayROL"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="overlay ROI"/>
            <code code="ROIOVL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Lying on the back, on an inclined plane, typically about 30-45 degrees with head raised and feet lowered.</p>
                        <b>Deprecation Comment:</b>This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SUP"/>
            </conceptRelationship>
            <conceptProperty name="deprecationDate" value="2009-07-12"/>
            <conceptProperty name="internalId" value="21937"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="reverse trendelenburg"/>
            <code code="RTRD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The act of introducing or otherwise applying a substance to the subject.</p>
                        <i>Discussion:</i>The effect of the substance is typically established on a biochemical basis, however, that is not a requirement. For example, radiotherapy can largely be described in the same way, especially if it is a systemic therapy such as radio-iodine. This class also includes the application of chemical treatments to an area.<i>Examples:</i>Chemotherapy protocol; Drug prescription; Vaccination record</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PROC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11528"/>
            <conceptProperty name="Name:Class" value="SubstanceAdministration"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="substance administration"/>
            <code code="SBADM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The act of removing a substance from the subject.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PROC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22832"/>
            <conceptProperty name="Name:Class" value="SubstanceExtraction"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="Substance Extraction"/>
            <code code="SBEXT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**An ethical or clinical obligation, requirement, rule, or expectation imposed or strongly encouraged by organizations that oversee particular clinical domains or provider certification which define the boundaries within which a provider may practice and which may have legal basis or ramifications on:</p>
                        <p>* The activity of another party * The behavior of another party * The manner in which an act is executed</p>
                        <p>**Examples:**An ethical obligation for a provider to fully inform a patient about all treatment options. An ethical obligation for a provider not to disclose personal health information that meets certain criteria, e.g., where disclosure might result in harm to the patient or another person. The set of health care services which a provider is credentialed or privileged to provide.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="POLICY"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21984"/>
            <conceptProperty name="Name:Class" value="ScopeOfPracticePolicy"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="scope of practice policy"/>
            <code code="SCOPOL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A sequence of biomolecule like the DNA, RNA, protein and the like.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="GEN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21998"/>
            <conceptProperty name="Name:Class" value="BioSequence"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="bio sequence"/>
            <code code="SEQ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A variation in a sequence as described by BioSequence.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="GEN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21999"/>
            <conceptProperty name="Name:Class" value="BioSequenceVariation"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="bio sequence variation"/>
            <code code="SEQVAR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A semi-sitting position in bed with the head of the bed elevated approximately 45 degrees.</p>
                        <b>Deprecation Comment:</b>This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SubjectBodyPosition"/>
            </conceptRelationship>
            <conceptProperty name="deprecationDate" value="2009-07-12"/>
            <conceptProperty name="internalId" value="21940"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="Semi-Fowler's"/>
            <code code="SFWL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Resting the body on the buttocks, typically with upper torso erect or semi erect.</p>
                        <b>Deprecation Comment:</b>This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SubjectBodyPosition"/>
            </conceptRelationship>
            <conceptProperty name="deprecationDate" value="2009-07-12"/>
            <conceptProperty name="internalId" value="21933"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="sitting"/>
            <code code="SIT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An observation on a specimen in a laboratory environment that may affect processing, analysis or result interpretation</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OBS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="13949"/>
            <conceptProperty name="Name:Class" value="SpecimenObservation"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="specimen observation"/>
            <printName language="en" preferredForLanguage="false" text="ActClassSpecObs"/>
            <code code="SPCOBS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A procedure or treatment performed on a specimen to prepare it for analysis</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14023"/>
            <conceptProperty name="Name:Class" value="SpecimenTreatment"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="specimen treatment"/>
            <code code="SPCTRT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A procedure for obtaining a specimen from a source entity.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SBEXT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21457"/>
            <conceptProperty name="Name:Class" value="SpecimenCollection"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="Specimen Collection"/>
            <code code="SPECCOLLECT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supply orders and deliveries are simple Acts that focus on the delivered product. The product is associated with the Supply Act via Participation.typeCode="product". With general Supply Acts, the precise identification of the Material (manufacturer, serial numbers, etc.) is important. Most of the detailed information about the Supply should be represented using the Material class. If delivery needs to be scheduled, tracked, and billed separately, one can associate a Transportation Act with the Supply Act. Pharmacy dispense services are represented as Supply Acts, associated with a SubstanceAdministration Act. The SubstanceAdministration class represents the administration of medication, while dispensing is supply.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11535"/>
            <conceptProperty name="Name:Class" value="Supply"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="supply"/>
            <code code="SPLY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Sender transmits a status change pertaining to the focal act of the payload. This status of the focal act is the final state of the state transition. This can be either a request or an event, according to the mood of the control act.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18954"/>
            <conceptProperty name="Name:Class" value="StateTransitionControlAct"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="state transition control"/>
            <code code="STC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A requirement, rule, or expectation typically documented as guidelines, protocols, or formularies imposed or strongly encouraged by an organization that oversees or has authority over the practices within a domain, and which may have legal basis or ramifications on:</p>
                        <p>* The activity of another party * The behavior of another party * The manner in which an act is executed</p>
                        <p>**Examples:**A payer may require a prescribing provider to adhere to formulary guidelines. An institution may adopt clinical guidelines and protocols and implement these within its electronic health record and decision support systems.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="POLICY"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21985"/>
            <conceptProperty name="Name:Class" value="StandardOfPracticePolicy"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="standard of practice policy"/>
            <code code="STDPOL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To be stationary, upright, vertical, on one's legs.</p>
                        <b>Deprecation Comment:</b>This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SubjectBodyPosition"/>
            </conceptRelationship>
            <conceptProperty name="deprecationDate" value="2009-07-12"/>
            <conceptProperty name="internalId" value="21934"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="standing"/>
            <code code="STN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The act of putting something away for safe keeping. The "something" may be physical object such as a specimen, or information, such as observations regarding a specimen.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22826"/>
            <conceptProperty name="Name:Class" value="Storage"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="storage"/>
            <code code="STORE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Definition: Indicates that the subject Act has undergone or should undergo substitution of a type indicated by Act.code.</p>
                        <p>Rationale: Used to specify "allowed" substitution when creating orders, "actual" susbstitution when sending events, as well as the reason for the substitution and who was responsible for it.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20094"/>
            <conceptProperty name="Name:Class" value="Substitution"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="Substitution"/>
            <code code="SUBST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Deprecation Comment:</b>This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SubjectBodyPosition"/>
            </conceptRelationship>
            <conceptProperty name="deprecationDate" value="2009-07-12"/>
            <conceptProperty name="internalId" value="21935"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="supine"/>
            <code code="SUP" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="14782"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <code code="TBLCOL" status="retired"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="14783"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <code code="TBLCOLGP" status="retired"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="14776"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <code code="TBLDATA" status="retired"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="14775"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <code code="TBLHDR" status="retired"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="14778"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <code code="TBLROW" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>
                        <p>A transmission exposure act describes the proximity (time and location) over which the participating source entity was capable of transmitting a physical (including energy), chemical or biological substance agent to another entity. The transmission exposure act is used in conjunction with acquisition exposure acts as part of an analysis technique for contact tracing. Although an exposure can be decomposed into transmission and acquisition exposures, there is no requirement that all exposures be treated in this fashion.</p>
                        <b>Constraints:</b>The Transmission Exposure inherits the participation constraints that apply to Exposure with the following exception. The EXPTRGT (exposure target) participation must never be associated with the Transmission Exposure either directly or via context conduction.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="EXPOS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22348"/>
            <conceptProperty name="Name:Class" value="TransmissionExposure"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="transmission exposure"/>
            <code code="TEXPOS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A group of entries within a composition that are related to a common clinical theme - such as a specific disorder or problem, prevention, screening and provision of contraceptive services.</p>
                        <p>A topic may contain categories and entries.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CONTAINER"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20085"/>
            <conceptProperty name="Name:Class" value="Topic"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="topic"/>
            <code code="TOPIC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Lying on the back, on an inclined plane, typically about 30-45 degrees, with head lowered and feet raised.</p>
                        <b>Deprecation Comment:</b>This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SUP"/>
            </conceptRelationship>
            <conceptProperty name="deprecationDate" value="2009-07-12"/>
            <conceptProperty name="internalId" value="21936"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="trendelenburg"/>
            <code code="TRD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>The act of transferring information without the intent of imparting understanding about a topic to the subject that is the recipient or holder of the transferred information where the participation association must be RCV or HLD.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22186"/>
            <conceptProperty name="Name:Class" value="Transfer"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="transfer"/>
            <code code="TRFR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Transportation is the moving of a payload (people or material) from a location of origin to a destination location. Thus, any transport service has the three target instances of type payload, origin, and destination, besides the targets that are generally used for any service (i.e., performer, device, etc.)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11539"/>
            <conceptProperty name="Name:Class" value="Transportation"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="transportation"/>
            <code code="TRNS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An act which describes the process whereby a 'verifying party' validates either the existence of the Role attested to by some Credential or the actual Vetting act and its details.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OBS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21304"/>
            <conceptProperty name="Name:Class" value="Verfication"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="Verification"/>
            <code code="VERIF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A sub-class of Act representing any transaction between two accounts whose value is measured in monetary terms.</p>
                        <p>In the "intent" mood, communicates a request for a transaction to be initiated, or communicates a transfer of value between two accounts.</p>
                        <p>In the "event" mood, communicates the posting of a transaction to an account.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11545"/>
            <conceptProperty name="Name:Class" value="FinancialTransaction"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="financial transaction"/>
            <code code="XACT" status="active"/>
         </concept>
         <concept isSelectable="false">
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20848"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="ActClassContainer"/>
            <code code="_ActClassContainer" status="retired"/>
            <code code="_ActContainer" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Regions of Interest (ROI) within a subject Act. Primarily used for making secondary observations on a subset of a subject observation. The relationship between a ROI and its referenced Act is specified through an ActRelationship of type "subject" (SUBJ), which must always be present.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OBS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20847"/>
            <conceptProperty name="Name:Class" value="RegionOfInterest"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="ActClassROI"/>
            <code code="_ActClassROI" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Used to group a set of acts sharing a common context. Organizer structures can nest within other context structures - such as where a document is contained within a folder, or a folder is contained within an EHR extract.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22711"/>
            <conceptProperty name="Name:Class" value="RecordOrganizer"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="record organizer"/>
            <code code="_ActClassRecordOrganizer" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A code specifying qualitatively the spatial relation between imaged object and imaging film or detector.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SubjectPhysicalPosition"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21931"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="imaging subject orientation"/>
            <code code="_ImagingSubjectOrientation" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Contains codes for defining the observed, physical position of a subject, such as during an observation, assessment, collection of a specimen, etc. ECG waveforms and vital signs, such as blood pressure, are two examples where a general, observed position typically needs to be noted.</p>
                        <b>Deprecation Comment:</b>This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SubjectPhysicalPosition"/>
            </conceptRelationship>
            <conceptProperty name="deprecationDate" value="2009-07-12"/>
            <conceptProperty name="internalId" value="21930"/>
            <conceptProperty name="Name:Class" value="SubjectBodyPosition"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="subject body position"/>
            <code code="_SubjectBodyPosition" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The spatial relationship of a subject whether human, other animal, or plant, to a frame of reference such as gravity or a collection device.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OBS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21929"/>
            <conceptProperty name="Name:Class" value="SubjectPhysicalPosition"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="subject physical position"/>
            <code code="_SubjectPhysicalPosition" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="10979"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <code code="ordered" status="retired"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="11009"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <code code="tbody" status="retired"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="11010"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <code code="tfoot" status="retired"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="11011"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <code code="thead" status="retired"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="10980"/>
            <conceptProperty name="Name:Participation:act:Act" value="&amp;"/>
            <code code="unordered" status="retired"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="ActCode" title="ActCode" codeSystemId="2.16.840.1.113883.5.4">
      <historyItem dateTime="2020-05-06" id="v3-ActCode-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A code specifying the particular kind of Act that the Act-instance represents within its class.</p>
                  <i>Constraints:</i>The kind of Act (e.g. physical examination, serum potassium, inpatient encounter, charge financial transaction, etc.) is specified with a code from one of several, typically external, coding systems. The coding system will depend on the class of Act, such as LOINC for observations, etc.<p>Conceptually, the Act.code must be a specialization of the Act.classCode. This is why the structure of ActClass domain should be reflected in the superstructure of the ActCode domain and then individual codes or externally referenced vocabularies subordinated under these domains that reflect the ActClass structure.</p>
                  <p>Act.classCode and Act.code are not modifiers of each other but the Act.code concept should really imply the Act.classCode concept. For a negative example, it is not appropriate to use an Act.code "potassium" together with and Act.classCode for "laboratory observation" to somehow mean "potassium laboratory observation" and then use the same Act.code for "potassium" together with Act.classCode for "medication" to mean "substitution of potassium". This mutually modifying use of Act.code and Act.classCode is not permitted.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2023-05-30" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Specializes" name="ClassifiesClassCode">
            <description>The child code is a classification of the particular class group identified by the 'classCode' in a RIM class as the parent code. Used only in RIM backbone classes to link the code and classCode values.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>A property that indicates the status of the concept. One of active, experimental, deprecated, or retired.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="synonymCode" type="Token" isMandatoryIndicator="false">
            <description>An additional concept code that was also attributed to a concept</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Confirmed drug therapy appropriate</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActDetectedIssueManagementCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16696"/>
            <printName language="en" preferredForLanguage="true" text="Therapy Appropriate"/>
            <code code="1" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Provided education or training to the patient on appropriate therapy use</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16705"/>
            <printName language="en" preferredForLanguage="true" text="Provided Patient Education"/>
            <code code="10" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Instituted an additional therapy to mitigate potential negative effects</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16706"/>
            <printName language="en" preferredForLanguage="true" text="Added Concurrent Therapy"/>
            <code code="11" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Suspended existing therapy that triggered interaction for the duration of this therapy</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16707"/>
            <printName language="en" preferredForLanguage="true"
                       text="Temporarily Suspended Concurrent Therapy"/>
            <code code="12" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Aborted existing therapy that triggered interaction.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16708"/>
            <printName language="en" preferredForLanguage="true" text="Stopped Concurrent Therapy"/>
            <code code="13" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Confirmed supply action appropriate</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActDetectedIssueManagementCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16709"/>
            <printName language="en" preferredForLanguage="true" text="Supply Appropriate"/>
            <code code="14" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Patient's existing supply was lost/wasted</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="14"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16710"/>
            <printName language="en" preferredForLanguage="true" text="Replacement"/>
            <code code="15" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supply date is due to patient vacation</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="14"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16711"/>
            <printName language="en" preferredForLanguage="true" text="Vacation Supply"/>
            <code code="16" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supply date is intended to carry patient over weekend</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="14"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16712"/>
            <printName language="en" preferredForLanguage="true" text="Weekend Supply"/>
            <code code="17" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supply is intended for use during a leave of absence from an institution.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="14"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17835"/>
            <printName language="en" preferredForLanguage="true" text="Leave of Absence"/>
            <code code="18" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Consulted other supplier/pharmacy, therapy confirmed</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17836"/>
            <printName language="en" preferredForLanguage="true" text="Consulted Supplier"/>
            <code code="19" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Assessed patient, therapy is appropriate</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16697"/>
            <printName language="en" preferredForLanguage="true" text="Assessed Patient"/>
            <code code="2" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Supply is different than expected as an additional quantity has been supplied in a separate dispense.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="14"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22813"/>
            <printName language="en" preferredForLanguage="true"
                       text="additional quantity on separate dispense"/>
            <code code="20" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Indicates that the permissions have been externally verified and the request should be processed.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="EMAUTH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22812"/>
            <printName language="en" preferredForLanguage="true" text="authorization confirmed"/>
            <code code="21" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**Estimated age.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_LOINCObservationActContextAgeType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21630"/>
            <printName language="en" preferredForLanguage="true" text="age patient qn est"/>
            <code code="21611-9" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**Reported age.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_LOINCObservationActContextAgeType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21631"/>
            <printName language="en" preferredForLanguage="true" text="age patient qn reported"/>
            <code code="21612-7" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The patient has the appropriate indication or diagnosis for the action to be taken.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22814"/>
            <printName language="en" preferredForLanguage="true"
                       text="appropriate indication or diagnosis"/>
            <code code="22" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>It has been confirmed that the appropriate pre-requisite therapy has been tried.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22815"/>
            <printName language="en" preferredForLanguage="true" text="prior therapy documented"/>
            <code code="23" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**Calculated age.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_LOINCObservationActContextAgeType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21632"/>
            <printName language="en" preferredForLanguage="true" text="age patient qn calc"/>
            <code code="29553-5" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Patient gave adequate explanation</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16698"/>
            <printName language="en" preferredForLanguage="true" text="Patient Explanation"/>
            <code code="3" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**General specification of age with no implied method of determination.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_LOINCObservationActContextAgeType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21629"/>
            <printName language="en" preferredForLanguage="true" text="age patient qn definition"/>
            <code code="30525-0" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**Age at onset of associated adverse event; no implied method of determination.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_LOINCObservationActContextAgeType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21633"/>
            <printName language="en" preferredForLanguage="true" text="age at onset of adverse event"/>
            <code code="30972-4" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Consulted other supply source, therapy still appropriate</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16699"/>
            <printName language="en" preferredForLanguage="true" text="Consulted Other Source"/>
            <code code="4" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A code representing 42 CFR Part 2 Confidentiality of Substance Use Disorder Patient Records. 42 CFR Part 2 stipulates the privacy rights of an individual who has applied for or been given diagnosis or treatment for alcohol or drug abuse at a federally assisted program, which includes non-disclosure of health information relating to health care paid for by a federally assisted substance use disorder program without patient consent. https://www.gpo.gov/fdsys/pkg/CFR-2010-title42-vol1/pdf/CFR-2010-title42-vol1-part2.pdf</p>
                        <i>Usage Note:</i>Used to indicate the legal authority for assigning security labels to governed information. In this case, the collection, access, use, and disclosure of healthcare information is governed by 42 CFR Part 2 Confidentiality of Substance Use Disorder Patient Records https://www.gpo.gov/fdsys/pkg/CFR-2010-title42-vol1/pdf/CFR-2010-title42-vol1-part2.pdf use "42CFRPart2" as the security label policy code.<p>Since information governed by a 42 CFR Part 2 has a level of confidentiality protection that is more stringent than the normal level of protection under HIPAA 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf assign the HL7 Confidentiality code "R" (restricted).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActUSPrivacyLaw"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23761"/>
            <printName language="en" preferredForLanguage="true" text="42 CFR Part2"/>
            <code code="42CFRPart2" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A code representing an individual's privacy consent directive that complies with 42 CFR Part 2.31 Consent requirements https://www.gpo.gov/fdsys/pkg/CFR-2017-title42-vol1/pdf/CFR-2017-title42-vol1-sec2-31.pdf, which is a US Federal law stipulating the policy elements of a written consent to a disclosure under the regulations in Part 2.</p>
                        <p>(1) The name of the patient. (2) The specific name(s) or general designation(s) of the part 2 program(s), entity(ies), or individual(s) permitted to make the disclosure. (3) How much and what kind of information is to be disclosed, including an explicit description of the substance use disorder information that may be disclosed. (4) (i) The name(s) of the individual(s) to whom a disclosure is to be made; or (ii)Entities with a treating provider relationship with the patient. If the recipient entity has a treating provider relationship with the patient whose information is being disclosed, such as a hospital, a health care clinic, or a private practice, the name of that entity; or (iii)Entities without a treating provider relationship with the patient. (A) If the recipient entity does not have a treating provider relationship with the patient whose information is being disclosed and is a third-party payer, the name of the entity; or (B) If the recipient entity does not have a treating provider relationship with the patient whose information is being disclosed and is not covered by paragraph (a)(4)(iii)(A) of this section, such as an entity that facilitates the exchange of health information or a research institution, the name(s) of the entity(-ies); and (1) The name(s) of an individual participant(s); or (2) The name(s) of an entity participant(s) that has a treating provider relationship with the patient whose information is being disclosed; or (3) A general designation of an individual or entity participant(s) or class of participants that must be limited to a participant(s) who has a treating provider relationship with the patient whose information is being disclosed. (i) When using a general designation, a statement must be included on the consent form that the patient (or other individual authorized to sign in lieu of the patient), confirms their understanding that, upon their request and consistent with this part, they must be provided a list of entities to which their information has been disclosed pursuant to the general designation (see Section 2.13(d)). (ii) \[Reserved\] (5) The purpose of the disclosure. In accordance with Section 2.13(a), the disclosure must be limited to that information which is necessary to carry out the stated purpose. (6) A statement that the consent is subject to revocation at any time except to the extent that the part 2 program or other lawful holder of patient identifying information that is permitted to make the disclosure has already acted in reliance on it. Acting in reliance includes the provision of treatment services in reliance on a valid consent to disclose information to a third-party payer (7) The date, event, or condition upon which the consent will expire if not revoked before. This date, event, or condition must ensure that the consent will last no longer than reasonably necessary to serve the purpose for which it is provided. (8) The signature of the patient and, when required for a patient who is a minor, the signature of an individual authorized to give consent under Section 2.14; or, when required for a patient who is incompetent or deceased, the signature of an individual authorized to sign under Section 2.15. Electronic signatures are permitted to the extent that they are not prohibited by any applicable law. (9) The date on which the consent is signed.</p>
                        <i>Usage Note:</i>Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by an individual's 42 CFR Part 2.31 consent directive, "42CFRPart2CD" as the security label policy code.<p>Since information governed by an individual's 42 CFR Part 2.31 consent directive has a level of confidentiality protection that is more stringent than the normal level of protection under HIPAA 45 CFR § 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code "R" (restricted).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActUSPrivacyConsentDirective"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24100"/>
            <printName language="en" preferredForLanguage="true"
                       text="42 CFR Part 2 consent directive"/>
            <code code="42CFRPart2CD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Consulted prescriber, therapy confirmed</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16700"/>
            <printName language="en" preferredForLanguage="true" text="Consulted Prescriber"/>
            <code code="5" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Consulted prescriber and recommended change, prescriber declined</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="5"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16701"/>
            <printName language="en" preferredForLanguage="true" text="Prescriber Declined Change"/>
            <code code="6" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Concurrent therapy triggering alert is no longer on-going or planned</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16702"/>
            <printName language="en" preferredForLanguage="true"
                       text="Interacting Therapy No Longer Active/Planned"/>
            <code code="7" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Order is performed as issued, but other action taken to mitigate potential adverse effects</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActDetectedIssueManagementCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16703"/>
            <printName language="en" preferredForLanguage="true" text="Other Action Taken"/>
            <code code="8" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Arranged to monitor patient for adverse effects</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16704"/>
            <printName language="en" preferredForLanguage="true"
                       text="Instituted Ongoing Monitoring Program"/>
            <code code="9" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The invoice element has been accepted for payment but one or more adjustment(s) have been made to one or more invoice element line items (component charges).</p>
                        <p>Also includes the concept 'Adjudicate as zero' and items not covered under a particular Policy.</p>
                        <p>Invoice element can be reversed (nullified).</p>
                        <p>Recommend that the invoice element is saved for DUR (Drug Utilization Reporting).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActAdjudicationCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19347"/>
            <printName language="en" preferredForLanguage="true" text="adjudicated with adjustments"/>
            <code code="AA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionProgramCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21868"/>
            <printName language="en" preferredForLanguage="true"
                       text="accredited assisted living care"/>
            <code code="AALC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionProgramCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21867"/>
            <printName language="en" preferredForLanguage="true" text="accredited ambulatory care"/>
            <code code="AAMC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionProgramCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21869"/>
            <printName language="en" preferredForLanguage="true"
                       text="accredited behavioral health care"/>
            <code code="ABHC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The proposed therapy is frequently misused or abused and therefore should be used with caution and/or monitoring.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="COMPLY"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21670"/>
            <printName language="en" preferredForLanguage="true" text="commonly abused/misused alert"/>
            <code code="ABUSE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionProgramCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21870"/>
            <printName language="en" preferredForLanguage="true"
                       text="accredited critical access hospital care"/>
            <code code="ACAC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Provide consent to collect, use, disclose, or access adverse drug reaction information for a patient.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationAccessCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22245"/>
            <printName language="en" preferredForLanguage="true" text="adverse drug reaction access"/>
            <code code="ACADR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Provide consent to collect, use, disclose, or access all information for a patient.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationAccessCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22868"/>
            <printName language="en" preferredForLanguage="true" text="all access"/>
            <code code="ACALL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Provide consent to collect, use, disclose, or access allergy information for a patient.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationAccessCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22246"/>
            <printName language="en" preferredForLanguage="true" text="allergy access"/>
            <code code="ACALLG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An access control policy specific to the type of access control scheme, which is used to enforce one or more authorization policies.</p>
                        <i>Usage Note:</i>Access control schemes are the type of access control policy, which is comprised of access control policy rules concerning the provision of the access control service.<p>There are two categories of access control policies, rule-based and identity-based, which are identified in CCITT Rec. X.800 aka ISO 7498-2. Rule-based access control policies are intended to apply to all access requests by any initiator on any target in a security domain. Identity-based access control policies are based on rules specific to an individual initiator, a group of initiators, entities acting on behalf of initiators, or originators acting in a specific role. Context can modify rule-based or identity-based access control policies. Context rules may define the entire policy in effect. Real systems will usually employ a combination of these policy types; if a rule-based policy is used, then an identity-based policy is usually in effect also.</p>
                        <p>An access control scheme may be based on access control lists, capabilities, labels, and context or a combination of these. An access control scheme is a component of an access control mechanism or "service") along with the supporting mechanisms required by that scheme to provide access control decision information (ADI) supplied by the scheme to the access decision facility (ADF also known as a PDP). (Based on ISO/IEC 10181-3:1996)</p>
                        <b>Examples:</b>
                        <p>* Attribute Based Access Control (ABAC) * Discretionary Access Control (DAC) * History Based Access Control (HBAC) * Identity Based Access Control (IBAC) * Mandatory Access Control (MAC) * Organization Based Access Control (OrBAC) * Relationship Based Access Control (RelBac) * Responsibility Based Access Control (RespBAC) * Risk Adaptable Access Control (RAdAC)</p>
                        <p>&gt;</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AUTHPOL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23935"/>
            <printName language="en" preferredForLanguage="true" text="access control scheme"/>
            <code code="ACCESSCONSCHEME" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Provide consent to collect, use, disclose, or access informational consent information for a patient.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationAccessCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22869"/>
            <printName language="en" preferredForLanguage="true" text="informational consent access"/>
            <code code="ACCONS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An account for collecting charges, reversals, adjustments and payments, including deductibles, copayments, coinsurance (financial transactions) credited or debited to the account receivable account for a patient's encounter.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActAccountCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21361"/>
            <printName language="en" preferredForLanguage="true" text="account receivable"/>
            <code code="ACCTRECEIVABLE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Provide consent to collect, use, disclose, or access demographics information for a patient.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationAccessCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22254"/>
            <printName language="en" preferredForLanguage="true" text="demographics access"/>
            <code code="ACDEMO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Provide consent to collect, use, disclose, or access diagnostic imaging information for a patient.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationAccessCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22810"/>
            <printName language="en" preferredForLanguage="true" text="diagnostic imaging access"/>
            <code code="ACDI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Automated Clearing House (ACH).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActPaymentCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17611"/>
            <printName language="en" preferredForLanguage="true" text="Automated Clearing House"/>
            <code code="ACH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionProgramCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21872"/>
            <printName language="en" preferredForLanguage="true" text="accredited hospital care"/>
            <code code="ACHC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The lowering of specimen pH through the addition of an acid</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActSpecimenTreatmentCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14044"/>
            <printName language="en" preferredForLanguage="true" text="Acidification"/>
            <code code="ACID" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Provide consent to collect, use, disclose, or access immunization information for a patient.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationAccessCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22255"/>
            <printName language="en" preferredForLanguage="true" text="immunization access"/>
            <code code="ACIMMUN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Provide consent to collect, use, disclose, or access lab test result information for a patient.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationAccessCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22247"/>
            <printName language="en" preferredForLanguage="true" text="lab test result access"/>
            <code code="ACLAB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Provide consent to collect, use, disclose, or access medical condition information for a patient.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationAccessCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22248"/>
            <printName language="en" preferredForLanguage="true" text="medication access"/>
            <code code="ACMED" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Provide consent to view or access medical condition information for a patient.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationAccessCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22249"/>
            <printName language="en" preferredForLanguage="true" text="medical condition access"/>
            <code code="ACMEDC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Provide consent to collect, use, disclose, or access mental health information for a patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationAccessCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22904"/>
            <printName language="en" preferredForLanguage="true" text="mental health access"/>
            <code code="ACMEN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Provide consent to collect, use, disclose, or access common observation information for a patient.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationAccessCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22253"/>
            <printName language="en" preferredForLanguage="true" text="common observations access"/>
            <code code="ACOBS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A group of health care entities, which may include health care providers, care givers, hospitals, facilities, health plans, and other health care constituents who coordinate care for reimbursement based on quality metrics for improving outcomes and lowering costs, and may be authorized to access the consumer's health information because of membership in that group.</p>
                        <p>Security Compartment Labels assigned to a consumer's information use in accountable care workflows should be met or exceeded by the Security Compartment attribute claimed by a participant in a an accountable care workflow who is requesting access to that information</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="COMPT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23880"/>
            <printName language="en" preferredForLanguage="true"
                       text="accountable care organization compartment"/>
            <code code="ACOCOMPT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Provide consent to collect, use, disclose, or access coverage policy or program for a patient.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationAccessCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22252"/>
            <printName language="en" preferredForLanguage="true"
                       text="policy or program information access"/>
            <code code="ACPOLPRG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Provide consent to collect, use, disclose, or access provider information for a patient.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationAccessCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22251"/>
            <printName language="en" preferredForLanguage="true" text="provider information access"/>
            <code code="ACPROV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Provide consent to collect, use, disclose, or access professional service information for a patient.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationAccessCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22250"/>
            <printName language="en" preferredForLanguage="true" text="professional service access"/>
            <code code="ACPSERV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Provide consent to collect, use, disclose, or access substance abuse information for a patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationAccessCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22905"/>
            <printName language="en" preferredForLanguage="true" text="substance abuse access"/>
            <code code="ACSUBSTAB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**A list of medications which the patient is only expected to consume for the duration of the current order or limited set of orders and which is not expected to be renewed.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActMedicationTherapyDurationWorkingListCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21756"/>
            <printName language="en" preferredForLanguage="true" text="short term/acute"/>
            <code code="ACU" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An acute inpatient encounter.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="IMP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="13956"/>
            <printName language="en" preferredForLanguage="true" text="inpatient acute"/>
            <code code="ACUTE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed therapy is outside of the standard practice for an adult patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AGE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23556"/>
            <printName language="en" preferredForLanguage="true" text="adult alert"/>
            <code code="ADALRT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InvoiceElementAdjudicated"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20007"/>
            <printName language="en" preferredForLanguage="true"
                       text="adjud. nullified prior-period electronic amount"/>
            <code code="ADCNPPELAT" status="retired"/>
            <code code="ADNFPPELAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InvoiceElementAdjudicated"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20006"/>
            <printName language="en" preferredForLanguage="true"
                       text="adjud. nullified prior-period electronic count"/>
            <code code="ADCNPPELCT" status="retired"/>
            <code code="ADNFPPELCT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InvoiceElementAdjudicated"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20009"/>
            <printName language="en" preferredForLanguage="true"
                       text="adjud. nullified prior-period manual amount"/>
            <code code="ADCNPPMNAT" status="retired"/>
            <code code="ADNFPPMNAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InvoiceElementAdjudicated"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20008"/>
            <printName language="en" preferredForLanguage="true"
                       text="adjud. nullified prior-period manual count"/>
            <code code="ADCNPPMNCT" status="retired"/>
            <code code="ADNFPPMNCT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InvoiceElementAdjudicated"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20005"/>
            <printName language="en" preferredForLanguage="true"
                       text="adjud. nullified same-period electronic amount"/>
            <code code="ADCNSPELAT" status="retired"/>
            <code code="ADNFSPELAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InvoiceElementAdjudicated"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20004"/>
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            <code code="ADCNSPELCT" status="retired"/>
            <code code="ADNFSPELCT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InvoiceElementAdjudicated"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20011"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="ADNFSPMNAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InvoiceElementAdjudicated"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20010"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="ADCNSPMNCT" status="retired"/>
            <code code="ADNFSPMNCT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Admitting diagnosis are the diagnoses documented for administrative purposes as the basis for a hospital admission.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationDiagnosisTypes"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DX"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16839"/>
            <printName language="en" preferredForLanguage="true" text="admitting diagnosis"/>
            <code code="ADMDX" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InvoiceElementAdjudicated"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17544"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="ADNPPPELAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InvoiceElementAdjudicated"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17543"/>
            <printName language="en" preferredForLanguage="true"
                       text="adjud. non-payee payable prior-period electronic count"/>
            <code code="ADNPPPELCT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InvoiceElementAdjudicated"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17546"/>
            <printName language="en" preferredForLanguage="true"
                       text="adjud. non-payee payable prior-period manual amount"/>
            <code code="ADNPPPMNAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InvoiceElementAdjudicated"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17545"/>
            <printName language="en" preferredForLanguage="true"
                       text="adjud. non-payee payable prior-period manual count"/>
            <code code="ADNPPPMNCT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InvoiceElementAdjudicated"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17540"/>
            <printName language="en" preferredForLanguage="true"
                       text="adjud. non-payee payable same-period electronic amount"/>
            <code code="ADNPSPELAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InvoiceElementAdjudicated"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17539"/>
            <printName language="en" preferredForLanguage="true"
                       text="adjud. non-payee payable same-period electronic count"/>
            <code code="ADNPSPELCT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InvoiceElementAdjudicated"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17542"/>
            <printName language="en" preferredForLanguage="true"
                       text="adjud. non-payee payable same-period manual amount"/>
            <code code="ADNPSPMNAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InvoiceElementAdjudicated"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17541"/>
            <printName language="en" preferredForLanguage="true"
                       text="adjud. non-payee payable same-period manual count"/>
            <code code="ADNPSPMNCT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy for handling information related to an adolescent, which will be afforded heightened confidentiality per applicable organizational or jurisdictional policy. An enterprise may have a policy that requires that adolescent patient information be provided heightened confidentiality. Information deemed sensitive typically includes health information and patient role information including patient status, demographics, next of kin, and location.</p>
                        <i>Usage Note:</i>For use within an enterprise in which an adolescent is the information subject. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InformationSensitivityPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23330"/>
            <printName language="en" preferredForLanguage="true"
                       text="adolescent information sensitivity"/>
            <code code="ADOL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InvoiceElementAdjudicated"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17536"/>
            <printName language="en" preferredForLanguage="true"
                       text="adjud. payee payable prior-period electronic amount"/>
            <code code="ADPPPPELAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InvoiceElementAdjudicated"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17535"/>
            <printName language="en" preferredForLanguage="true"
                       text="adjud. payee payable prior-period electronic count"/>
            <code code="ADPPPPELCT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InvoiceElementAdjudicated"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17538"/>
            <printName language="en" preferredForLanguage="true"
                       text="adjud. payee payable prior-period manual amout"/>
            <code code="ADPPPPMNAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InvoiceElementAdjudicated"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17537"/>
            <printName language="en" preferredForLanguage="true"
                       text="adjud. payee payable prior-period manual count"/>
            <code code="ADPPPPMNCT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InvoiceElementAdjudicated"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17532"/>
            <printName language="en" preferredForLanguage="true"
                       text="adjud. payee payable same-period electronic amount"/>
            <code code="ADPPSPELAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InvoiceElementAdjudicated"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17531"/>
            <printName language="en" preferredForLanguage="true"
                       text="adjud. payee payable same-period electronic count"/>
            <code code="ADPPSPELCT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InvoiceElementAdjudicated"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17534"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="ADPPSPMNAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InvoiceElementAdjudicated"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17533"/>
            <printName language="en" preferredForLanguage="true"
                       text="adjud. payee payable same-period manual count"/>
            <code code="ADPPSPMNCT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total net amount of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted electronically.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InvoiceElementAdjudicated"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17560"/>
            <printName language="en" preferredForLanguage="true"
                       text="adjud. refused prior-period electronic amount"/>
            <code code="ADRFPPELAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total number of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted electronically.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InvoiceElementAdjudicated"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17559"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="ADRFPPELCT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total net amount of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted manually.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
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            </conceptRelationship>
            <conceptProperty name="internalId" value="17562"/>
            <printName language="en" preferredForLanguage="true"
                       text="adjud. refused prior-period manual amount"/>
            <code code="ADRFPPMNAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total number of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted manually.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InvoiceElementAdjudicated"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17561"/>
            <printName language="en" preferredForLanguage="true"
                       text="adjud. refused prior-period manual count"/>
            <code code="ADRFPPMNCT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total net amount of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted electronically.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InvoiceElementAdjudicated"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17556"/>
            <printName language="en" preferredForLanguage="true"
                       text="adjud. refused same-period electronic amount"/>
            <code code="ADRFSPELAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total number of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted electronically.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
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            </conceptRelationship>
            <conceptProperty name="internalId" value="17555"/>
            <printName language="en" preferredForLanguage="true"
                       text="adjud. refused same-period electronic count"/>
            <code code="ADRFSPELCT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total net amount of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted manually.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InvoiceElementAdjudicated"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17558"/>
            <printName language="en" preferredForLanguage="true"
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         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total number of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted manually.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InvoiceElementAdjudicated"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17557"/>
            <printName language="en" preferredForLanguage="true"
                       text="adjud. refused same-period manual count"/>
            <code code="ADRFSPMNCT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates that the observation is of an unexpected negative occurrence in the subject suspected to result from the subject's exposure to one or more agents. Observation values would be the symptom resulting from the reaction.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21510"/>
            <printName language="en" preferredForLanguage="true" text="Adverse Reaction"/>
            <code code="ADVERSE_REACTION" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14814"/>
            <printName language="en" preferredForLanguage="true" text="American Express"/>
            <code code="AE" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActPatientTransportationModeCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21551"/>
            <printName language="en" preferredForLanguage="true" text="pedestrian transport"/>
            <code code="AFOOT" status="active"/>
            <code code="OnFoot" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Premium paid on service fees in compensation for practicing outside of normal working hours.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceDetailGenericModifierCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20049"/>
            <printName language="en" preferredForLanguage="true" text="non-normal hours"/>
            <code code="AFTHRS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed therapy may be inappropriate or contraindicated due to patient age</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OBSA"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16669"/>
            <printName language="en" preferredForLanguage="true" text="Age Alert"/>
            <code code="AGE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates that the observation is carrying out an aggregation calculation, contained in the value element.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationQualityMeasureAttribute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23626"/>
            <printName language="en" preferredForLanguage="true" text="aggregate measure observation"/>
            <code code="AGGREGATE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionProgramCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21871"/>
            <printName language="en" preferredForLanguage="true" text="accredited home care"/>
            <code code="AHOC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Communication of an agent from a living subject or environmental source to a living subject through indirect contact via oral or nasal inhalation.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CaseTransmissionMode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21915"/>
            <printName language="en" preferredForLanguage="true" text="airborne transmission"/>
            <code code="AIRTRNS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Provision of Alternate Level of Care to a patient in an acute bed. Patient is waiting for placement in a long-term care facility and is unable to return home.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActMedicalServiceCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17459"/>
            <printName language="en" preferredForLanguage="true" text="Alternative Level of Care"/>
            <code code="ALC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Payment initiated by the payor as the result of adjudicating a submitted invoice that arrived to the payor from an electronic source that did not provide a conformant set of HL7 messages (e.g. web claim submission).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceAdjudicationPaymentGroupCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoicePaymentCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20077"/>
            <printName language="en" preferredForLanguage="true" text="alternate electronic"/>
            <code code="ALEC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Hypersensitivity to an agent caused by an immunologic response to an initial exposure</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OINT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21499"/>
            <printName language="en" preferredForLanguage="true" text="Allergy"/>
            <code code="ALG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to the proposed product. (Allergies are immune based reactions.)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="REACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16674"/>
            <printName language="en" preferredForLanguage="true" text="Allergy Alert"/>
            <code code="ALGY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The act rendering alkaline by impregnating with an alkali; a conferring of alkaline qualities.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActSpecimenTreatmentCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14046"/>
            <printName language="en" preferredForLanguage="true" text="Alkalization"/>
            <code code="ALK" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>All patient information.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationCategoryCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22870"/>
            <printName language="en" preferredForLanguage="true" text="all categories"/>
            <code code="ALLCAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**The requested action has already been performed and so this request has no effect</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SupplyDetectedIssueCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22847"/>
            <printName language="en" preferredForLanguage="true" text="already performed"/>
            <code code="ALLDONE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A person enters a known allergy for a given patient.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PATINFO"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23264"/>
            <printName language="en" preferredForLanguage="true" text="allergy list entry"/>
            <code code="ALLERLE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A person reviews a list of known allergies of a given patient.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PATDOC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23268"/>
            <printName language="en" preferredForLanguage="true" text="allergy list review"/>
            <code code="ALLERLREV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**All information pertaining to a patient's allergy and intolerance records.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationCategoryCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21614"/>
            <printName language="en" preferredForLanguage="true" text="allergy category"/>
            <code code="ALLGCAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**Proposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TIME"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22837"/>
            <printName language="en" preferredForLanguage="true" text="end too late alert"/>
            <code code="ALRTENDLATE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**Proposed therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the condition.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TIME"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22838"/>
            <printName language="en" preferredForLanguage="true" text="start too late alert"/>
            <code code="ALRTSTRTLATE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionProgramCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21873"/>
            <printName language="en" preferredForLanguage="true" text="accredited long term care"/>
            <code code="ALTC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A comprehensive term for health care provided in a healthcare facility (e.g. a practitioneraTMs office, clinic setting, or hospital) on a nonresident basis. The term ambulatory usually implies that the patient has come to the location and is not assigned to a bed. Sometimes referred to as an outpatient encounter.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActEncounterCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16239"/>
            <printName language="en" preferredForLanguage="true" text="ambulatory"/>
            <code code="AMB" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AMBT"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="Ambulance"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21554"/>
            <printName language="en" preferredForLanguage="true" text="fixed-wing ambulance transport"/>
            <code code="AMBAIR" status="active"/>
            <code code="Fixed-wingAmbulance" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AMBT"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="Ambulance"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21552"/>
            <printName language="en" preferredForLanguage="true" text="ground ambulance transport"/>
            <code code="AMBGRND" status="active"/>
            <code code="GroundAmbulance" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AMBT"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="Ambulance"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21553"/>
            <printName language="en" preferredForLanguage="true" text="helicopter ambulance transport"/>
            <code code="AMBHELO" status="active"/>
            <code code="HelicopterAmbulance" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActPatientTransportationModeCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21547"/>
            <printName language="en" preferredForLanguage="true" text="ambulance transport"/>
            <code code="AMBT" status="active"/>
            <code code="Ambulance" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Communication of an agent from one animal to another proximate animal.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CaseTransmissionMode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21909"/>
            <printName language="en" preferredForLanguage="true" text="animal to animal transmission"/>
            <code code="ANANTRNS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The invoice element has been accepted for payment but one or more adjustment(s) have been made to one or more invoice element line items (component charges) without changing the amount.</p>
                        <p>Invoice element can be reversed (nullified).</p>
                        <p>Recommend that the invoice element is saved for DUR (Drug Utilization Reporting).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AA"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19708"/>
            <printName language="en" preferredForLanguage="true"
                       text="adjudicated with adjustments and no financial impact"/>
            <code code="ANF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Communication of an agent from an animal to a proximate person.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CaseTransmissionMode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21910"/>
            <printName language="en" preferredForLanguage="true" text="animal to human transmission"/>
            <code code="ANHUMTRNS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A note that is specific to a patient's diagnostic images, either historical, current or planned.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActPatientAnnotationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22825"/>
            <printName language="en" preferredForLanguage="true" text="diagnostic image note"/>
            <code code="ANNDI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A general or uncategorized note.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActPatientAnnotationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22822"/>
            <printName language="en" preferredForLanguage="true" text="general note"/>
            <code code="ANNGEN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A note that is specific to a patient's immunizations, either historical, current or planned.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActPatientAnnotationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23099"/>
            <printName language="en" preferredForLanguage="true" text="immunization note"/>
            <code code="ANNIMM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A note that is specific to a patient's laboratory results, either historical, current or planned.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActPatientAnnotationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22824"/>
            <printName language="en" preferredForLanguage="true" text="laboratory note"/>
            <code code="ANNLAB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A note that is specific to a patient's medications, either historical, current or planned.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActPatientAnnotationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22823"/>
            <printName language="en" preferredForLanguage="true" text="medication note"/>
            <code code="ANNMED" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A policy that, after an initial premium or premiums, pays out a sum at pre-determined intervals.<p>For example, a policy holder may pay $10,000, and in return receive $150 each month until he dies; or $1,000 for each of 14 years or death benefits if he dies before the full term of the annuity has elapsed.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LIFE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22118"/>
            <printName language="en" preferredForLanguage="true" text="annuity policy"/>
            <code code="ANNU" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Custodian system must remove any information that could result in identifying the information subject.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ObligationPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23374"/>
            <printName language="en" preferredForLanguage="true" text="anonymize"/>
            <code code="ANONY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Custodian system must make available to an information subject upon request an accounting of certain disclosures of the individual's protected health information over a period of time. Policy may dictate that the accounting include information about the information disclosed, the date of disclosure, the identification of the receiver, the purpose of the disclosure, the time in which the disclosing entity must provide a response and the time period for which accountings of disclosure can be requested.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ObligationPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23373"/>
            <printName language="en" preferredForLanguage="true" text="accounting of disclosure"/>
            <code code="AOD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionProgramCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21874"/>
            <printName language="en" preferredForLanguage="true"
                       text="accredited office-based surgery care"/>
            <code code="AOSC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The invoice element has passed through the adjudication process but payment is refused due to one or more reasons.</p>
                        <p>Includes items such as patient not covered, or invoice element is not constructed according to payer rules (e.g. 'invoice submitted too late').</p>
                        <p>If one invoice element line item in the invoice element structure is rejected, the remaining line items may not be adjudicated and the complete group is treated as rejected.</p>
                        <p>A refused invoice element can be forwarded to the next payer (for Coordination of Benefits) or modified and resubmitted to refusing payer.</p>
                        <p>Invoice element cannot be reversed (nullified) as there is nothing to reverse.</p>
                        <p>Recommend that the invoice element is not saved for DUR (Drug Utilization Reporting).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActAdjudicationCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17619"/>
            <printName language="en" preferredForLanguage="true" text="adjudicated as refused"/>
            <code code="AR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>All information pertaining to a patient's adverse drug reactions.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationCategoryCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22811"/>
            <printName language="en" preferredForLanguage="true" text="adverse drug reaction category"/>
            <code code="ARCAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Describes the artificial blood identifier that is associated with the specimen.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActSpecObsCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14387"/>
            <printName language="en" preferredForLanguage="true" text="ActSpecObsArtBldCode"/>
            <code code="ARTBLD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The invoice element was/will be paid exactly as submitted, without financial adjustment(s).</p>
                        <p>If the dollar amount stays the same, but the billing codes have been amended or financial adjustments have been applied through the adjudication process, the invoice element is treated as "Adjudicated with Adjustment".</p>
                        <p>If information items are included in the adjudication results that do not affect the monetary amounts paid, then this is still Adjudicated as Submitted (e.g. 'reached Plan Maximum on this Claim').</p>
                        <p>Invoice element can be reversed (nullified).</p>
                        <p>Recommend that the invoice element is saved for DUR (Drug Utilization Reporting).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActAdjudicationCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17617"/>
            <printName language="en" preferredForLanguage="true" text="adjudicated as submitted"/>
            <code code="AS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Refines classCode OBS to indicate an observation in which observation.value contains a finding or other nominalized statement, where the encoded information in Observation.value is not altered by Observation.code. For instance, observation.code="ASSERTION" and observation.value="fracture of femur present" is an assertion of a clinical finding of femur fracture.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22040"/>
            <printName language="en" preferredForLanguage="true" text="Assertion"/>
            <code code="ASSERTION" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Custodian system must monitor systems to ensure that all users are authorized to operate on information objects.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ObligationPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23375"/>
            <printName language="en" preferredForLanguage="true" text="audit"/>
            <code code="AUDIT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Custodian system must monitor and maintain retrievable log for each user and operation on information.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ObligationPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23376"/>
            <printName language="en" preferredForLanguage="true" text="audit trail"/>
            <code code="AUDTR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Authorization approved and funds have been set aside to pay for specified healthcare service(s) and/or product(s) within defined criteria for the authorization.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCoverageAuthorizationConfirmationCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17492"/>
            <printName language="en" preferredForLanguage="true" text="Authorized"/>
            <code code="AUTH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Authorisation policies are essentially security policies related to access-control and specify what activities a subject is permitted or forbidden to do, to a set of target objects. They are designed to protect target objects so are interpreted by access control agents or the run-time systems at the target system.</p>
                        <p>A positive authorisation policy defines the actions that a subject is permitted to perform on a target. A negative authorisation policy specifies the actions that a subject is forbidden to perform on a target. Positive authorisation policies may also include filters to transform the parameters associated with their actions. (Based on PONDERS)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SecurityPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23934"/>
            <printName language="en" preferredForLanguage="true" text="authorization policy"/>
            <code code="AUTHPOL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Specifies whether or not automatic repeat testing is to be initiated on specimens.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActControlVariable"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16860"/>
            <printName language="en" preferredForLanguage="true" text="auto-repeat permission"/>
            <code code="AUTO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The dilution of a sample performed by automated equipment. The value is specified by the equipment</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DILUTION"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="13958"/>
            <printName language="en" preferredForLanguage="true" text="Auto-High Dilution"/>
            <code code="AUTO-HIGH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The dilution of a sample performed by automated equipment. The value is specified by the equipment</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DILUTION"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="13959"/>
            <printName language="en" preferredForLanguage="true" text="Auto-Low Dilution"/>
            <code code="AUTO-LOW" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Automobile Information Attachment</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActClaimAttachmentCategoryCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23012"/>
            <printName language="en" preferredForLanguage="true" text="auto attachment"/>
            <code code="AUTOATTCH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Insurance policy for injuries sustained in an automobile accident. Will also typically covered non-named parties to the policy, such as pedestrians and passengers.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInsurancePolicyCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInsuranceTypeCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19721"/>
            <printName language="en" preferredForLanguage="true" text="automobile"/>
            <code code="AUTOPOL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The available quantity of specimen. This is the current quantity minus any planned consumption (e.g., tests that are planned)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="VOLUME"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="13963"/>
            <printName language="en" preferredForLanguage="true" text="Available Volume"/>
            <code code="AVAILABLE" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A mandate, obligation, requirement, rule, or expectation conveyed as security metadata between senders and receivers required to establish the reliability, authenticity, and trustworthiness of their transactions.</p>
                        <p>Trust security metadata are observation made about aspects of trust applicable to an IT resource (data, information object, service, or system capability).</p>
                        <p>Trust applicable to IT resources is established and maintained in and among security domains, and may be comprised of observations about the domain's trust authority, trust framework, trust policy, trust interaction rules, means for assessing and monitoring adherence to trust policies, mechanisms that enforce trust, and quality and reliability measures of assurance in those mechanisms. \[Based on ISO IEC 10181-1 and NIST SP 800-63-2\]</p>
                        <p>For example, identity proofing , level of assurance, and Trust Framework.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActPolicyType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23658"/>
            <printName language="en" preferredForLanguage="true" text="trust policy"/>
            <code code="ActTrustPolicyType" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy for handling trade secrets such as financial information or intellectual property, which will be afforded heightened confidentiality. Description: Since the service class can represent knowledge structures that may be considered a trade or business secret, there is sometimes (though rarely) the need to flag those items as of business level confidentiality.</p>
                        <i>Usage Notes:</i>No patient related information may ever be of this confidentiality level. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.</text>
                  </definition>
                  <usageNotes>
                     <text>No patient related information may ever be of this confidentiality level.   If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.</text>
                  </usageNotes>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleInformationSensitivityPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23347"/>
            <printName language="en" preferredForLanguage="true"
                       text="business information sensitivity"/>
            <code code="B" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Communication of an agent from one living subject to another living subject through direct contact with any body fluid.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CaseTransmissionMode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21911"/>
            <printName language="en" preferredForLanguage="true"
                       text="body fluid contact transmission"/>
            <code code="BDYFLDTRNS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy for handling information related to behavioral and emotional disturbances affecting social adjustment and physical health, which is afforded heightened confidentiality.</p>
                        <i>Usage Note:</i>If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SPI"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23894"/>
            <printName language="en" preferredForLanguage="true"
                       text="behavioral health information sensitivity"/>
            <code code="BH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Communication of an agent to a living subject through direct contact with blood or blood products whether the contact with blood is part of a therapeutic procedure or not.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CaseTransmissionMode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21912"/>
            <printName language="en" preferredForLanguage="true" text="blood borne transmission"/>
            <code code="BLDTRNS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A billing arrangement where a Provider charges a lump sum to provide a prescribed group (volume) of services to a single patient which occur over a period of time. Services included in the block may vary.</p>
                        <p>This billing arrangement is also known as Program of Care for some specific Payors and Program Fees for other Payors.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActBillingArrangementCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17480"/>
            <printName language="en" preferredForLanguage="true" text="block funding"/>
            <code code="BLK" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Bonus payments based on performance, volume, etc. as agreed to by the payor.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceAdjudicationPaymentGroupCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoicePaymentCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20058"/>
            <printName language="en" preferredForLanguage="true" text="bonus"/>
            <code code="BONUS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An additional immunization administration within a series intended to bolster or enhance immunity.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="IMMUNIZ"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21521"/>
            <printName language="en" preferredForLanguage="true" text="Booster Immunization"/>
            <code code="BOOSTER" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A diet exclusively composed of oatmeal, semolina, or rice, to be extremely easy to eat and digest.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DIET"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10379"/>
            <printName language="en" preferredForLanguage="true" text="breikost (GE)"/>
            <code code="BR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A local business rule relating multiple elements has been violated.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="VALIDAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21665"/>
            <printName language="en" preferredForLanguage="true" text="business constraint violation"/>
            <code code="BUS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Indicates that result data has been corrected.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22831"/>
            <printName language="en" preferredForLanguage="true" text="corrected"/>
            <code code="C" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionPersonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21848"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified anatomic pathology and clinical pathology care"/>
            <code code="CACC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionProgramCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21875"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified acute coronary syndrome care"/>
            <code code="CACS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionPersonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21830"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified allergy and immunology care"/>
            <code code="CAIC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionPersonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21854"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified aerospace medicine care"/>
            <code code="CAMC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionProgramCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21876"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified acute myocardial infarction care"/>
            <code code="CAMI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionPersonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21831"/>
            <printName language="en" preferredForLanguage="true" text="certified anesthesiology care"/>
            <code code="CANC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A charge to compensate the provider when a patient cancels an appointment with insufficient time for the provider to make another appointment with another patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceDetailGenericProviderCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20040"/>
            <printName language="en" preferredForLanguage="true" text="cancelled appointment"/>
            <code code="CANCAPT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A program that provides low-income, uninsured, and underserved women access to timely, high-quality screening and diagnostic services, to detect breast and cervical cancer at the earliest stages.<b>Example:</b>To improve women's access to screening for breast and cervical cancers, Congress passed the Breast and Cervical Cancer Mortality Prevention Act of 1990, which guided CDC in creating the National Breast and Cervical Cancer Early Detection Program (NBCCEDP), which provides access to critical breast and cervical cancer screening services for underserved women in the United States. An estimated 7 to 10% of U.S. women of screening age are eligible to receive NBCCEDP services. Federal guidelines establish an eligibility baseline to direct services to uninsured and underinsured women at or below 250% of federal poverty level; ages 18 to 64 for cervical screening; ages 40 to 64 for breast screening.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DISEASEPRG"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22134"/>
            <printName language="en" preferredForLanguage="true"
                       text="women's cancer detection program"/>
            <code code="CANPRG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A billing arrangement where the payment made to a Provider is determined by analyzing one or more demographic attributes about the persons/patients who are enrolled with the Provider (in their practice).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActBillingArrangementCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17484"/>
            <printName language="en" preferredForLanguage="true" text="capitation funding"/>
            <code code="CAP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionPersonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21849"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified anatomic pathology care"/>
            <code code="CAPC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Provision of diagnosis and treatment of diseases and disorders affecting the heart</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActMedicalServiceCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20092"/>
            <printName language="en" preferredForLanguage="true" text="Cardiology"/>
            <code code="CARD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the type of detected issue is a care gap</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ClinicalActionDetectedIssueCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="120911"/>
            <printName language="en" preferredForLanguage="true" text="Caregap"/>
            <code code="CAREGAP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>List of acts representing a care plan. The acts can be in a varierty of moods including event (EVN) to record acts that have been carried out as part of the care plan.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActObservationList"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19984"/>
            <printName language="en" preferredForLanguage="true" text="care plan"/>
            <code code="CARELIST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**An observation that provides a characterization of the level of harm to an investigation subject as a result of a reaction or event.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22833"/>
            <printName language="en" preferredForLanguage="true" text="case seriousness criteria"/>
            <code code="CASESER" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActAccountCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14810"/>
            <printName language="en" preferredForLanguage="true" text="Cash"/>
            <code code="CASH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionProgramCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21877"/>
            <printName language="en" preferredForLanguage="true" text="certified asthma care"/>
            <code code="CAST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionProgramCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21878"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified bariatric surgery care"/>
            <code code="CBAR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionPersonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21837"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified clinical biochemical genetics care"/>
            <code code="CBGC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Types of advance payment to be made on a plastic card usually issued by a financial institution used of purchasing services and/or products.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActAccountCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23013"/>
            <printName language="en" preferredForLanguage="true" text="credit card"/>
            <code code="CC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionProgramCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21881"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified coronary artery disease care"/>
            <code code="CCAD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionProgramCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21879"/>
            <printName language="en" preferredForLanguage="true" text="certified cardiac care"/>
            <code code="CCAR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionPersonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21838"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified clinical cytogenetics care"/>
            <code code="CCCC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionPersonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21839"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified clinical genetics (M.D.) care"/>
            <code code="CCGC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionPersonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21850"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified clinical pathology care"/>
            <code code="CCPC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionPersonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21832"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified colon and rectal surgery care"/>
            <code code="CCSC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionPersonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21833"/>
            <printName language="en" preferredForLanguage="true" text="certified dermatology care"/>
            <code code="CDEC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionProgramCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21882"/>
            <printName language="en" preferredForLanguage="true" text="certified depression care"/>
            <code code="CDEP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionProgramCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21884"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified digestive/gastrointestinal disorders care"/>
            <code code="CDGD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionProgramCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21883"/>
            <printName language="en" preferredForLanguage="true" text="certified diabetes care"/>
            <code code="CDIA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An observation that states whether the disease was likely acquired outside the jurisdiction of observation, and if so, the nature of the inter-jurisdictional relationship.</p>
                        <b>OpenIssue:</b>This code could be moved to LOINC if it can be done before there are significant implemenations using it.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23467"/>
            <printName language="en" preferredForLanguage="true"
                       text="case disease imported observation"/>
            <code code="CDIO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionPersonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21860"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified diagnostic radiology care"/>
            <code code="CDRC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person reviews a recommendation/assessment provided automatically by a clinical decision support application for a given patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PATINFO"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23429"/>
            <printName language="en" preferredForLanguage="true"
                       text="clinical decision support intervention review"/>
            <code code="CDSREV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This compartment code may be used as a field value in an initiator's clearance to indicate permission for its Clinical Decision Support system (CDSS) to access and use an IT Resource with a security label having the same compartment value in the security category label field.</p>
                        <p>This code permits a CDS system to algorithmically process information with this compartment tag for the purpose of alerting an unauthorized end user that masked information is needed to address an emergency or a patient safety issue, such as a contraindicated medication. The alert would advise the end user to "break the glass", to access the masked information in an accountable manner, or to ask the patient about possibly masked information.</p>
                        <p>For example, releasing a list of sensitive medications with this compartment tag means that while the CDS system is permitted to use this list in its contraindication analysis, this sensitive information should not be shared directly with unauthorized end-users or end-user-facing Apps. Based on the results of the CDS system analysis (e.g., warnings about prescriptions) the end-user (e.g., a clinician) may still have the ability to access to the sensitive information by invoking "break-the-glass protocol".</p>
                        <i>Usage Note:</i>A security label with the CDS system compartment may be used in conjunction with other security labels, e.g., a label authorizing an end user with adequate clearance to access the same CDS system compartment tagged information. For example, a patient may restrict sharing sensitive information with most care team members except in an emergency or to prevent an adverse event, and may consent to sharing with their sensitive service care team providers, e.g., for mental health or substance abuse.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="COMPT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24132"/>
            <printName language="en" preferredForLanguage="true" text="CDS system compartment"/>
            <code code="CDSSCOMPT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy for handling information related to a celebrity (people of public interest (VIP), which will be afforded heightened confidentiality. Celebrities are people of public interest (VIP) about whose information an enterprise may have a policy that requires heightened confidentiality. Information deemed sensitive may include health information and patient role information including patient status, demographics, next of kin, and location.</p>
                        <i>Usage Note:</i>For use within an enterprise in which the information subject is deemed a celebrity or very important person. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InformationSensitivityPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23331"/>
            <printName language="en" preferredForLanguage="true"
                       text="celebrity information sensitivity"/>
            <code code="CEL" status="active"/>
            <code code="VIP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionPersonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21834"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified emergency medicine care"/>
            <code code="CEMC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionProgramCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21885"/>
            <printName language="en" preferredForLanguage="true" text="certified epilepsy care"/>
            <code code="CEPI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionProgramCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21886"/>
            <printName language="en" preferredForLanguage="true" text="certified frail elderly care"/>
            <code code="CFEL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionPersonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21835"/>
            <printName language="en" preferredForLanguage="true" text="certified family practice care"/>
            <code code="CFPC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An amount still owing to the payor but the payment is 0$ and this cannot be settled until a future payment is made.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceAdjudicationPaymentGroupCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoicePaymentCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20068"/>
            <printName language="en" preferredForLanguage="true" text="carry forward adjusment"/>
            <code code="CFWD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A program that covers the cost of services provided directly to a beneficiary who typically has no other source of coverage without charge.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActProgramTypeCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22123"/>
            <printName language="en" preferredForLanguage="true" text="charity program"/>
            <code code="CHAR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionProgramCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21887"/>
            <printName language="en" preferredForLanguage="true" text="certified heart failure care"/>
            <code code="CHFC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A written order to a bank to pay the amount specified from funds on deposit.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActPaymentCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17612"/>
            <printName language="en" preferredForLanguage="true" text="Cheque"/>
            <code code="CHK" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Exposure participants' interaction occurred in a child care setting</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActExposureCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22357"/>
            <printName language="en" preferredForLanguage="true"
                       text="Day care - Child care Interaction"/>
            <code code="CHLDCARE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Provision of recurring care for chronic illness.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActMedicalServiceCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17453"/>
            <printName language="en" preferredForLanguage="true" text="Chronic"/>
            <code code="CHR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A type of transaction that represents a charge for a service or product. Expressed in monetary terms.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActFinancialTransactionCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14805"/>
            <printName language="en" preferredForLanguage="true" text="Standard Charge"/>
            <code code="CHRG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionProgramCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21888"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified high risk obstetrics care"/>
            <code code="CHRO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**A list of medications which are expected to be continued beyond the present order and which the patient should be assumed to be taking unless explicitly stopped.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActMedicationTherapyDurationWorkingListCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21755"/>
            <printName language="en" preferredForLanguage="true" text="continuous/chronic"/>
            <code code="CHRON" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionProgramCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21889"/>
            <printName language="en" preferredForLanguage="true" text="certified hyperlipidemia care"/>
            <code code="CHYP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionPersonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21836"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified internal medicine care"/>
            <code code="CIMC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A circle defined by two (column,row) pairs. The first point is the center of the circle and the second point is a point on the perimeter of the circle.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ROIOverlayShape"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16118"/>
            <printName language="en" preferredForLanguage="true" text="circle"/>
            <code code="CIRCLE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A clinician enters a clinical note about a given patient</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PATDOC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22068"/>
            <printName language="en" preferredForLanguage="true" text="clinical note entry task"/>
            <code code="CLINNOTEE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person reviews a clinical note of a given patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PATINFO"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22065"/>
            <printName language="en" preferredForLanguage="true" text="clinical note review task"/>
            <code code="CLINNOTEREV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The class room associated with the patient during the immunization event.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PatientImmunizationRelatedObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23246"/>
            <printName language="en" preferredForLanguage="true" text="classroom"/>
            <code code="CLSSRM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionPersonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21840"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified clinical molecular genetics care"/>
            <code code="CMGC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionProgramCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21890"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified migraine headache care"/>
            <code code="CMIH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates what method is used in a quality measure to combine the component measure results included in an composite measure.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationQualityMeasureAttribute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23788"/>
            <printName language="en" preferredForLanguage="true" text="composite measure method"/>
            <code code="CMPMSRMTH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An attribute of a quality measure describing the weight this component measure score is to carry in determining the overall composite measure final score. The value is real value greater than 0 and less than 1.0. Each component measure score will be multiplied by its CMPMSRSCRWGHT and then summed with the other component measures to determine the final overall composite measure score. The sum across all CMPMSRSCRWGHT values within a single composite measure SHALL be 1.0. The value assigned is scoped to the composite measure referencing this component measure only.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationQualityMeasureAttribute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23791"/>
            <printName language="en" preferredForLanguage="true"
                       text="component measure scoring weight"/>
            <code code="CMPMSRSCRWGHT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionProgramCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21891"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified multiple sclerosis care"/>
            <code code="CMSC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionPersonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21858"/>
            <printName language="en" preferredForLanguage="true" text="certified neurology care"/>
            <code code="CNEC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionPersonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21843"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified nuclear medicine care"/>
            <code code="CNMC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionPersonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21859"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified neurology with special qualifications in child neurology care"/>
            <code code="CNQC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionPersonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21842"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified neurological surgery care"/>
            <code code="CNSC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**All information pertaining to a patient's common observation records (height, weight, blood pressure, temperature, etc.).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationCategoryCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21617"/>
            <printName language="en" preferredForLanguage="true" text="common observation category"/>
            <code code="COBSCAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The specified code has been deprecated and should no longer be used. Select another code from the code system.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CODE_INVAL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21660"/>
            <printName language="en" preferredForLanguage="true" text="code has been deprecated"/>
            <code code="CODE_DEPREC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The specified code is not valid against the list of codes allowed for the element.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="VALIDAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21659"/>
            <printName language="en" preferredForLanguage="true" text="code is not valid"/>
            <code code="CODE_INVAL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the type of detected issue is a risk adjustment coding gap</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ClinicalActionDetectedIssueCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="1120911"/>
            <printName language="en" preferredForLanguage="true" text="Codinggap"/>
            <code code="CODINGGAP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionPersonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21844"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified obstetrics and gynecology care"/>
            <code code="COGC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy for handling information related to cognitive disability disorders and conditions caused by these disorders, which are afforded heightened confidentiality.</p>
                        <i>Usage Note:</i>If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.<p>Examples may include dementia, traumatic brain injury, attention deficit, hearing and visual disability such as dyslexia and other disorders and related conditions which impair learning and self-sufficiency. However, the cognitive disabilities to which this term may apply versus other behavioral health categories varies by jurisdiction and organizational policy in part due to overlap with other behavioral health conditions. Implementers should constrain to those diagnoses applicable in the domain in which this code is used.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="BH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23928"/>
            <printName language="en" preferredForLanguage="true"
                       text="cognitive disability information sensitivity"/>
            <code code="COGN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>That portion of the eligible charges which a covered party must pay for each service and/or product. It is a percentage of the eligible amount for the service/product that is typically charged after the covered party has met the policy deductible. This amount represents the covered party's coinsurance that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceDetailGenericAdjudicatorCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21946"/>
            <printName language="en" preferredForLanguage="true" text="coinsurance"/>
            <code code="COIN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The covered party pays a percentage of the cost of covered services.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceDetailGenericAdjudicatorCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20053"/>
            <printName language="en" preferredForLanguage="true" text="co-insurance"/>
            <code code="COINS" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionProgramCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21894"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified orthopedic joint replacement care"/>
            <code code="COJR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>An automobile insurance policy under which the insurance company will cover the cost of damages to an automobile owned by the named insured that are caused by accident or intentionally by another party.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AUTOPOL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22100"/>
            <printName language="en" preferredForLanguage="true" text="collision coverage policy"/>
            <code code="COL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionPersonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21855"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified occupational medicine care"/>
            <code code="COMC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>There may be an issue with the patient complying with the intentions of the proposed therapy</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AdministrationDetectedIssueCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="VALIDAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16687"/>
            <printName language="en" preferredForLanguage="true" text="Compliance Alert"/>
            <code code="COMPLY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This is the healthcare analog to the US Intelligence Community's concept of a Special Access Program. Compartment codes may be used in as a field value in an initiator's clearance to indicate permission to access and use an IT Resource with a security label having the same compartment value in security category label field.</p>
                        <p>Map: Aligns with ISO 2382-8 definition of Compartment - "A division of data into isolated blocks with separate security controls for the purpose of reducing risk."</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActPrivacyPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23577"/>
            <printName language="en" preferredForLanguage="true" text="compartment"/>
            <code code="COMPT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionProgramCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21892"/>
            <printName language="en" preferredForLanguage="true" text="certified oncology care"/>
            <code code="CONC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed therapy may be inappropriate or contraindicated due to an existing/recent patient condition or diagnosis</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OBSA"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16665"/>
            <printName language="en" preferredForLanguage="true" text="Condition Alert"/>
            <code code="COND" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>List of condition observations.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActObservationList"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21322"/>
            <printName language="en" preferredForLanguage="true" text="condition list"/>
            <code code="CONDLIST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The quantity of specimen that is used each time the equipment uses this substance</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="VOLUME"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="13965"/>
            <printName language="en" preferredForLanguage="true" text="Consumption Volume"/>
            <code code="CONSUMPTION" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Transaction counts and value totals by Contract Identifier.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActAdjudicationGroupCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceAdjudicationPaymentSummaryCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17974"/>
            <printName language="en" preferredForLanguage="true" text="contract"/>
            <code code="CONT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A billing arrangement where a Provider charges a lump sum to provide a particular volume of one or more interventions/procedures or groups of interventions/procedures.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActBillingArrangementCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17481"/>
            <printName language="en" preferredForLanguage="true" text="contract funding"/>
            <code code="CONTF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A displayed mark, required to be rendered as "CONTROLLED", indicating that the electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html.</p>
                        <i>Usage Note:</i>Mandatory control marking, which must be displayed on the top portion of each rendered or printed page containing controlled information. Should be displayed at the bottom of each rendered or printed page containing controlled information. Must be displayed on each portion of controlled information at the portion level if portions are uncontrolled unclassified information. Based on CUI Marking Handbook https://www.archives.gov/files/cui/20161206-cui-marking-handbook-v1-1.pdf.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ControlledUnclassifiedInformation"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24053"/>
            <printName language="en" preferredForLanguage="true" text="CONTROLLED"/>
            <code code="CONTROLLED" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>An interaction where the exposure participants traveled in/on the same vehicle (not necessarily concurrently, e.g. both are passengers of the same plane, but on different flights of that plane).</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActExposureCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22358"/>
            <printName language="en" preferredForLanguage="true" text="Common Conveyance Interaction"/>
            <code code="CONVEYNC" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="17501"/>
            <code code="COPAY" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>That portion of the eligible charges which a covered party must pay for each service and/or product. It is a defined amount per service/product of the eligible amount for the service/product. This amount represents the covered party's copayment that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceDetailGenericAdjudicatorCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20052"/>
            <printName language="en" preferredForLanguage="true" text="patient co-pay"/>
            <code code="COPAYMENT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionPersonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21845"/>
            <printName language="en" preferredForLanguage="true" text="certified ophthalmology care"/>
            <code code="COPC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionProgramCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21880"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified chronic obstructive pulmonary disease care"/>
            <code code="COPD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the organization(s) who own the intellectual property represented by the eMeasure.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationQualityMeasureAttribute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23020"/>
            <printName language="en" preferredForLanguage="true" text="copyright"/>
            <code code="COPY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A displayed mark indicating that the electronic or hardcopy information is a copy of an authoritative source for the information. The copy is not considered authoritative but is a duplicate of the authoritative content.</p>
                        <i>Usage Note:</i>Applicable policy will dictate how the COPY mark will be displayed. Typical renderings include the marking appearing at the top or "banner" of electronic or hardcopy pages, or as watermarks set diagonally across each page.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SecurityLabelMark"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24051"/>
            <printName language="en" preferredForLanguage="true" text="copy of original mark"/>
            <code code="COPYMark" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionProgramCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21893"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified organ transplant care"/>
            <code code="CORT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionPersonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21846"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified orthopaedic surgery care"/>
            <code code="COSC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionPersonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21847"/>
            <printName language="en" preferredForLanguage="true" text="certified otolaryngology care"/>
            <code code="COTC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Insurance coverage problems have been encountered. Additional explanation information to be supplied.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceOverrideCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17594"/>
            <printName language="en" preferredForLanguage="true" text="coverage problem"/>
            <code code="COVGE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Codes representing the maximum coverate or financial participation requirements.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCoverageLimitCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22239"/>
            <printName language="en" preferredForLanguage="true" text="coverage maximum"/>
            <code code="COVMX" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A mandate, obligation, requirement, rule, or expectation unilaterally imposed on benefit coverage under a policy or program by a sponsor, underwriter or payor on:</p>
                        <p>* The activity of another party * The behavior of another party * The manner in which an act is executed</p>
                        <p>**Examples:**A clinical protocol imposed by a payer to which a provider must adhere in order to be paid for providing the service. A formulary from which a provider must select prescribed drugs in order for the patient to incur a lower copay.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActPolicyType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22183"/>
            <printName language="en" preferredForLanguage="true" text="benefit policy"/>
            <code code="COVPOL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Codes representing the time period during which coverage is available; or financial participation requirements are in effect.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCoverageQuantityLimitCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22343"/>
            <printName language="en" preferredForLanguage="true" text="coverage period"/>
            <code code="COVPRD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Clinical product invoice where the Invoice Grouping contains one or more billable item and is supported by clinical product(s).</p>
                        <p>For example, a crutch or a wheelchair.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceRootGroupCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19715"/>
            <printName language="en" preferredForLanguage="true" text="clinical product invoice"/>
            <code code="CP" status="retired"/>
            <code code="CPINV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionProgramCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21895"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified parkinsons disease care"/>
            <code code="CPAD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionPersonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21851"/>
            <printName language="en" preferredForLanguage="true" text="certified pediatrics care"/>
            <code code="CPEC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionPersonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21841"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified Ph.D. medical genetics care"/>
            <code code="CPGC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionPersonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21856"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified public health and general preventive medicine care"/>
            <code code="CPHC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Custodian security system must retrieve, evaluate, and comply with the information handling directions of the Confidentiality Code associated with an information target.</p>
                        <i>Usage Note:</i>CPLYCC may be used as a security label code to inform senders and receivers of information tagged with a Confidentiality Code to comply with applicable level of protection required by the assigned confidentiality code.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CPLYPOL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23378"/>
            <printName language="en" preferredForLanguage="true"
                       text="comply with confidentiality code"/>
            <code code="CPLYCC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Custodian security system must retrieve, evaluate, and comply with applicable information subject consent directives.</p>
                        <i>Usage Note:</i>CPLYCD may be used as a security label code to inform senders and receivers of information tagged with an ActCode\_ActPolicyType\_ActConsent code or an ActCode\_ActPolicyType\_ActPrivacyPolicy\_ActConsentDirective code to comply with applicable consent directives.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CPLYPOL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23379"/>
            <printName language="en" preferredForLanguage="true" text="comply with consent directive"/>
            <code code="CPLYCD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Custodian security system must retrieve, evaluate, and comply with applicable Controlled Unclassified Information (CUI) policies associated with the target information.</p>
                        <i>Usage Note:</i>In the US, CPLYCUI may be used as a security label code to inform recipients of information designated by a US Federal Agency as Controlled Unclassified Information (CUI) to comply with the applicable laws, regulations, executive orders, and other guidances, such as included in DURSAs, to persist, mark, and enforce required CUI controls<p>Background:</p>
                        <p>In accordance with US 32 CFR Part 2002 and US Executive Order 13556 Controlled Unclassified Information, US Federal Agencies and their contractors are charged with classifying and marking certain information they create as Controlled Unclassified Information (CUI).</p>
                        <p>The following definitions, which are provided for context, are based on terms defined by the CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html</p>
                        <p>* CUI is defined as "information in any form that the Government creates or possesses, or that an entity creates or possesses for or on behalf of the Government, that a law, regulation, or Government-wide policy requires or permits an agency to handle using safeguarding or dissemination controls." * Designating CUI occurs when an authorized holder, consistent with 32 CFR Part 2002 and the CUI Registry, determines that a specific item of information falls into a CUI category or subcategory. * The designating agency is the executive branch agency that designates or approves the designation of a specific item of information as CUI. * The authorized holder who designates the CUI must make recipients aware of the information's CUI status when disseminating that information. * • Disseminating occurs when authorized holders provide access, transmit, or transfer CUI to other authorized holders through any means, whether internal or external to the agency.</p>
                        <p>Once designated as CUI, US Federal Agencies and their contractors must assign CUI marks as prescribed by the National Archives and Records Administration (NARA) CUI Registry, and display marks as prescribed by the CUI Marking Handbook.</p>
                        <p>CUI markings must be displayed on hard copy, on containers, electronic media, and to end users for IT systems.</p>
                        <p>When HL7 content is designated as CUI, these computable markings can be interoperably conveyed using HL7 security label CUI tags, and may be included in HL7 text and narrative elements as human readable markings.</p>
                        <b>Impact of CUI markings:</b>
                        <p>CUI Custodians must enforce CUI security controls per applicable CUI policies. Federal agencies and their contractors must adhere to FISMA and NIST SP 800-53 security controls. Custodians, who are not Federal agencies or agency contractors, and are receivers of CUI, must adhere to NIST SP 800-171 security controls and those dictated by the Authorities indicated by the assigned CUI markings.</p>
                        <p>For most participants in US healthcare information exchange, including Federal Agencies and their contractors, additional controls are required by HIPAA Security standards for health information US 42 USC 1320d-2(d)(2) https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf</p>
                        <p>Federal Agencies and their contractors may be the CUI classifier of original CUI content; or a CUI derivative classifier, which reclassifies CUI content that has been aggregated with other CUI or Unclassified Uncontrolled Information (U) or dissembled from a larger CUI content; or declassifiers, depending on the designating agency's policies.</p>
                        <p>Applicable CUI policies include the following and any future applicable updates to policies or laws related to CUI:</p>
                        <p>* Executive Order 13556 https://www.federalregister.gov/articles/2010/11/09/2010-28360/controlled-unclassified-information * US 32 CFR Part 2002 https://www.govinfo.gov/content/pkg/CFR-2017-title32-vol6/pdf/CFR-2017-title32-vol6-part2002.pdf * NIST SP 800-171 https://nvlpubs.nist.gov/nistpubs/SpecialPublications/NIST.SP.800-171r1.pdf * NIST SP 800-171A https://doi.org/10.6028/NIST.SP.800-171A * CUI Marking Handbook https://www.archives.gov/files/cui/20161206-cui-marking-handbook-v1-1.pdf * CUI Registry - Health Information Category https://www.archives.gov/cui/registry/category-detail/health-info * CUI Registry: Limited Dissemination Controls https://www.archives.gov/cui/registry/limited-dissemination * CUI Policy and Guidance https://www.archives.gov/cui/registry/policy-guidance</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CPLYPOL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24131"/>
            <printName language="en" preferredForLanguage="true"
                       text="comply with controlled unclassified information policy"/>
            <code code="CPLYCUI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Custodian security system must retrieve, evaluate, and comply with applicable jurisdictional privacy policies associated with the target information.</p>
                        <i>Usage Note:</i>CPLYJPP may be used as a security label code to inform senders and receivers of information tagged with an ActCode\_ActPolicyType\_ActPrivacyPolicy\_ActPrivacyLaw code or an ActCode\_ActPolicyType\_ActInformationPolicy.JurisIP code to comply with applicable jurisdictional privacy policy.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CPLYPOL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23380"/>
            <printName language="en" preferredForLanguage="true"
                       text="comply with jurisdictional privacy policy"/>
            <code code="CPLYJPP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Custodian security system must retrieve, evaluate, and comply with applicable jurisdictional security policies associated with the target information.</p>
                        <i>Usage Note:</i>CPLYJSP may be used as a security label code to inform senders and receivers of information tagged with an ActCode\_ActPolicyType.SecurityPolicy code to comply with applicable jurisdictional security policy.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CPLYPOL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24130"/>
            <printName language="en" preferredForLanguage="true"
                       text="comply with jurisdictional security policy"/>
            <code code="CPLYJSP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Custodian security system must retrieve, evaluate, and comply with applicable organizational privacy policies associated with the target information.</p>
                        <i>Usage Note:</i>CPLYOPP may be used as a security label code to inform senders and receivers of information tagged with an ActCode\_ActPolicyType\_ActInformationPolicy.OrgIP code to comply with applicable organizational privacy policy.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CPLYPOL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23381"/>
            <printName language="en" preferredForLanguage="true"
                       text="comply with organizational privacy policy"/>
            <code code="CPLYOPP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Custodian security system must retrieve, evaluate, and comply with the organizational security policies associated with the target information.</p>
                        <i>Usage Note:</i>CPLYOSP may be used as a security label code to inform senders and receivers of information tagged with an ActCode\_ActPolicyType.SecurityPolicy code to comply with applicable organizational security policy.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CPLYPOL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23382"/>
            <printName language="en" preferredForLanguage="true"
                       text="comply with organizational security policy"/>
            <code code="CPLYOSP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Custodian security system must retrieve, evaluate, and comply with applicable policies associated with the target information.</p>
                        <i>Usage Note:</i>CPLYPOL may be used as a security label code to inform senders and receivers of the tagged information to comply with applicable policy without specifying the specific policy type(s).</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ObligationPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23377"/>
            <printName language="en" preferredForLanguage="true" text="comply with policy"/>
            <code code="CPLYPOL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionProgramCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21896"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified pneumonia disease care"/>
            <code code="CPND" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A grouping of invoice element groups and details including the ones specifying the compound ingredients being invoiced. It may also contain generic detail items such as markup.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceInterGroupCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20033"/>
            <printName language="en" preferredForLanguage="true" text="compound drug invoice group"/>
            <code code="CPNDDRGING" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A grouping of invoice element details including the one specifying an ingredient drug being invoiced. It may also contain generic detail items such as tax or markup.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceInterGroupCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20034"/>
            <printName language="en" preferredForLanguage="true"
                       text="compound ingredient invoice group"/>
            <code code="CPNDINDING" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A grouping of invoice element groups and details including the ones specifying the compound supplies being invoiced. It may also contain generic detail items such as markup.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceInterGroupCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20035"/>
            <printName language="en" preferredForLanguage="true" text="compound supply invoice group"/>
            <code code="CPNDSUPING" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionPersonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21852"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified physical medicine and rehabilitation care"/>
            <code code="CPRC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionPersonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21853"/>
            <printName language="en" preferredForLanguage="true" text="certified plastic surgery care"/>
            <code code="CPSC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionProgramCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21897"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified primary stroke center care"/>
            <code code="CPST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**CPT modifier codes are found in Appendix A of CPT 2000 Standard Edition.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActBillableModifierCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22151"/>
            <printName language="en" preferredForLanguage="true" text="CPT modifier codes"/>
            <code code="CPTM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionPersonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21857"/>
            <printName language="en" preferredForLanguage="true" text="certified psychiatry care"/>
            <code code="CPYC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Proposed therapy may be inappropriate or contraindicated because of a common but non-patient specific reaction to the product.</p>
                        <p>**Example:**There is no record of a specific sensitivity for the patient, but the presence of the sensitivity is common and therefore caution is warranted.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OBSA"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21666"/>
            <printName language="en" preferredForLanguage="true" text="common reaction alert"/>
            <code code="CREACT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A program that covers the cost of services provided to crime victims for injuries or losses related to the occurrence of a crime.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActProgramTypeCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22124"/>
            <printName language="en" preferredForLanguage="true" text="crime victim program"/>
            <code code="CRIME" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A clinical judgment as to the worst case result of a future exposure (including substance administration). When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23572"/>
            <printName language="en" preferredForLanguage="true" text="criticality"/>
            <code code="CRIT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionPersonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21861"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified radiation oncology care"/>
            <code code="CROC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionPersonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21862"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified radiological physics care"/>
            <code code="CRPC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Summary of relevant clinical guidelines or other clinical recommendations supporting this eMeasure.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationQualityMeasureAttribute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23430"/>
            <printName language="en" preferredForLanguage="true"
                       text="clinical recommendation statement"/>
            <code code="CRS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Clinical Services Invoice which can be used to describe a single service, multiple services or repeated services.</p>
                        <p>\[1\] Single Clinical services invoice where the Invoice Grouping contains one billable item and is supported by one clinical service.</p>
                        <p>For example, a single service for an office visit or simple clinical procedure (e.g. knee mobilization).</p>
                        <p>\[2\] Multiple Clinical services invoice where the Invoice Grouping contains more than one billable item, supported by one or more clinical services. The services can be distinct and over multiple dates, but for the same patient. This type of invoice includes a series of treatments which must be adjudicated together.</p>
                        <p>For example, an adjustment and ultrasound for a chiropractic session where fees are associated for each of the services and adjudicated (invoiced) together.</p>
                        <p>\[3\] Repeated Clinical services invoice where the Invoice Grouping contains one or more billable item, supported by the same clinical service repeated over a period of time.</p>
                        <p>For example, the same Chiropractic adjustment (service or treatment) delivered on 3 separate occasions over a period of time at the discretion of the provider (e.g. month).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceRootGroupCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19714"/>
            <printName language="en" preferredForLanguage="true" text="clinical service invoice"/>
            <code code="CS" status="retired"/>
            <code code="CSINV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionProgramCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21901"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified stroke disease management care"/>
            <code code="CSDM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionProgramCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21898"/>
            <printName language="en" preferredForLanguage="true" text="certified sickle cell care"/>
            <code code="CSIC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionProgramCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21899"/>
            <printName language="en" preferredForLanguage="true" text="certified sleep disorders care"/>
            <code code="CSLD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A clinical Invoice Grouping consisting of one or more services and one or more product. Billing for these service(s) and product(s) are supported by multiple clinical billable events (acts).</p>
                        <p>All items in the Invoice Grouping must be adjudicated together to be acceptable to the Adjudicator.</p>
                        <p>For example , a brace (product) invoiced together with the fitting (service).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceRootGroupCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20076"/>
            <printName language="en" preferredForLanguage="true" text="clinical service and product"/>
            <code code="CSPINV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionProgramCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21900"/>
            <printName language="en" preferredForLanguage="true" text="certified spine treatment care"/>
            <code code="CSPT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionPersonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21863"/>
            <printName language="en" preferredForLanguage="true" text="certified surgery care"/>
            <code code="CSUC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionProgramCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21902"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified trauma/burn center care"/>
            <code code="CTBU" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Care coordination across participants in a care plan requires sharing of a healthcare consumer's information specific to that workflow. A care team member should only have access to that information while participating in that workflow or for other authorized uses.</p>
                        <p>Security Compartment Labels assigned to a consumer's information use in care coordination workflows should be met or exceeded by the Security Compartment attribute claimed by a participant in a care team member workflow who is requesting access to that information</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="COMPT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23878"/>
            <printName language="en" preferredForLanguage="true" text="care team compartment"/>
            <code code="CTCOMPT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A monitoring program that focuses on narcotics and/or commonly abused substances that are subject to legal restriction.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActMonitoringProtocolCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16232"/>
            <printName language="en" preferredForLanguage="true" text="Controlled Substance"/>
            <code code="CTLSUB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An observation that states the mechanism by which disease was acquired by the living subject involved in the public health case.</p>
                        <b>OpenIssue:</b>This code could be moved to LOINC if it can be done before there are significant implemenations using it.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23466"/>
            <printName language="en" preferredForLanguage="true"
                       text="case transmission mode observation"/>
            <code code="CTMO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionPersonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21865"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified thoracic surgery care"/>
            <code code="CTSC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A displayed mark, required to be rendered as "CUI", indicating that the electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html.</p>
                        <i>Usage Note:</i>Mandatory control marking, which must be displayed on the top portion of each rendered or printed page containing controlled information. Should be displayed at the bottom of each rendered or printed page containing controlled information. Must be displayed on each portion of controlled information at the portion level if portions are uncontrolled unclassified information. Based on CUI Marking Handbook https://www.archives.gov/files/cui/20161206-cui-marking-handbook-v1-1.pdf.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ControlledUnclassifiedInformation"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24054"/>
            <printName language="en" preferredForLanguage="true" text="CUI"/>
            <code code="CUI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A displayed mark, required to be rendered as "CUI//HLTH", indicating that the electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html.</p>
                        <i>Usage Note:</i>Examples of healthcare regulation governing CUI Basic marking include HIPAA Unique Identifier provisions 42 USC 1320d-2 note(b) https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf; Title 38 Section 7332 https://www.govinfo.gov/content/pkg/USCODE-2016-title38/pdf/USCODE-2016-title38-partV-chap73-subchapIII-sec7332.pdf; and several sections of 42 CFR Part 2.related to consent and confidentiality, e.g., https://www.govinfo.gov/content/pkg/CFR-2017-title42-vol1/pdf/CFR-2017-title42-vol1-sec2-12.pdf</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ControlledUnclassifiedInformation"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24055"/>
            <printName language="en" preferredForLanguage="true" text="CUI//HLTH"/>
            <code code="CUIHLTH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A displayed mark, required to be rendered as "(CUI//HLTH)", indicating that a portion of an electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html.</p>
                        <i>Usage Note:</i>Examples of healthcare regulation governing CUI Basic marking include HIPAA Unique Identifier provisions 42 USC 1320d-2 note(b) https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf; Title 38 Section 7332 https://www.govinfo.gov/content/pkg/USCODE-2016-title38/pdf/USCODE-2016-title38-partV-chap73-subchapIII-sec7332.pdf; and several sections of 42 CFR Part 2.related to consent and confidentiality, e.g., https://www.govinfo.gov/content/pkg/CFR-2017-title42-vol1/pdf/CFR-2017-title42-vol1-sec2-12.pdf</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ControlledUnclassifiedInformation"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24056"/>
            <printName language="en" preferredForLanguage="true" text="(CUI//HLTH)"/>
            <code code="CUIHLTHP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An originator must mark, persist, display, and convey computable and renderable Controlled Unclassified Information (CUI) marks as required by policy. A recipient must consume, persist, display, and reconvey CUI marks on information received based on agreements with the originator..</p>
                        <b>Examples:</b>
                        <p>* As CUI custodians, Federal Agencies and their contractors must mark, persist, display, and convey these marks. * All CUI receivers must consume, persist, display, and reconvey CUI markings on information further disclosed</p>
                        <i>Usage Note:</i>
                        <p>In accordance with US 32 CFR Part 2002 and US Executive Order 13556 Controlled Unclassified Information, US Federal Agencies and their contractors are charged with classifying and marking certain information they create as Controlled Unclassified Information (CUI).</p>
                        <p>The following definitions, which are provided for context, are based on terms defined by the CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html</p>
                        <p>* CUI is defined as "information in any form that the Government creates or possesses, or that an entity creates or possesses for or on behalf of the Government, that a law, regulation, or Government-wide policy requires or permits an agency to handle using safeguarding or dissemination controls" * Designating CUI occurs when an authorized holder, consistent with US 32 CFR Part 2002 and the CUI Registry, determines that a specific item of information falls into a CUI category or subcategory. * The designating agency is the executive branch agency that designates or approves the designation of a specific item of information as CUI. * The authorized holder who designates the CUI must make recipients aware of the information's CUI status when disseminating that information. * Disseminating occurs when authorized holders provide access, transmit, or transfer CUI to other authorized holders through any means, whether internal or external to the agency.</p>
                        <p>Once designated as CUI, US Federal Agencies and their contractors must assign CUI marks as prescribed by the National Archives and Records Administration (NARA) CUI Registry, and display marks as prescribed by the CUI Marking Handbook.</p>
                        <p>CUI markings must be displayed on hard copy, on containers, electronic media, and to end users for IT systems.</p>
                        <p>When HL7 content is designated as CUI, these computable markings can be interoperably conveyed using HL7 security label CUI tags, and may be included in HL7 text and narrative elements as human readable markings.</p>
                        <b>Impact of CUI markings:</b>
                        <p>CUI Custodians must enforce CUI security controls per applicable CUI policies. Federal agencies and their contractors must adhere to FISMA and NIST SP 800-53 security controls. Custodians, who are not Federal agencies or agency contractors, and are receivers of CUI, must adhere to NIST SP 800-171 security controls and those dictated by the Authorities indicated by the assigned CUI markings.</p>
                        <p>For most participants in US healthcare information exchange, including Federal Agencies and their contractors, additional controls are required by HIPAA Security standards for health information US 42 USC 1320d-2(d)(2) https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf</p>
                        <p>Federal Agencies and their contractors may be the CUI classifier of original CUI content; or a CUI derivative classifier, which reclassifies CUI content that has been aggregated with other CUI or Unclassified Uncontrolled Information (U) or dissembled from a larger CUI content; or declassifiers, depending on the designating agency's policies.</p>
                        <p>Applicable CUI policies include the following and any future applicable updates to policies or laws related to CUI:</p>
                        <p>* Executive Order 13556 https://www.federalregister.gov/articles/2010/11/09/2010-28360/controlled-unclassified-information * US 32 CFR Part 2002 https://www.govinfo.gov/content/pkg/CFR-2017-title32-vol6/pdf/CFR-2017-title32-vol6-part2002.pdf * NIST SP 800-171 https://nvlpubs.nist.gov/nistpubs/SpecialPublications/NIST.SP.800-171r1.pdf * NIST SP 800-171A https://doi.org/10.6028/NIST.SP.800-171A * CUI Marking Handbook https://www.archives.gov/files/cui/20161206-cui-marking-handbook-v1-1.pdf * CUI Registry - Health Information Category https://www.archives.gov/cui/registry/category-detail/health-info * CUI Registry: Limited Dissemination Controls https://www.archives.gov/cui/registry/limited-dissemination * CUI Policy and Guidance https://www.archives.gov/cui/registry/policy-guidance</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PRIVMARK"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24129"/>
            <printName language="en" preferredForLanguage="true" text="CUI Mark"/>
            <code code="CUIMark" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A displayed mark, required to be rendered as "(CUI)", indicating that a portion of an electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html.</p>
                        <i>Usage Note:</i>Examples of healthcare regulation governing CUI Basic marking include HIPAA Unique Identifier provisions 42 USC 1320d-2 note(b) https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf; Title 38 Section 7332 https://www.govinfo.gov/content/pkg/USCODE-2016-title38/pdf/USCODE-2016-title38-partV-chap73-subchapIII-sec7332.pdf; and several sections of 42 CFR Part 2.related to consent and confidentiality, e.g., https://www.govinfo.gov/content/pkg/CFR-2017-title42-vol1/pdf/CFR-2017-title42-vol1-sec2-12.pdf</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ControlledUnclassifiedInformation"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24057"/>
            <printName language="en" preferredForLanguage="true" text="(CUI)"/>
            <code code="CUIP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A displayed mark, required to be rendered as "CUI//PRVCY", indicating that the electronic or hardcopy controlled unclassified basic privacy information is private and must be protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html.</p>
                        <i>Usage Note:</i>Examples of privacy regulation governing CUI Basic marking include 20 CFR 401.100 related to SSA disclosure of personal, program, and non-program information. https://www.govinfo.gov/content/pkg/CFR-2017-title20-vol2/pdf/CFR-2017-title20-vol2-sec401-100.pdf.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ControlledUnclassifiedInformation"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24058"/>
            <printName language="en" preferredForLanguage="true" text="CUI//PRVCY"/>
            <code code="CUIPRVCY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A displayed mark, required to be rendered as "(CUI//PRVCY)", indicating that a portion of an electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html.</p>
                        <i>Usage Note:</i>Examples of privacy regulation governing CUI Basic marking include 20 CFR 401.100 related to SSA disclosure of personal, program, and non-program information. https://www.govinfo.gov/content/pkg/CFR-2017-title20-vol2/pdf/CFR-2017-title20-vol2-sec401-100.pdf.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ControlledUnclassifiedInformation"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24059"/>
            <printName language="en" preferredForLanguage="true" text="(CUI//PRVCY)"/>
            <code code="CUIPRVCYP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A displayed mark, required to be rendered as "CUI//SP-HLTH", indicating that the electronic or hardcopy information is protected at the level of the subset of CUI in which the authorizing law, regulation, or Government-wide policy contains specific handling controls that it requires or permits agencies to use that differ from those for CUI Basic. The CUI Registry indicates which laws, regulations, and Government-wide policies include such specific requirements. CUI Specified controls may be more stringent than, or may simply differ from, those required by CUI Basic; the distinction is that the underlying authority spells out the controls for CUI Specified information and does not for CUI Basic information. CUI Basic controls apply to those aspects of CUI Specified where the authorizing laws, regulations, and Government-wide policies do not provide specific guidance. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html.</p>
                        <i>Usage Note:</i>Examples of healthcare regulation governing CUI Specified marking include HIPAA Transaction and Code Sets and references the Congressional requirement that HHS promulgate Privacy, and Security rules https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ControlledUnclassifiedInformation"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24060"/>
            <printName language="en" preferredForLanguage="true" text="CUI//SP-HLTH"/>
            <code code="CUISP-HLTH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A displayed mark, required to be rendered as "(CUI//SP-HLTH)", indicating that a portion of an electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html.</p>
                        <i>Usage Note:</i>Examples of healthcare regulation governing CUI Specified marking include HIPAA Transaction and Code Sets and references the Congressional requirement that HHS promulgate Privacy, and Security rules https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ControlledUnclassifiedInformation"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24061"/>
            <printName language="en" preferredForLanguage="true" text="(CUI//SP-HLTH)"/>
            <code code="CUISP-HLTHP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A displayed mark, required to be rendered as "CUI//SP-PRVCY", indicating that the electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html.</p>
                        <i>Usage Note:</i>Examples of privacy regulation governing CUI Specified marking is OMB M-17-12� This Memorandum sets forth the policy for Federal agencies to prepare for and respond to a breach of personally identifiable information (PII). It includes a framework for assessing and mitigating the risk of harm to individuals potentially affected by a breach, as well as guidance on whether and how to provide notification and services to those individuals. https://www.whitehouse.gov/sites/whitehouse.gov/files/omb/memoranda/2017/m-17-12\_0.pdf.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ControlledUnclassifiedInformation"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24062"/>
            <printName language="en" preferredForLanguage="true" text="CUI//SP-PRVCY"/>
            <code code="CUISP-PRVCY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A displayed mark, required to be rendered as "(CUI//SP-PRVCY)", indicating that a portion of an electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html.</p>
                        <i>Usage Note:</i>Examples of privacy regulation governing CUI Specified marking is OMB M-17-12� This Memorandum sets forth the policy for Federal agencies to prepare for and respond to a breach of personally identifiable information (PII). It includes a framework for assessing and mitigating the risk of harm to individuals potentially affected by a breach, as well as guidance on whether and how to provide notification and services to those individuals. https://www.whitehouse.gov/sites/whitehouse.gov/files/omb/memoranda/2017/m-17-12\_0.pdf.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ControlledUnclassifiedInformation"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24063"/>
            <printName language="en" preferredForLanguage="true" text="(CUI//SP-PRVCY)"/>
            <code code="CUISP-PRVCYP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionPersonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21866"/>
            <printName language="en" preferredForLanguage="true" text="certified urology care"/>
            <code code="CURC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>List of current medications.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MEDLIST"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19977"/>
            <printName language="en" preferredForLanguage="true" text="current medication list"/>
            <code code="CURMEDLIST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The current quantity of the specimen, i.e., initial quantity minus what has been actually used.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="VOLUME"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="13962"/>
            <printName language="en" preferredForLanguage="true" text="Current Volume"/>
            <code code="CURRENT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionProgramCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21903"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified vascular diseases care"/>
            <code code="CVDC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionPersonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21864"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified vascular surgery care"/>
            <code code="CVSC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionProgramCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21905"/>
            <printName language="en" preferredForLanguage="true"
                       text="certified wound management care"/>
            <code code="CWMA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionProgramCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21904"/>
            <printName language="en" preferredForLanguage="true" text="certified women's health care"/>
            <code code="CWOH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A code representing U.S. Federal laws governing research-related privacy policies known as the "Common Rule". The Common Rule is the U.S. Federal regulations governing the protection of human subjects in research (codified at Subpart A of 45 CFR part 46), which has been adopted by 15 U.S. Federal departments and agencies in an effort to promote uniformity, understanding, and compliance with human subject protections. Existing regulations governing the protection of human subjects in Food and Drug Administration (FDA)-regulated research (21 CFR parts 50, 56, 312, and 812) are separate from the Common Rule but include similar requirements.</p>
                        <i>Usage Note:</i>Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information or biospecimen is governed by the Common Rule use "COMMONRULE" as the security label policy code. Information or biospecimen disclosed under the Common Rule are not protected by the HIPAA Privacy Rule. If protected under other laws such as confidentiality provisions under the Common Rule, assign the HL7 Confidentiality code "M" (moderate).</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActUSPrivacyLaw"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23762"/>
            <printName language="en" preferredForLanguage="true" text="Common Rule"/>
            <code code="CommonRule" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A code representing an individual's consent directive that complies with HIPAA Privacy rule 45 CFR Section 164.508 Uses and disclosures for which an authorization is required https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which is a US Federal law stipulating the policy elements of a valid authorization under this Section specific to disclosures for purposes of research when combined with a Common Rule or Federal Drug Administration consent to participate in research also known as a compound authorization.</p>
                        <i>Usage Note:</i>The Agency for Healthcare Research and Quality (AHRQ) has developed the Informed Consent and Authorization Toolkit for Minimal Risk Research to facilitate the process of obtaining informed consent and Health Insurance Portability and Accountability Act (HIPAA) authorization from potential research subjects. This toolkit contains information for people responsible for ensuring that potential research subjects are informed in a manner that is consistent with medical ethics and regulatory guidelines. From https://www.ahrq.gov/sites/default/files/publications/files/ictoolkit.pdf.<p>Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by an individual's right of access directive under 45 CFR Section 164.508 use "CompoundResearchCD" as the security label policy code.</p>
                        <p>Information or biospecimen disclosed under the Common Rule are not protected by the HIPAA Privacy Rule. If protected under other laws such as confidentiality provisions under the Common Rule, assign the HL7 Confidentiality code "M" (moderate).</p>
                        <p>See ActCode.\_ActPolicyType.\_ActPrivacyPolicy.\_ActPrivacyLaw.\_ActUSPrivacyLaw.HIPAAAuth (HIPAA Authorization for Disclosure). See: HIPAAAuth and NIH Sample Authorization Language for Research Uses and Disclosures of Individually Identifiable Health Information by a Covered Health Care Provider https://privacyruleandresearch.nih.gov/authorization.asp</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActUSPrivacyConsentDirective"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24105"/>
            <printName language="en" preferredForLanguage="true"
                       text="Compound HIPAA Research Authorization and Informed Consent for Research"/>
            <code code="CompoundResearchCD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A displayed mark rendered as "Confidential", which indicates to end users that the electronic or hardcopy information they are viewing must be protected at a level of protection as dictated by applicable policy.</p>
                        <p>May be used to indicate proprietary or classified information that is, for example, business, intelligence, or project related, e.g., secret ingredients in a therapeutic substance; location of disaster health facilities and providers, or the name of a manufacturer or project contractor. Example use cases include a display to alert authorized business system users that they are viewing additionally protected proprietary and business confidential information deemed proprietary under an applicable jurisdictional or organizational policy.</p>
                        <i>Usage Note:</i>
                        <p>The ConfidentialMark (confidential mark) description is based on the HL7 Confidentiality Concept Domain: Types of privacy metadata classifying an IT resource (data, information object, service, or system capability) according to its level of sensitivity, which is based on an analysis of applicable privacy policies and the risk of financial, reputational, or other harm to an individual or entity that could result if made available or disclosed to unauthorized individuals, entities, or processes.</p>
                        <i>Usage Note:</i>Confidentiality codes may be used in security labels and privacy markings to classify IT resources based on sensitivity to indicate the obligation of a custodian or receiver to ensure that the protected resource is not made available or disclosed to individuals, entities, or processes (security principals) unless authorized per applicable policies. Confidentiality codes may also be used in the clearances of initiators requesting access to protected resources.<p>Map: Definition aligns with ISO 7498-2:1989 - Confidentiality is the property that information is not made available or disclosed to unauthorized individuals, entities, or processes.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SecurityLabelMark"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24048"/>
            <printName language="en" preferredForLanguage="true" text="confidential mark"/>
            <code code="ConfidentialMark" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Information the US Government creates or possesses, or that an entity creates or possesses for or on behalf of the Government, that a law, regulation, or Government-wide policy requires or permits an agency to handle using safeguarding or dissemination controls. However, CUI does not include classified information (see definition above) or information a non-executive branch entity possesses and maintains in its own systems that did not come from, or was not created or possessed by or for, an executive branch agency or an entity acting for an agency. Law, regulation, or Government-wide policy may require or permit safeguarding or dissemination controls in three ways: Requiring or permitting agencies to control or protect the information but providing no specific controls, which makes the information CUI Basic; requiring or permitting agencies to control or protect the information and providing specific controls for doing so, which makes the information CUI Specified; or requiring or permitting agencies to control the information and specifying only some of those controls, which makes the information CUI Specified, but with CUI Basic controls where the authority does not specify. Based on CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html .</p>
                        <i>Usage Note:</i>Mandatory control marking, which must be displayed on the top portion of each rendered or printed page containing controlled information. Should be displayed at the bottom of each rendered or printed page containing controlled information. Must be displayed on each portion of controlled information at the portion level if portions are uncontrolled unclassified information. Based on CUI Marking Handbook https://www.archives.gov/files/cui/20161206-cui-marking-handbook-v1-1.pdf. For definitions of key terms see CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PrivacyMark"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24052"/>
            <printName language="en" preferredForLanguage="true"
                       text="ControlledUnclassifiedInformation"/>
            <code code="ControlledUnclassifiedInformation" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Proposed therapy may be contraindicated or ineffective based on an existing or recent drug therapy.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AdministrationDetectedIssueCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21699"/>
            <printName language="en" preferredForLanguage="true" text="drug action detected issue"/>
            <code code="DACT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An allergy to a pharmaceutical product.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ALG"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DINT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21504"/>
            <printName language="en" preferredForLanguage="true" text="Drug Allergy"/>
            <code code="DALG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Transaction counts and value totals for each calendar day within the date range specified.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActAdjudicationGroupCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceAdjudicationPaymentSummaryCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17969"/>
            <printName language="en" preferredForLanguage="true" text="day"/>
            <code code="DAY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Electronic Funds Transfer (EFT) deposit into the payee's bank account</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActPaymentCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17613"/>
            <printName language="en" preferredForLanguage="true" text="Direct Deposit"/>
            <code code="DDP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Custodian security system must declassify information assigned security labels by instantiating a new version of the classified information so as to break the binding of the classifying security label when assigning a new security label that marks the information as unclassified in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the previous assignment and binding.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ObligationPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23751"/>
            <printName language="en" preferredForLanguage="true" text="declassify security label"/>
            <code code="DECLASSIFYLABEL" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="17500"/>
            <code code="DEDUCT" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>That portion of the eligible charges which a covered party must pay in a particular period (e.g. annual) before the benefits are payable by the adjudicator. This amount represents the covered party's deductible that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceDetailGenericAdjudicatorCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20051"/>
            <printName language="en" preferredForLanguage="true" text="deductible"/>
            <code code="DEDUCTIBLE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Description of individual terms, provided as needed.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationQualityMeasureAttribute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23433"/>
            <printName language="en" preferredForLanguage="true" text="definition"/>
            <code code="DEF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The removal of fibrin from whole blood or plasma through physical or chemical means</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActSpecimenTreatmentCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14043"/>
            <printName language="en" preferredForLanguage="true" text="Defibrination"/>
            <code code="DEFB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Custodian system must strip information of data that would allow the identification of the source of the information or the information subject.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ObligationPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23383"/>
            <printName language="en" preferredForLanguage="true" text="deidentify"/>
            <code code="DEID" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Custodian system must remove target information from access after use.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ObligationPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23384"/>
            <printName language="en" preferredForLanguage="true" text="delete after use"/>
            <code code="DELAU" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Delegation policies specify which actions subjects are allowed to delegate to others. A delegation policy thus specifies an authorisation to delegate. Subjects must already possess the access rights to be delegated.</p>
                        <p>Delegation policies are aimed at subjects delegating rights to servers or third parties to perform actions on their behalf and are not meant to be the means by which security administrators would assign rights to subjects. A negative delegation policy identifies what delegations are forbidden.</p>
                        <p>A Delegation policy specifies the authorisation policy from which delegated rights are derived, the grantors, which are the entities which can delegate these access rights, and the grantees, which are the entities to which the access rights can be delegated. There are two types of delegation policy, positive and negative. (Based on PONDERS)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SecurityPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23933"/>
            <printName language="en" preferredForLanguage="true" text="delegation policy"/>
            <code code="DELEPOL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy for handling all demographic information about an information subject, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to all demographic about an information subject, the disclosure of which could impact the privacy, well-being, or safety of that subject.</p>
                        <i>Usage Note:</i>If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_EntitySensitivityPolicyType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23352"/>
            <printName language="en" preferredForLanguage="true"
                       text="all demographic information sensitivity"/>
            <code code="DEMO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**All information pertaining to a patient's demographics (such as name, date of birth, gender, address, etc).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationCategoryCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21618"/>
            <printName language="en" preferredForLanguage="true" text="demographics category"/>
            <code code="DEMOCAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Criteria which specify subjects who should be removed from the eMeasure population and denominator before determining if numerator criteria are met. Denominator exclusions are used in proportion and ratio measures to help narrow the denominator.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PopulationInclusionObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23544"/>
            <printName language="en" preferredForLanguage="true" text="denominator exclusions"/>
            <code code="DENEX" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Criteria which specify the removal of a subject, procedure or unit of measurement from the denominator, only if the numerator criteria are not met. Denominator exceptions allow for adjustment of the calculated score for those providers with higher risk populations. Denominator exceptions are used only in proportion eMeasures. They are not appropriate for ratio or continuous variable eMeasures. Denominator exceptions allow for the exercise of clinical judgment and should be specifically defined where capturing the information in a structured manner fits the clinical workflow. Generic denominator exception reasons used in proportion eMeasures fall into three general categories:</p>
                        <p>* Medical reasons * Patient (or subject) reasons * System reasons</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PopulationInclusionObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23545"/>
            <printName language="en" preferredForLanguage="true" text="denominator exceptions"/>
            <code code="DENEXCEP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Criteria for specifying the entities to be evaluated by a specific quality measure, based on a shared common set of characteristics (within a specific measurement set to which a given measure belongs). The denominator can be the same as the initial population, or it may be a subset of the initial population to further constrain it for the purpose of the eMeasure. Different measures within an eMeasure set may have different denominators. Continuous Variable eMeasures do not have a denominator, but instead define a measure population.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PopulationInclusionObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23546"/>
            <printName language="en" preferredForLanguage="true" text="denominator"/>
            <code code="DENOM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A health insurance policy that that covers benefits for dental services.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActHealthInsuranceTypeCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22105"/>
            <printName language="en" preferredForLanguage="true" text="dental care policy"/>
            <code code="DENTAL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A public or government health program that administers and funds coverage for dental care to assist program eligible who meet financial and health status criteria.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PUBLICPOL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22131"/>
            <printName language="en" preferredForLanguage="true" text="dental program"/>
            <code code="DENTPRG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Communication of an agent from a living subject or environmental source to a living subject via agent migration through intact skin.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CaseTransmissionMode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21923"/>
            <printName language="en" preferredForLanguage="true" text="transdermal transmission"/>
            <code code="DERMTRNS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A fill providing sufficient supply for one day</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActPharmacySupplyType"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16214"/>
            <printName language="en" preferredForLanguage="true" text="Daily Fill"/>
            <code code="DF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy for handling information related to a diagnosis, health condition or health problem, which will be afforded heightened confidentiality. Diagnostic, health condition or health problem related information may be deemed sensitive by organizational policy, and require heightened confidentiality.</p>
                        <i>Usage Note:</i>For use within an enterprise that provides heightened confidentiality to diagnostic, health condition or health problem related information deemed sensitive. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InformationSensitivityPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23332"/>
            <printName language="en" preferredForLanguage="true"
                       text="diagnosis information sensitivity"/>
            <code code="DIA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A clinician enters a diagnosis for a given patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CLINNOTEE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22071"/>
            <printName language="en" preferredForLanguage="true" text="diagnosis list entry task"/>
            <code code="DIAGLISTE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person reviews a list of diagnoses of a given patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PATINFO"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22060"/>
            <printName language="en" preferredForLanguage="true" text="diagnosis list review task"/>
            <code code="DIAGLISTREV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**All information pertaining to a patient's diagnostic image records (orders &amp; results).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationCategoryCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21613"/>
            <printName language="en" preferredForLanguage="true" text="diagnostic image category"/>
            <code code="DICAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Code set to define specialized/allowed diets</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10376"/>
            <printName language="en" preferredForLanguage="true" text="Diet"/>
            <code code="DIET" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An observation that reports the dilution of a sample.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActSpecObsCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14352"/>
            <printName language="en" preferredForLanguage="true" text="ActSpecObsDilutionCode"/>
            <code code="DILUTION" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Hypersensitivity resulting in an adverse reaction upon exposure to a drug.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OINT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21501"/>
            <printName language="en" preferredForLanguage="true" text="Drug Intolerance"/>
            <code code="DINT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>An insurance policy that provides a regular payment to compensate for income lost due to the covered party's inability to work because of illness or injury.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInsuranceTypeCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22102"/>
            <printName language="en" preferredForLanguage="true" text="disability insurance policy"/>
            <code code="DIS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Disclaimer information for the eMeasure.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationQualityMeasureAttribute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23022"/>
            <printName language="en" preferredForLanguage="true" text="disclaimer"/>
            <code code="DISC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person provides a discharge instruction to a patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CLINNOTEE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23628"/>
            <printName language="en" preferredForLanguage="true" text="discharge instruction entry"/>
            <code code="DISCHINSTE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A clinician enters a discharge summary for a given patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CLINNOTEE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22069"/>
            <printName language="en" preferredForLanguage="true" text="discharge summary entry task"/>
            <code code="DISCHSUME" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person reviews a discharge summary of a given patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CLINNOTEREV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22066"/>
            <printName language="en" preferredForLanguage="true" text="discharge summary review task"/>
            <code code="DISCHSUMREV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>List of discharge medications.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MEDLIST"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19979"/>
            <printName language="en" preferredForLanguage="true" text="discharge medication list"/>
            <code code="DISCMEDLIST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Discharge diagnosis are the diagnoses documented for administrative purposes as the time of hospital discharge.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationDiagnosisTypes"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DX"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16840"/>
            <printName language="en" preferredForLanguage="true" text="discharge diagnosis"/>
            <code code="DISDX" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A health insurance policy that covers benefits for healthcare services provided for named conditions under the policy, e.g., cancer, diabetes, or HIV-AIDS.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActHealthInsuranceTypeCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22106"/>
            <printName language="en" preferredForLanguage="true" text="disease specific policy"/>
            <code code="DISEASE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A public or government health program that administers and funds coverage for health and social services to assist program eligible who meet financial and health status criteria related to a particular disease.<b>Example:</b>Reproductive health, sexually transmitted disease, and end renal disease programs.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PUBLICPOL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22133"/>
            <printName language="en" preferredForLanguage="true" text="public health program"/>
            <code code="DISEASEPRG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The adjudication result associated is to be displayed to the receiver of the adjudication result.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActAdjudicationResultActionCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17475"/>
            <printName language="en" preferredForLanguage="true" text="Display"/>
            <code code="DISPLAY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A diet that uses carbohydrates sparingly. Typically with a restriction in daily energy content (e.g. 1600-2000 kcal).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DIET"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10383"/>
            <printName language="en" preferredForLanguage="true" text="diabetes mellitus diet"/>
            <code code="DM" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14815"/>
            <printName language="en" preferredForLanguage="true" text="Diner's Club"/>
            <code code="DN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DINT"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NAINT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21507"/>
            <printName language="en" preferredForLanguage="true" text="Drug Non-Allergy Intolerance"/>
            <code code="DNAINT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Provision of treatment for oral health and/or dental surgery.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActMedicalServiceCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17456"/>
            <printName language="en" preferredForLanguage="true" text="Dental"/>
            <code code="DNTL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy for handling information related to an information subject's date of birth, which will be afforded heightened confidentiality.Policies may govern sensitivity of information related to an information subject's date of birth, the disclosure of which could impact the privacy, well-being, or safety of that subject.</p>
                        <i>Usage Note:</i>If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_EntitySensitivityPolicyType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23353"/>
            <printName language="en" preferredForLanguage="true"
                       text="date of birth information sensitivity"/>
            <code code="DOB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Document Attachment</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActClaimAttachmentCategoryCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23008"/>
            <printName language="en" preferredForLanguage="true" text="document"/>
            <code code="DOCUMENT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed dosage instructions for therapy differ from standard practice.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AdministrationDetectedIssueCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="VALIDAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16680"/>
            <printName language="en" preferredForLanguage="true" text="Dosage problem"/>
            <code code="DOSE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Proposed dosage is inappropriate due to patient's medical condition.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DOSE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21671"/>
            <printName language="en" preferredForLanguage="true" text="dosage-condition alert"/>
            <code code="DOSECOND" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed length of therapy differs from standard practice.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DOSE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16684"/>
            <printName language="en" preferredForLanguage="true" text="Dose-Duration Alert"/>
            <code code="DOSEDUR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed length of therapy is longer than standard practice</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DOSEDUR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16686"/>
            <printName language="en" preferredForLanguage="true" text="Dose-Duration High Alert"/>
            <code code="DOSEDURH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed length of therapy is longer than standard practice for the identified indication or diagnosis</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DOSEDURH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17782"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed length of therapy is shorter than that necessary for therapeutic effect</p>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed length of therapy is shorter than standard practice for the identified indication or diagnosis</p>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed dosage exceeds standard practice</p>
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                  </definition>
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            <conceptRelationship relationshipName="Specializes">
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed dosage exceeds standard practice for the patient's age</p>
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                  </definition>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed dosage exceeds standard practice for the patient's height or body surface area</p>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed dosage exceeds standard practice for the patient's weight</p>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
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                        <p>Proposed dosage interval/timing differs from standard practice</p>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed dosage interval/timing differs from standard practice for the identified indication or diagnosis</p>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed dosage is below suggested therapeutic levels</p>
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            <printName language="en" preferredForLanguage="true" text="Low Dose for Indication Alert"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed dosage is below suggested therapeutic levels for the patient's age</p>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed dosage is below suggested therapeutic levels for the patient's height or body surface area</p>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed dosage is below suggested therapeutic levels for the patient's weight</p>
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                  </definition>
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            <conceptRelationship relationshipName="Specializes">
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            <printName language="en" preferredForLanguage="true" text="Low Dose for Weight Alert"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Custodian security system must downgrade information assigned security labels by instantiating a new version of the classified information so as to break the binding of the classifying security label when assigning a new security label that marks the information as classified at a less protected level in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the previous assignment and binding.</p>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A displayed mark indicating that the electronic or hard-copy information is still under development and is not yet considered to be ready for normal use.</p>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed therapy may interact with an existing or recent drug therapy</p>
                     </text>
                  </definition>
               </documentation>
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            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TPROD"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy for handling information related to a drug, which will be afforded heightened confidentiality. Drug information may be deemed sensitive by organizational policy, and require heightened confidentiality.</p>
                        <i>Usage Note:</i>For use within an enterprise that provides heightened confidentiality to drug information deemed sensitive. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.</text>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Provision of treatment for drug abuse.</p>
                     </text>
                  </definition>
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            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActMedicalServiceCode"/>
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            <conceptProperty name="internalId" value="17454"/>
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            <code code="DRGRHB" status="active"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Custodian security system must assign and bind security labels derived from compilations of information by aggregation or disaggregation in order to classify information compiled in the information systems under its control for collection, access, use and disclosure in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the previous assignment and binding.</p>
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                  </definition>
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            <code code="DRIVLABEL" status="active"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The introduction of a drug into a subject with the intention of altering its biologic state with the intent of improving its health status.</p>
                     </text>
                  </definition>
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            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActSubstanceAdministrationCode"/>
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         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A grouping of invoice element details including the one specifying the drug being invoiced. It may also contain generic detail items such as markup.</p>
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                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceInterGroupCode"/>
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            <printName language="en" preferredForLanguage="true" text="drug invoice group"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A health insurance policy that covers benefits for prescription drugs, pharmaceuticals, and supplies.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActHealthInsuranceTypeCode"/>
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            <printName language="en" preferredForLanguage="true" text="drug policy"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A public or government health program that administers and funds coverage for prescription drugs to assist program eligible who meet financial and health status criteria.</text>
                  </definition>
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            <conceptProperty name="internalId" value="22132"/>
            <printName language="en" preferredForLanguage="true" text="drug program"/>
            <code code="DRUGPRG" status="active"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A reduction in the amount charged as a percentage of the amount. For example a 5% discount for volume purchase.</p>
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                  </definition>
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            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceDetailGenericProviderCode"/>
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            <printName language="en" preferredForLanguage="true" text="discount"/>
            <code code="DSC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The proposed therapy appears to have the same intended therapeutic benefit as an existing therapy, though the specific mechanisms of action vary.</p>
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            <conceptRelationship relationshipName="Specializes">
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The proposed therapy appears to have the same intended therapeutic benefit as an existing therapy and uses the same mechanisms of action as the existing therapy.</p>
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            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DUPTHPY"/>
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            <printName language="en" preferredForLanguage="true" text="duplicate generic alert"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The proposed therapy appears to duplicate an existing therapy</p>
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                  </definition>
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            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AdministrationDetectedIssueCode"/>
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            <conceptProperty name="internalId" value="16688"/>
            <printName language="en" preferredForLanguage="true" text="Duplicate Therapy Alert"/>
            <code code="DUPTHPY" status="active"/>
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         <concept>
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               <targetConcept code="CC"/>
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            <conceptProperty name="internalId" value="14816"/>
            <printName language="en" preferredForLanguage="true" text="Discover Card"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy for handling information related to developmental disability disorders and conditions caused by these disorders, which is afforded heightened confidentiality.</p>
                        <i>Usage Note:</i>If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.<p>A diverse group of chronic conditions that are due to mental or physical impairments impacting activities of daily living, self-care, language acuity, learning, mobility, independent living and economic self-sufficiency. Examples may include Down syndrome and Autism spectrum. However, the developmental disabilities to which this term applies versus other behavioral health categories varies by jurisdiction and organizational policy in part due to overlap with other behavioral health conditions. Implementers should constrain to those diagnoses applicable in the domain in which this code is used.</p>
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            <conceptRelationship relationshipName="Specializes">
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            <conceptProperty name="internalId" value="23929"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="DVD" status="active"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Includes all codes defining types of indications such as diagnosis, symptom and other indications such as contrast agents for lab tests.</p>
                     </text>
                  </definition>
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            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
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            <conceptProperty name="internalId" value="20927"/>
            <printName language="en" preferredForLanguage="true" text="ObservationDiagnosisTypes"/>
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            <code code="_ObservationDiagnosisTypes" status="active"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A displayed mark on an electronic transmission or physical container such as an electronic transmittal wrapper, batch file, message header, or a physical envelop or package indicating that the contents, whether electronic or hardcopy information, must only be delivered to the authorized recipient(s) named in the address.</p>
                        <i>Usage Note:</i>Required by US 32 CRF Part 2002 for container storing or transmitting CUI.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SecurityLabelMark"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An allergy to a substance other than a drug or a food. E.g. Latex, pollen, etc.</p>
                     </text>
                  </definition>
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            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ALG"/>
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            <conceptRelationship relationshipName="Specializes">
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            <conceptProperty name="internalId" value="21506"/>
            <printName language="en" preferredForLanguage="true" text="Environmental Allergy"/>
            <code code="EALG" status="active"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>An employee assistance program is run by an employer or employee organization for the purpose of providing benefits and covering all or part of the cost for employees to receive counseling, referrals, and advice in dealing with stressful issues in their lives. These may include substance abuse, bereavement, marital problems, weight issues, or general wellness issues. The services are usually provided by a third-party, rather than the company itself, and the company receives only summary statistical data from the service provider. Employee's names and services received are kept confidential.</text>
                  </definition>
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            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActProgramTypeCode"/>
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            <conceptProperty name="internalId" value="22125"/>
            <printName language="en" preferredForLanguage="true" text="employee assistance program"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Fees deducted on behalf of a payee for tuition and continuing education.</p>
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                  </definition>
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            <conceptRelationship relationshipName="Specializes">
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            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoicePaymentCode"/>
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            <conceptProperty name="internalId" value="20059"/>
            <printName language="en" preferredForLanguage="true" text="education fees"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Electronic form with supporting or additional information to follow.</p>
                     </text>
                  </definition>
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            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceOverrideCode"/>
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            <conceptProperty name="internalId" value="20021"/>
            <printName language="en" preferredForLanguage="true" text="electronic form to follow"/>
            <code code="EFORM" status="active"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Private insurance policy that provides coverage in addition to other policies (e.g. in addition to a Public Healthcare insurance policy).</p>
                     </text>
                  </definition>
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            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActHealthInsuranceTypeCode"/>
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            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInsurancePolicyCode"/>
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            <conceptProperty name="internalId" value="19722"/>
            <printName language="en" preferredForLanguage="true" text="extended healthcare"/>
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         <concept>
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               <documentation>
                  <definition>
                     <text>
                        <p>Hypersensitivity resulting in an adverse reaction upon exposure to environmental conditions.</p>
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            <conceptRelationship relationshipName="Specializes">
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            <conceptProperty name="internalId" value="21503"/>
            <printName language="en" preferredForLanguage="true" text="Environmental Intolerance"/>
            <code code="EINT" status="active"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Insurance coverage is in effect for healthcare service(s) and/or product(s).</p>
                     </text>
                  </definition>
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            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCoverageEligibilityConfirmationCode"/>
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            <conceptProperty name="internalId" value="17489"/>
            <printName language="en" preferredForLanguage="true" text="Eligible"/>
            <code code="ELG" status="retired"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An ellipse defined by four (column,row) pairs, the first two points specifying the endpoints of the major axis and the second two points specifying the endpoints of the minor axis.</p>
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                  </definition>
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            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ROIOverlayShape"/>
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         <concept>
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               <documentation>
                  <definition>
                     <text>
                        <p>A supply action where there is no 'valid' order for the supplied medication. E.g. Emergency vacation supply, weekend supply (when prescriber is unavailable to provide a renewal prescription)</p>
                     </text>
                  </definition>
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            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActPharmacySupplyType"/>
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            <conceptProperty name="internalId" value="16220"/>
            <printName language="en" preferredForLanguage="true" text="Emergency Supply"/>
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         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Used to temporarily override normal authorization rules to gain access to data in a case of emergency. Use of this override code will typically be monitored, and a procedure to verify its proper use may be triggered when used.</p>
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                  </definition>
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            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AuthorizationIssueManagementCode"/>
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            <conceptProperty name="internalId" value="21388"/>
            <printName language="en" preferredForLanguage="true"
                       text="emergency authorization override"/>
            <code code="EMAUTH" status="active"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A patient encounter that takes place at a dedicated healthcare service delivery location where the patient receives immediate evaluation and treatment, provided until the patient can be discharged or responsibility for the patient's care is transferred elsewhere (for example, the patient could be admitted as an inpatient or transferred to another facility.)</p>
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                  </definition>
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            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActEncounterCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16240"/>
            <printName language="en" preferredForLanguage="true" text="emergency"/>
            <code code="EMER" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy for handling information related to emotional disturbance disorders and conditions caused by these disorders, which is afforded heightened confidentiality.</p>
                        <i>Usage Note:</i>If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.<p>Typical used to characterize behavioral and mental health issues of adolescents where the disorder may be temporarily diagnosed in order to avoid the potential and unnecessary stigmatizing diagnoses of disorder long term.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="BH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23930"/>
            <printName language="en" preferredForLanguage="true"
                       text="emotional disturbance information sensitivity"/>
            <code code="EMOTDIS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy for handling information related to an employee, which will be afforded heightened confidentiality. When a patient is an employee, an enterprise may have a policy that requires heightened confidentiality. Information deemed sensitive typically includes health information and patient role information including patient status, demographics, next of kin, and location.</p>
                        <i>Usage Note:</i>Policy for handling information related to an employee, which will be afforded heightened confidentiality. Description: When a patient is an employee, an enterprise may have a policy that requires heightened confidentiality. Information deemed sensitive typically includes health information and patient role information including patient status, demographics, next of kin, and location.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InformationSensitivityPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23334"/>
            <printName language="en" preferredForLanguage="true"
                       text="employee information sensitivity"/>
            <code code="EMP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy for handling information related to an employer which is deemed classified to protect an employee who is the information subject, and which will be afforded heightened confidentiality. Description: Policies may govern sensitivity of information related to an employer, such as law enforcement or national security, the identity of which could impact the privacy, well-being, or safety of an information subject who is an employee.</p>
                        <i>Usage Notes:</i>If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.</text>
                  </definition>
                  <usageNotes>
                     <text>If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.</text>
                  </usageNotes>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleInformationSensitivityPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23348"/>
            <printName language="en" preferredForLanguage="true"
                       text="employer information sensitivity"/>
            <code code="EMPL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Privacy consent directive restricting or prohibiting access, use, or disclosure of personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual in a registry or repository for all purposes except for emergency treatment generally, which may include treatment during a disaster, a threat, in an emergency department and for break the glass purposes of use as specified by applicable domain policy.</p>
                        <i>Usage Note:</i>To specify the scope of an "EMRGONLY" consent directive within a policy domain, use one or more of the following Purpose of Use codes in the ActReason code system OID: 2.16.840.1.113883.5.8.<p>* ETREAT (Emergency Treatment): To perform one or more operations on information for provision of immediately needed health care for an emergent condition. * BTG (break the glass): To perform policy override operations on information for provision of immediately needed health care for an emergent condition affecting potential harm, death or patient safety by end users who are not provisioned for this purpose of use. Includes override of organizational provisioning policies and may include override of subject of care consent directive restricting access. * ERTREAT (emergency room treatment): To perform one or more operations on information for provision of immediately needed health care for an emergent condition in an emergency room or similar emergent care context by end users provisioned for this purpose, which does not constitute as policy override such as in a "Break the Glass" purpose of use. * THREAT (threat): To perform one or more operations on information used to prevent injury or disease to living subjects who may be the target of violence. * DISASTER (disaster): To perform one or more operations on information used for provision of immediately needed health care to a population of living subjects located in a disaster zone.</p>
                        <p>Map: An "emergency only" consent directive maps to ISO/TS 17975:2015(E) 5.13 Exceptional access</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActConsentDirective"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23325"/>
            <printName language="en" preferredForLanguage="true" text="emergency only"/>
            <code code="EMRGONLY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="EINT"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NAINT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21509"/>
            <printName language="en" preferredForLanguage="true"
                       text="Environmental Non-Allergy Intolerance"/>
            <code code="ENAINT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Custodian system must render information unreadable by algorithmically transforming plaintext into ciphertext.</p>
                        <i>Usage Notes:</i>A mathematical transposition of a file or data stream so that it cannot be deciphered at the receiving end without the proper key. Encryption is a security feature that assures that only the parties who are supposed to be participating in a videoconference or data transfer are able to do so. It can include a password, public and private keys, or a complex combination of all. (Per Infoway.)</text>
                  </definition>
                  <usageNotes>
                     <text>A mathematical transposition of a file or data stream so that it cannot be deciphered at the receiving end without the proper key. Encryption is a security feature that assures that only the parties who are supposed to be participating in a videoconference or data transfer are able to do so. It can include a password, public and private keys, or a complex combination of all.  (Per Infoway.)</text>
                  </usageNotes>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ObligationPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23385"/>
            <printName language="en" preferredForLanguage="true" text="encrypt"/>
            <code code="ENCRYPT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext when "at rest" or in storage.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ENCRYPT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23386"/>
            <printName language="en" preferredForLanguage="true" text="encrypt at rest"/>
            <code code="ENCRYPTR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext while "in transit" or being transported by any means.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ENCRYPT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23387"/>
            <printName language="en" preferredForLanguage="true" text="encrypt in transit"/>
            <code code="ENCRYPTT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext while in use such that operations permitted on the target information are limited by the license granted to the end user.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ENCRYPT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23388"/>
            <printName language="en" preferredForLanguage="true" text="encrypt in use"/>
            <code code="ENCRYPTU" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A baseline value for the measured test that is inherently contained in the diluent. In the calculation of the actual result for the measured test, this baseline value is normally considered.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActControlVariable"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16858"/>
            <printName language="en" preferredForLanguage="true" text="endogenous content"/>
            <code code="ENDC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TimingDetectedIssueCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17818"/>
            <printName language="en" preferredForLanguage="true" text="End Too Late Alert"/>
            <code code="ENDLATE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A public or government program that administers publicly funded coverage of kidney dialysis and kidney transplant services.<p>Example: In the U.S., the Medicare End-stage Renal Disease program (ESRD), the National Kidney Foundation (NKF) American Kidney Fund (AKF) The Organ Transplant Fund.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DISEASEPRG"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22135"/>
            <printName language="en" preferredForLanguage="true" text="end renal program"/>
            <code code="ENDRENAL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Communication of an agent from an environmental surface or source to a living subject by direct contact.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CaseTransmissionMode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21914"/>
            <printName language="en" preferredForLanguage="true"
                       text="environmental exposure transmission"/>
            <code code="ENVTRNS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Fees deducted on behalf of a payee for charges based on a shorter payment frequency (i.e. next day versus biweekly payments.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceAdjudicationPaymentGroupCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoicePaymentCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20065"/>
            <printName language="en" preferredForLanguage="true" text="early payment fee"/>
            <code code="EPYMT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A premium on a service fee is requested because, due to extenuating circumstances, the service took an extraordinary amount of time or supplies.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceDetailGenericProviderCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20043"/>
            <printName language="en" preferredForLanguage="true"
                       text="extraordinary service assessment"/>
            <code code="ESA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy for handling alcohol or drug-abuse information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to alcohol or drug-abuse information that is deemed sensitive.</p>
                        <i>Usage Note:</i>If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationSensitivityPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23338"/>
            <printName language="en" preferredForLanguage="true"
                       text="substance abuse information sensitivity"/>
            <code code="ETH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy for handling information related to alcohol use disorders and conditions caused by these disorders, which is afforded heightened confidentiality.</p>
                        <i>Usage Note:</i>If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SUD"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23891"/>
            <printName language="en" preferredForLanguage="true"
                       text="alcohol use disorder information sensitivity"/>
            <code code="ETHUD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Domain provides codes that qualify the ActLabObsEnvfctsCode domain. (Environmental Factors)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActSpecObsCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14390"/>
            <printName language="en" preferredForLanguage="true" text="ActSpecObsEvntfctsCode"/>
            <code code="EVNFCTS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>An insurance policy under a benefit plan run by an employer or employee organization for the purpose of providing benefits other than pension-related to employees and their families. Typically provides health-related benefits, benefits for disability, disease or unemployment, or day care and scholarship benefits, among others. An employer sponsored health policy includes coverage of health care expenses arising from sickness or accidental injury, coverage for on-site medical clinics or for dental or vision benefits, which are typically provided under a separate policy. Coverage excludes health care expenses covered by accident or disability, workers' compensation, liability or automobile insurance.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInsuranceTypeCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22103"/>
            <printName language="en" preferredForLanguage="true"
                       text="employee welfare benefit plan policy"/>
            <code code="EWB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Indicates that a result is complete. No further results are to come. This maps to the 'complete' state in the observation result status code.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22830"/>
            <printName language="en" preferredForLanguage="true" text="final"/>
            <code code="F" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An allergy to a substance generally consumed for nutritional purposes.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ALG"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="FINT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21505"/>
            <printName language="en" preferredForLanguage="true" text="Food Allergy"/>
            <code code="FALG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person reviews a Falls Risk Assessment Instrument report of a given patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RISKASSESS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22064"/>
            <printName language="en" preferredForLanguage="true"
                       text="falls risk assessment instrument task"/>
            <code code="FALLRISK" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>No enteral intake of foot or liquids whatsoever, no smoking. Typically 6 to 8 hours before anesthesia.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DIET"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10382"/>
            <printName language="en" preferredForLanguage="true" text="fasting"/>
            <code code="FAST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Fax with supporting or additional information to follow.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceOverrideCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20022"/>
            <printName language="en" preferredForLanguage="true" text="fax to follow"/>
            <code code="FAX" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The introduction of material into a subject with the intent of providing nutrition or other dietary supplements (e.g. minerals or vitamins).</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActSubstanceAdministrationCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23110"/>
            <printName language="en" preferredForLanguage="true" text="food"/>
            <code code="FD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>FDA label coating</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_FDALabelData"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19260"/>
            <printName language="en" preferredForLanguage="true" text="coating"/>
            <code code="FDACOATING" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>FDA label color</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_FDALabelData"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19259"/>
            <printName language="en" preferredForLanguage="true" text="color"/>
            <code code="FDACOLOR" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>FDA label imprint code</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_FDALabelData"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19256"/>
            <printName language="en" preferredForLanguage="true" text="imprint code"/>
            <code code="FDAIMPRINTCD" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>FDA label logo</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_FDALabelData"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19262"/>
            <printName language="en" preferredForLanguage="true" text="logo"/>
            <code code="FDALOGO" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>FDA label scoring</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_FDALabelData"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19261"/>
            <printName language="en" preferredForLanguage="true" text="scoring"/>
            <code code="FDASCORING" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>FDA label shape</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_FDALabelData"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19258"/>
            <printName language="en" preferredForLanguage="true" text="shape"/>
            <code code="FDASHAPE" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>FDA label size</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_FDALabelData"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19257"/>
            <printName language="en" preferredForLanguage="true" text="size"/>
            <code code="FDASIZE" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Communication of an agent from a living subject or environmental source to a living subject through oral contact with material contaminated by person or animal fecal material.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CaseTransmissionMode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21916"/>
            <printName language="en" preferredForLanguage="true" text="fecal-oral transmission"/>
            <code code="FECTRNS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The initial fill against an order. (This includes initial fills against refill orders.)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActPharmacySupplyType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16209"/>
            <printName language="en" preferredForLanguage="true" text="First Fill"/>
            <code code="FF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A first fill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a complete fill would be for the full 90 tablets).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="FF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16210"/>
            <printName language="en" preferredForLanguage="true" text="First Fill - Complete"/>
            <code code="FFC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A first fill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a complete fill would be for the full 90 tablets) and also where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="FFC"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="FFS"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="FFSS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21816"/>
            <printName language="en" preferredForLanguage="true"
                       text="first fill complete, partial strength"/>
            <code code="FFCS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A first fill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a partial fill might be for only 30 tablets.)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="FF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16211"/>
            <printName language="en" preferredForLanguage="true" text="First Fill - Part Fill"/>
            <code code="FFP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A first fill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a partial fill might be for only 30 tablets.) and also where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="FF"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="FFS"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="FFSS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21817"/>
            <printName language="en" preferredForLanguage="true"
                       text="first fill, part fill, partial strength"/>
            <code code="FFPS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A billing arrangement where a Provider charges a separate fee for each intervention/procedure/event or product.</p>
                        <p>Fee for Service is used when an individual intervention/procedure/event is used for billing purposes. In other words, fees are associated with the intervention/procedure/event. For example, a specific CCI (Canadian Classification of Interventions) code has an associated fee and is used for billing purposes.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActBillingArrangementCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="FF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17479"/>
            <printName language="en" preferredForLanguage="true" text="fee for service"/>
            <code code="FFS" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A first fill where the strength supplied is less than the ordered strength. (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="FF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23017"/>
            <printName language="en" preferredForLanguage="true" text="first fill, partial strength"/>
            <code code="FFSS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Under agreement between the parties (payor and provider), a guaranteed level of income is established for the provider over a specific, pre-determined period of time. The normal course of business for the provider is submission of fee-for-service claims. Should the fee-for-service income during the specified period of time be less than the agreed to amount, a top-up amount is paid to the provider equal to the difference between the fee-for-service total and the guaranteed income amount for that period of time. The details of the agreement may specify (or not) a requirement for repayment to the payor in the event that the fee-for-service income exceeds the guaranteed amount.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceDetailGenericProviderCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21311"/>
            <printName language="en" preferredForLanguage="true" text="fee for service top off"/>
            <code code="FFSTOP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The Fibrin Index of the specimen. In the case of only differentiating between Absent and Present, recommend using 0 and 1</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INTFR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14386"/>
            <printName language="en" preferredForLanguage="true" text="Fibrin"/>
            <code code="FIBRIN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The passage of a liquid through a filter, accomplished by gravity, pressure or vacuum (suction).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActSpecimenTreatmentCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14047"/>
            <printName language="en" preferredForLanguage="true" text="Filtration"/>
            <code code="FILT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The timestamp when the eMeasure was last packaged in the Measure Authoring Tool.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationQualityMeasureAttribute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23440"/>
            <printName language="en" preferredForLanguage="true" text="finalized date/time"/>
            <code code="FINALDT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A billing arrangement where a Provider charges for non-clinical items. This includes interest in arrears, mileage, etc. Clinical content is not included in Invoices submitted with this type of billing arrangement.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActBillingArrangementCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19723"/>
            <printName language="en" preferredForLanguage="true" text="financial"/>
            <code code="FINBILL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Invoice Grouping without clinical justification. These will not require identification of participants and associations from a clinical context such as patient and provider.</p>
                        <p>Examples are interest charges and mileage.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceRootGroupCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19716"/>
            <printName language="en" preferredForLanguage="true" text="financial invoice"/>
            <code code="FININV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Hypersensitivity resulting in an adverse reaction upon exposure to food.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OINT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21502"/>
            <printName language="en" preferredForLanguage="true" text="Food Intolerance"/>
            <code code="FINT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A patient encounter that takes place both outside a dedicated service delivery location and outside a patient's residence. Example locations might include an accident site and at a supermarket.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActEncounterCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16235"/>
            <printName language="en" preferredForLanguage="true" text="field"/>
            <code code="FLD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>An insurance policy that covers qualified benefits under a Flexible Benefit plan such as group medical insurance, long and short term disability income insurance, group term life insurance for employees only up to $50,000 face amount, specified disease coverage such as a cancer policy, dental and/or vision insurance, hospital indemnity insurance, accidental death and dismemberment insurance, a medical expense reimbursement plan and a dependent care reimbursement plan.<i>Discussion:</i>See UnderwriterRoleTypeCode flexible benefit plan which is defined as a benefit plan that allows employees to choose from several life, health, disability, dental, and other insurance plans according to their individual needs. Also known as cafeteria plans. Authorized under Section 125 of the Revenue Act of 1978.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInsuranceTypeCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22104"/>
            <printName language="en" preferredForLanguage="true" text="flexible benefit plan policy"/>
            <code code="FLEXP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Financial management department members who have access to healthcare consumer information as part of a patient account, billing and claims workflows.</p>
                        <p>Security Compartment Labels assigned to consumer information used in these workflows should be met or exceeded by the Security Compartment attribute claimed by a participant in a financial management workflow who is requesting access to that information.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="COMPT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23881"/>
            <printName language="en" preferredForLanguage="true"
                       text="financial management compartment"/>
            <code code="FMCOMPT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="FINT"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NAINT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21508"/>
            <printName language="en" preferredForLanguage="true" text="Food Non-Allergy Intolerance"/>
            <code code="FNAINT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Anticipated or actual final fee associated with treating a patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceDetailGenericProviderCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21314"/>
            <printName language="en" preferredForLanguage="true" text="final fee"/>
            <code code="FNLFEE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Communication of an agent from an non-living material to a living subject through direct contact.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CaseTransmissionMode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21917"/>
            <printName language="en" preferredForLanguage="true" text="fomite transmission"/>
            <code code="FOMTRNS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed therapy may interact with certain foods</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InteractionDetectedIssueCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16662"/>
            <printName language="en" preferredForLanguage="true" text="Food Interaction Alert"/>
            <code code="FOOD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Communication of an agent from a food source to a living subject via oral consumption.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CaseTransmissionMode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21918"/>
            <printName language="en" preferredForLanguage="true" text="food-borne transmission"/>
            <code code="FOODTRNS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The adjudication result associated is to be printed on the specified form, which is then provided to the covered party.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActAdjudicationResultActionCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17473"/>
            <printName language="en" preferredForLanguage="true" text="Print on Form"/>
            <code code="FORM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The element does not follow the formatting or type rules defined for the field.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="VALIDAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21655"/>
            <printName language="en" preferredForLanguage="true" text="invalid format"/>
            <code code="FORMAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A diet consisting of a formula feeding, either for an infant or an adult, to provide nutrition either orally or through the gastrointestinal tract via tube, catheter or stoma.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DIET"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23529"/>
            <printName language="en" preferredForLanguage="true" text="formula diet"/>
            <code code="FORMULA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A grouping of invoice element details including the ones specifying the frame fee and the frame dispensing cost that are being invoiced.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceInterGroupCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20037"/>
            <printName language="en" preferredForLanguage="true" text="frame invoice group"/>
            <code code="FRAMEING" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The request is suspected to have a fraudulent basis.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="COMPLY"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21669"/>
            <printName language="en" preferredForLanguage="true" text="potential fraud"/>
            <code code="FRAUD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Anticipated or actual initial fee associated with treating a patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceDetailGenericProviderCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21313"/>
            <printName language="en" preferredForLanguage="true" text="first fee"/>
            <code code="FRSTFEE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A supply action to restock a smaller more local dispensary.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActPharmacySupplyType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16222"/>
            <printName language="en" preferredForLanguage="true" text="Floor stock"/>
            <code code="FS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Federal tax on transactions such as the Goods and Services Tax (GST)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceDetailTaxCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20045"/>
            <printName language="en" preferredForLanguage="true" text="federal sales tax"/>
            <code code="FST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**The therapy being performed is in some way out of alignment with the requested therapy.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SupplyDetectedIssueCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22839"/>
            <printName language="en" preferredForLanguage="true" text="fulfillment alert"/>
            <code code="FULFIL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Fees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g. monthly) fee.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceAdjudicationPaymentGroupCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoicePaymentCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20066"/>
            <printName language="en" preferredForLanguage="true" text="garnishee"/>
            <code code="GARN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy for handling genetic disease information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to genetic disease information that is deemed sensitive.</p>
                        <i>Usage Note:</i>If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationSensitivityPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23339"/>
            <printName language="en" preferredForLanguage="true"
                       text="genetic disease information sensitivity"/>
            <code code="GDIS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A consent directive compliant with the European Union General Data Protection Regulation (GDPR) definition: Consent of the data subject means any freely given, specific, informed and unambiguous indication of the data subject's wishes by which he or she, by a statement or by a clear affirmative action, signifies agreement to the processing of personal data relating to him or her.</p>
                        <p>Where processing is based on consent, the controller shall be able to demonstrate that the data subject has consented to processing of his or her personal data. If the data subject's consent is given in the context of a written declaration which also concerns other matters, the request for consent shall be presented in a manner which is clearly distinguishable from the other matters, in an intelligible and easily accessible form, using clear and plain language. Any part of such a declaration which constitutes an infringement of this Regulation shall not be binding. The data subject shall have the right to withdraw his or her consent at any time. The withdrawal of consent shall not affect the lawfulness of processing based on consent before its withdrawal. Prior to giving consent, the data subject shall be informed thereof. It shall be as easy to withdraw as to give consent. When assessing whether consent is freely given, utmost account shall be taken of whether, inter alia, the performance of a contract, including the provision of a service, is conditional on consent to the processing of personal data that is not necessary for the performance of that contract. Consent should be given by a clear affirmative act establishing a freely given, specific, informed and unambiguous indication of the data subject's agreement to the processing of personal data relating to him or her, such as by a written statement, including by electronic means, or an oral statement. This could include ticking a box when visiting an internet website, choosing technical settings for information society services or another statement or conduct which clearly indicates in this context the data subject's acceptance of the proposed processing of his or her personal data. Silence, pre-ticked boxes or inactivity should not therefore constitute consent. Consent should cover all processing activities carried out for the same purpose or purposes. When the processing has multiple purposes, consent should be given for all of them. If the data subject's consent is to be given following a request by electronic means, the request must be clear, concise and not unnecessarily disruptive to the use of the service for which it is provided.</p>
                        <i>Usage Note:* Article 4.11 GDPR Definitions https://gdpr-info.eu/art-4-gdpr/ 11) 'Consent' of the data subject means any freely given, specific, informed and unambiguous indication of the data subject's wishes by which he or she, by a statement or by a clear affirmative action, signifies agreement to the processing of personal data relating to him or her. Article 7 GDPR Conditions for consent https://gdpr-info.eu/art-7-gdpr Recital 32 Conditions for consent\* https://gdpr-info.eu/recitals/no-32 Recital 42 Burden of proof and requirements for consent\* https://gdpr-info.eu/recitals/no-42/&gt; Recital 43 Freely given consent\</i>https://gdpr-info.eu/recitals/no-43 GDPR Consent Brief https://gdpr-info.eu/issues/consent/ Art. 4 GDPR Definitions Art. 6 GDPR Lawfulness of processing Art. 7 GDPR Conditions for consent Art. 8 GDPR Conditions applicable to child's consent in relation to information society services Art. 9 GDPR Processing of special categories of personal data Art. 22 GDPR Automated individual decision-making, including profiling Art. 49 GDPR Derogations for specific situations<p>Relevant GDPR Recitals: (32) Conditions for consent (33) Consent to certain areas of scientific research (38) Special protection of children's personal data (40) Lawfulness of data processing (42) Burden of proof and requirements for consent (43) Freely given consent (50) Further processing of personal data (51) Protecting sensitive personal data (54) Processing of sensitive data in public health sector (71) Profiling (111) Exceptions for certain cases of international transfers (155) Processing in the employment context (161) Consenting to the participation in clinical trials (171) Repeal of Directive 95/46/EC and transitional provisions</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActGDPRConsentDirective"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24110"/>
            <printName language="en" preferredForLanguage="true" text="GDPR Consent Directive"/>
            <code code="GDPRCD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Processing of personal data, inclusive of the special categories of data, is lawful only if the data subject has given explicit consent to the processing of his or her personal data, inclusive of the special categories of data, for one or more specific purposes, except where Union or Member State law provide that the prohibition to use the data may not be lifted by the data subject; and for personal data which are manifestly made public by the data subject.</p>
                        <i>Usage Note:</i>The description is based on the following GDPR provisions: Article 6.1.a https://gdpr-info.eu/art-6-gdpr/ 1Processing shall be lawful only if and to the extent that at least one of the following applies: (a) the data subject has given consent to the processing of his or her personal data for one or more specific purposes. Article 9.1, 9.2a., 9.2.e https://gdpr-info.eu/art-9-gdpr/ 1. Processing of personal data revealing racial or ethnic origin, political opinions, religious or philosophical beliefs, or trade union membership, and the processing of genetic data, biometric data for the purpose of uniquely identifying a natural person, data concerning health or data concerning a natural person's sex life or sexual orientation shall be prohibited. 2. Paragraph 1 shall not apply if one of the following applies: (a) the data subject has given explicit consent to the processing of those personal data for one or more specified purposes, except where Union or Member State law provide that the prohibition referred to in paragraph 1 may not be lifted by the data subject; and (e) processing relates to personal data which are manifestly made public by the data subject.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActGDPRPrivacyLaw"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24121"/>
            <printName language="en" preferredForLanguage="true" text="GDPR Consent"/>
            <code code="GDPRCONSENT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A consent directive that complies with regulatory requirements for a consent directive compliant with the European Union General Data Protection Regulation (GDPR) definition: Consent of the data subject means any freely given, specific, informed and unambiguous indication of the data subject's wishes by which he or she, by a statement or by a clear affirmative action, signifies agreement to the processing of personal data relating to him or her.</p>
                        <p>GDPR research consent directive has the additional caveat that it is often not possible to fully identify the purpose of personal data processing for scientific research purposes at the time of data collection. Therefore, data subjects should be allowed to give their consent to certain areas of scientific research when in keeping with recognized ethical standards for scientific research. Data subjects should have the opportunity to give their consent only to certain areas of research or parts of research projects to the extent allowed by the intended purpose.</p>
                        <i>Usage Note:* HL7 Purpose of Use codes include specialize research purposes of use, which could be used to convey a data subject's purpose of use restrictions related to areas of research or parts of research projects. See citations for GDPRResearchCD and below: Recital 33 Consent to certain areas of scientific research https://gdpr-info.eu/recitals/no-33/&gt; Recital 157 Information from registries and scientific research https://gdpr-info.eu/recitals/no-157 Recital 159 Processing for scientific research purposes\</i>https://gdpr-info.eu/recitals/no-159/</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActGDPRConsentDirective"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24111"/>
            <printName language="en" preferredForLanguage="true"
                       text="GDPR Research Consent Directive"/>
            <code code="GDPRResearchCD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed therapy is outside of standard practice for a geriatric patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AGE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23554"/>
            <printName language="en" preferredForLanguage="true" text="geriatric alert"/>
            <code code="GEALRT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed therapy may be inappropriate or contraindicated due to patient genetic indicators.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OBSA"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16671"/>
            <printName language="en" preferredForLanguage="true" text="Genetic Alert"/>
            <code code="GEN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed therapy may be inappropriate or contraindicated due to patient gender.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OBSA"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16670"/>
            <printName language="en" preferredForLanguage="true" text="Gender Alert"/>
            <code code="GEND" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy for handling information related to an information subject's gender and sexual orientation, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's gender and sexual orientation, the disclosure of which could impact the privacy, well-being, or safety of that subject.</p>
                        <i>Usage Note:</i>If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_EntitySensitivityPolicyType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23354"/>
            <printName language="en" preferredForLanguage="true"
                       text="gender and sexual orientation information sensitivity"/>
            <code code="GENDER" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A DNA segment that contributes to phenotype/function. In the absence of demonstrated function a gene may be characterized by sequence, transcription or homology</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_GeneticObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22651"/>
            <printName language="en" preferredForLanguage="true" text="gene"/>
            <code code="GENE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>General care performed by a general practitioner or family doctor as a responsible provider for a patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActMedicalServiceCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19974"/>
            <printName language="en" preferredForLanguage="true" text="General"/>
            <code code="GENRL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Gluten free diet for celiac disease.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DIET"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10390"/>
            <printName language="en" preferredForLanguage="true" text="gluten free"/>
            <code code="GF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The medical service was provided to a patient in good faith that they had medical coverage, although no evidence of coverage was available before service was rendered.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceOverrideCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17592"/>
            <printName language="en" preferredForLanguage="true" text="good faith indicator"/>
            <code code="GFTH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Accuracy determined as per the GIS tier code system.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22710"/>
            <printName language="en" preferredForLanguage="true" text="GIS tier"/>
            <code code="GISTIER" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>List of observations in goal mood.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActObservationList"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19981"/>
            <printName language="en" preferredForLanguage="true" text="goal list"/>
            <code code="GOALLIST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A set of codes used to indicate a government program that is an organized structure for administering and funding coverage of a benefit package for covered parties meeting eligibility criteria, typically related to employment, health and financial status. Government programs are established or permitted by legislation with provisions for ongoing government oversight. Regulation mandates the structure of the program, the manner in which it is funded and administered, covered benefits, provider types, eligibility criteria and financial participation. A government agency is charged with implementing the program in accordance to the regulation<b>Example:</b>Federal employee health benefit program in the U.S.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActProgramTypeCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22126"/>
            <printName language="en" preferredForLanguage="true"
                       text="government employee health program"/>
            <code code="GOVEMP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The school grade or level the patient was in when immunized.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PatientImmunizationRelatedObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23245"/>
            <printName language="en" preferredForLanguage="true" text="grade"/>
            <code code="GRADE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A grantor's terms of agreement to which a grantee may assent or dissent, and which may include an opportunity for a grantee to request restrictions or extensions.</p>
                        <i>Comment:</i>A grantor typically is able to stipulate preferred terms of agreement when the grantor has control over the topic of the agreement, which a grantee must accept in full or may be offered an opportunity to extend or restrict certain terms.<i>Usage Note:</i>If the grantor's term of agreement must be accepted in full, then this is considered "basic consent". If a grantee is offered an opportunity to extend or restrict certain terms, then the agreement is considered "granular consent".<b>Examples:</b>
                        <p>* Healthcare: A PHR account holder \[grantor\] may require any PHR user \[grantee\] to accept the terms of agreement in full, or may permit a PHR user to extend or restrict terms selected by the account holder or requested by the PHR user. * Non-healthcare: The owner of a resource server \[grantor\] may require any authorization server \[grantee\] to meet authorization requirements stipulated in the grantor's terms of agreement.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActConsentDirective"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActDecision"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23754"/>
            <printName language="en" preferredForLanguage="true" text="grantor choice"/>
            <code code="GRANTORCHOICE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Global Trade Item Number is an identifier for trade items developed by GS1 (comprising the former EAN International and Uniform Code Council).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceDetailDrugProductCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22181"/>
            <printName language="en" preferredForLanguage="true" text="Global Trade Item Number"/>
            <code code="GTIN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Used to allow measure developers to provide additional guidance for implementers to understand greater specificity than could be provided in the logic for data criteria.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationQualityMeasureAttribute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23434"/>
            <printName language="en" preferredForLanguage="true" text="guidance"/>
            <code code="GUIDE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**HCPCS Level II (HCFA-assigned) and Carrier-assigned (Level III) modifiers are reported in Appendix A of CPT 2000 Standard Edition and in the Medicare Bulletin.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActBillableModifierCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22150"/>
            <printName language="en" preferredForLanguage="true"
                       text="HCPCS Level II and Carrier-assigned"/>
            <code code="HCPCSA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Health Record Attachment</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActClaimAttachmentCategoryCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23010"/>
            <printName language="en" preferredForLanguage="true" text="health record"/>
            <code code="HEALTHREC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**There should be no actions taken in fulfillment of a request that has been held or suspended.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SupplyDetectedIssueCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22848"/>
            <printName language="en" preferredForLanguage="true" text="held/suspended alert"/>
            <code code="HELD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An observation of the hemolysis index of the specimen in g/L</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INTFR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14383"/>
            <printName language="en" preferredForLanguage="true" text="Hemolysis"/>
            <code code="HEMOLYSIS" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="COND"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17795"/>
            <code code="HGHT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Healthcare encounter that takes place in the residence of the patient or a designee</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActEncounterCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16237"/>
            <printName language="en" preferredForLanguage="true" text="home health"/>
            <code code="HH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates that the observation is of a person’s living situation in a household including the household composition and circumstances.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23073"/>
            <printName language="en" preferredForLanguage="true"
                       text="household situation observation"/>
            <code code="HHOBS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A health insurance policy that covers healthcare benefits by protecting covered parties from medical expenses arising from health conditions, sickness, or accidental injury as well as preventive care. Health insurance policies explicitly exclude coverage for losses insured under a disability policy, workers' compensation program, liability insurance (including automobile insurance); or for medical expenses, coverage for on-site medical clinics or for limited dental or vision benefits when these are provided under a separate policy.<i>Discussion:</i>Health insurance policies are offered by health insurance plans that typically reimburse providers for covered services on a fee-for-service basis, that is, a fee that is the allowable amount that a provider may charge. This is in contrast to managed care plans, which typically prepay providers a per-member/per-month amount or capitation as reimbursement for all covered services rendered. Health insurance plans include indemnity and healthcare services plans.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActHealthInsuranceTypeCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22108"/>
            <printName language="en" preferredForLanguage="true" text="health insurance plan policy"/>
            <code code="HIP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Section 164.508) Uses and disclosures for which an authorization is required https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which stipulates the process by which a covered entity seeks agreement from an individual to use or disclose protected health information for other purposes, or to authorize another covered entity to disclose protected health information to the requesting covered entity, are termed "authorizations".</p>
                        <p>An "authorization" is required by the Privacy Rule for uses and disclosures of protected health information not otherwise allowed by the Rule. Where the Privacy Rule requires patient authorization, voluntary consent is not sufficient to permit a use or disclosure of protected health information unless it also satisfies the requirements of a valid authorization. An authorization is a detailed document that gives covered entities permission to use protected health information for specified purposes, which are generally other than treatment, payment, or health care operations, or to disclose protected health information to a third party specified by the individual.</p>
                        <p>An authorization must specify a number of elements, including a description of the protected health information to be used and disclosed, the person authorized to make the use or disclosure, the person to whom the covered entity may make the disclosure, an expiration date, and, in some cases, the purpose for which the information may be used or disclosed. With limited exceptions, covered entities may not condition treatment or coverage on the individual providing an authorization. https://www.hhs.gov/hipaa/for-professionals/faq/264/what-is-the-difference-between-consent-and-authorization/index.html</p>
                        <i>Usage Note:</i>Used to indicate the legal authority for assigning security labels to HIPAA governed information. In this case, where use or disclosure of healthcare information is governed by a covered entity's HIPAA Authorization for Disclosure, use "HIPAAAuth" as the security label policy code.<p>Information disclosed under a HIPAA Authorization for Disclosure no longer has the level of confidentiality protection afforded under the 45 CFR Section 164.506 - Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which is considered the "norm", assign the HL7 Confidentiality code "M" (moderate), which may be protected under other laws such as the Federal Trade Commission privacy and security regulations.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActUSPrivacyLaw"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24118"/>
            <printName language="en" preferredForLanguage="true"
                       text="HIPAA Authorization for Disclosure"/>
            <code code="HIPAAAuth" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A code representing an individual's consent directive that complies with HIPAA Privacy rule 45 CFR Section 164.508 Uses and disclosures for which an authorization is required https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which is a US Federal law stipulating the policy elements of a valid authorization under this Section.</p>
                        <p>An "authorization" is required by the Privacy Rule for uses and disclosures of protected health information not otherwise allowed by the Rule. Where the Privacy Rule requires patient authorization, voluntary consent is not sufficient to permit a use or disclosure of protected health information unless it also satisfies the requirements of a valid authorization. An authorization is a detailed document that gives covered entities permission to use protected health information for specified purposes, which are generally other than treatment, payment, or health care operations, or to disclose protected health information to a third party specified by the individual.</p>
                        <p>An authorization must specify a number of elements, including a description of the protected health information to be used and disclosed, the person authorized to make the use or disclosure, the person to whom the covered entity may make the disclosure, an expiration date, and, in some cases, the purpose for which the information may be used or disclosed. With limited exceptions, covered entities may not condition treatment or coverage on the individual providing an authorization. https://www.hhs.gov/hipaa/for-professionals/faq/264/what-is-the-difference-between-consent-and-authorization/index.html</p>
                        <p>A HIPAA Authorization must comply with 45 CFR Section164.508(c) Implementation specifications: Core elements and requirements - (1) Core elements. A valid authorization under this Section must contain at least the following elements: (i) A description of the information to be used or disclosed that identifies the information in a specific and meaningful fashion. (ii) The name or other specific identification of the person(s), or class of persons, authorized to make the requested use or disclosure. (iii) The name or other specific identification of the person(s), or class of persons, to whom the covered entity may make the requested use or disclosure. (iv) A description of each purpose of the requested use or disclosure. The statement "at the request of the individual" is a sufficient description of the purpose when an individual initiates the authorization and does not, or elects not to, provide a statement of the purpose. (v) An expiration date or an expiration event that relates to the individual or the purpose of the use or disclosure. The statement "end of the research study," "none," or similar language is sufficient if the authorization is for a use or disclosure of protected health information for research, including for the creation and maintenance of a research database or research repository. (vi) Signature of the individual and date. If the authorization is signed by a personal representative of the individual, a description of such representative's authority to act for the individual must also be provided. (2)Required statements. In addition to the core elements, the authorization must contain statements adequate to place the individual on notice of all of the following: (i) The individual's right to revoke the authorization in writing, and either: (A) The exceptions to the right to revoke and a description of how the individual may revoke the authorization; or (B) To the extent that the information in paragraph (c)(2)(i)(A) of this section is included in the notice required by Section 164.520, a reference to the covered entity's notice. https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf</p>
                        <i>Usage Note:</i>Used to indicate the legal authority for assigning security labels to HIPAA governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by a an individual's HIPAA Authorization for Disclosure, use "HIPAAAuthCD" as the security label policy code.<p>Information governed under a HIPAA Authorization for Disclosure has the level of confidentiality protection afforded under the 45 CFR Section 164.506 - Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, which is considered the "norm", assign the HL7 Confidentiality code "N" (normal).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActUSPrivacyConsentDirective"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24101"/>
            <printName language="en" preferredForLanguage="true"
                       text="HIPAA Authorization Consent Directive"/>
            <code code="HIPAAAuthCD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Section 164.522), which stipulates the process by which a covered entity seeks agreement from an individual regarding how it will use and disclose the individual's protected health information for treatment, payment, and health care operations is termed a "consent".</p>
                        <p>The Privacy Rule permits, but does not require, a covered entity to voluntarily obtain patient consent for uses and disclosures of protected health information for treatment, payment, and health care operations. Covered entities that do so have complete discretion to design a process that best suits their needs. From https://www.hhs.gov/hipaa/for-professionals/faq/264/what-is-the-difference-between-consent-and-authorization/index.html. The provisions relating to consent are largely contained in Section 164.522 Rights to request privacy protection for protected health information https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-522.pdf.</p>
                        <i>Usage Note:</i>Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by 45 CFR Section 164.522 use 'HIPAAConsent' as the security label policy code.<p>Since information governed by a 45 CFR Section 164.522 has a level of confidentiality protection that is more stringent than the normal level of protection under HIPAA 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code 'R' (restricted).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActUSPrivacyLaw"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24135"/>
            <printName language="en" preferredForLanguage="true" text="HIPAA Consent"/>
            <code code="HIPAAConsent" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule 45 CFR Section 164.522 Rights to request privacy protection for protected health information https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-522.pdf, which stipulates the process by which a covered entity seeks agreement from an individual regarding how it will use and disclose the individual's protected health information for treatment, payment, and health care operations is termed a "consent."</p>
                        <i>Usage Note:</i>Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by an individual's consent directive under 45 CFR Section 164.522 use "HIPAAConsentCD" as the security label policy code.<p>Since information governed by a 45 CFR Section 164.522 has a level of confidentiality protection that is more stringent than the normal level of protection under HIPAA 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code "R" (restricted).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActUSPrivacyConsentDirective"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24102"/>
            <printName language="en" preferredForLanguage="true" text="HIPAA Consent Directive"/>
            <code code="HIPAAConsentCD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Section 164.520), which stipulates an individual's right to adequate notice of the uses and disclosures of protected health information that may be made by the covered entity, and of the individual's rights and the covered entity's legal duties with respect to protected health information. Relevant HIPAA Privacy Rule provisions are at Section 164.520 (a) Standard: Notice of privacy practices. https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-520.pdf</p>
                        <i>Usage Note:</i>Used to indicate the legal authority for assigning security labels to HIPAA governed information. In this case, if collection, access, use, or disclosure of healthcare information is governed by a covered entity's HIPAA Notice of Privacy Practices, use "HIPAANOPP" as the security label policy code.<p>Information governed under a HIPAA Notice of Privacy Practices has the level of confidentiality protection afforded under the 45 CFR Section 164.506 - Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf , which is considered the "norm", assign the HL7 Confidentiality code "N" (normal).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActUSPrivacyLaw"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23763"/>
            <printName language="en" preferredForLanguage="true"
                       text="HIPAA notice of privacy practices"/>
            <code code="HIPAANOPP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Section 164.508), which stipulates the privacy rights of an individual who is the subject of psychotherapy notes, and requires authorization for certain uses and disclosure of that information.</p>
                        <p>Definition of Psychotherapy notes 45 CFR Section 164.501 https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-501.pdf: Psychotherapy notes means notes recorded (in any medium) by a health care provider who is a mental health professional documenting or analyzing the contents of conversation during a private counseling session or a group, joint, or family counseling session and that are separated from the rest of the individual's medical record. Psychotherapy notes excludes medication prescription and monitoring, counseling session start and stop times, the modalities and frequencies of treatment furnished, results of clinical tests, and any summary of the following items: Diagnosis, functional status, the treatment plan, symptoms, prognosis, and progress to date.</p>
                        <p>See Section 164.508 Uses and disclosures for which an authorization is required. (2)Authorization required: Psychotherapy notes https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf: Notwithstanding any provision of this subpart, other than the transition provisions in Section 164.532, a covered entity must obtain an authorization for any use or disclosure of psychotherapy notes, except: (i) To carry out the following treatment, payment, or health care operations: (A) Use by the originator of the psychotherapy notes for treatment; (B) Use or disclosure by the covered entity for its own training programs in which students, trainees, or practitioners in mental health learn under supervision to practice or improve their skills in group, joint, family, or individual counseling; or (C) Use or disclosure by the covered entity to defend itself in a legal action or other proceeding brought by the individual; and (ii) A use or disclosure that is required by Section 164.502(a)(2)(ii) or permitted by Section 164.512(a); Section 164.512(d) with respect to the oversight of the originator of the psychotherapy notes; Section 164.512(g)(1); Section 164.512(j)(1)(i).</p>
                        <i>Usage Note:</i>Used to indicate the legal authority for assigning security labels to HIPAA governed information. In this case, the collection, access, use, or disclosure of healthcare information is governed by HIPAA 45 CFR 164.508 (2) Authorization required: Psychotherapy notes https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf , use "HIPAAPsyNotes" as the security label policy code.<p>Since information governed by a HIPAA 45 CFR 164.508 (2) has a level of confidentiality protection that is more stringent than the normal level of protection under 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code "R" (restricted).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActUSPrivacyLaw"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23764"/>
            <printName language="en" preferredForLanguage="true" text="HIPAA psychotherapy notes"/>
            <code code="HIPAAPsyNotes" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule 45 CFR Section 164.524 Access of individuals to protected health information https://www.govinfo.gov/app/details/CFR-2017-title45-vol1/CFR-2017-title45-vol1-sec164-524, which stipulates that an individual has a right of access to inspect and obtain a copy of protected health information about the individual in a designated record set, for as long as the protected health information is maintained in the designated record set with exceptions stipulated in HIPAA Privacy Rule Section 164.524. Exceptions include psychotherapy notes and information compiled in reasonable anticipation of, or for use in, a civil, criminal, or administrative action or proceeding.</p>
                        <p>If an individual's request for access directs the covered entity to transmit the copy of protected health information directly to another person designated by the individual, the covered entity must provide the copy to the person designated by the individual. The individual's request must be in writing, signed by the individual, and clearly identify the designated person and where to send the copy of protected health information.</p>
                        <p>For discussion on extent of right, grounds for denial, and documentation requirements see: HHS Individuals' Right under HIPAA to Access their Health Information 45 CFR Section 164.524 https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/access/index.html and HHS FAQ on Right of Access vs. HIPAA Authorization https://www.hhs.gov/hipaa/for-professionals/faq/2041/why-depend-on-the-individuals-right/index.html</p>
                        <i>Usage Note:</i>Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed under 45 CFR Section 164.5224 use "HIPAAROA" as the security label policy code.<p>Information disclosed under a HIPAA 42 CFR Section 164.524 no longer has the level of confidentiality protection afforded under the 45 CFR Section 164.506 - Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which is considered the "norm", assign the HL7 Confidentiality code "M" (moderate), which may be protected under other laws such as the Federal Trade Commission privacy and security regulations.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActUSPrivacyLaw"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24119"/>
            <printName language="en" preferredForLanguage="true" text="HIPAA Right of Access"/>
            <code code="HIPAAROA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule 45 CFR Section 164.524 Access of individuals to protected health information https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-524.pdf, stipulating the policy elements of an individual's written and signed right of access directive requesting that a covered entity send the individual's protected health information (PHI) to a third party.</p>
                        <p>See 45 CFR 164.524(c)(3)(ii) If an individual's request for access directs the covered entity to transmit the copy of protected health information directly to another person designated by the individual, the covered entity must provide the copy to the person designated by the individual. The individual's request must be in writing, signed by the individual, and clearly identify the designated person and where to send the copy of protected health information. https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-524.pdf</p>
                        <p>This right applies to PHI in a designated record set, which is defined as "Designated record set means: (1) A group of records maintained by or for a covered entity that is: (i) The medical records and billing records about individuals maintained by or for a covered health care provider; (ii) The enrollment, payment, claims adjudication, and case or medical management record systems maintained by or for a health plan; or (iii) Used, in whole or in part, by or for the covered entity to make decisions about individuals. \[https://www.law.cornell.edu/cfr/text/45/164.501\]. Also see HHS Individuals' Right under HIPAA to Access their Health Information 45 CFR Section 164.524 \[https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/access/index.html\#maximumflatfee\].</p>
                        <i>Usage Note:</i>Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by an individual's right of access directive under 45 CFR Section 164.524 use "HIPAAROAD" as the security label policy code.<p>Information disclosed under a HIPAA 42 CFR Section 164.524 no longer has the level of confidentiality protection afforded under the 45 CFR Section 164.506 - Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which is considered the "norm", assign the HL7 Confidentiality code "M" (moderate), which may be protected under other laws such as the Federal Trade Commission privacy and security regulations.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActUSPrivacyConsentDirective"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24103"/>
            <printName language="en" preferredForLanguage="true"
                       text="HIPAA Right of Access Directive"/>
            <code code="HIPAAROAD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A code representing an individual's consent directive that complies with HIPAA Privacy rule 45 CFR Section 164.508 Uses and disclosures for which an authorization is required https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-508.pdf, which is a US Federal law stipulating the policy elements of a valid authorization under this Section specific to disclosures for purposes of research.</p>
                        <i>Usage Note:</i>Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by an individual's HIPAA Authorization for Disclosure for Research under 45 CFR Section 164.508 use "HIPAAResearchAuthCD" as the security label policy code.<p>Information disclosed under an individual's HIPAA Authorization for Disclosure for Research are not protected by the HIPAA Privacy Rule. If protected under other laws such as confidentiality provisions under the Common Rule, assign the HL7 Confidentiality code "M" (moderate).</p>
                        <p>See ActCode.\_ActPolicyType.\_ActPrivacyPolicy.\_ActPrivacyLaw.\_ActUSPrivacyLaw.HIPAAAuth (HIPAA Authorization for Disclosure). See: HIPAAAuth and NIH Sample Authorization Language for Research Uses and Disclosures of Individually Identifiable Health Information by a Covered Health Care Provider https://privacyruleandresearch.nih.gov/authorization.asp</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActUSPrivacyConsentDirective"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24104"/>
            <printName language="en" preferredForLanguage="true"
                       text="HIPAA Authorization for Disclosure for Research Consent Directive"/>
            <code code="HIPAAResearchAuthCD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A code representing 45 CFR 164.522 Rights to request privacy protection for protected health information, which is a US Federal law stipulating the privacy rights of an individual to restrict disclosure of information related to health care items or services for which the individual pays out of pocket in full to a health plan or payer.</p>
                        <p>See 45 CFR 164.522 https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-522.pdf. (vi) A covered entity must agree to the request of an individual to restrict disclosure of protected health information about the individual to a health plan if: (A) The disclosure is for the purpose of carrying out payment or health care operations and is not otherwise required by law; and (B) The protected health information pertains solely to a health care item or service for which the individual, or person other than the health plan on behalf of the individual, has paid the covered entity in full.</p>
                        <i>Usage Note:</i>Used to indicate the legal authority for assigning security labels to HIPAA governed information. In this case, the collection, access, use, or disclosure of healthcare information is governed by HIPAA 45 CFR 164.522 https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-522.pdf use "HIPAASelfPay" as the security label policy code.<p>Since information governed by a HIPAA 45 CFR 164.522 has a level of confidentiality protection that is more stringent than the normal level of protection under 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code "R" (restricted).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActUSPrivacyLaw"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23765"/>
            <printName language="en" preferredForLanguage="true" text="HIPAA self-pay"/>
            <code code="HIPAASelfPay" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A government program that provides health coverage to individuals who are considered medically uninsurable or high risk, and who have been denied health insurance due to a serious health condition. In certain cases, it also applies to those who have been quoted very high premiums a" again, due to a serious health condition. The pool charges premiums for coverage. Because the pool covers high-risk people, it incurs a higher level of claims than premiums can cover. The insurance industry pays into the pool to make up the difference and help it remain viable.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActProgramTypeCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22127"/>
            <printName language="en" preferredForLanguage="true" text="high risk pool program"/>
            <code code="HIRISK" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Historical list of medications.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MEDLIST"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19978"/>
            <printName language="en" preferredForLanguage="true" text="medication history"/>
            <code code="HISTMEDLIST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>While the record was accepted in the repository, there is a more recent version of a record of this type.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActSuppliedItemDetectedIssueCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23273"/>
            <printName language="en" preferredForLanguage="true" text="record recorded as historical"/>
            <code code="HISTORIC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy for handling HIV or AIDS information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to HIV or AIDS information that is deemed sensitive.</p>
                        <i>Usage Note:</i>If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationSensitivityPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23340"/>
            <printName language="en" preferredForLanguage="true"
                       text="HIV/AIDS information sensitivity"/>
            <code code="HIV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Government administered and funded HIV-AIDS program for beneficiaries meeting financial and health status criteria. Administration, funding levels, eligibility criteria, covered benefits, provider types, and financial participation are typically set by a regulatory process. Payer responsibilities for administering the program may be delegated to contractors.<b>Example:</b>In the U.S., the Ryan White program, which is administered by the Health Resources and Services Administration.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DISEASEPRG"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22136"/>
            <printName language="en" preferredForLanguage="true" text="HIV-AIDS program"/>
            <code code="HIVAIDS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Exposure participants' interaction occurred during the course of health care delivery or in a health care delivery setting, but did not involve the direct provision of care (e.g. a janitor cleaning a patient's hospital room).</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActExposureCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22355"/>
            <printName language="en" preferredForLanguage="true"
                       text="Health Care Interaction - Not Patient Care"/>
            <code code="HLTHCARE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A policy for a health plan that provides coverage for health care only through contracted or employed physicians and hospitals located in particular geographic or service areas. HMOs emphasize prevention and early detection of illness. Eligibility to enroll in an HMO is determined by where a covered party lives or works.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MCPOL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22110"/>
            <printName language="en" preferredForLanguage="true"
                       text="health maintenance organization policy"/>
            <code code="HMO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Exposure interaction occurred in context of one providing care for the other, i.e. a babysitter providing care for a child, a home-care aide providing assistance to a paraplegic.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActExposureCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22354"/>
            <printName language="en" preferredForLanguage="true" text="Care Giver Interaction"/>
            <code code="HOMECARE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Exposure participants' interaction occurred when both were patients being treated in the same (acute) health care delivery facility.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActExposureCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22362"/>
            <printName language="en" preferredForLanguage="true" text="Hospital Patient Interaction"/>
            <code code="HOSPPTNT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Exposure participants' interaction occurred when one visited the other who was a patient being treated in a health care delivery facility.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActExposureCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22363"/>
            <printName language="en" preferredForLanguage="true" text="Hospital Visitor Interaction"/>
            <code code="HOSPVSTR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Exposure interaction occurred in context of domestic interaction, i.e. both participants reside in the same household.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActExposureCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22364"/>
            <printName language="en" preferredForLanguage="true" text="Household Interaction"/>
            <code code="HOUSEHLD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A security category label field value, which indicates that access and use of an IT resource is restricted to members of human resources department or workflow.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="COMPT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23580"/>
            <printName language="en" preferredForLanguage="true" text="human resource compartment"/>
            <code code="HRCOMPT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Insurance policy that provides for an allotment of funds replenished on a periodic (e.g. annual) basis. The use of the funds under this policy is at the discretion of the covered party.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActHealthInsuranceTypeCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInsurancePolicyCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19720"/>
            <printName language="en" preferredForLanguage="true" text="health spending account"/>
            <code code="HSAPOL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Joint Federal/Provincial Sales Tax</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceDetailTaxCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20047"/>
            <printName language="en" preferredForLanguage="true" text="harmonized sales Tax"/>
            <code code="HST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Custodian system must require human review and approval for permission requested.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ObligationPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23391"/>
            <printName language="en" preferredForLanguage="true" text="human approval"/>
            <code code="HUAPRV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Communication of an agent from a person to a proximate person.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CaseTransmissionMode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21919"/>
            <printName language="en" preferredForLanguage="true" text="human to human transmission"/>
            <code code="HUMHUMTRNS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Accommodations used in the care of diseases that are transmitted through casual contact or respiratory transmission.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HL7AccommodationCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16134"/>
            <printName language="en" preferredForLanguage="true" text="Isolation"/>
            <code code="I" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Consent to have healthcare information collected in an electronic health record. This entails that the information may be used in analysis, modified, updated.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActConsentType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22203"/>
            <printName language="en" preferredForLanguage="true" text="information collection"/>
            <code code="ICOL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An observation that describes the icterus index of the specimen. It is recommended to use mMol/L of bilirubin</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INTFR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14385"/>
            <printName language="en" preferredForLanguage="true" text="Icterus"/>
            <code code="ICTERUS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Used by one system to inform another that it has received a container.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActContainerRegistrationCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14059"/>
            <printName language="en" preferredForLanguage="true" text="Identified"/>
            <code code="ID" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy for handling information related to an identifier of an information subject, which will be afforded heightened confidentiality. Usage Note: Such policies may govern the sensitivity of information related to an identifier of an act, such as the identifier of a contract; a role, such as a citizen, a patient, a practitioner, or an organization; or an entity such as a medical device due to potential impact on the privacy, well-being, safety or integrity of an information subject. For example, protection against identity fraud or counterfeit.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationSensitivityPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24800"/>
            <printName language="en" preferredForLanguage="true" text="Identifier Sensitivity"/>
            <code code="IDS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Consent to have collected healthcare information disclosed.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActConsentType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22204"/>
            <printName language="en" preferredForLanguage="true" text="information disclosure"/>
            <code code="IDSCL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Information on whether an increase or decrease in score is the preferred result (e.g., a higher score indicates better quality OR a lower score indicates better quality OR quality is within a range).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationQualityMeasureAttribute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23431"/>
            <printName language="en" preferredForLanguage="true" text="improvement notation"/>
            <code code="IDUR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The request is missing elements or contains elements which cause it to not meet the legal standards for actioning.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="VALIDAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21652"/>
            <printName language="en" preferredForLanguage="true" text="illegal"/>
            <code code="ILLEGAL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Image Attachment</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActClaimAttachmentCategoryCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23006"/>
            <printName language="en" preferredForLanguage="true" text="image attachment"/>
            <code code="IMG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A person enters an immunization due or received for a given patient.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PATINFO"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23265"/>
            <printName language="en" preferredForLanguage="true" text="immunization list entry"/>
            <code code="IMMLE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A person reviews a list of immunizations due or received for a given patient.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PATDOC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23269"/>
            <printName language="en" preferredForLanguage="true" text="immunization list review"/>
            <code code="IMMLREV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**All information pertaining to a patient's vaccination records.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationCategoryCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21619"/>
            <printName language="en" preferredForLanguage="true" text="immunization category"/>
            <code code="IMMUCAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The introduction of an immunogen with the intent of stimulating an immune response, aimed at preventing subsequent infections by more viable agents.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActSubstanceAdministrationCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21519"/>
            <printName language="en" preferredForLanguage="true" text="Immunization"/>
            <code code="IMMUNIZ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A patient encounter where a patient is admitted by a hospital or equivalent facility, assigned to a location where patients generally stay at least overnight and provided with room, board, and continuous nursing service.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActEncounterCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16847"/>
            <printName language="en" preferredForLanguage="true" text="inpatient encounter"/>
            <code code="IMP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A grantor's presumed assent to the grantee's terms of agreement is based on the grantor's behavior, which may result from not expressly assenting to the consent directive offered, or from having no right to assent or dissent offered by the grantee.</p>
                        <i>Comment:</i>Implied or "implicit" consent occurs when the behavior of the grantor is understood by a reasonable person to signal agreement to the grantee's terms.<i>Usage Note:</i>Implied consent with no opportunity to assent or dissent to certain terms is considered "basic consent".<b>Examples:</b>
                        <p>* Healthcare: A patient schedules an appointment with a provider, and either does not take the opportunity to expressly assent or dissent to the provider's consent directive, does not have an opportunity to do so, as in the case where emergency care is required, or simply behaves as though the patient \[grantor\] agrees to the rights granted to the provider \[grantee\] in an implicit consent directive. * An injured and unconscious patient is deemed to have assented to emergency treatment by those permitted to do so under jurisdictional laws, e.g., Good Samaritan laws. * Non-healthcare: Upon receiving a driver's license, the driver is deemed to have assented without explicitly consenting to undergoing field sobriety tests. * A corporation that does business in a foreign nation is deemed to have deemed to have assented without explicitly consenting to abide by that nation's laws.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActConsentDirective"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActDecision"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23755"/>
            <printName language="en" preferredForLanguage="true" text="implied consent"/>
            <code code="IMPLIED" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A grantor's presumed assent to the grantee's terms of agreement, which is based on the grantor's behavior, and includes a right to dissent to certain terms.</p>
                        <i>Comment:</i>A grantor assenting to the grantee's terms of agreement may or may not exercise a right to dissent to grantor selected terms or to grantee's selected terms to which a grantor may dissent.<i>Usage Note:</i>Implied or "implicit" consent with an "opportunity to dissent" occurs when the grantor's behavior is understood by a reasonable person to signal assent to the grantee's terms of agreement whether the grantor requests or the grantee approves further restrictions, is considered "granular consent".<b>Examples:</b>
                        <p>* Healthcare Examples: A healthcare provider deems a patient's assent to disclosure of health information to family members and friends, but offers an opportunity or permits the patient to dissent to such disclosures. * A health information exchanges deems a patient to have assented to disclosure of health information for treatment purposes, but offers the patient an opportunity to dissents to disclosure to particular provider organizations. * Non-healthcare Examples: A bank deems a banking customer's assent to specified collection, access, use, or disclosure of financial information as a requirement of holding a bank account, but provides the user an opportunity to limit third-party collection, access, use or disclosure of that information for marketing purposes.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActConsentDirective"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActDecision"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23756"/>
            <printName language="en" preferredForLanguage="true"
                       text="implied consent with opportunity to dissent"/>
            <code code="IMPLIEDD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Services provided directly and through contracted and operated indigenous peoples health programs.<b>Example:</b>Indian Health Service in the U.S.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActProgramTypeCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22128"/>
            <printName language="en" preferredForLanguage="true"
                       text="indigenous peoples health program"/>
            <code code="IND" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Contrast agent required for imaging study.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActNonObservationIndicationCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21679"/>
            <printName language="en" preferredForLanguage="true"
                       text="imaging study requiring contrast"/>
            <code code="IND01" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Provision of prescription or direction to consume a product for purposes of bowel clearance in preparation for a colonoscopy.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActNonObservationIndicationCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21680"/>
            <printName language="en" preferredForLanguage="true" text="colonoscopy prep"/>
            <code code="IND02" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Provision of medication as a preventative measure during a treatment or other period of increased risk.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActNonObservationIndicationCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21681"/>
            <printName language="en" preferredForLanguage="true" text="prophylaxis"/>
            <code code="IND03" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Provision of medication during pre-operative phase; e.g., antibiotics before dental surgery or bowel prep before colon surgery.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActNonObservationIndicationCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21682"/>
            <printName language="en" preferredForLanguage="true" text="surgical prophylaxis"/>
            <code code="IND04" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Provision of medication for pregnancy --e.g., vitamins, antibiotic treatments for vaginal tract colonization, etc.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActNonObservationIndicationCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21683"/>
            <printName language="en" preferredForLanguage="true" text="pregnancy prophylaxis"/>
            <code code="IND05" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Communication of an agent to a living subject via an undetermined route.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CaseTransmissionMode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21920"/>
            <printName language="en" preferredForLanguage="true"
                       text="indeterminate disease transmission mode"/>
            <code code="INDTRNS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Consent to access healthcare information.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActConsentType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22200"/>
            <printName language="en" preferredForLanguage="true" text="information access"/>
            <code code="INFA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Consent to access or "read" only, which entails that the information is not to be copied, screen printed, saved, emailed, stored, re-disclosed or altered in any way. This level ensures that data which is masked or to which access is restricted will not be.<b>Example:</b>Opened and then emailed or screen printed for use outside of the consent directive purpose.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INFA"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22201"/>
            <printName language="en" preferredForLanguage="true" text="access only"/>
            <code code="INFAO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Consent to access and save only, which entails that access to the saved copy will remain locked.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INFA"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22202"/>
            <printName language="en" preferredForLanguage="true" text="access and save only"/>
            <code code="INFASO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Authorization to collect, access, use, or disclose specified patient health information in accordance with jurisdictional law, organizational policy, or a patient's consent directive, which may be implied, deemed, opt-in, opt-out, or explicit.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationAccessContextCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22643"/>
            <printName language="en" preferredForLanguage="true"
                       text="authorized information transfer"/>
            <code code="INFAUT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Authorization to collect, access, use, or disclose specified patient health information as explicitly consented to by the subject of the information or the subject's representative.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INFAUT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22334"/>
            <printName language="en" preferredForLanguage="true" text="after explicit consent"/>
            <code code="INFCON" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Authorization to collect, access, use, or disclose specified patient health information in accordance with judicial system protocol, such as in the case of a subpoena or court order.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationAccessContextCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22337"/>
            <printName language="en" preferredForLanguage="true" text="only on court order"/>
            <code code="INFCRT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Authorization to collect, access, use, or disclose specified patient health information where deemed necessary to avert potential danger to other persons in accordance with jurisdictional law, organizational policy, or standards of practice. For example, disclosure about a person threatening violence.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationAccessContextCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22335"/>
            <printName language="en" preferredForLanguage="true" text="only if danger to others"/>
            <code code="INFDNG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Authorization to collect, access, use, or disclose specified patient health information in accordance with emergency information transfer protocol dictated by jurisdictional law, organization policy, or standards of practice. For example, sharing of health information during disaster response.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationAccessContextCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22333"/>
            <printName language="en" preferredForLanguage="true" text="only in an emergency"/>
            <code code="INFEMER" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Authorization to obtain information with no further permission to collect and store it.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationActionPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24088"/>
            <printName language="en" preferredForLanguage="true" text="access information"/>
            <code code="INFOACCESS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Authorization to gather and store information.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationActionPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24089"/>
            <printName language="en" preferredForLanguage="true" text="collect information"/>
            <code code="INFOCOLLECT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Authorization to alter or remove identifying characteristics of an entity or individual that is a subject of the information.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationActionPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24090"/>
            <printName language="en" preferredForLanguage="true" text="deidentify information"/>
            <code code="INFODEIDENTIFIY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Authorization to make information known to another party.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationActionPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24091"/>
            <printName language="en" preferredForLanguage="true" text="disclose information"/>
            <code code="INFODISCLOSE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Authorization to alter information in order to conceal it from unauthorized recipients.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationActionPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24092"/>
            <printName language="en" preferredForLanguage="true" text="mask information"/>
            <code code="INFOMASK" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Authorization to access information within a specific context for communication purposes only. Storing, manipulating, and further disclosure are prohibited and may be technically disabled.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationActionPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24093"/>
            <printName language="en" preferredForLanguage="true" text="read only information"/>
            <code code="INFOREADONLY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Authorization to remove information that a recipient is not authorized to access.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationActionPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24094"/>
            <printName language="en" preferredForLanguage="true" text="redact information"/>
            <code code="INFOREDACT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Authorization to make disclosed information known to another party.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationActionPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24095"/>
            <printName language="en" preferredForLanguage="true" text="redisclose information"/>
            <code code="INFOREDISCLOSE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Authorization to alter or relink deidentified information so that an entity or individual that is the subject of that information identifiable.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationActionPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24096"/>
            <printName language="en" preferredForLanguage="true" text="reidentify information"/>
            <code code="INFOREIDENTIFY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Authorization to employ or alter information.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationActionPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24097"/>
            <printName language="en" preferredForLanguage="true" text="use information"/>
            <code code="INFOUSE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Authorization to collect, access, use, or disclose specified patient health information necessary to avert potential public welfare risk in accordance with jurisdictional law, organizational policy, or standards of practice. For example, reporting that a person is a victim of abuse or demonstrating suicidal tendencies.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationAccessContextCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22336"/>
            <printName language="en" preferredForLanguage="true" text="only if public welfare risk"/>
            <code code="INFPWR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Authorization to collect, access, use, or disclose specified patient health information for public health, welfare, and safety purposes in accordance with jurisdictional law, organizational policy, or standards of practice. For example, public health reporting of notifiable conditions.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationAccessContextCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22642"/>
            <printName language="en" preferredForLanguage="true"
                       text="regulatory information transfer"/>
            <code code="INFREG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The initial quantity of the specimen in inventory</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="VOLUME"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="13964"/>
            <printName language="en" preferredForLanguage="true" text="Initial Volume"/>
            <code code="INITIAL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The first immunization administration in a series intended to produce immunity</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="IMMUNIZ"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21520"/>
            <printName language="en" preferredForLanguage="true" text="Initial Immunization"/>
            <code code="INITIMMUNIZ" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Exposure participants' interaction occurred in the course of one or both participants being incarcerated at a correctional facility</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActExposureCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22365"/>
            <printName language="en" preferredForLanguage="true" text="Inmate Interaction"/>
            <code code="INMATE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed therapy may be inappropriate or contraindicated because of a recorded patient intolerance to the proposed product. (Intolerances are non-immune based sensitivities.)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="REACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16673"/>
            <printName language="en" preferredForLanguage="true" text="Intolerance Alert"/>
            <code code="INT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Intermediate diagnoses are those diagnoses documented for administrative purposes during the course of a hospital stay.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationDiagnosisTypes"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DX"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16841"/>
            <printName language="en" preferredForLanguage="true" text="intermediate diagnosis"/>
            <code code="INTDX" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**The therapy action is being performed outside the bounds of the time period requested</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TIMING"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22846"/>
            <printName language="en" preferredForLanguage="true" text="outside requested time"/>
            <code code="INTERVAL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An observation that relates to factors that may potentially cause interference with the observation</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActSpecObsCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14382"/>
            <printName language="en" preferredForLanguage="true" text="ActSpecObsInterferenceCode"/>
            <code code="INTFR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Exposure interaction was intimate, i.e. participants are intimate companions (e.g. spouses, domestic partners).</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActExposureCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22366"/>
            <printName language="en" preferredForLanguage="true" text="Intimate Interaction"/>
            <code code="INTIMATE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>List of intolerance observations.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CONDLIST"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19982"/>
            <printName language="en" preferredForLanguage="true" text="intolerance list"/>
            <code code="INTOLIST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**A monitoring program that focuses on a drug which is under investigation and has not received regulatory approval for the condition being investigated</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActMonitoringProtocolCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22860"/>
            <printName language="en" preferredForLanguage="true" text="investigational"/>
            <code code="INV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Payment is based on a payment intent for a previously submitted Invoice, based on formal adjudication results..</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceAdjudicationPaymentGroupCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoicePaymentCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20063"/>
            <printName language="en" preferredForLanguage="true" text="submitted invoice"/>
            <code code="INVOICE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Transaction counts and value totals by invoice type (e.g. RXDINV - Pharmacy Dispense)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceAdjudicationPaymentSummaryCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20055"/>
            <printName language="en" preferredForLanguage="true" text="invoice type"/>
            <code code="INVTYPE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Used by one system to inform another that the container is in position for specimen transfer (e.g., container removal from track, pipetting, etc.).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActContainerRegistrationCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14060"/>
            <printName language="en" preferredForLanguage="true" text="In Position"/>
            <code code="IP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Criteria for specifying the entities to be evaluated by a specific quality measure, based on a shared common set of characteristics (within a specific measurement set to which a given measure belongs).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PopulationInclusionObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23547"/>
            <printName language="en" preferredForLanguage="true" text="initial population"/>
            <code code="IPOP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Criteria for specifying the patients to be evaluated by a specific quality measure, based on a shared common set of characteristics (within a specific measurement set to which a given measure belongs). Details often include information based upon specific age groups, diagnoses, diagnostic and procedure codes, and enrollment periods.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="IPOP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23548"/>
            <printName language="en" preferredForLanguage="true" text="initial patient population"/>
            <code code="IPPOP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Information re-disclosed without the patient's consent.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActConsentType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22205"/>
            <printName language="en" preferredForLanguage="true" text="information redisclosure"/>
            <code code="IRDSCL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Premium paid on service fees in compensation for practicing in a remote location.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceDetailGenericModifierCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20048"/>
            <printName language="en" preferredForLanguage="true" text="isolation allowance"/>
            <code code="ISOL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>There is a clinical issue for the therapy that makes continuation of the therapy inappropriate.</p>
                        <i>Open Issue:</i>The definition of this code does not correctly represent the concept space of its specializations (children)</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21697"/>
            <printName language="en" preferredForLanguage="true" text="detected issue"/>
            <code code="ISSUE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Describes the items counted by the measure (e.g., patients, encounters, procedures, etc.)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationQualityMeasureAttribute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23441"/>
            <printName language="en" preferredForLanguage="true" text="items counted"/>
            <code code="ITMCNT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Jurisdictional policy on collection, access, use, or disclosure of controlled unclassified information as defined by applicable jurisdictional law.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="JurisIP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24075"/>
            <printName language="en" preferredForLanguage="true"
                       text="jurisdictional controlled unclassified information policy"/>
            <code code="JurisCUI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Jurisdictional policy on collection, access, use, or disclosure of de-identified information as defined by applicable jurisdictional law.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="JurisIP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24076"/>
            <printName language="en" preferredForLanguage="true"
                       text="jurisdictional de-identified information policy"/>
            <code code="JurisDEID" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Jurisdictional policy on collection, access, use, or disclosure of information as defined by applicable jurisdictional law.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24074"/>
            <printName language="en" preferredForLanguage="true"
                       text="jurisdictional information policy"/>
            <code code="JurisIP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Jurisdictional policy on collection, access, use, or disclosure of information in a limited data set as defined by applicable jurisdictional law.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="JurisIP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24077"/>
            <printName language="en" preferredForLanguage="true"
                       text="jurisdictional limited data set"/>
            <code code="JurisLDS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Jurisdictional policy on collection, access, use, or disclosure of information deemed non-sensitive by applicable jurisdiction law.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="JurisIP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24078"/>
            <printName language="en" preferredForLanguage="true"
                       text="jurisdictional non-sensitive information policy"/>
            <code code="JurisNSI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Jurisdictional policy on collection, access, use, or disclosure of information deemed public by applicable jurisdiction law.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="JurisIP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24079"/>
            <printName language="en" preferredForLanguage="true"
                       text="jurisdictional public information policy"/>
            <code code="JurisPI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Jurisdictional policy on collection, access, use, or disclosure of specified controlled unclassified information as defined by applicable jurisdictional policy.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="JurisIP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24080"/>
            <printName language="en" preferredForLanguage="true"
                       text="jurisdictional specified controlled unclassified information policy"/>
            <code code="JurisSP-CUI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Jurisdictional policy on collection, access, use, or disclosure of uncontrolled unclassified information as defined by applicable jurisdictional policy.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="JurisIP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24081"/>
            <printName language="en" preferredForLanguage="true"
                       text="jurisdictional uncontrolled unclassified information policy"/>
            <code code="JurisUUI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A significant word that aids in discoverability.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationQualityMeasureAttribute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23024"/>
            <printName language="en" preferredForLanguage="true" text="keyword"/>
            <code code="KEY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The ID of the patient, order, etc., was not found. Used for transactions other than additions, e.g. transfer of a non-existent patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActAdministrativeRuleDetectedIssueCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="VALIDAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21392"/>
            <printName language="en" preferredForLanguage="true" text="Unknown key identifier"/>
            <code code="KEY204" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The ID of the patient, order, etc., already exists. Used in response to addition transactions (Admit, New Order, etc.).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActAdministrativeRuleDetectedIssueCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="VALIDAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21393"/>
            <printName language="en" preferredForLanguage="true" text="Duplicate key identifier"/>
            <code code="KEY205" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Metadata associated with the identification (e.g. name or gender) does not match the identification being verified.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActAdministrativeRuleDetectedIssueCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23272"/>
            <printName language="en" preferredForLanguage="true" text="non-matching identification"/>
            <code code="KEY206" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Categorization of types of observation that capture the main clinical knowledge subject which may be a medication, a laboratory test, a disease.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23090"/>
            <printName language="en" preferredForLanguage="true" text="knowledge subject"/>
            <code code="KSUBJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Categorization of types of observation that capture a knowledge subtopic which might be treatment, etiology, or prognosis.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23091"/>
            <printName language="en" preferredForLanguage="true" text="knowledge subtopic"/>
            <code code="KSUBT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Used by one system to inform another that the container has been released from that system.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActContainerRegistrationCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14063"/>
            <printName language="en" preferredForLanguage="true" text="Left Equipment"/>
            <code code="L" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed therapy may be inappropriate or contraindicated due to recent lab test results</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OBSA"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16668"/>
            <printName language="en" preferredForLanguage="true" text="Lab Alert"/>
            <code code="LAB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>All information pertaining to a patient's lab test records (orders &amp; results)</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationCategoryCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21611"/>
            <printName language="en" preferredForLanguage="true" text="lab test category"/>
            <code code="LABCAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Custodian security system must assign and bind security labels in order to classify information created in the information systems under its control for collection, access, use and disclosure in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the assignment and binding.</p>
                        <i>Usage Note:</i>In security systems, security policy label assignments do not change, they may supersede prior assignments, and such reassignments are always tracked for auditing and other purposes.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ObligationPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23748"/>
            <printName language="en" preferredForLanguage="true" text="assign security label"/>
            <code code="LABEL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A clinician creates a request for a laboratory test to be done for a given patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22049"/>
            <printName language="en" preferredForLanguage="true"
                       text="laboratory test order entry task"/>
            <code code="LABOE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Lab Results Attachment</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActClaimAttachmentCategoryCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23009"/>
            <printName language="en" preferredForLanguage="true" text="lab results"/>
            <code code="LABRESULTS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person reviews a list of laboratory results of a given patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PATINFO"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22055"/>
            <printName language="en" preferredForLanguage="true" text="laboratory results review task"/>
            <code code="LABRREV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed therapy may be inappropriate or contraindicated when breast-feeding</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="COND"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16667"/>
            <printName language="en" preferredForLanguage="true" text="Lactation Alert"/>
            <code code="LACT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Communication of an agent from one living subject to another living subject through direct contact with mammalian milk or colostrum.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CaseTransmissionMode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21913"/>
            <printName language="en" preferredForLanguage="true" text="lactation transmission"/>
            <code code="LACTTRNS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Knowingly over the payor's published time limit for this invoice possibly due to a previous payor's delays in processing. Additional reason information will be supplied.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceOverrideCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17593"/>
            <printName language="en" preferredForLanguage="true" text="late invoice"/>
            <code code="LATE" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActPatientTransportationModeCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21548"/>
            <printName language="en" preferredForLanguage="true" text="law enforcement transport"/>
            <code code="LAWENF" status="active"/>
            <code code="LawEnforcementVehicle" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActSpecimenTreatmentCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14041"/>
            <printName language="en" preferredForLanguage="true" text="LDL Precipitation"/>
            <code code="LDLP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A grouping of invoice element details including the ones specifying the lens fee and the lens dispensing cost that are being invoiced.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceInterGroupCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20036"/>
            <printName language="en" preferredForLanguage="true" text="lens invoice group"/>
            <code code="LENSING" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The length of the data specified is greater than the maximum length defined for the element.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LEN_RANGE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21658"/>
            <printName language="en" preferredForLanguage="true" text="length is too long"/>
            <code code="LEN_LONG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The length of the data specified falls out of the range defined for the element.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="VALIDAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21656"/>
            <printName language="en" preferredForLanguage="true" text="length out of range"/>
            <code code="LEN_RANGE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The length of the data specified is less than the minimum length defined for the element.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LEN_RANGE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21657"/>
            <printName language="en" preferredForLanguage="true" text="length is too short"/>
            <code code="LEN_SHORT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A diet low in fat, particularly to patients with hepatic diseases.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DIET"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10386"/>
            <printName language="en" preferredForLanguage="true" text="low fat"/>
            <code code="LF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Maximum amount paid by payer or covered party; or maximum number of services or products covered under the policy or program during a covered party's lifetime.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCoverageQuantityLimitCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="COVMX"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22240"/>
            <printName language="en" preferredForLanguage="true" text="life time maximum"/>
            <code code="LFEMX" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Scope of responsibility taken-on for physician care of a patient as defined by a governmental licensing agency.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareProvisionPersonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21829"/>
            <printName language="en" preferredForLanguage="true"
                       text="licensed general physician care"/>
            <code code="LGPC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A policy under which the insurer agrees to pay a sum of money upon the occurrence of the covered partys death. In return, the policyholder agrees to pay a stipulated amount called a premium at regular intervals. Life insurance indemnifies the beneficiary for the loss of the insurable interest that a beneficiary has in the life of a covered party. For persons related by blood, a substantial interest established through love and affection, and for all other persons, a lawful and substantial economic interest in having the life of the insured continue. An insurable interest is required when purchasing life insurance on another person. Specific exclusions are often written into the contract to limit the liability of the insurer; for example claims resulting from suicide or relating to war, riot and civil commotion.<p>*Discussion:*A life insurance policy may be used by the covered party as a source of health care coverage in the case of a viatical settlement, which is the sale of a life insurance policy by the policy owner, before the policy matures. Such a sale, at a price discounted from the face amount of the policy but usually in excess of the premiums paid or current cash surrender value, provides the seller an immediate cash settlement. Generally, viatical settlements involve insured individuals with a life expectancy of less than two years. In countries without state-subsidized healthcare and high healthcare costs (e.g. United States), this is a practical way to pay extremely high health insurance premiums that severely ill people face. Some people are also familiar with life settlements, which are similar transactions but involve insureds with longer life expectancies (two to fifteen years).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInsuranceTypeCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22148"/>
            <printName language="en" preferredForLanguage="true" text="life insurance policy"/>
            <code code="LIFE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An observation used to describe the Lipemia Index of the specimen. It is recommended to use the optical turbidity at 600 nm (in absorbance units).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INTFR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14384"/>
            <printName language="en" preferredForLanguage="true" text="Lipemia"/>
            <code code="LIPEMIA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy for handling information related to an information subject's living arrangement, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's living arrangement, the disclosure of which could impact the privacy, well-being, or safety of that subject.</p>
                        <i>Usage Note:</i>If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_EntitySensitivityPolicyType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23355"/>
            <printName language="en" preferredForLanguage="true"
                       text="living arrangement information sensitivity"/>
            <code code="LIVARG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Temporary supply of a product without transfer of ownership for the product.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActProductAcquisitionCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17961"/>
            <printName language="en" preferredForLanguage="true" text="Loan"/>
            <code code="LOAN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Transaction counts and value totals by service location (e.g clinic).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActAdjudicationGroupCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceAdjudicationPaymentSummaryCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17976"/>
            <printName language="en" preferredForLanguage="true" text="location"/>
            <code code="LOC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy for handling information related to the location of the information subject, which will be afforded heightened confidentiality. Description: Policies may govern sensitivity of information related to the location of the information subject, the disclosure of which could impact the privacy, well-being, or safety of that subject.</p>
                        <i>Usage Notes:</i>If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.</text>
                  </definition>
                  <usageNotes>
                     <text>If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.</text>
                  </usageNotes>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleInformationSensitivityPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23349"/>
            <printName language="en" preferredForLanguage="true"
                       text="location information sensitivity"/>
            <code code="LOCIS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A low protein diet for patients with renal failure.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DIET"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10389"/>
            <printName language="en" preferredForLanguage="true" text="low protein"/>
            <code code="LP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A strictly liquid diet, that can be fully absorbed in the intestine, and therefore may not contain fiber. Used before enteral surgeries.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DIET"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10380"/>
            <printName language="en" preferredForLanguage="true" text="liquid"/>
            <code code="LQ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Providers and care givers who have an established relationship per criteria determined by policy are considered to have an established care provision relations with a healthcare consumer, and may be authorized to access the consumer's health information because of that relationship. Providers and care givers should only have access to that information while participating in legitimate relationship workflows or for other authorized uses.</p>
                        <p>Security Compartment Labels assigned to a consumer's information use in legitimate relationship workflows should be met or exceeded by the Security Compartment attribute claimed by a participant in a legitimate relationship workflow who is requesting access to that information.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="COMPT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23879"/>
            <printName language="en" preferredForLanguage="true"
                       text="legitimate relationship compartment"/>
            <code code="LRCOMPT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A diet low in sodium for patients with congestive heart failure and/or renal failure.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DIET"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10388"/>
            <printName language="en" preferredForLanguage="true" text="low sodium"/>
            <code code="LS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>An insurance policy that covers benefits for long-term care services people need when they no longer can care for themselves. This may be due to an accident, disability, prolonged illness or the simple process of aging. Long-term care services assist with activities of daily living including:<p>* Help at home with day-to-day activities, such as cooking, cleaning, bathing and dressing * Care in the community, such as in an adult day care facility * Supervised care provided in an assisted living facility * Skilled care provided in a nursing home</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActHealthInsuranceTypeCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22109"/>
            <printName language="en" preferredForLanguage="true" text="long term care policy"/>
            <code code="LTC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Exposure participants' interaction occurred in the course of one or both participants being resident at a long term care facility (second participant may be a visitor, worker, resident or a physical place or object within the facility).</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActExposureCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22367"/>
            <printName language="en" preferredForLanguage="true"
                       text="Long Term Care Facility Interaction"/>
            <code code="LTRMCARE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A drug that can be prescribed (and reimbursed) only if it meets certain criteria.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActMonitoringProtocolCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22025"/>
            <printName language="en" preferredForLanguage="true" text="limited use"/>
            <code code="LU" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Used by one system to inform another that the container did not arrive at its next expected location.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActContainerRegistrationCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14064"/>
            <printName language="en" preferredForLanguage="true" text="Missing"/>
            <code code="M" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PUBLICPOL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22149"/>
            <printName language="en" preferredForLanguage="true" text="mandatory health program"/>
            <code code="MANDPOL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Manual review of the invoice is requested. Additional information to be supplied. This may be used in the case of an appeal.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceOverrideCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19713"/>
            <printName language="en" preferredForLanguage="true" text="manual review"/>
            <code code="MANUAL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An increase in the amount charged as a percentage of the amount. For example, 12% markup on product cost.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceDetailGenericProviderCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20038"/>
            <printName language="en" preferredForLanguage="true" text="markup or up-charge"/>
            <code code="MARKUP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy for handling information related to an information subject's marital status, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's marital status, the disclosure of which could impact the privacy, well-being, or safety of that subject.</p>
                        <i>Usage Note:</i>If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_EntitySensitivityPolicyType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23356"/>
            <printName language="en" preferredForLanguage="true"
                       text="marital status information sensitivity"/>
            <code code="MARST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A clinician reviews a work list of medications to be administered to a given patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MLREV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22054"/>
            <printName language="en" preferredForLanguage="true"
                       text="medication administration record work list review task"/>
            <code code="MARWLREV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext. User may be provided a key to decrypt per license or "shared secret".</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ObligationPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23389"/>
            <printName language="en" preferredForLanguage="true" text="mask"/>
            <code code="MASK" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The number of repeating elements is above the maximum number of repetitions allowed.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="REP_RANGE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21664"/>
            <printName language="en" preferredForLanguage="true" text="repetitions above maximum"/>
            <code code="MAXOCCURS" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14813"/>
            <printName language="en" preferredForLanguage="true" text="Master Card"/>
            <code code="MC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Government mandated program providing coverage, disability income, and vocational rehabilitation for injuries sustained in the work place or in the course of employment. Employers may either self-fund the program, purchase commercial coverage, or pay a premium to a government entity that administers the program. Employees may be required to pay premiums toward the cost of coverage as well.<p>Managed care policies specifically exclude coverage for losses insured under a disability policy, workers' compensation program, liability insurance (including automobile insurance); or for medical expenses, coverage for on-site medical clinics or for limited dental or vision benefits when these are provided under a separate policy.</p>
                        <i>Discussion:</i>Managed care policies are offered by managed care plans that contract with selected providers or health care organizations to provide comprehensive health care at a discount to covered parties and coordinate the financing and delivery of health care. Managed care uses medical protocols and procedures agreed on by the medical profession to be cost effective, also known as medical practice guidelines. Providers are typically reimbursed for covered services by a capitated amount on a per member per month basis that may reflect difference in the health status and level of services anticipated to be needed by the member.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActHealthInsuranceTypeCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22147"/>
            <printName language="en" preferredForLanguage="true" text="managed care policy"/>
            <code code="MCPOL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The State of Michigan standard privacy consent form for sharing of health information specific to behavioral health and substance use treatment in accordance with Public Act 129 of 2014. In Michigan, while providers are not required to use this new standard form (MDHHS-5515), they are required to accept it.</p>
                        <i>Usage Note:</i>For legislative background, current MDHHS-5515 consent directive form, and provider and patient FAQs see http://www.michigan.gov/mdhhs/0,5885,7-339-71550\_2941\_58005-343686--,00.html</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActUSPrivacyConsentDirective"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24106"/>
            <printName language="en" preferredForLanguage="true"
                       text="Michigan Consent to Share Behavioral Health Information for Care Coordination Purposes"/>
            <code code="MDHHS-5515" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The State of Michigan standard privacy consent form for sharing of health information specific to behavioral health governed by the Michigan Mental Health Code Act 258 of 1974, which require patient authorization for purposes other than treatment, payment, and coordination of care, in accordance with Public Act 129 of 2014.</p>
                        <i>Usage Note:</i>For legislative background, current MDHHS-5515 consent directive form, and provider and patient FAQs see http://www.michigan.gov/mdhhs/0,5885,7-339-71550\_2941\_58005-343686--,00.html</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MDHHS-5515"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24134"/>
            <printName language="en" preferredForLanguage="true"
                       text="Michigan Consent to Share Behavioral Health Information for Care Coordination Purposes-Michigan Mental Health Code"/>
            <code code="MDHHS-5515MMHC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The State of Michigan standard privacy consent form for sharing of health information specific to substance use information governed under US 42 CFR Part 2 in accordance with Public Act 129 of 2014.</p>
                        <i>Usage Note:</i>For legislative background, current MDHHS-5515 consent directive form, and provider and patient FAQs see http://www.michigan.gov/mdhhs/0,5885,7-339-71550\_2941\_58005-343686--,00.html</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MDHHS-5515"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24133"/>
            <printName language="en" preferredForLanguage="true"
                       text="Michigan Consent to Share Behavioral Health Information for Care Coordination Purposes-US 42 CFR Part 2"/>
            <code code="MDHHS-5515Part2" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The maximum quantity of this drug allowed to be administered within a particular time-range (month, year, lifetime) has been reached or exceeded.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DOSE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21698"/>
            <printName language="en" preferredForLanguage="true" text="maximum dosage reached"/>
            <code code="MDOSE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Provision of diagnostic and/or therapeutic treatment.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActMedicalServiceCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17450"/>
            <printName language="en" preferredForLanguage="true" text="Medical"/>
            <code code="MED" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**All information pertaining to a patient's medical condition records.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationCategoryCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21616"/>
            <printName language="en" preferredForLanguage="true" text="medical condition category"/>
            <code code="MEDCCAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>List of medications.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActListCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19976"/>
            <printName language="en" preferredForLanguage="true" text="medication list"/>
            <code code="MEDLIST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A clinician creates a request for the administration of one or more medications to a given patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22050"/>
            <printName language="en" preferredForLanguage="true" text="medication order entry task"/>
            <code code="MEDOE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The end date of the measurement period.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationQualityMeasureAttribute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23439"/>
            <printName language="en" preferredForLanguage="true" text="measurement end date"/>
            <code code="MEDT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>All information pertaining to a patient's mental health records.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationCategoryCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22871"/>
            <printName language="en" preferredForLanguage="true" text="mental health category"/>
            <code code="MENCAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A health insurance policy that covers benefits for mental health services and prescriptions.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActHealthInsuranceTypeCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22113"/>
            <printName language="en" preferredForLanguage="true" text="mental health policy"/>
            <code code="MENTPOL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Government administered and funded mental health program for beneficiaries meeting financial and mental health status criteria. Administration, funding levels, eligibility criteria, covered benefits, provider types, and financial participation are typically set by a regulatory process. Payer responsibilities for administering the program may be delegated to contractors.<b>Example:</b>In the U.S., states receive funding for substance use programs from the Substance Abuse Mental Health Administration (SAMHSA).</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PUBLICPOL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22141"/>
            <printName language="en" preferredForLanguage="true" text="mental health program"/>
            <code code="MENTPRG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy for handling information related to psychological disorders, which is afforded heightened confidentiality. Mental health information may be deemed specifically sensitive and distinct from physical health, substance use disorders, and behavioral disabilities and disorders in some jurisdictions.</p>
                        <i>Usage Note:</i>If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SPI"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23893"/>
            <printName language="en" preferredForLanguage="true"
                       text="mental health information sensitivity"/>
            <code code="MH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person reviews organisms of microbiology results of a given patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MICRORREV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22057"/>
            <printName language="en" preferredForLanguage="true"
                       text="microbiology organisms results review task"/>
            <code code="MICROORGRREV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person reviews a list of microbiology results of a given patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PATINFO"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22056"/>
            <printName language="en" preferredForLanguage="true"
                       text="microbiology results review task"/>
            <code code="MICRORREV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person reviews the sensitivity test of microbiology results of a given patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MICRORREV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22058"/>
            <printName language="en" preferredForLanguage="true"
                       text="microbiology sensitivity test results review task"/>
            <code code="MICROSENSRREV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A government program that provides coverage for health services to military personnel, retirees, and dependents. A covered party who is a subscriber can choose from among Fee-for-Service (FFS) plans, and their Preferred Provider Organizations (PPO), or Plans offering a Point of Service (POS) Product, or Health Maintenance Organizations.<b>Example:</b>In the U.S., TRICARE, CHAMPUS.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActProgramTypeCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22130"/>
            <printName language="en" preferredForLanguage="true" text="military health program"/>
            <code code="MILITARY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Custodian must limit access and disclosure to the minimum information required to support an authorized user's purpose of use.</p>
                        <i>Usage Note:</i>Limiting the information available for access and disclosure to that an authorized user or receiver "needs to know" in order to perform permitted workflow or purpose of use.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ObligationPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23574"/>
            <printName language="en" preferredForLanguage="true" text="minimum necessary"/>
            <code code="MINEC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**The therapy action is being performed too soon after the previous occurrence based on the requested frequency</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TIMING"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22845"/>
            <printName language="en" preferredForLanguage="true"
                       text="too soon within frequency based on the usage"/>
            <code code="MINFREQ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The number of repeating elements is below the minimum number of repetitions allowed.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="REP_RANGE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21663"/>
            <printName language="en" preferredForLanguage="true" text="repetitions below minimum"/>
            <code code="MINOCCURS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A charge to compensate the provider when a patient does not show for an appointment.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceDetailGenericProviderCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20039"/>
            <printName language="en" preferredForLanguage="true" text="missed appointment"/>
            <code code="MISSAPT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The specified element must be specified with a non-null value under certain conditions. In this case, the conditions are true but the element is still missing or null.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="VALIDAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21654"/>
            <printName language="en" preferredForLanguage="true" text="conditional element missing"/>
            <code code="MISSCOND" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The specified element is mandatory and was not included in the instance.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="VALIDAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21653"/>
            <printName language="en" preferredForLanguage="true" text="mandatory element missing"/>
            <code code="MISSMAND" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person reviews a list of medication orders submitted to a given patient</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PATINFO"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22053"/>
            <printName language="en" preferredForLanguage="true" text="medication list review task"/>
            <code code="MLREV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Digital Model Attachment</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActClaimAttachmentCategoryCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23007"/>
            <printName language="en" preferredForLanguage="true" text="model"/>
            <code code="MODEL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Transaction counts and value totals for each calendar month within the date range specified.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActAdjudicationGroupCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceAdjudicationPaymentSummaryCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17970"/>
            <printName language="en" preferredForLanguage="true" text="month"/>
            <code code="MONTH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A supply of a manufacturer sample</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActPharmacySupplyType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16219"/>
            <printName language="en" preferredForLanguage="true" text="Manufacturer Sample"/>
            <code code="MS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The start date of the measurement period.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationQualityMeasureAttribute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23438"/>
            <printName language="en" preferredForLanguage="true" text="measurement start date"/>
            <code code="MSD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The method of adjusting for clinical severity and conditions present at the start of care that can influence patient outcomes for making valid comparisons of outcome measures across providers. Indicates whether an eMeasure is subject to the statistical process for reducing, removing, or clarifying the influences of confounding factors to allow more useful comparisons.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationQualityMeasureAttribute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23028"/>
            <printName language="en" preferredForLanguage="true" text="risk adjustment"/>
            <code code="MSRADJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Describes how to combine information calculated based on logic in each of several populations into one summarized result. It can also be used to describe how to risk adjust the data based on supplemental data elements described in the eMeasure. (e.g., pneumonia hospital measures antibiotic selection in the ICU versus non-ICU and then the roll-up of the two).</p>
                        <i>Open Issue:</i>The description does NOT align well with the definition used in the HQMF specfication; correct the MSGAGG definition, and the possible distinction of MSRAGG as a child of AGGREGATE.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationQualityMeasureAttribute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23021"/>
            <printName language="en" preferredForLanguage="true" text="rate aggregation"/>
            <code code="MSRAGG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Information on whether an increase or decrease in score is the preferred result. This should reflect information on which way is better, an increase or decrease in score.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationQualityMeasureAttribute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23023"/>
            <printName language="en" preferredForLanguage="true"
                       text="health quality measure improvement notation"/>
            <code code="MSRIMPROV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The list of jurisdiction(s) for which the measure applies.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationQualityMeasureAttribute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23539"/>
            <printName language="en" preferredForLanguage="true" text="jurisdiction"/>
            <code code="MSRJUR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Defines the observation to be performed for each patient or event in the measure population. Measure observations for each case in the population are aggregated to determine the overall measure score for the population.</p>
                        <b>Examples:</b>
                        <p>* the median time from arrival in the Emergency Room to departure * the median time from decision to admit to a hospital to the actual admission for Emergency Room patients</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PopulationInclusionObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23895"/>
            <printName language="en" preferredForLanguage="true" text="measure observation"/>
            <code code="MSROBS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Criteria for specifying the measure population as a narrative description (e.g., all patients seen in the Emergency Department during the measurement period). This is used only in continuous variable eMeasures.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PopulationInclusionObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23549"/>
            <printName language="en" preferredForLanguage="true" text="measure population"/>
            <code code="MSRPOPL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Criteria for specifying subjects who should be removed from the eMeasure's Initial Population and Measure Population. Measure Population Exclusions are used in Continuous Variable measures to help narrow the Measure Population before determining the value(s) of the continuous variable(s).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PopulationInclusionObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23550"/>
            <printName language="en" preferredForLanguage="true" text="measure population exclusions"/>
            <code code="MSRPOPLEX" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Type of person or organization that is expected to report the issue.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationQualityMeasureAttribute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23540"/>
            <printName language="en" preferredForLanguage="true" text="reporter type"/>
            <code code="MSRRPTR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The maximum time that may elapse following completion of the measure until the measure report must be sent to the receiver.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationQualityMeasureAttribute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23541"/>
            <printName language="en" preferredForLanguage="true" text="timeframe for reporting"/>
            <code code="MSRRPTTIME" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates how the calculation is performed for the eMeasure (e.g., proportion, continuous variable, ratio)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationQualityMeasureAttribute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23029"/>
            <printName language="en" preferredForLanguage="true" text="measure scoring"/>
            <code code="MSRSCORE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Location(s) in which care being measured is rendered</p>
                        <p>Usage Note: MSRSET is used rather than RoleCode because the setting applies to what is being measured, as opposed to participating directly in the health quality measure documantion itself).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationQualityMeasureAttribute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23019"/>
            <printName language="en" preferredForLanguage="true"
                       text="health quality measure care setting"/>
            <code code="MSRSET" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationQualityMeasureAttribute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23031"/>
            <printName language="en" preferredForLanguage="true"
                       text="health quality measure topic type"/>
            <code code="MSRTOPIC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The time period for which the eMeasure applies.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationQualityMeasureAttribute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23432"/>
            <printName language="en" preferredForLanguage="true" text="measurement period"/>
            <code code="MSRTP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates whether the eMeasure is used to examine a process or an outcome over time (e.g., Structure, Process, Outcome).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationQualityMeasureAttribute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23030"/>
            <printName language="en" preferredForLanguage="true" text="measure type"/>
            <code code="MSRTYPE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy for handling information related to sexual assault or repeated, threatening sexual harassment that occurred while the patient was in the military, which is afforded heightened confidentiality.</p>
                        <p>Access control concerns for military sexual trauma is based on the patient being subject to control by a higher ranking military perpetrator and/or censure by others within the military unit. Due to the relatively unfettered access to healthcare information by higher ranking military personnel and those who have command over the patient, there is a need to sequester this information outside of the typical controls on access to military health records.</p>
                        <i>Usage Note:</i>If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationSensitivityPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23888"/>
            <printName language="en" preferredForLanguage="true"
                       text="military sexual trauma information sensitivity"/>
            <code code="MST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Incident or accident as the result of a motor vehicle accident</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActIncidentCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16509"/>
            <printName language="en" preferredForLanguage="true" text="Motor vehicle accident"/>
            <code code="MVA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A normal diet, i.e. no special preparations or restrictions for medical reasons. This is notwithstanding any preferences the patient might have regarding special foods, such as vegetarian, kosher, etc.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DIET"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10377"/>
            <printName language="en" preferredForLanguage="true" text="normal diet"/>
            <code code="N" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OINT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21500"/>
            <printName language="en" preferredForLanguage="true" text="Non-Allergy Intolerance"/>
            <code code="NAINT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The requesting party has insufficient authorization to invoke the interaction.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActAdministrativeAuthorizationDetectedIssueCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21390"/>
            <printName language="en" preferredForLanguage="true" text="Insufficient authorization"/>
            <code code="NAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Authorization for specified healthcare service(s) and/or product(s) denied.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCoverageAuthorizationConfirmationCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17493"/>
            <printName language="en" preferredForLanguage="true" text="Not Authorized"/>
            <code code="NAUTH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Insurance coverage is not in effect for healthcare service(s) and/or product(s). May optionally include reasons for the ineligibility.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCoverageEligibilityConfirmationCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17490"/>
            <printName language="en" preferredForLanguage="true" text="Not Eligible"/>
            <code code="NELG" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Maximum net amount that will be covered for the product or service specified.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCoverageQuantityLimitCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17497"/>
            <printName language="en" preferredForLanguage="true" text="Net Amount"/>
            <code code="NETAMT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The act or process by which an acid and a base are combined in such proportions that the resulting compound is neutral.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActSpecimenTreatmentCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14045"/>
            <printName language="en" preferredForLanguage="true" text="Neutralization"/>
            <code code="NEUT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A no fat diet for acute hepatic diseases.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DIET"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10387"/>
            <printName language="en" preferredForLanguage="true" text="no fat"/>
            <code code="NF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed therapy may interact with existing or recent natural health product therapy</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TPROD"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16661"/>
            <printName language="en" preferredForLanguage="true" text="Natural Health Product Alert"/>
            <code code="NHP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Prohibition on disclosure without information subject's authorization.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RefrainPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23394"/>
            <printName language="en" preferredForLanguage="true"
                       text="no disclosure without subject authorization"/>
            <code code="NOAUTH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Prohibition on collection or storage of the information.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RefrainPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23395"/>
            <printName language="en" preferredForLanguage="true" text="no collection"/>
            <code code="NOCOLLECT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>No notification or opportunity is provided for a grantor to assent or dissent to a grantee's terms of agreement.</p>
                        <i>Comment:</i>A "No Consent" policy scheme provides no opportunity for accommodation of an individual's preferences, and may not comply with Fair Information Practice Principles \[FIPP\] by enabling the data subject to object, access collected information, correct errors, or have accounting of disclosures.<i>Usage Note:</i>The grantee's terms of agreement, may be available to the grantor by reviewing the grantee's privacy policies, but there is no notice by which a grantor is apprised of the policy directly or able to acknowledge.<b>Examples:</b>
                        <p>* Healthcare: Without notification or an opportunity to assent or dissent, a patient's health information is automatically included in and available (often according to certain rules) through a health information exchange. Note that this differs from implied consent, where the patient is assumed to have consented. * Without notification or an opportunity to assent or dissent, a patient's health information is collected, accessed, used, or disclosed for research, public health, security, fraud prevention, court order, or law enforcement. * Non-healthcare: Without notification or an opportunity to assent or dissent, a consumer's healthcare or non-healthcare internet searches are aggregated for secondary uses such as behavioral tracking and profiling. * Without notification or an opportunity to assent or dissent, a consumer's location and activities in a shopping mall are tracked by RFID tags on purchased items.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActConsentDirective"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActDecision"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23757"/>
            <printName language="en" preferredForLanguage="true" text="no consent"/>
            <code code="NOCONSENT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Prohibition on disclosure without organizational approved patient restriction.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RefrainPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23396"/>
            <printName language="en" preferredForLanguage="true"
                       text="no disclosure without consent directive"/>
            <code code="NODSCLCD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Prohibition on disclosure without a consent directive from the information subject.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RefrainPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23629"/>
            <printName language="en" preferredForLanguage="true"
                       text="no disclosure without information subject's consent directive"/>
            <code code="NODSCLCDS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**More than one element with the same value exists in the set. Duplicates not permission in this set in a set.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="VALIDAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21661"/>
            <printName language="en" preferredForLanguage="true"
                       text="duplicate values are not permitted"/>
            <code code="NODUPS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The type of injury that the injury coding specifies.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationDiagnosisTypes"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DX"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20026"/>
            <printName language="en" preferredForLanguage="true" text="nature of injury"/>
            <code code="NOI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Prohibition on Integration into other records.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RefrainPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23397"/>
            <printName language="en" preferredForLanguage="true" text="no integration"/>
            <code code="NOINTEGRATE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Prohibition on disclosure except to entities on specific access list.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RefrainPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23398"/>
            <printName language="en" preferredForLanguage="true" text="no unlisted entity disclosure"/>
            <code code="NOLIST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Prohibition on disclosure without an interagency service agreement or memorandum of understanding (MOU).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RefrainPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23399"/>
            <printName language="en" preferredForLanguage="true" text="no disclosure without MOU"/>
            <code code="NOMOU" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Non-Payment Data.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActPaymentCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17614"/>
            <printName language="en" preferredForLanguage="true" text="Non-Payment Data"/>
            <code code="NON" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Any category of inpatient encounter except 'acute'</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="IMP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16238"/>
            <printName language="en" preferredForLanguage="true" text="inpatient non-acute"/>
            <code code="NONAC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed therapy may interact with a non-prescription drug (e.g. alcohol, tobacco, Aspirin)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TPROD"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16663"/>
            <printName language="en" preferredForLanguage="true"
                       text="Non-Prescription Interaction Alert"/>
            <code code="NONRX" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Prohibition on disclosure without organizational authorization.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RefrainPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23400"/>
            <printName language="en" preferredForLanguage="true"
                       text="no disclosure without organizational authorization"/>
            <code code="NOORGPOL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Prohibition on disclosing information to patient, family or caregivers without attending provider's authorization.</p>
                        <i>Usage Note:</i>The information may be labeled with the ActInformationSensitivity TBOO code, triggering application of this RefrainPolicy code as a handling caveat controlling access.<p>Maps to FHIR NOPAT: Typically, this is used on an Alert resource, when the alert records information on patient abuse or non-compliance.</p>
                        <p>FHIR print name is "keep information from patient". Maps to the French realm - code: INVISIBLE\_PATIENT.</p>
                        <p>* displayName: Document non visible par le patient * codingScheme: 1.2.250.1.213.1.1.4.13</p>
                        <p>French use case: A label for documents that the author chose to hide from the patient until the content can be disclose to the patient in a face to face meeting between a healthcare professional and the patient (in French law some results like cancer diagnosis or AIDS diagnosis must be announced to the patient by a healthcare professional and should not be find out by the patient alone).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RefrainPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23657"/>
            <printName language="en" preferredForLanguage="true"
                       text="no disclosure to patient, family or caregivers without attending provider's authorization"/>
            <code code="NOPAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Element in submitted message will not persist in data storage based on detected issue.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="VALIDAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23276"/>
            <printName language="en" preferredForLanguage="true" text="element will not be persisted"/>
            <code code="NOPERSIST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Prohibition on collection of the information beyond time necessary to accomplish authorized purpose of use is prohibited.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RefrainPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23401"/>
            <printName language="en" preferredForLanguage="true"
                       text="no collection beyond purpose of use"/>
            <code code="NOPERSISTP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An implied privacy consent directive or notification, which the data subject may or may not acknowledge. The notification specifies permitted actions, which may include access, use, or disclosure of any and all personal information. The notification specifies the scope of personal information, which may include de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, that may be used to identify an individual in a registry or repository. The notification specifies the purposes for which personal information may be used such as treatment, payment, operations, research, information exchange, public health, disaster, quality and safety reporting; as required by law including court order, law enforcement, national security, military authorities; and for data analytics, marketing, and profiling.</p>
                        <i>Usage Notes:</i>Map: An "implied" consent directive maps to ISO/TS 17975:2015(E) definition forImplied: Consent to Collect, Use and Disclose personal health information is implied by the actions or inactions of the individual and the circumstances under which it was implied".</text>
                  </definition>
                  <usageNotes>
                     <text>Map: An "implied" consent directive maps to ISO/TS 17975:2015(E) definition forImplied: Consent to Collect, Use and Disclose personal health information is implied by the actions or inactions of the individual and the circumstances under which it was implied".</text>
                  </usageNotes>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActConsentDirective"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23370"/>
            <printName language="en" preferredForLanguage="true" text="notice of privacy practices"/>
            <code code="NOPP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Prohibition on redisclosure without patient consent directive.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RefrainPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23402"/>
            <printName language="en" preferredForLanguage="true"
                       text="no redisclosure without consent directive"/>
            <code code="NORDSCLCD" status="active"/>
            <code code="NORDSLCD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Prohibition on redisclosure without a consent directive from the information subject.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RefrainPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23630"/>
            <printName language="en" preferredForLanguage="true"
                       text="no redisclosure without information subject's consent directive"/>
            <code code="NORDSCLCDS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Prohibition on disclosure without authorization under jurisdictional law.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RefrainPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23403"/>
            <printName language="en" preferredForLanguage="true"
                       text="no disclosure without jurisdictional authorization"/>
            <code code="NORDSCLW" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Prohibition on associating de-identified or pseudonymized information with other information in a manner that could or does result in disclosing information intended to be masked.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RefrainPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23404"/>
            <printName language="en" preferredForLanguage="true" text="no relinking"/>
            <code code="NORELINK" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Prohibition on use of the information beyond the purpose of use initially authorized.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RefrainPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23405"/>
            <printName language="en" preferredForLanguage="true" text="no reuse beyond purpose of use"/>
            <code code="NOREUSE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Communication of an agent from any entity to a living subject while the living subject is in the patient role in a healthcare facility.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CaseTransmissionMode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21921"/>
            <printName language="en" preferredForLanguage="true" text="nosocomial transmission"/>
            <code code="NOSTRNS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**The status of the request being fulfilled has changed such that it is no longer actionable. This may be because the request has expired, has already been completely fulfilled or has been otherwise stopped or disabled. (Not used for 'suspended' orders.)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="FULFIL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22840"/>
            <printName language="en" preferredForLanguage="true" text="no longer actionable"/>
            <code code="NOTACTN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**The therapy being performed is not sufficiently equivalent to the therapy which was requested.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="FULFIL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22841"/>
            <printName language="en" preferredForLanguage="true" text="not equivalent alert"/>
            <code code="NOTEQUIV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**The therapy being performed is not generically equivalent (having the identical biological action) to the therapy which was requested.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NOTEQUIV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22843"/>
            <printName language="en" preferredForLanguage="true"
                       text="not generically equivalent alert"/>
            <code code="NOTEQUIVGEN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**The therapy being performed is not therapeutically equivalent (having the same overall patient effect) to the therapy which was requested.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NOTEQUIV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22842"/>
            <printName language="en" preferredForLanguage="true"
                       text="not therapeutically equivalent alert"/>
            <code code="NOTEQUIVTHER" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Prohibition on disclosure except to principals with access permission to specific VIP information.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RefrainPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23406"/>
            <printName language="en" preferredForLanguage="true" text="no unauthorized VIP disclosure"/>
            <code code="NOVIP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Criteria for specifying the processes or outcomes expected for each patient, procedure, or other unit of measurement defined in the denominator for proportion measures, or related to (but not directly derived from) the denominator for ratio measures (e.g., a numerator listing the number of central line blood stream infections and a denominator indicating the days per thousand of central line usage in a specific time period).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PopulationInclusionObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23551"/>
            <printName language="en" preferredForLanguage="true" text="numerator"/>
            <code code="NUMER" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Criteria for specifying instances that should not be included in the numerator data. (e.g., if the number of central line blood stream infections per 1000 catheter days were to exclude infections with a specific bacterium, that bacterium would be listed as a numerator exclusion). Numerator Exclusions are used only in ratio eMeasures.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PopulationInclusionObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23552"/>
            <printName language="en" preferredForLanguage="true" text="numerator exclusions"/>
            <code code="NUMEX" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Used by one system to inform another that the specific container is being processed by the equipment. It is useful as a response to a query about Container Status, when the specific step of the process is not relevant.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActContainerRegistrationCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14061"/>
            <printName language="en" preferredForLanguage="true" text="In Process"/>
            <code code="O" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Provision of care of women during pregnancy, childbirth and immediate postpartum period. Also known as Maternity.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActMedicalServiceCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17460"/>
            <printName language="en" preferredForLanguage="true" text="Obstetrics"/>
            <code code="OBS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed therapy may be inappropriate or contraindicated due to conditions or characteristics of the patient</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AppropriatenessDetectedIssueCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="VALIDAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16664"/>
            <printName language="en" preferredForLanguage="true" text="Observation Alert"/>
            <code code="OBSA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Indicates the valid antigen count.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ImmunizationObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23243"/>
            <printName language="en" preferredForLanguage="true" text="antigen count"/>
            <code code="OBSANTC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Indicates whether an antigen is valid or invalid.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ImmunizationObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23242"/>
            <printName language="en" preferredForLanguage="true" text="antigen validity"/>
            <code code="OBSANTV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An encounter where the patient usually will start in different encounter, such as one in the emergency department (EMER) but then transition to this type of encounter because they require a significant period of treatment and monitoring to determine whether or not their condition warrants an inpatient admission or discharge. In the majority of cases the decision about admission or discharge will occur within a time period determined by local, regional or national regulation, often between 24 and 48 hours.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActEncounterCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23896"/>
            <printName language="en" preferredForLanguage="true" text="observation encounter"/>
            <code code="OBSENC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>One or more records in the query response have a status of 'obsolete'.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActAdministrativeRuleDetectedIssueCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23275"/>
            <printName language="en" preferredForLanguage="true" text="obsolete record returned"/>
            <code code="OBSOLETE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A clinician creates a request for a service to be performed for a given patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActTaskCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22048"/>
            <printName language="en" preferredForLanguage="true" text="order entry task"/>
            <code code="OE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A clinical Invoice Grouping consisting of one or more oral health services. Billing for these service(s) are supported by multiple clinical billable events (acts).</p>
                        <p>All items in the Invoice Grouping must be adjudicated together to be acceptable to the Adjudicator.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceRootGroupCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21309"/>
            <printName language="en" preferredForLanguage="true" text="oral health service"/>
            <code code="OHSINV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An expressed privacy consent directive permitting the collection of a some or all personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual in a registry or repository for purposes such as treatment, payment, operations, research, information exchange, public health, data analytics, marketing, and profiling.</p>
                        <i>Usage Note:</i>Useful when a more specific jurisdictional or organizational consent directive policy or form is not specified, available, or known, for example, where an individual wishes to opt-in to collection of some or all of the individual's information by multiple registries and repositories.<p>Map: An "expressed" consent directive maps to ISO/TS 17975:2015(E) definitions for "Express or Expressed: Consent to Collect, Use and Disclose personal health information is expressly given by the subject of care" and "Opt-in".</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActGenericConsentDirective"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24115"/>
            <printName language="en" preferredForLanguage="true"
                       text="opt-in to personal information or effect collection in a registry or repository"/>
            <code code="OIC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Hypersensitivity resulting in an adverse reaction upon exposure to an agent.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21498"/>
            <printName language="en" preferredForLanguage="true" text="intolerance"/>
            <code code="OINT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An expressed privacy consent directive permitting access, use, or disclosure of a some or all personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual in a registry or repository for purposes such as treatment, payment, operations, research, information exchange, public health, data analytics, marketing, and profiling.</p>
                        <i>Usage Note:</i>Useful when a more specific jurisdictional or organizational consent directive policy or form is not specified, available, or known, for example, where an individual wishes to opt-in to access, use, or disclosure of some or all of the individual's information by multiple registries and repositories.<p>Map: An "expressed" consent directive maps to ISO/TS 17975:2015(E) Express or Expressed: Consent to Collect, Use and Disclose personal health information is expressly given by the subject of care and "Opt-in".</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActGenericConsentDirective"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24116"/>
            <printName language="en" preferredForLanguage="true"
                       text="opt-in to personal information or effect sharing via a registry or repository"/>
            <code code="OIS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Provision of treatment and/or diagnosis related to tumors and/or cancer.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActMedicalServiceCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17457"/>
            <printName language="en" preferredForLanguage="true" text="Oncology"/>
            <code code="ONC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**A list of medications which the patient is intended to be administered only once.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActMedicationTherapyDurationWorkingListCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21757"/>
            <printName language="en" preferredForLanguage="true" text="one time"/>
            <code code="ONET" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An expressed privacy consent directive restricting or prohibiting collection of personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual in a registry or repository for purposes such as treatment, payment, operations, research, information exchange, public health, data analytics, marketing, and profiling.</p>
                        <i>Usage Note:</i>Useful when a more specific jurisdictional or organizational consent directive policy or form is not specified, available, or known, for example, where an individual wishes to opt-out of access, use, or disclosure of some or all of the individual's information by multiple registries and repositories.<p>Map: An "expressed" opt-out to collection consent directive maps to ISO/TS 17975:2015(E) definitions for "Express or Expressed: Consent to Collect, Use and Disclose personal health information is expressly given by the subject of care" and "Express or Expressed (and Informed) Denial".</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActGenericConsentDirective"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24113"/>
            <printName language="en" preferredForLanguage="true"
                       text="opt-out of personal information or effect collection in a registry or repository"/>
            <code code="OOC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The medical service and/or product was provided to a patient that has coverage in another jurisdiction.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceOverrideCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18036"/>
            <printName language="en" preferredForLanguage="true" text="out of jurisdiction"/>
            <code code="OOJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Premium paid on service fees in compensation for practicing at a location other than normal working location.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceDetailGenericModifierCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20050"/>
            <printName language="en" preferredForLanguage="true" text="out of office"/>
            <code code="OOO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An expressed privacy consent directive restricting or prohibiting access, use, or disclosure of personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual in a registry or repository for purposes such as treatment, payment, operations, research, information exchange, public health, data analytics, marketing, and profiling.</p>
                        <i>Usage Note:</i>Useful when a more specific jurisdictional or organizational consent directive policy or form is not specified, available, or known, for example, where an individual wishes to opt-out of access, use, or disclosure of some or all of the individual's information by multiple registries and repositories.<p>Map: An "expressed" opt-out to sharing consent directive maps to ISO/TS 17975:2015(E) definitions for "Express or Expressed: Consent to Collect, Use and Disclose personal health information is expressly given by the subject of care" and "Express or Expressed (and Informed) Denial".</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActGenericConsentDirective"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24114"/>
            <printName language="en" preferredForLanguage="true"
                       text="opt-out of personal information or effect sharing via a registry or repository"/>
            <code code="OOS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy for handling information related to opioid use disorders and conditions caused by these disorders, which is afforded heightened confidentiality.</p>
                        <i>Usage Note:</i>If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SUD"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23892"/>
            <printName language="en" preferredForLanguage="true"
                       text="opioid use disorder information sensitivity"/>
            <code code="OPIOIDUD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A grantor's assent to the terms of an agreement offered by a grantee without an opportunity for to dissent to any terms.</p>
                        <i>Comment:</i>Acceptance of a grantee's terms pertaining, for example, to permissible activities, purposes of use, handling caveats, expiry date, and revocation policies.<i>Usage Note:</i>Opt-in with no opportunity for a grantor to restrict certain permissions sought by the grantee is considered "basic consent".<b>Examples:</b>
                        <p>* Healthcare: A patient \[grantor\] signs a provider's \[grantee's\] consent directive form, which lists permissible collection, access, use, or disclosure activities, purposes of use, handling caveats, and revocation policies. * Non-healthcare: An employee \[grantor\] signs an employer's \[grantee's\] non-disclosure and non-compete agreement.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActConsentDirective"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActDecision"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23326"/>
            <printName language="en" preferredForLanguage="true" text="opt-in"/>
            <code code="OPTIN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A grantor's assent to the grantee's terms of an agreement with an opportunity for to dissent to certain grantor or grantee selected terms.</p>
                        <i>Comment:</i>A grantor dissenting to the grantee's terms of agreement may or may not exercise a right to assent to grantor's pre-approved restrictions or to grantee's selected terms to which a grantor may dissent.<i>Usage Note:</i>Opt-in with restrictions is considered "granular consent" because the grantor has an opportunity to narrow the permissions sought by the grantee.<b>Examples:</b>
                        <p>* Healthcare: A patient assent to grantee's consent directive terms for collection, access, use, or disclosure of health information, and dissents to disclosure to certain recipients as allowed by the provider's pre-approved restriction list. * Non-Healthcare: A cell phone user assents to the cell phone's privacy practices and terms of use, but dissents from location tracking by turning off the cell phone's tracking capability.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActConsentDirective"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActDecision"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23758"/>
            <printName language="en" preferredForLanguage="true" text="opt-in with restrictions"/>
            <code code="OPTINR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A grantor's dissent to the terms of agreement offered by a grantee without an opportunity for to assent to any terms.</p>
                        <i>Comment:</i>Rejection of a grantee's terms of agreement pertaining, for example, to permissible activities, purposes of use, handling caveats, expiry date, and revocation policies.<i>Usage Note:</i>Opt-out with no opportunity for a grantor to permit certain permissions sought by the grantee is considered "basic consent".<b>Examples:</b>
                        <p>* Healthcare: A patient \[grantor\] declines to sign a provider's \[grantee's\] consent directive form, which lists permissible collection, access, use, or disclosure activities, purposes of use, handling caveats, revocation policies, and consequences of not assenting. * Non-healthcare: An employee \[grantor\] refuses to sign an employer's \[grantee's\] agreement not to join unions or participate in a strike where state law protects employee's collective bargaining rights. * A citizen \[grantor\] refuses to enroll in mandatory government \[grantee\] health insurance based on religious beliefs, which is an exemption.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActConsentDirective"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActDecision"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23327"/>
            <printName language="en" preferredForLanguage="true" text="op-out"/>
            <code code="OPTOUT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A grantor's dissent to the grantee's terms of agreement except for certain grantor or grantee selected terms.</p>
                        <i>Comment:</i>A rejection of a grantee's terms of agreement while assenting to certain permissions sought by the grantee or requesting approval of additional grantor terms.<i>Usage Note:</i>Opt-out with exceptions is considered a "granular consent" because the grantor has an opportunity to accept certain permissions sought by the grantee or request additional grantor terms, while rejecting other grantee terms.<b>Examples:</b>
                        <p>* Healthcare: A patient \[grantor\] dissents to a health information exchange consent directive with the exception of disclosure based on a limited "time to live" shared secret \[e.g., a token or password\], which the patient can give to a provider when seeking care. * Non-healthcare: A social media user \[grantor\] dissents from public access to their account, but assents to access to a circle of friends.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActConsentDirective"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActDecision"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23759"/>
            <printName language="en" preferredForLanguage="true" text="opt-out with exceptions"/>
            <code code="OPTOUTE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Prohibition on disclosure except as permitted by the information originator.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RefrainPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23407"/>
            <printName language="en" preferredForLanguage="true"
                       text="no disclosure without originator authorization"/>
            <code code="ORCON" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person reviews a list of orders submitted to a given patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PATINFO"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22052"/>
            <printName language="en" preferredForLanguage="true" text="orders review task"/>
            <code code="OREV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The service provided is required for orthodontic purposes. If the covered party has orthodontic coverage, then the service may be paid.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceOverrideCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21317"/>
            <printName language="en" preferredForLanguage="true" text="orthodontic service"/>
            <code code="ORTHO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Medicines designated in this way may be supplied for patient use without a prescription. The exact form of categorisation will vary in different realms.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActMonitoringProtocolCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23062"/>
            <printName language="en" preferredForLanguage="true" text="non prescription medicine"/>
            <code code="OTC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Conveys the mandated workflow action that an information custodian, receiver, or user must perform.</p>
                        <i>Usage Notes:</i>Per ISO 22600-2, ObligationPolicy instances 'are event-triggered and define actions to be performed by manager agent'. Per HL7 Composite Security and Privacy Domain Analysis Model: This value set refers to the action required to receive the permission specified in the privacy rule. Per OASIS XACML, an obligation is an operation specified in a policy or policy that is performed in conjunction with the enforcement of an access control decision.</text>
                  </definition>
                  <usageNotes>
                     <text>Per ISO 22600-2, ObligationPolicy instances 'are event-triggered and define actions to be performed by manager agent'. Per HL7 Composite Security and Privacy Domain Analysis Model:  This value set refers to the action required to receive the permission specified in the privacy rule. Per OASIS XACML, an obligation is an operation specified in a policy or policy that is performed in conjunction with the enforcement of an access control decision.</text>
                  </usageNotes>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SecurityPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23372"/>
            <printName language="en" preferredForLanguage="true" text="obligation policy"/>
            <code code="ObligationPolicy" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Organizational policy on collection, access, use, or disclosure of basic controlled unclassified information as defined by the organization or by applicable jurisdictional law.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OrgIP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24067"/>
            <printName language="en" preferredForLanguage="true"
                       text="organizational basic controlled unclassified information policy"/>
            <code code="OrgCUI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Organizational policy on collection, access, use, or disclosure of de-identified information as defined by the organization or by applicable jurisdictional law.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OrgIP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24068"/>
            <printName language="en" preferredForLanguage="true"
                       text="organizational de-identified informati)on policy"/>
            <code code="OrgDEID" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Organizational policy on collection, access, use, or disclosure of information, which does not conflict with jurisdictional law.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24066"/>
            <printName language="en" preferredForLanguage="true"
                       text="organizational information policy"/>
            <code code="OrgIP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Organizational policy on collection, access, use, or disclosure of information in a limited data set as defined by the organization or by applicable jurisdictional law.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OrgIP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24069"/>
            <printName language="en" preferredForLanguage="true"
                       text="organizational limited data set information policy"/>
            <code code="OrgLDS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Organizational policy on collection, access, use, or disclosure of information deemed non-sensitive by the organization or by applicable jurisdictional law.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OrgIP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24070"/>
            <printName language="en" preferredForLanguage="true"
                       text="organizational non-sensitive information policy"/>
            <code code="OrgNSI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Organizational policy on collection, access, use, or disclosure of public information as defined by the organization or by applicable jurisdictional law.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OrgIP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24071"/>
            <printName language="en" preferredForLanguage="true"
                       text="organizational public information policy"/>
            <code code="OrgPI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Organizational policy on collection, access, use, or disclosure of specified controlled unclassified information as defined by the organization or by applicable jurisdictional law.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OrgIP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24072"/>
            <printName language="en" preferredForLanguage="true"
                       text="organizational specified controlled unclassified information policy"/>
            <code code="OrgSP-CUI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Organizational policy on collection, access, use, or disclosure of uncontrolled unclassified information as defined by the organization or governing jurisdiction.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OrgIP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24073"/>
            <printName language="en" preferredForLanguage="true"
                       text="organizational uncontrolled unclassified information policy"/>
            <code code="OrgUUI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Accommodations in which there is only 1 bed.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HL7AccommodationCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16131"/>
            <printName language="en" preferredForLanguage="true" text="Private"/>
            <code code="P" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>HealthCare facility preferred accommodation invoice.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceRootGroupCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20029"/>
            <printName language="en" preferredForLanguage="true"
                       text="preferred accommodation invoice"/>
            <code code="PA" status="retired"/>
            <code code="PAINV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Patient administration members who have access to healthcare consumer information as part of a patient administration workflows.</p>
                        <p>Security Compartment Labels assigned to consumer information used in these workflows should be met or exceeded by the Security Compartment attribute claimed by a participant in a patient administration workflow who is requesting access to that information.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="COMPT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23882"/>
            <printName language="en" preferredForLanguage="true"
                       text="patient administration compartment"/>
            <code code="PACOMPT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Phenylketonuria diet.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DIET"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10391"/>
            <printName language="en" preferredForLanguage="true" text="phenylalanine free"/>
            <code code="PAF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Provision of care for patients who are living or dying from an advanced illness.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActMedicalServiceCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17452"/>
            <printName language="en" preferredForLanguage="true" text="Palliative"/>
            <code code="PALL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Paper documentation (or other physical format) with supporting or additional information to follow.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceOverrideCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20020"/>
            <printName language="en" preferredForLanguage="true" text="paper documentation to follow"/>
            <code code="PAPER" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Patient is supplied with parenteral nutrition, typically described in terms of i.v. medications.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DIET"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10385"/>
            <printName language="en" preferredForLanguage="true" text="parenteral"/>
            <code code="PAR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Communication of an agent from a living subject or environmental source to a living subject where the acquisition of the agent is not via the alimentary canal.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CaseTransmissionMode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21922"/>
            <printName language="en" preferredForLanguage="true" text="parenteral transmission"/>
            <code code="PARTRNS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person enters documentation about a given patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActTaskCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22067"/>
            <printName language="en" preferredForLanguage="true" text="patient documentation task"/>
            <code code="PATDOC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person provides a patient-specific education handout to a patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CLINNOTEE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23627"/>
            <printName language="en" preferredForLanguage="true" text="patient education entry"/>
            <code code="PATEDUE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person (e.g., clinician, the patient herself) reviews patient information in the electronic medical record.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
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         <concept>
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               <documentation>
                  <definition>
                     <text>
                        <p>Policy for handling information related to an individual's location, which is deemed sensitive when the disclosure could impact the privacy, well-being, or safety of that subject, and requires additional protection.</p>
                        <i>Usage Note:</i>If there is a jurisdictional, organizational, or individual mandate, then use the applicable ActPrivacyLaw or ActConsentDirective code from the ActCode system to and specify the law in addition to this more generic code.</text>
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               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**The proposed therapy goes against preferences or consent constraints recorded in the patient's record.</p>
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                  </definition>
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            <conceptRelationship relationshipName="Specializes">
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**The proposed therapy goes against preferences or consent constraints recorded in the patient's record. An alternate therapy meeting those constraints is available.</p>
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                  </definition>
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            </annotations>
            <conceptRelationship relationshipName="Specializes">
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            <code code="PATPREFALT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A pathologist enters a report for a given patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CLINNOTEE"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person reviews a pathology report of a given patient.</p>
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               </documentation>
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               <targetConcept code="PATINFO"/>
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         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates that the ICSR is describing problems that a patient experienced after receiving a vaccine product.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IndividualCaseSafetyReportType"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The guarantor, who may be the patient, pays the entire charge for a service. Reasons for such action may include: there is no insurance coverage for the service (e.g. cosmetic surgery); the patient wishes to self-pay for the service; or the insurer denies payment for the service due to contractual provisions such as the need for prior authorization.</p>
                     </text>
                  </definition>
               </documentation>
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            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceDetailGenericAdjudicatorCode"/>
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            <printName language="en" preferredForLanguage="true" text="payment"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Transaction counts and value totals by each instance of an invoice payee.</p>
                     </text>
                  </definition>
               </documentation>
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            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceAdjudicationPaymentSummaryCode"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Transaction counts and value totals by each instance of an invoice payor.</p>
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               <targetConcept code="_ActInvoiceAdjudicationPaymentSummaryCode"/>
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         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An account representing charges and credits (financial transactions) for a patient's encounter.</p>
                     </text>
                  </definition>
               </documentation>
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            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActAccountCode"/>
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            <conceptProperty name="internalId" value="21301"/>
            <printName language="en" preferredForLanguage="true" text="patient billing account"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
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            <code code="PDNFPPELAT" status="active"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
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            <conceptProperty name="internalId" value="20016"/>
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            <code code="PDNFPPELCT" status="active"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.</p>
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                  </definition>
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            <conceptRelationship relationshipName="Specializes">
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.</p>
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                  </definition>
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            <conceptRelationship relationshipName="Specializes">
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.</p>
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                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
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            <conceptProperty name="internalId" value="20013"/>
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            <code code="PDNFSPELAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently cancelled in the specified period and submitted electronically.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.</p>
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                  </definition>
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            </annotations>
            <conceptRelationship relationshipName="Specializes">
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            <code code="PDNFSPMNAT" status="active"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
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            <conceptProperty name="internalId" value="20014"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.</p>
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                  </definition>
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            <conceptRelationship relationshipName="Specializes">
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.</p>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.</p>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.</p>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.</p>
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                  </definition>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.</p>
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                  </definition>
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            <conceptProperty name="internalId" value="17572"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.</p>
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                  </definition>
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            <conceptRelationship relationshipName="Specializes">
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            <conceptProperty name="internalId" value="17575"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.</p>
                     </text>
                  </definition>
               </documentation>
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            <conceptRelationship relationshipName="Specializes">
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            <conceptProperty name="internalId" value="17574"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.</p>
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                  </definition>
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            <conceptRelationship relationshipName="Specializes">
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            <conceptProperty name="internalId" value="17569"/>
            <printName language="en" preferredForLanguage="true"
                       text="paid payee payable prior-period electronic amount"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.</p>
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            <conceptRelationship relationshipName="Specializes">
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            <conceptProperty name="internalId" value="17568"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="PDPPPPELCT" status="active"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.</p>
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                  </definition>
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            <conceptRelationship relationshipName="Specializes">
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            <conceptProperty name="internalId" value="17571"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.</p>
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            <conceptRelationship relationshipName="Specializes">
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            <conceptProperty name="internalId" value="17570"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.</p>
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            <conceptRelationship relationshipName="Specializes">
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            <conceptProperty name="internalId" value="17565"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.</p>
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            <conceptRelationship relationshipName="Specializes">
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            <conceptProperty name="internalId" value="17564"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.</p>
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            <conceptRelationship relationshipName="Specializes">
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            <conceptProperty name="internalId" value="17567"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.</p>
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            <conceptRelationship relationshipName="Specializes">
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            <conceptProperty name="internalId" value="17566"/>
            <printName language="en" preferredForLanguage="true"
                       text="paid payee payable same-period manual count"/>
            <code code="PDPPSPMNCT" status="active"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy for specially protecting information reported by or about a patient, which is deemed sensitive within the enterprise (i.e., by default regardless of whether the patient requested that the information be deemed sensitive for another reason.) For example information reported by the patient about another person, e.g., a family member, may be deemed sensitive by default. Organizational policy may allow the sensitivity tag to be cleared on patient's request.</p>
                        <i>Usage Note:</i>If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.<p>For example, VA deems employee information sensitive by default. Information about a patient who is being stalked or a victim of abuse or violence may be deemed sensitive by default per a provider organization's policies.</p>
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            <conceptRelationship relationshipName="Specializes">
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            <conceptProperty name="internalId" value="23336"/>
            <printName language="en" preferredForLanguage="true"
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed therapy is outside of the standard practice for a pediatric patient.</p>
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            <conceptRelationship relationshipName="Specializes">
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            <conceptProperty name="internalId" value="23555"/>
            <printName language="en" preferredForLanguage="true" text="pediatric alert"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Provision of diagnosis and treatment of diseases and disorders affecting children.</p>
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            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActMedicalServiceCode"/>
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            <conceptProperty name="internalId" value="17461"/>
            <printName language="en" preferredForLanguage="true" text="Pediatrics"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Anticipated or actual periodic fee associated with treating a patient. For example, expected billing cycle such as monthly, quarterly. The actual period (e.g. monthly, quarterly) is specified in the unit quantity of the Invoice Element.</p>
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            <conceptRelationship relationshipName="Specializes">
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            <conceptProperty name="internalId" value="21312"/>
            <printName language="en" preferredForLanguage="true" text="periodic fee"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Transaction counts and value totals for the date range specified.</p>
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            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActAdjudicationGroupCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceAdjudicationPaymentSummaryCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17971"/>
            <printName language="en" preferredForLanguage="true" text="period"/>
            <code code="PERIOD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The amount for a performance bonus that is being requested from a payor for the performance of certain services (childhood immunizations, influenza immunizations, mammograms, pap smears) on a sliding scale. That is, for 90% of childhood immunizations to a maximum of $2200/yr. An invoice is created at the end of the service period (one year) and a code is submitted indicating the percentage achieved and the dollar amount claimed.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceDetailGenericProviderCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21310"/>
            <printName language="en" preferredForLanguage="true" text="performance bonus"/>
            <code code="PERMBNS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Custodian security system must persist the binding of security labels to classify information received or imported by information systems under its control for collection, access, use and disclosure in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the assignment and binding.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ObligationPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23750"/>
            <printName language="en" preferredForLanguage="true" text="persist security label"/>
            <code code="PERSISTLABEL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Pharmaceutical care performed by a pharmacist.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActMedicalServiceCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19975"/>
            <printName language="en" preferredForLanguage="true" text="Pharmaceutical"/>
            <code code="PHAR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy for handling information about a patient, which a physician or other licensed healthcare provider deems sensitive. Once tagged by the provider, this may trigger alerts for follow up actions according to organizational policy or jurisdictional law.</p>
                        <i>Usage Note:</i>For use within an enterprise that provides heightened confidentiality to certain types of information designated by a physician as sensitive. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.<p>Use cases in which this code could be used are, e.g., in systems that lack the ability to automatically detect sensitive information and must rely on manual tagging; a system that lacks an applicable sensitivity tag, or for ad hoc situations where criticality of the situation requires that the tagging be done immediately by the provider before coding or transcription of consult notes can be completed, e.g., upon detection of a patient with suicidal tendencies or potential for violence.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InformationSensitivityPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23931"/>
            <printName language="en" preferredForLanguage="true"
                       text="physician requested information sensitivity"/>
            <code code="PHY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Provision of treatment for physical injury.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActMedicalServiceCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17455"/>
            <printName language="en" preferredForLanguage="true" text="Physical Rehab"/>
            <code code="PHYRHB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Public Insurance has been exhausted. Invoice has not been sent to Public Insuror and therefore no Explanation Of Benefits (EOB) is provided with this Invoice submission.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceOverrideCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20023"/>
            <printName language="en" preferredForLanguage="true" text="public insurance exhausted"/>
            <code code="PIE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Payment initiated by the payor as the result of adjudicating a paper (original, may have been faxed) invoice.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceAdjudicationPaymentGroupCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoicePaymentCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20067"/>
            <printName language="en" preferredForLanguage="true" text="paper invoice"/>
            <code code="PINV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>An interaction where the exposure participants were both present in the same location/place/space.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActExposureCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22361"/>
            <printName language="en" preferredForLanguage="true" text="Common Space Interaction"/>
            <code code="PLACE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Communication of an agent from a living subject to the progeny of that living subject via agent migration across the maternal-fetal placental membranes while in utero.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CaseTransmissionMode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21926"/>
            <printName language="en" preferredForLanguage="true" text="transplacental transmission"/>
            <code code="PLACTRNS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A similar or identical therapy was recently ordered by a different practitioner.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="COMPLY"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16689"/>
            <printName language="en" preferredForLanguage="true" text="Poly-orderer Alert"/>
            <code code="PLYDOC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This patient was recently supplied a similar or identical therapy from a different pharmacy or supplier.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="COMPLY"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16690"/>
            <printName language="en" preferredForLanguage="true" text="Poly-supplier Alert"/>
            <printName language="en" preferredForLanguage="false" text="Poly-pharmacy Alert"/>
            <code code="PLYPHRM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A type of insurance that covers damage to or loss of the policyholderaTMs property by providing payments for damages to property damage or the injury or death of living subjects. The terms "casualty" and "liability" insurance are often used interchangeably. Both cover the policyholder's legal liability for damages caused to other persons and/or their property.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInsuranceTypeCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22119"/>
            <printName language="en" preferredForLanguage="true"
                       text="property and casualty insurance policy"/>
            <code code="PNC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A single point denoted by a single (column,row) pair, or multiple points each denoted by a (column,row) pair.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ROIOverlayShape"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16120"/>
            <printName language="en" preferredForLanguage="true" text="point"/>
            <code code="POINT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A series of connected line segments with ordered vertices denoted by (column,row) pairs; if the first and last vertices are the same, it is a closed polygon.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ROIOverlayShape"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16121"/>
            <printName language="en" preferredForLanguage="true" text="polyline"/>
            <code code="POLY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A policy for a health plan that has features of both an HMO and a FFS plan. Like an HMO, a POS plan encourages the use its HMO network to maintain discounted fees with participating providers, but recognizes that sometimes covered parties want to choose their own provider. The POS plan allows a covered party to use providers who are not part of the HMO network (non-participating providers). However, there is a greater cost associated with choosing these non-network providers. A covered party will usually pay deductibles and coinsurances that are substantially higher than the payments when he or she uses a plan provider. Use of non-participating providers often requires the covered party to pay the provider directly and then to file a claim for reimbursement, like in an FFS plan.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActHealthInsuranceTypeCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MCPOL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22111"/>
            <printName language="en" preferredForLanguage="true" text="point of service policy"/>
            <code code="POS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A network-based, managed care plan that allows a covered party to choose any health care provider. However, if care is received from a "preferred" (participating in-network) provider, there are generally higher benefit coverage and lower deductibles.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MCPOL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22112"/>
            <printName language="en" preferredForLanguage="true"
                       text="preferred provider organization policy"/>
            <code code="PPO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An amount that was owed to the payor as indicated, by a carry forward adjusment, in a previous payment advice</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceAdjudicationPaymentGroupCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoicePaymentCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20069"/>
            <printName language="en" preferredForLanguage="true" text="prior period adjustment"/>
            <code code="PPRD" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="16675"/>
            <code code="PRA" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A grouping of invoice element details including the one specifying the product (good or supply) being invoiced. It may also contain generic detail items such as tax or discount.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceInterGroupCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20031"/>
            <printName language="en" preferredForLanguage="true" text="product invoice group"/>
            <code code="PRDING" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Maximum amount paid by payer or covered party; or maximum number of services/products covered under the policy or program by time period specified by the effective time on the act.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCoverageQuantityLimitCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="COVMX"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22241"/>
            <printName language="en" preferredForLanguage="true" text="period maximum"/>
            <code code="PRDMX" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The dilution of the specimen made prior to being loaded onto analytical equipment</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DILUTION"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="13961"/>
            <printName language="en" preferredForLanguage="true" text="Pre-Dilution"/>
            <code code="PRE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An observation about how important a preference is to the target of the preference.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PreferenceObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23623"/>
            <printName language="en" preferredForLanguage="true" text="preference strength"/>
            <code code="PREFSTRENGTH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed therapy may be inappropriate or contraindicated during pregnancy</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="COND"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16666"/>
            <printName language="en" preferredForLanguage="true" text="Pregnancy Alert"/>
            <code code="PREG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy for handling information about an individual's current or past pregnancy status, deemed sensitive by the individual or by policy, which may be afforded heightened confidentiality.</p>
                        <i>Usage Note:</i>
                        <p>Information about a patient's current or past pregnancy status may be considered sensitive in circumstances in which that status could result in discrimination or stigmatization.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationSensitivityPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24123"/>
            <printName language="en" preferredForLanguage="true"
                       text="pregnancy information sensitivity"/>
            <code code="PREGNANT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A patient encounter where patient is scheduled or planned to receive service delivery in the future, and the patient is given a pre-admission account number. When the patient comes back for subsequent service, the pre-admission encounter is selected and is encapsulated into the service registration, and a new account number is generated.</p>
                        <i>Usage Note:</i>This is intended to be used in advance of encounter types such as ambulatory, inpatient encounter, virtual, etc.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActEncounterCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23573"/>
            <printName language="en" preferredForLanguage="true" text="pre-admission"/>
            <code code="PRENC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**The same or similar treatment has previously been attempted with the patient without achieving a positive effect.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AppropriatenessDetectedIssueCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22834"/>
            <printName language="en" preferredForLanguage="true" text="previously ineffective"/>
            <code code="PREVINEF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Custodian must create and/or maintain human readable security label tags as required by policy.</p>
                        <p>Map: Aligns with ISO 22600-3 Section A.3.4.3 description of privacy mark: "If present, the privacy-mark is not used for access control. The content of the privacy-mark may be defined by the security policy in force (identified by the security-policy-identifier) which may define a list of values to be used. Alternately, the value may be determined by the originator of the security-label."</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ObligationPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23575"/>
            <printName language="en" preferredForLanguage="true" text="privacy mark"/>
            <code code="PRIVMARK" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Indicates that a result is incomplete. There are further results to come. This maps to the 'active' state in the observation result status code.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22829"/>
            <printName language="en" preferredForLanguage="true" text="preliminary"/>
            <code code="PRLMN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**A list of medications which the patient will consume intermittently based on the behavior of the condition for which the medication is indicated.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActMedicationTherapyDurationWorkingListCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21758"/>
            <printName language="en" preferredForLanguage="true" text="as needed"/>
            <code code="PRN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Professional association fee that is collected by the payor from the practitioner/provider on behalf of the association</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceAdjudicationPaymentGroupCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoicePaymentCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20060"/>
            <printName language="en" preferredForLanguage="true"
                       text="professional association deduction"/>
            <code code="PROA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>List of problem observations.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CONDLIST"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19980"/>
            <printName language="en" preferredForLanguage="true" text="problem list"/>
            <code code="PROBLIST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A clinician enters a problem for a given patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CLINNOTEE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22070"/>
            <printName language="en" preferredForLanguage="true" text="problem list entry task"/>
            <code code="PROBLISTE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person reviews a list of problems of a given patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PATINFO"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22059"/>
            <printName language="en" preferredForLanguage="true" text="problem list review task"/>
            <code code="PROBLISTREV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Custodian security system must take note that the data object contains inline security labels and process them.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ObligationPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23850"/>
            <printName language="en" preferredForLanguage="true" text="process inline security label"/>
            <code code="PROCESSINLINELABEL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Transaction counts and value totals by Provider Identifier.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActAdjudicationGroupCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceAdjudicationPaymentSummaryCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17975"/>
            <printName language="en" preferredForLanguage="true" text="provider"/>
            <code code="PROV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy for specially protecting information reported by or about a patient, which the patient deems sensitive, and the patient requests that collection, access, use, or disclosure of that information be restricted. For example, a minor patient may request that information about reproductive health not be disclosed to the patient's family or to particular providers and payers.</p>
                        <i>Usage Note:</i>If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InformationSensitivityPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23335"/>
            <printName language="en" preferredForLanguage="true"
                       text="patient requested information sensitivity"/>
            <code code="PRS" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActPatientTransportationModeCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21550"/>
            <printName language="en" preferredForLanguage="true" text="private transport"/>
            <code code="PRVTRN" status="active"/>
            <code code="PrivateTransport" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Custodian system must strip information of data that would allow the identification of the source of the information or the information subject. Custodian may retain a key to relink data necessary to reidentify the information subject.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ObligationPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23392"/>
            <printName language="en" preferredForLanguage="true" text="pseudonymize"/>
            <code code="PSEUD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Tax levied by the provincial or state jurisdiction such as Provincial Sales Tax</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceDetailTaxCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20046"/>
            <printName language="en" preferredForLanguage="true" text="provincial/state sales tax"/>
            <code code="PST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**All information pertaining to a patient's professional service records (such as smoking cessation, counseling, medication review, mental health).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationCategoryCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21615"/>
            <printName language="en" preferredForLanguage="true" text="professional service category"/>
            <code code="PSVCCAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy for handling psychiatry psychiatric disorder information, which is afforded heightened confidentiality.</p>
                        <i>Usage Note:</i>If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SPI"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23341"/>
            <printName language="en" preferredForLanguage="true"
                       text="psychiatry disorder information sensitivity"/>
            <code code="PSY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Provision of treatment of psychiatric disorder relating to mental illness.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActMedicalServiceCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17458"/>
            <printName language="en" preferredForLanguage="true" text="Psychiatric"/>
            <code code="PSYCH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy for handling psychotherapy note information, which is afforded heightened confidentiality.</p>
                        <i>Usage Note:</i>In some jurisdiction, disclosure of psychotherapy notes requires patient consent.<p>If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SPI"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23932"/>
            <printName language="en" preferredForLanguage="true"
                       text="psychotherapy note information sensitivity"/>
            <code code="PSYTHPN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Exposure participants' interaction occurred during the course of health care delivery by a provider (e.g. a physician treating a patient in her office).</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActExposureCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22356"/>
            <printName language="en" preferredForLanguage="true"
                       text="Health Care Interaction - Patient Care"/>
            <code code="PTNTCARE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Insurance policy funded by a public health system such as a provincial or national health plan. Examples include BC MSP (British Columbia Medical Services Plan) OHIP (Ontario Health Insurance Plan), NHS (National Health Service).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInsurancePolicyCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActProgramTypeCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19718"/>
            <printName language="en" preferredForLanguage="true" text="public healthcare"/>
            <code code="PUBLICPOL" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActPatientTransportationModeCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21549"/>
            <printName language="en" preferredForLanguage="true" text="public transport"/>
            <code code="PUBTRN" status="active"/>
            <code code="PublicTransport" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Allows provider to explain lateness of invoice to a subsequent payor.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceOverrideCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17591"/>
            <printName language="en" preferredForLanguage="true" text="delayed by a previous payor"/>
            <code code="PYRDELAY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Personal policy on collection, access, use, or disclosure of de-identified information as defined by the information subject or by applicable jurisdictional law.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PersIP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24083"/>
            <printName language="en" preferredForLanguage="true"
                       text="personal de-identified information policy"/>
            <code code="PersDEID" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Personal policy on collection, access, use, or disclosure of information.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24082"/>
            <printName language="en" preferredForLanguage="true" text="personal information policy"/>
            <code code="PersIP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Personal policy personal policy on collection, access, use, or disclosure of information in a limited data set by the information subject.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PersIP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24085"/>
            <printName language="en" preferredForLanguage="true"
                       text="personal limited data set information policy"/>
            <code code="PersLDS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Personal policy on collection, access, use, or disclosure of information deemed non-sensitive by the information subject.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PersIP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24084"/>
            <printName language="en" preferredForLanguage="true"
                       text="personal non-sensitive information policy"/>
            <code code="PersNSI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Personal policy on collection, access, use, or disclosure of information deemed public by the information subject.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PersIP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24086"/>
            <printName language="en" preferredForLanguage="true"
                       text="personal public information policy"/>
            <code code="PersPI" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An abstract code for human readable marks indicating, e.g., the level of confidentiality protection, an authorized compartment, the integrity, or the handling instruction required by applicable policy. Such markings must be displayed as directed by applicable policy on electronically rendered information content and any electronic transmittal envelope or container; or on hardcopy information and any physical transmittal envelope or container.</p>
                        <p>Examples of protocols for marking displays on electronic or hardcopy rendered content: Across the top or "banner" of each page ; as a watermark placed diagonally cross each page; at the bottom or "footer" of each page; and may be displayed at the beginning of any portion within the content that required markings different than other portions of the content. The banner or top of page marking typically acts as a "high watermark" by including all of the markings made on any marked portions within the entirety of the information content.</p>
                        <i>Usage Note:</i>A "Privacy Mark" is a Security Control Observation (SECCONOBS) named tag set as specified by the HL7 Privacy and Security Classification System (HCS). A Privacy Mark Named Tag Set is valued with a Privacy Mark leaf code "tag", which is a member of the Security Control Observation Value (\_SecurityObservationValue) tag set. Related Security Control Observation named tag sets are Purpose of Use, Obligation Policy, and Refrain Policy, each with their own Security Control Observation Value tag sets.<p>Foundational standard definitions: ISO 22600-3 Section A.3.4.3 - If present, the privacy-mark is not used for access control. The content of the privacy-mark may be defined by the security policy in force (identified by the security-policy-identifier) which may define a list of values to be used. Alternately, the value may be determined by the originator of the security-label. IEEE Security Glossary Compendium 93- CESG Memorandum No.1 Issue 1.2 Oct 1992 - Human readable word or phrase acting as an indicator of all or part of the security constraints that apply to a document so marked. NOTE: A machine readable representation of a marking.</p>
                        <i>Comment:</i>While policies requiring creators, processors, custodians, senders or recipients apply, enforce, and persist applicable Privacy Marks may be dictated by a jurisdiction, organization or personal privacy, security, or integrity policy, those required to comply may be governed under different policies, so compliance may need to be enforced through trust contracts. For example, information content marked with GDPR related policies may require adherence by processors or recipients outside of the European Union. For this reason, this code system is likely to evolve with the inclusion of multiple policy domains needing to communicate encoded policies in a standard, interoperable manner.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SecurityPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24045"/>
            <printName language="en" preferredForLanguage="true" text="privacy mark"/>
            <code code="PrivacyMark" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Status is used by one system to inform another that the processing has been completed, but the container has not been released from that system.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActContainerRegistrationCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14062"/>
            <printName language="en" preferredForLanguage="true" text="Process Completed"/>
            <code code="R" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy for handling information related to an information subject's race, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's race, the disclosure of which could impact the privacy, well-being, or safety of that subject.</p>
                        <i>Usage Note:</i>If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_EntitySensitivityPolicyType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23357"/>
            <printName language="en" preferredForLanguage="true" text="race information sensitivity"/>
            <code code="RACE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A radiologist enters a report for a given patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CLINNOTEE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22072"/>
            <printName language="en" preferredForLanguage="true" text="radiology report entry task"/>
            <code code="RADREPE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person reviews a radiology report of a given patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PATINFO"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22061"/>
            <printName language="en" preferredForLanguage="true" text="radiology report review task"/>
            <code code="RADREPREV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to a cross-sensitivity related product. (Allergies are immune based reactions.)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RREACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16678"/>
            <printName language="en" preferredForLanguage="true" text="Related Allergy Alert"/>
            <code code="RALG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed therapy may be inappropriate or contraindicated because of a recorded prior adverse reaction to a cross-sensitivity related product.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RREACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16679"/>
            <printName language="en" preferredForLanguage="true" text="Related Prior Reaction Alert"/>
            <code code="RAR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Succinct statement of the need for the measure. Usually includes statements pertaining to Importance criterion: impact, gap in care and evidence.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationQualityMeasureAttribute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23026"/>
            <printName language="en" preferredForLanguage="true" text="rationale"/>
            <code code="RAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A diet that seeks to reduce body fat, typically low energy content (800-1600 kcal).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DIET"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10384"/>
            <printName language="en" preferredForLanguage="true" text="reduction diet"/>
            <code code="RD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed therapy may be inappropriate or contraindicated based on the potential for a patient reaction to the proposed product</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OBSA"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16672"/>
            <printName language="en" preferredForLanguage="true" text="Reaction Alert"/>
            <code code="REACT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The addition of calcium back to a specimen after it was removed by chelating agents</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActSpecimenTreatmentCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14042"/>
            <printName language="en" preferredForLanguage="true" text="Recalcification"/>
            <code code="RECA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Retroactive adjustment such as fee rate adjustment due to contract negotiations.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceAdjudicationPaymentGroupCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoicePaymentCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20061"/>
            <printName language="en" preferredForLanguage="true" text="recovery"/>
            <code code="RECOV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Custodian system must remove information, which is not authorized to be access, used, or disclosed from records made available to otherwise authorized users.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ObligationPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23390"/>
            <printName language="en" preferredForLanguage="true" text="redact"/>
            <code code="REDACT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies bibliographic citations or references to clinical practice guidelines, sources of evidence, or other relevant materials supporting the intent and rationale of the eMeasure.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationQualityMeasureAttribute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23027"/>
            <printName language="en" preferredForLanguage="true" text="reference"/>
            <code code="REF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Specifies whether or not further testing may be automatically or manually initiated on specimens.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActControlVariable"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16859"/>
            <printName language="en" preferredForLanguage="true" text="reflex permission"/>
            <code code="REFLEX" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Rules of practice do not require a physician's referral for the provider to perform a billable service.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceOverrideCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18037"/>
            <printName language="en" preferredForLanguage="true" text="referral not required"/>
            <code code="REFNR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>An agreement between two or more insurance companies by which the risk of loss is proportioned. Thus the risk of loss is spread and a disproportionately large loss under a single policy does not fall on one insurance company. Acceptance by an insurer, called a reinsurer, of all or part of the risk of loss of another insurance company.<b>Discussion:</b>Reinsurance is a means by which an insurance company can protect itself against the risk of losses with other insurance companies. Individuals and corporations obtain insurance policies to provide protection for various risks (hurricanes, earthquakes, lawsuits, collisions, sickness and death, etc.). Reinsurers, in turn, provide insurance to insurance companies.For example, an HMO may purchase a reinsurance policy to protect itself from losing too much money from one insured's particularly expensive health care costs. An insurance company issuing an automobile liability policy, with a limit of $100,000 per accident may reinsure its liability in excess of $10,000. A fire insurance company which issues a large policy generally reinsures a portion of the risk with one or several other companies. Also called<i>risk control insurance or stop-loss insurance.</i>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInsuranceTypeCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22120"/>
            <printName language="en" preferredForLanguage="true" text="reinsurance policy"/>
            <code code="REI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy for handling information related to an information subject's religious affiliation, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's religion, the disclosure of which could impact the privacy, well-being, or safety of that subject.</p>
                        <i>Usage Notes:</i>If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.</text>
                  </definition>
                  <usageNotes>
                     <text>If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.</text>
                  </usageNotes>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_EntitySensitivityPolicyType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23358"/>
            <printName language="en" preferredForLanguage="true"
                       text="religion information sensitivity"/>
            <code code="REL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A person enters a health care reminder for a given patient.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PATINFO"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23266"/>
            <printName language="en" preferredForLanguage="true" text="reminder list entry"/>
            <code code="REMLE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A person reviews a list of health care reminders for a given patient.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PATDOC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23270"/>
            <printName language="en" preferredForLanguage="true" text="reminder list review"/>
            <code code="REMLREV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Temporary supply of a product with financial compensation, without transfer of ownership for the product.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LOAN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17962"/>
            <printName language="en" preferredForLanguage="true" text="Rent"/>
            <code code="RENT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This Observation Series type contains waveforms of a "representative beat" (a.k.a. "median beat" or "average beat"). The waveform samples are measured in relative time, relative to the beginning of the beat as defined by the Observation Series effective time. The waveforms are not directly acquired from the subject, but rather algorithmically derived from the "rhythm" waveforms.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ECGObservationSeriesType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19324"/>
            <printName language="en" preferredForLanguage="true"
                       text="ECG representative beat waveforms"/>
            <code code="REPRESENTATIVE_BEAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The same service was delivered within a time period that would usually indicate a duplicate billing. However, the repeated service is a medical necessity and therefore not a duplicate.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceOverrideCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19711"/>
            <printName language="en" preferredForLanguage="true" text="repeated service"/>
            <code code="REPSERV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**This observation represents an 'average' or 'expected' half-life typical of the product.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MedicationObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21678"/>
            <printName language="en" preferredForLanguage="true" text="representative half-life"/>
            <code code="REP_HALF_LIFE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The number of repeating elements falls outside the range of the allowed number of repetitions.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="VALIDAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21662"/>
            <printName language="en" preferredForLanguage="true" text="repetitions out of range"/>
            <code code="REP_RANGE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The value of the dilution of a sample after it had been analyzed at a prior dilution value</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DILUTION"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="13960"/>
            <printName language="en" preferredForLanguage="true" text="Rerun Dilution"/>
            <code code="RERUN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A security category label field value, which indicates that access and use of an IT resource is restricted to members of a research project.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="COMPT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23578"/>
            <printName language="en" preferredForLanguage="true" text="research project compartment"/>
            <code code="RESCOMPT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Consent to have healthcare information in an electronic health record accessed for research purposes.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActConsentType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22206"/>
            <printName language="en" preferredForLanguage="true" text="research information access"/>
            <code code="RESEARCH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A charge is requested because the patient failed to pick up the item and it took an amount of time to return it to stock for future use.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceDetailGenericProviderCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20044"/>
            <printName language="en" preferredForLanguage="true" text="restocking fee"/>
            <code code="RESTOCK" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A government mandated program with specific eligibility requirements based on premium contributions made during employment, length of employment, age, and employment status, e.g., being retired, disabled, or a dependent of a covered party under this program. Benefits typically include ambulatory, inpatient, and long-term care, such as hospice care, home health care and respite care.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActProgramTypeCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22129"/>
            <printName language="en" preferredForLanguage="true" text="retiree health program"/>
            <code code="RETIRE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Bonus payments based on performance, volume, etc. as agreed to by the payor.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceAdjudicationPaymentGroupCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoicePaymentCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20062"/>
            <printName language="en" preferredForLanguage="true" text="retro adjustment"/>
            <code code="RETRO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A type of transaction that represents a reversal of a previous charge for a service or product. Expressed in monetary terms. It has the opposite effect of a standard charge.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActFinancialTransactionCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14806"/>
            <printName language="en" preferredForLanguage="true" text="Standard Charge Reversal"/>
            <code code="REV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A fill against an order that has already been filled (or partially filled) at least once.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActPharmacySupplyType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16215"/>
            <printName language="en" preferredForLanguage="true" text="Refill"/>
            <code code="RF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A refill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a complete fill would be for the full 90 tablets.)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16216"/>
            <printName language="en" preferredForLanguage="true" text="Refill - Complete"/>
            <code code="RFC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A refill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a complete fill would be for the full 90 tablets.) and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RFC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21820"/>
            <printName language="en" preferredForLanguage="true"
                       text="refill complete partial strength"/>
            <code code="RFCS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The first fill against an order that has already been filled at least once at another facility.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16218"/>
            <printName language="en" preferredForLanguage="true"
                       text="Refill (First fill this facility)"/>
            <code code="RFF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The first fill against an order that has already been filled at least once at another facility and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RFF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21821"/>
            <printName language="en" preferredForLanguage="true"
                       text="refill partial strength (first fill this facility)"/>
            <code code="RFFS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A refill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a partial fill might be for only 30 tablets.)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16217"/>
            <printName language="en" preferredForLanguage="true" text="Refill - Part Fill"/>
            <code code="RFP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A refill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a partial fill might be for only 30 tablets.) and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RFP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21822"/>
            <printName language="en" preferredForLanguage="true"
                       text="refill part fill partial strength"/>
            <code code="RFPS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A fill against an order that has already been filled (or partially filled) at least once and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21819"/>
            <printName language="en" preferredForLanguage="true" text="refill partial strength"/>
            <code code="RFS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This Observation type contains ECG "rhythm" waveforms. The waveform samples are measured in absolute time (a.k.a. "subject time" or "effective time"). These waveforms are usually "raw" with some minimal amount of noise reduction and baseline filtering applied.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ECGObservationSeriesType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19323"/>
            <printName language="en" preferredForLanguage="true" text="ECG rhythm waveforms"/>
            <code code="RHYTHM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed therapy may be inappropriate or contraindicated because of a recorded patient intolerance to a cross-sensitivity related product. (Intolerances are non-immune based sensitivities.)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RREACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16677"/>
            <printName language="en" preferredForLanguage="true" text="Related Intolerance Alert"/>
            <code code="RINT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person reviews a Risk Assessment Instrument report of a given patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PATINFO"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22063"/>
            <printName language="en" preferredForLanguage="true"
                       text="risk assessment instrument task"/>
            <code code="RISKASSESS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>List of risk factor observations.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CONDLIST"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19983"/>
            <printName language="en" preferredForLanguage="true" text="risk factors"/>
            <code code="RISKLIST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A security category label field value, which indicates that access and use of an IT resource is restricted to members of records management department or workflow.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="COMPT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23579"/>
            <printName language="en" preferredForLanguage="true" text="records management compartment"/>
            <code code="RMGTCOMPT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A fully specified bounded Region of Interest (ROI) delineates a ROI in which only those dimensions participate that are specified by boundary criteria, whereas all other dimensions are excluded. For example a ROI to mark an episode of "ST elevation" in a subset of the EKG leads V2, V3, and V4 would include 4 boundaries, one each for time, V2, V3, and V4.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActBoundedROICode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17897"/>
            <printName language="en" preferredForLanguage="true" text="fully specified ROI"/>
            <code code="ROIFS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A partially specified bounded Region of Interest (ROI) specifies a ROI in which at least all values in the dimensions specified by the boundary criteria participate. For example, if an episode of ventricular fibrillations (VFib) is observed, it usually doesn't make sense to exclude any EKG leads from the observation and the partially specified ROI would contain only one boundary for time indicating the time interval where VFib was observed.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActBoundedROICode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17898"/>
            <printName language="en" preferredForLanguage="true" text="partially specified ROI"/>
            <code code="ROIPS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A billing arrangement where funding is based on a list of individuals registered as patients of the Provider.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActBillingArrangementCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17482"/>
            <printName language="en" preferredForLanguage="true" text="roster funding"/>
            <code code="ROST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed therapy may be inappropriate or contraindicated because of a potential patient reaction to a cross-sensitivity related product.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OBSA"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16676"/>
            <printName language="en" preferredForLanguage="true" text="Related Reaction Alert"/>
            <code code="RREACT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Consent to have de-identified healthcare information in an electronic health record that is accessed for research purposes, but without consent to re-identify the information under any circumstance.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RESEARCH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22207"/>
            <printName language="en" preferredForLanguage="true"
                       text="de-identified information access"/>
            <code code="RSDID" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Consent to have de-identified healthcare information in an electronic health record that is accessed for research purposes re-identified under specific circumstances outlined in the consent.<b>Example::</b>Where there is a need to inform the subject of potential health issues.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RESEARCH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22208"/>
            <printName language="en" preferredForLanguage="true"
                       text="re-identifiable information access"/>
            <code code="RSREID" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Some form of prescription is required before the related medicine can be supplied for a patient. The exact form of regulation will vary in different realms.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActMonitoringProtocolCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23061"/>
            <printName language="en" preferredForLanguage="true" text="prescription only medicine"/>
            <code code="RX" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Pharmacy dispense invoice for a compound.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceRootGroupCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20027"/>
            <printName language="en" preferredForLanguage="true" text="Rx compound invoice"/>
            <code code="RXC" status="retired"/>
            <code code="RXCINV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**All information pertaining to a patient's medication records (orders, dispenses and other active medications).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationCategoryCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21612"/>
            <printName language="en" preferredForLanguage="true" text="medication category"/>
            <code code="RXCAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Pharmacy dispense invoice not involving a compound</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceRootGroupCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20028"/>
            <printName language="en" preferredForLanguage="true" text="Rx dispense invoice"/>
            <code code="RXD" status="retired"/>
            <code code="RXDINV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A displayed mark rendered to end users as a prescribed text warning that the electronic or hardcopy information shall not be further disclosed without consent of the subject of the information. For example, in order to warn a recipient of 42 CFR Part 2 information of the redisclosure restrictions, the rule mandates that end users receive a written prohibition against redisclosure unless authorized by patient consent or otherwise permitted by Part 2. See 42 CFR § 2.32 Prohibition on re-disclosure. (a)Notice to accompany disclosure. Each disclosure made with the patient's written consent must be accompanied by one of the following written statements: (1) This information has been disclosed to you from records protected by federal confidentiality rules ( 42 CFR part 2). The federal rules prohibit you from making any further disclosure of information in this record that identifies a patient as having or having had a substance use disorder either directly, by reference to publicly available information, or through verification of such identification by another person unless further disclosure is expressly permitted by the written consent of the individual whose information is being disclosed or as otherwise permitted by 42 CFR part 2. A general authorization for the release of medical or other information is NOT sufficient for this purpose (see § 2.31). The federal rules restrict any use of the information to investigate or prosecute with regard to a crime any patient with a substance use disorder, except as provided at § § 2.12(c)(5) and 2.65; or (2) 42 CFR part 2 prohibits unauthorized disclosure of these records. https://www.law.cornell.edu/cfr/text/42/2.32</p>
                        <i>Usage Note:</i>Example of marking requirement from SAMHSA FAQ Response to question 13:<p>Would a logon or splash page notification on an HIO's portal that contains the Part 2 notice prohibiting redisclosure be sufficient to meet Part 2's requirement that disclosures made with patient consent be accompanied by such a statement?</p>
                        <p>No. Part 2 requires each disclosure made with written patient consent to be accompanied by a written statement that the information disclosed is protected by federal law and that the recipient cannot make any further disclosure of it unless permitted by the regulations (42 CFR § 2.32). A logon page is the page where a user logs onto a computer system; a splash page is an introductory page to a web site. A logon or splash page notification on a HIO's portal including the statement as required by § 2.32 would not be sufficient notification regarding prohibitions on redisclosure since it would not accompany a specific disclosure. The notification must be tied to the Part 2 information being disclosed in order to ensure that the recipient of that information knows that specific information is protected by Part 2 and cannot be redisclosed except as authorized by the express written consent of the person to whom it pertains or as otherwise permitted by Part 2. https://www.samhsa.gov/about-us/who-we-are/laws-regulations/confidentiality-regulations-faqs</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SecurityLabelMark"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24049"/>
            <printName language="en" preferredForLanguage="true"
                       text="prohibition against redisclosure mark"/>
            <code code="RedisclosureProhibitionMark" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Conveys prohibited actions which an information custodian, receiver, or user is not permitted to perform unless otherwise authorized or permitted under specified circumstances.</p>
                        <i>Usage Notes:</i>ISO 22600-2 species that a Refrain Policy "defines actions the subjects must refrain from performing". Per HL7 Composite Security and Privacy Domain Analysis Model: May be used to indicate that a specific action is prohibited based on specific access control attributes e.g., purpose of use, information type, user role, etc.</text>
                  </definition>
                  <usageNotes>
                     <text>ISO 22600-2 species that a Refrain Policy "defines actions the subjects must refrain from performing".  Per HL7 Composite Security and Privacy Domain Analysis Model:  May be used to indicate that a specific action is prohibited based on specific access control attributes e.g., purpose of use, information type, user role, etc.</text>
                  </usageNotes>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SecurityPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23393"/>
            <printName language="en" preferredForLanguage="true" text="refrain policy"/>
            <code code="RefrainPolicy" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A displayed mark rendered to end users as "Restricted Confidentiality", which indicates that the electronic or hardcopy information they are viewing, must be protected at a restricted level of confidentiality protection as defined by HL7 Confidentiality code "R" (restricted). Examples: Includes information that is additionally protected such as sensitive conditions mental health, HIV, substance abuse, domestic violence, child abuse, genetic disease, and reproductive health; or sensitive demographic information such as a patient's standing as an employee or a celebrity. Use cases include a display to alert authorized EHR users that they are viewing additionally protected health information deemed sensitive by an applicable jurisdictional, organizational, or personal privacy policy.</p>
                        <i>Usage Note:</i>The definition is based on HL7 Confidentiality code "R" (restricted), which is described as:<p>Privacy metadata indicating highly sensitive, potentially stigmatizing information, which presents a high risk to the information subject if disclosed without authorization. May be pre-empted by jurisdictional law, e.g., for public health reporting or emergency treatment. Foundational definitions of Confidentiality: From HL7 Confidentiality Concept Domain: Types of privacy metadata classifying an IT resource (data, information object, service, or system capability) according to its level of sensitivity, which is based on an analysis of applicable privacy policies and the risk of financial, reputational, or other harm to an individual or entity that could result if made available or disclosed to unauthorized individuals, entities, or processes.</p>
                        <p>Usage Note from HL7 Confidentiality code "R": Confidentiality codes may be used in security labels and privacy markings to classify IT resources based on sensitivity to indicate the obligation of a custodian or receiver to ensure that the protected resource is not made available or disclosed to individuals, entities, or processes (security principals) unless authorized per applicable policies. Confidentiality codes may also be used in the clearances of initiators requesting access to protected resources.</p>
                        <p>This metadata indicates that the receiver may be obligated to comply with applicable, prevailing (default) jurisdictional privacy law or disclosure authorization.</p>
                        <p>Map: Definition aligns with ISO 7498-2:1989 - Confidentiality is the property that information is not made available or disclosed to unauthorized individuals, entities, or processes. Map: Partial Map to ISO 13606-4 Sensitivity Level (3) Clinical Care: Default for normal clinical care access (i.e. most clinical staff directly caring for the patient should be able to access nearly all of the EHR). Maps to normal confidentiality for treatment information but not to ancillary care, payment and operations.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SecurityLabelMark"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24047"/>
            <printName language="en" preferredForLanguage="true"
                       text="restricted confidentiality mark"/>
            <code code="RestrictedConfidentialityMark" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Uniquely designed and elegantly decorated accommodations with many amenities available for an additional charge.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HL7AccommodationCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16133"/>
            <printName language="en" preferredForLanguage="true" text="Suite"/>
            <code code="S" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**A drug that requires prior approval (to be reimbursed) before being dispensed</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActMonitoringProtocolCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22861"/>
            <printName language="en" preferredForLanguage="true" text="special authorization"/>
            <code code="SA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A drug that requires special access permission to be prescribed and dispensed.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActMonitoringProtocolCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22026"/>
            <printName language="en" preferredForLanguage="true" text="special access"/>
            <code code="SAC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Government administered and funded program to support provision of care to underserved populations through safety net clinics.<b>Example:</b>In the U.S., safety net providers such as federally qualified health centers (FQHC) receive funding under PHSA Section 330 grants administered by the Health Resources and Services Administration.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PUBLICPOL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22142"/>
            <printName language="en" preferredForLanguage="true" text="safety net clinic program"/>
            <code code="SAFNET" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Transfer of ownership for a product for financial compensation.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TRANSFER"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17960"/>
            <printName language="en" preferredForLanguage="true" text="Sale"/>
            <code code="SALE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total net amount billed for all submitted Invoice Groupings within a time period and submitted electronically. Adjudicated invoice elements are included.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InvoiceElementSubmitted"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19999"/>
            <printName language="en" preferredForLanguage="true"
                       text="submitted billed electronic amount"/>
            <code code="SBBLAT" status="retired"/>
            <code code="SBBLELAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total number of submitted Invoice Groupings within a time period and submitted electronically. Adjudicated invoice elements are included.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InvoiceElementSubmitted"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19998"/>
            <printName language="en" preferredForLanguage="true"
                       text="submitted billed electronic count"/>
            <code code="SBBLCT" status="retired"/>
            <code code="SBBLELCT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total net amount billed for all submitted Invoice Groupings that were nullified within a time period and submitted electronically. Adjudicated invoice elements are included.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InvoiceElementSubmitted"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20001"/>
            <printName language="en" preferredForLanguage="true"
                       text="submitted nullified electronic amount"/>
            <code code="SBCNAT" status="retired"/>
            <code code="SBNFELAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total number of submitted Invoice Groupings that were nullified within a time period and submitted electronically. Adjudicated invoice elements are included.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InvoiceElementSubmitted"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20000"/>
            <printName language="en" preferredForLanguage="true"
                       text="submitted cancelled electronic count"/>
            <code code="SBCNCT" status="retired"/>
            <code code="SBNFELCT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Clinical services invoice where the Invoice Group contains one billable item for multiple clinical services in one or more sessions.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceRootGroupCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19717"/>
            <printName language="en" preferredForLanguage="true" text="sessional or block fee invoice"/>
            <code code="SBFINV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total net amount billed for all submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically. Adjudicated invoice elements are not included.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InvoiceElementSubmitted"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20003"/>
            <printName language="en" preferredForLanguage="true"
                       text="submitted pending electronic amount"/>
            <code code="SBPDAT" status="retired"/>
            <code code="SBPDELAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the total number of submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically. Adjudicated invoice elements are not included.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InvoiceElementSubmitted"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20002"/>
            <printName language="en" preferredForLanguage="true"
                       text="submitted pending electronic count"/>
            <code code="SBPDCT" status="retired"/>
            <code code="SBPDELCT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy for handling sickle cell disease information, which is afforded heightened confidentiality. Information handling protocols are based on organizational policies related to sickle cell disease information, which is deemed sensitive.</p>
                        <i>Usage Note:</i>If there is a jurisdictional mandate, then the Act valued with this ActCode should be associated with an Act valued with any applicable laws from the ActPrivacyLaw code system.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationSensitivityPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23576"/>
            <printName language="en" preferredForLanguage="true"
                       text="sickle cell anemia information sensitivity"/>
            <code code="SCA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A diet that avoids ingredients that might cause digestion problems, e.g., avoid excessive fat, avoid too much fiber (cabbage, peas, beans).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DIET"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10378"/>
            <printName language="en" preferredForLanguage="true" text="schonkost (GE)"/>
            <code code="SCH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The school the patient attended when immunized.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PatientImmunizationRelatedObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23247"/>
            <printName language="en" preferredForLanguage="true" text="school"/>
            <code code="SCHL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The school division or district associated with the patient during the immunization event.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PatientImmunizationRelatedObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23248"/>
            <printName language="en" preferredForLanguage="true" text="school division"/>
            <code code="SCHLDIV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Incident or accident is the result of a school place accident.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActIncidentCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17468"/>
            <printName language="en" preferredForLanguage="true" text="School Accident"/>
            <code code="SCHOOL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Exposure participants' interaction occurred in an academic setting (e.g., participants are fellow students, or student and teacher).</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActExposureCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22368"/>
            <printName language="en" preferredForLanguage="true" text="School Interaction"/>
            <code code="SCHOOL2" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Comparison of results across strata can be used to show where disparities exist or where there is a need to expose differences in results. For example, Centers for Medicare &amp; Medicaid Services (CMS) in the U.S. defines four required Supplemental Data Elements (payer, ethnicity, race, and gender), which are variables used to aggregate data into various subgroups. Additional supplemental data elements required for risk adjustment or other purposes of data aggregation can be included in the Supplemental Data Element section.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationQualityMeasureAttribute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23437"/>
            <printName language="en" preferredForLanguage="true" text="supplemental data elements"/>
            <code code="SDE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy for handling sexual assault, abuse, or domestic violence information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to sexual assault, abuse, or domestic violence information that is deemed sensitive.</p>
                        <p>SDV code covers violence perpetrated by related and non-related persons. This code should be specific to physical and mental trauma caused by a related person only. The access control concerns are keeping the patient safe from the perpetrator who may have an abusive psychological control over the patient, may be stalking the patient, or may try to manipulate care givers into allowing the perpetrator to make contact with the patient. The definition needs to be clarified.</p>
                        <i>Usage Note:</i>If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationSensitivityPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23342"/>
            <printName language="en" preferredForLanguage="true"
                       text="sexual assault, abuse, or domestic violence information sensitivity"/>
            <code code="SDV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Type of security metadata observation made about the alteration integrity of an IT resource (data, information object, service, or system capability), which indicates the mechanism used for authorized transformations of the resource.</p>
                        <b>Examples:</b>Types of security alteration integrity observation metadata, which may value the observation with a code used to indicate the mechanism used for authorized transformation of an IT resource, including:<p>* translation * syntactic transformation * semantic mapping * redaction * masking * pseudonymization * anonymization</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SECINTOBS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23478"/>
            <printName language="en" preferredForLanguage="true"
                       text="security alteration integrity observation"/>
            <code code="SECALTINTOBS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Type of security metadata observation made about the category of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security category metadata is defined by ISO/IEC 2382-8:1998(E/F)/ T-REC-X.812-1995 as: "A nonhierarchical grouping of sensitive information used to control access to data more finely than with hierarchical security classification alone."</p>
                        <i>Rationale:</i>A security category observation supports requirement to specify the type of IT resource to facilitate application of appropriate levels of information security according to a range of levels of impact or consequences that might result from the unauthorized disclosure, modification, or use of the information or information system. A resource is assigned to a specific category of information (e.g., privacy, medical, proprietary, financial, investigative, contractor sensitive, security management) defined by an organization or in some instances, by a specific law, Executive Order, directive, policy, or regulation. \[FIPS 199\]<b>Examples:</b>Types of security categories include:<p>* Compartment: A division of data into isolated blocks with separate security controls for the purpose of reducing risk. (ISO 2382-8). A security label tag that "segments" an IT resource by indicating that access and use is restricted to members of a defined community or project. (HL7 Healthcare Classification System) * Sensitivity: The characteristic of an IT resource which implies its value or importance and may include its vulnerability. (ISO 7492-2) Privacy metadata for information perceived as undesirable to share. (HL7 Healthcare Classification System)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SECOBS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23473"/>
            <printName language="en" preferredForLanguage="true" text="security category observation"/>
            <code code="SECCATOBS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Type of security metadata observation made about the classification of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security classification is defined by ISO/IEC 2382-8:1998(E/F)/ T-REC-X.812-1995 as: "The determination of which specific degree of protection against access the data or information requires, together with a designation of that degree of protection." Security classification metadata is based on an analysis of applicable policies and the risk of financial, reputational, or other harm that could result from unauthorized disclosure.</p>
                        <i>Rationale:</i>A security classification observation may indicate that the confidentiality level indicated by an Act or Role confidentiality attribute has been overridden by the entity responsible for ascribing the SecurityClassificationObservationValue. This supports the business requirement for increasing or decreasing the level of confidentiality (classification or declassification) based on parameters beyond the original assignment of an Act or Role confidentiality.<b>Examples:</b>Types of security classification include: HL7 Confidentiality Codes such as very restricted, unrestricted, and normal. Intelligence community examples include top secret, secret, and confidential.<i>Usage Note:</i>Security classification observation type codes designate security label field types, which are valued with an applicable SecurityClassificationObservationValue code as the "security label tag".</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SECOBS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23472"/>
            <printName language="en" preferredForLanguage="true"
                       text="security classification observation"/>
            <code code="SECCLASSOBS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Type of security metadata observation made about the control of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security control metadata convey instructions to users and receivers for secure distribution, transmission, and storage; dictate obligations or mandated actions; specify any action prohibited by refrain policy such as dissemination controls; and stipulate the permissible purpose of use of an IT resource.</p>
                        <i>Rationale:</i>A security control observation supports requirement to specify applicable management, operational, and technical controls (i.e., safeguards or countermeasures) prescribed for an information system to protect the confidentiality, integrity, and availability of the system and its information. \[FIPS 199\]<b>Examples:</b>Types of security control metadata include:<p>* handling caveats * dissemination controls * obligations * refrain policies * purpose of use constraints</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SECOBS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23474"/>
            <printName language="en" preferredForLanguage="true" text="security control observation"/>
            <code code="SECCONOBS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Type of security metadata observation made about the data integrity of an IT resource (data, information object, service, or system capability), which indicates the security mechanism used to preserve resource accuracy and consistency. Data integrity is defined by ISO 22600-23.3.21 as: "The property that data has not been altered or destroyed in an unauthorized manner", and by ISO/IEC 2382-8: The property of data whose accuracy and consistency are preserved regardless of changes made."</p>
                        <b>Examples:</b>Types of security data integrity observation metadata, which may value the observation, include cryptographic hash function and digital signature.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SECINTOBS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23479"/>
            <printName language="en" preferredForLanguage="true"
                       text="security data integrity observation"/>
            <code code="SECDATINTOBS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Type of security metadata observation made about the integrity confidence of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions.</p>
                        <b>Examples:</b>Types of security integrity confidence observation metadata, which may value the observation, include highly reliable, uncertain reliability, and not reliable.<i>Usage Note:</i>A security integrity confidence observation on an Act may indicate that a valued Act.uncertaintycode attribute has been overridden by the entity responsible for ascribing the SecurityIntegrityConfidenceObservationValue. This supports the business requirements for increasing or decreasing the assessment of the reliability or trustworthiness of an IT resource based on parameters beyond the original assignment of an Act statement level of uncertainty.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SECINTOBS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23477"/>
            <printName language="en" preferredForLanguage="true"
                       text="security integrity confidence observation"/>
            <code code="SECINTCONOBS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Type of security metadata observation made about the integrity of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions.</p>
                        <i>Rationale:</i>A security integrity observation supports the requirement to guard against improper information modification or destruction, and includes ensuring information non-repudiation and authenticity. (44 U.S.C., SEC. 3542)<b>Examples:</b>Types of security integrity metadata include:<p>* Integrity status, which indicates the completeness or workflow status of an IT resource (data, information object, service, or system capability) * Integrity confidence, which indicates the reliability and trustworthiness of an IT resource * Integrity control, which indicates pertinent handling caveats, obligations, refrain policies, and purpose of use for the resource * Data integrity, which indicate the security mechanisms used to ensure that the accuracy and consistency are preserved regardless of changes made (ISO/IEC DIS 2382-8) * Alteration integrity, which indicate the security mechanisms used for authorized transformations of the resource * Integrity provenance, which indicates the entity responsible for a report or assertion relayed "second-hand" about an IT resource</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SECOBS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23475"/>
            <printName language="en" preferredForLanguage="true" text="security integrity observation"/>
            <code code="SECINTOBS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Type of security metadata observation made about the integrity provenance of an IT resource (data, information object, service, or system capability), which indicates the entity that made assertions about the resource. The asserting entity may not be the original informant about the resource.</p>
                        <b>Examples:</b>Types of security integrity provenance asserted by observation metadata, which may value the observation, including:<p>* assertions about an IT resource by a patient * assertions about an IT resource by a clinician * assertions about an IT resource by a device</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SECINTPRVOBS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23482"/>
            <printName language="en" preferredForLanguage="true"
                       text="security integrity provenance asserted by observation"/>
            <code code="SECINTPRVABOBS" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Type of security metadata observation made about the provenance integrity of an IT resource (data, information object, service, or system capability), which indicates the lifecycle completeness of an IT resource in terms of workflow status such as its creation, modification, suspension, and deletion; locations in which the resource has been collected or archived, from which it may be retrieved, and the history of its distribution and disclosure. Integrity provenance metadata about an IT resource may be used to assess its veracity, reliability, and trustworthiness.</p>
                        <b>Examples:</b>Types of security integrity provenance observation metadata, which may value the observation about an IT resource, include:<p>* completeness or workflow status, such as authentication * the entity responsible for original authoring or informing about an IT resource * the entity responsible for a report or assertion about an IT resource relayed "second-hand" * the entity responsible for excerpting, transforming, or compiling an IT resource</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SECINTOBS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23480"/>
            <printName language="en" preferredForLanguage="true"
                       text="security integrity provenance observation"/>
            <code code="SECINTPRVOBS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Type of security metadata observation made about the integrity provenance of an IT resource (data, information object, service, or system capability), which indicates the entity that reported the existence of the resource. The reporting entity may not be the original author of the resource.</p>
                        <b>Examples:</b>Types of security integrity provenance reported by observation metadata, which may value the observation, include:<p>* reports about an IT resource by a patient * reports about an IT resource by a clinician * reports about an IT resource by a device</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SECINTPRVOBS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23481"/>
            <printName language="en" preferredForLanguage="true"
                       text="security integrity provenance reported by observation"/>
            <code code="SECINTPRVRBOBS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Type of security metadata observation made about the integrity status of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Indicates the completeness of an IT resource in terms of workflow status, which may impact users that are authorized to access and use the resource.</p>
                        <b>Examples:</b>Types of security integrity status observation metadata, which may value the observation, include codes from the HL7 DocumentCompletion code system such as legally authenticated, in progress, and incomplete.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SECINTOBS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23476"/>
            <printName language="en" preferredForLanguage="true"
                       text="security integrity status observation"/>
            <code code="SECINTSTOBS" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An observation identifying security metadata about an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security metadata are used to name security labels.</p>
                        <i>Rationale:</i>According to ISO/TS 22600-3:2009(E) A.9.1.7 SECURITY LABEL MATCHING, Security label matching compares the initiator's clearance to the target's security label. All of the following must be true for authorization to be granted:<p>* The security policy identifiers shall be identical * The classification level of the initiator shall be greater than or equal to that of the target (that is, there shall be at least one value in the classification list of the clearance greater than or equal to the classification of the target), and * For each security category in the target label, there shall be a security category of the same type in the initiator's clearance and the initiator's classification level shall dominate that of the target.</p>
                        <b>Examples:</b>SecurityObservationType security label fields include:<p>* Confidentiality classification * Compartment category * Sensitivity category * Security mechanisms used to ensure data integrity or to perform authorized data transformation * Indicators of an IT resource completeness, veracity, reliability, trustworthiness, or provenance.</p>
                        <i>Usage Note:</i>SecurityObservationType codes designate security label field types, which are valued with an applicable SecurityObservationValue code as the "security label tag".</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23471"/>
            <printName language="en" preferredForLanguage="true" text="SecurityObservationType"/>
            <code code="SECOBS" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An observation identifying trust metadata about an IT resource (data, information object, service, or system capability), which may be used as a trust attribute to populate a computable trust policy, trust credential, trust assertion, or trust label field in a security label or trust policy, which are principally used for authentication, authorization, and access control decisions.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SECOBS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23665"/>
            <printName language="en" preferredForLanguage="true" text="SECTRSTOBS"/>
            <code code="SECTRSTOBS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Transaction counts and value totals by each instance of a messaging application on a single processor. It is a registered identifier known to the receivers.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceAdjudicationPaymentSummaryCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20054"/>
            <printName language="en" preferredForLanguage="true" text="sending application"/>
            <code code="SENDAPP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A billing arrangement where a Provider charges a sum to provide a group (volume) of interventions/procedures to one or more patients within a defined period of time, typically on the same date. Interventions/procedures included in the session may vary.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActBillingArrangementCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17483"/>
            <printName language="en" preferredForLanguage="true" text="sessional funding"/>
            <code code="SESS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A subjective evaluation of the seriousness or intensity associated with another observation.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16642"/>
            <printName language="en" preferredForLanguage="true" text="Severity Observation"/>
            <code code="SEV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy for handling sexuality and reproductive health information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to sexuality and reproductive health information that is deemed sensitive.</p>
                        <i>Usage Note:</i>If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationSensitivityPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23343"/>
            <printName language="en" preferredForLanguage="true"
                       text="sexuality and reproductive health information sensitivity"/>
            <code code="SEX" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Communication of an agent from one living subject to another living subject through direct contact with genital or oral tissues as part of a sexual act.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CaseTransmissionMode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21925"/>
            <printName language="en" preferredForLanguage="true" text="sexual transmission"/>
            <code code="SEXTRNS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Types of sensitivity policies that apply to Acts. Act.confidentialityCode is defined in the RIM as "constraints around appropriate disclosure of information about this Act, regardless of mood."</p>
                        <i>Usage Note:</i>ActSensitivity codes are used to bind information to an Act.confidentialityCode according to local sensitivity policy so that those confidentiality codes can then govern its handling across enterprises. Internally to a policy domain, however, local policies guide the access control system on how end users in that policy domain are able to use information tagged with these sensitivity values.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationSensitivityPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23459"/>
            <printName language="en" preferredForLanguage="true" text="sickle cell"/>
            <code code="SICKLE" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An emergency supply where the expectation is that a formal order authorizing the supply will be provided at a later date.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="EM"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16221"/>
            <printName language="en" preferredForLanguage="true" text="Script Owing"/>
            <code code="SO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A social service program funded by a public or governmental entity.<b>Example:</b>Programs providing habilitation, food, lodging, medicine, transportation, equipment, devices, products, education, training, counseling, alteration of living or work space, and other resources to persons meeting eligibility criteria.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActProgramTypeCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22144"/>
            <printName language="en" preferredForLanguage="true" text="social service program"/>
            <code code="SOCIAL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>An interaction where the exposure participants are social associates or members of the same extended family</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActExposureCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22369"/>
            <printName language="en" preferredForLanguage="true"
                       text="Social/Extended Family Interaction"/>
            <code code="SOCIAL2" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Accommodations in which there are 2 beds.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HL7AccommodationCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16132"/>
            <printName language="en" preferredForLanguage="true" text="Semi-private"/>
            <code code="SP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>That total amount of the eligible charges which a covered party must periodically pay for services and/or products prior to the Medicaid program providing any coverage. This amount represents the covered party's spend down that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceDetailGenericAdjudicatorCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21947"/>
            <printName language="en" preferredForLanguage="true" text="spend down"/>
            <code code="SPEND" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy for handling information deemed specially protected by law or policy including substance abuse, substance use, psychiatric, mental health, behavioral health, and cognitive disorders, which is afforded heightened confidentiality.</p>
                        <i>Usage Note:</i>If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationSensitivityPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23889"/>
            <printName language="en" preferredForLanguage="true"
                       text="specially protected information sensitivity"/>
            <code code="SPI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A characteristic of an oral solid dosage form of a medicinal product, indicating whether it has one or more coatings such as sugar coating, film coating, or enteric coating. Only coatings to the external surface or the dosage form should be considered (for example, coatings to individual pellets or granules inside a capsule or tablet are excluded from consideration).<b>Constraints:</b>The Observation.value must be a Boolean (BL) with true for the presence or false for the absence of one or more coatings on a solid dosage form.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MedicationObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21604"/>
            <printName language="en" preferredForLanguage="true" text="coating"/>
            <code code="SPLCOATING" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A characteristic of an oral solid dosage form of a medicinal product, specifying the color or colors that most predominantly define the appearance of the dose form. SPLCOLOR is not an FDA specification for the actual color of solid dosage forms or the names of colors that can appear in labeling.<b>Constraints:</b>The Observation.value must be a single coded value or a list of multiple coded values, specifying one or more distinct colors that approximate of the color(s) of distinct areas of the solid dosage form, such as the different sides of a tablet or one-part capsule, or the different halves of a two-part capsule. Bands on banded capsules, regardless of the color, are not considered when assigning an SPLCOLOR. Imprints on the dosage form, regardless of their color are not considered when assigning an SPLCOLOR. If more than one color exists on a particular side or half, then the most predominant color on that side or half is recorded. If the gelatin capsule shell is colorless and transparent, use the predominant color of the contents that appears through the colorless and transparent capsule shell. Colors can include: Black;Gray;White;Red;Pink;Purple;Green;Yellow;Orange;Brown;Blue;Turquoise.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MedicationObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21608"/>
            <printName language="en" preferredForLanguage="true" text="color"/>
            <code code="SPLCOLOR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A characteristic representing a single file reference that contains two or more views of the same dosage form of the product; in most cases this should represent front and back views of the dosage form, but occasionally additional views might be needed in order to capture all of the important physical characteristics of the dosage form. Any imprint and/or symbol should be clearly identifiable, and the viewer should not normally need to rotate the image in order to read it. Images that are submitted with SPL should be included in the same directory as the SPL file.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MedicationObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21610"/>
            <printName language="en" preferredForLanguage="true" text="image"/>
            <code code="SPLIMAGE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A characteristic of an oral solid dosage form of a medicinal product, specifying the alphanumeric text that appears on the solid dosage form, including text that is embossed, debossed, engraved or printed with ink. The presence of other non-textual distinguishing marks or symbols is recorded by SPLSYMBOL.<b>Examples:</b>Included in SPLIMPRINT are alphanumeric text that appears on the bands of banded capsules and logos and other symbols that can be interpreted as letters or numbers.<b>Constraints:</b>The Observation.value must be of type Character String (ST). Excluded from SPLIMPRINT are internal and external cut-outs in the form of alphanumeric text and the letter 'R' with a circle around it (when referring to a registered trademark) and the letters 'TM' (when referring to a 'trade mark'). To record text, begin on either side or part of the dosage form. Start at the top left and progress as one would normally read a book. Enter a semicolon to show separation between words or line divisions.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MedicationObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21607"/>
            <printName language="en" preferredForLanguage="true" text="imprint"/>
            <code code="SPLIMPRINT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A characteristic of an oral solid dosage form of a medicinal product, specifying the number of equal pieces that the solid dosage form can be divided into using score line(s).<b>Example:</b>One score line creating two equal pieces is given a value of 2, two parallel score lines creating three equal pieces is given a value of 3.<b>Constraints:</b>Whether three parallel score lines create four equal pieces or two intersecting score lines create two equal pieces using one score line and four equal pieces using both score lines, both have the scoring value of 4. Solid dosage forms that are not scored are given a value of 1. Solid dosage forms that can only be divided into unequal pieces are given a null-value with nullFlavor other (OTH).</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MedicationObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21606"/>
            <printName language="en" preferredForLanguage="true" text="scoring"/>
            <code code="SPLSCORING" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A characteristic of an oral solid dosage form of a medicinal product, specifying the two dimensional representation of the solid dose form, in terms of the outside perimeter of a solid dosage form when the dosage form, resting on a flat surface, is viewed from directly above, including slight rounding of corners. SPLSHAPE does not include embossing, scoring, debossing, or internal cut-outs. SPLSHAPE is independent of the orientation of the imprint and logo. Shapes can include: Triangle (3 sided); Square; Round; Semicircle; Pentagon (5 sided); Diamond; Double circle; Bullet; Hexagon (6 sided); Rectangle; Gear; Capsule; Heptagon (7 sided); Trapezoid; Oval; Clover; Octagon (8 sided); Tear; Freeform.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MedicationObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21609"/>
            <printName language="en" preferredForLanguage="true" text="shape"/>
            <code code="SPLSHAPE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A characteristic of an oral solid dosage form of a medicinal product, specifying the longest single dimension of the solid dosage form as a physical quantity in the dimension of length (e.g., 3 mm). The length is should be specified in millimeters and should be rounded to the nearest whole millimeter.<b>Example:</b>SPLSIZE for a rectangular shaped tablet is the length and SPLSIZE for a round shaped tablet is the diameter.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MedicationObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21605"/>
            <printName language="en" preferredForLanguage="true" text="size"/>
            <code code="SPLSIZE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A characteristic of an oral solid dosage form of a medicinal product, to describe whether or not the medicinal product has a mark or symbol appearing on it for easy and definite recognition. Score lines, letters, numbers, and internal and external cut-outs are not considered marks or symbols. See SPLSCORING and SPLIMPRINT for these characteristics.<b>Constraints:</b>The Observation.value must be a Boolean (BL) with &lt;u&gt;true&lt;/u&gt; indicating the presence and &lt;u&gt;false&lt;/u&gt; for the absence of marks or symbols.<b>Example:</b>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MedicationObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21603"/>
            <printName language="en" preferredForLanguage="true" text="symbol"/>
            <code code="SPLSYMBOL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Incident or accident is the result of a sporting accident.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActIncidentCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17469"/>
            <printName language="en" preferredForLanguage="true" text="Sporting Accident"/>
            <code code="SPT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Specimen has been received by the participating organization/department.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActSpecimenTransportCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21675"/>
            <printName language="en" preferredForLanguage="true" text="specimen received"/>
            <code code="SREC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An encounter where the patient is admitted to a health care facility for a predetermined length of time, usually less than 24 hours.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActEncounterCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21444"/>
            <printName language="en" preferredForLanguage="true" text="short stay"/>
            <code code="SS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy for handling information related to a provider of sensitive services, which will be afforded heightened confidentiality. Description: Policies may govern sensitivity of information related to providers who deliver sensitive healthcare services in order to protect the privacy, well-being, and safety of the provider and of patients receiving sensitive services.</p>
                        <i>Usage Notes:</i>If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.</text>
                  </definition>
                  <usageNotes>
                     <text>If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.</text>
                  </usageNotes>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleInformationSensitivityPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23350"/>
            <printName language="en" preferredForLanguage="true"
                       text="sensitive service provider information sensitivity"/>
            <code code="SSP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Specimen has been placed into storage at a participating location.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActSpecimenTransportCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21677"/>
            <printName language="en" preferredForLanguage="true" text="specimen in storage"/>
            <code code="SSTOR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy for handling sexually transmitted disease information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to sexually transmitted disease information that is deemed sensitive.</p>
                        <i>Usage Note:</i>If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationSensitivityPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23344"/>
            <printName language="en" preferredForLanguage="true"
                       text="sexually transmitted disease information sensitivity"/>
            <code code="STD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The act of putting something away for safe keeping. The "something" may be physical object such as a specimen, or information, such as observations regarding a specimen.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21456"/>
            <printName language="en" preferredForLanguage="true" text="Storage"/>
            <code code="STORE" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Specimen has been put in transit to a participating receiver.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActSpecimenTransportCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21676"/>
            <printName language="en" preferredForLanguage="true" text="specimen in transit"/>
            <code code="STRAN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Describes the strata for which the measure is to be evaluated. There are three examples of reasons for stratification based on existing work. These include: (1) evaluate the measure based on different age groupings within the population described in the measure (e.g., evaluate the whole \[age 14-25\] and each sub-stratum \[14-19\] and \[20-25\]); (2) evaluate the eMeasure based on either a specific condition, a specific discharge location, or both; (3) evaluate the eMeasure based on different locations within a facility (e.g., evaluate the overall rate for all intensive care units and also some strata include additional findings \[specific birth weights for neonatal intensive care units\]).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationQualityMeasureAttribute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23435"/>
            <printName language="en" preferredForLanguage="true" text="stratification"/>
            <code code="STRAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the condition</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TimingDetectedIssueCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17817"/>
            <printName language="en" preferredForLanguage="true" text="Start Too Late Alert"/>
            <code code="STRTLATE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A health insurance policy that covers benefits for substance use services.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActHealthInsuranceTypeCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22114"/>
            <printName language="en" preferredForLanguage="true" text="substance use policy"/>
            <code code="SUBPOL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Government administered and funded substance use program for beneficiaries meeting financial, substance use behavior, and health status criteria. Beneficiaries may be required to enroll as a result of legal proceedings. Administration, funding levels, eligibility criteria, covered benefits, provider types, and financial participation are typically set by a regulatory process. Payer responsibilities for administering the program may be delegated to contractors.<b>Example:</b>In the U.S., states receive funding for substance use programs from the Substance Abuse Mental Health Administration (SAMHSA).</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PUBLICPOL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22143"/>
            <printName language="en" preferredForLanguage="true" text="substance use program"/>
            <code code="SUBPRG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A government health program that provides coverage on a fee for service basis for health services to persons meeting eligibility criteria such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds.<i>Discussion:</i>The structure and business processes for underwriting and administering a subsidized fee for service program is further specified by the Underwriter and Payer Role.class and Role.code.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22138"/>
            <printName language="en" preferredForLanguage="true"
                       text="subsidized fee for service program"/>
            <code code="SUBSIDFFS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A government health program that provides coverage for health services to persons meeting eligibility criteria such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PUBLICPOL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22137"/>
            <printName language="en" preferredForLanguage="true" text="subsidized health program"/>
            <code code="SUBSIDIZ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A government health program that provides coverage through managed care contracts for health services to persons meeting eligibility criteria such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds.<i>Discussion:</i>The structure and business processes for underwriting and administering a subsidized managed care program is further specified by the Underwriter and Payer Role.class and Role.code.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SUBSIDIZ"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22139"/>
            <printName language="en" preferredForLanguage="true"
                       text="subsidized managed care program"/>
            <code code="SUBSIDMC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>An interaction where the exposure participants shared or co-used a common substance (e.g. drugs, needles, or common food item).</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActExposureCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22359"/>
            <printName language="en" preferredForLanguage="true" text="Common Substance Interaction"/>
            <code code="SUBSTNCE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A government health program that provides coverage for health services to persons meeting eligibility criteria for a supplemental health policy or program such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds.<b>Example:</b>Supplemental health coverage program may cover the cost of a health program or policy financial participations, such as the copays and the premiums, and may provide coverage for services in addition to those covered under the supplemented health program or policy. In the U.S., Medicaid programs may pay the premium for a covered party who is also covered under the Medicare program or a private health policy.<i>Discussion:</i>The structure and business processes for underwriting and administering a subsidized supplemental retiree health program is further specified by the Underwriter and Payer Role.class and Role.code.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SUBSIDIZ"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22140"/>
            <printName language="en" preferredForLanguage="true"
                       text="subsidized supplemental health program"/>
            <code code="SUBSUPP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy for handling information related to alcohol or drug use disorders and conditions caused by these disorders, which is afforded heightened confidentiality.</p>
                        <i>Usage Note:</i>If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SPI"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23890"/>
            <printName language="en" preferredForLanguage="true"
                       text="substance use disorder information sensitivity"/>
            <code code="SUD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A diet that is not intended to be complete but is added to other diets.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DIET"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23530"/>
            <printName language="en" preferredForLanguage="true" text="nutritional supplement"/>
            <code code="SUPPLEMENT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>One or more records in the query response have been suppressed due to consent or privacy restrictions.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActAdministrativeAuthorizationDetectedIssueCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23274"/>
            <printName language="en" preferredForLanguage="true" text="record suppressed"/>
            <code code="SUPPRESSED" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Provision of surgical treatment.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActMedicalServiceCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17451"/>
            <printName language="en" preferredForLanguage="true" text="Surgical"/>
            <code code="SURG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>
                        <ul>
                           <li>
                              <p>A risk or part of a risk for which there is no normal insurance market available.</p>
                           </li>
                           <li>
                              <p>Insurance written by unauthorized insurance companies. Surplus lines insurance is insurance placed with unauthorized insurance companies through licensed surplus lines agents or brokers.</p>
                           </li>
                        </ul>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInsuranceTypeCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22121"/>
            <printName language="en" preferredForLanguage="true" text="surplus line insurance policy"/>
            <code code="SURPL" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An abstract code for displayed Security Label tags.</p>
                        <i>Usage Note:</i>These marks may be based on any of the HL7 Security Labeling related codes from various code systems and values sets, which are organized according to the HL7 Privacy and Security Classification System into HL7 Security Observation Type Named Tag Sets and valued with codes associated with the HL7 Security Observation Value Tag Set Names.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PrivacyMark"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24046"/>
            <printName language="en" preferredForLanguage="true" text="Security Label Mark"/>
            <code code="SecurityLabelMark" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Types of security policies that further specify the ActClassPolicy value set.</p>
                        <b>Examples:</b>
                        <p>* obligation to encrypt * refrain from redisclosure without consent</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActPolicyType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23371"/>
            <printName language="en" preferredForLanguage="true" text="security policy"/>
            <code code="SecurityPolicy" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This is not really a diet, since it contains little nutritional value, but is essentially just water. Used before coloscopy examinations.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DIET"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10381"/>
            <printName language="en" preferredForLanguage="true" text="tea only"/>
            <code code="T" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A fill where the remainder of a 'complete' fill is provided after a trial fill has been provided.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16213"/>
            <printName language="en" preferredForLanguage="true" text="Trial Balance"/>
            <code code="TB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy for handling information not to be initially disclosed or discussed with patient except by a physician assigned to patient in this case. Information handling protocols based on organizational policies related to sensitive patient information that must be initially discussed with the patient by an attending physician before being disclosed to the patient.</p>
                        <i>Usage Note:</i>If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.<i>Open Issue:</i>This definition conflates a rule and a characteristic, and there may be a similar issue with ts sibling codes.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationSensitivityPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23345"/>
            <printName language="en" preferredForLanguage="true" text="taboo"/>
            <code code="TBOO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A fill where the remainder of a 'complete' fill is provided after a trial fill has been provided and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TB"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21823"/>
            <printName language="en" preferredForLanguage="true" text="trial balance partial strength"/>
            <code code="TBS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The patient's teacher when immunized.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PatientImmunizationRelatedObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23249"/>
            <printName language="en" preferredForLanguage="true" text="teacher"/>
            <code code="TEACHER" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A fill where a small portion is provided to allow for determination of the therapy effectiveness and patient tolerance.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="FF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16212"/>
            <printName language="en" preferredForLanguage="true" text="Trial Fill"/>
            <code code="TF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A fill where a small portion is provided to allow for determination of the therapy effectiveness and patient tolerance and also where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="FFS"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="FFSS"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21818"/>
            <printName language="en" preferredForLanguage="true" text="trial fill partial strength"/>
            <code code="TFS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Proposed therapy may be inappropriate or ineffective based on the proposed start or end time.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AdministrationDetectedIssueCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21700"/>
            <printName language="en" preferredForLanguage="true" text="timing detected issue"/>
            <code code="TIME" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A sequence of values in the "absolute" time domain. This is the same time domain that all HL7 timestamps use. It is time as measured by the Gregorian calendar</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationSequenceType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19326"/>
            <printName language="en" preferredForLanguage="true" text="absolute time sequence"/>
            <code code="TIME_ABSOLUTE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A sequence of values in a "relative" time domain. The time is measured relative to the earliest effective time in the Observation Series containing this sequence.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationSequenceType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19327"/>
            <printName language="en" preferredForLanguage="true" text="relative time sequence"/>
            <code code="TIME_RELATIVE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**The therapy is being performed at a time which diverges from the time the therapy was requested</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="FULFIL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22844"/>
            <printName language="en" preferredForLanguage="true" text="event timing incorrect alert"/>
            <code code="TIMING" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Life insurance under which the benefit is payable only if the insured dies during a specified period. If an insured dies during that period, the beneficiary receives the death payments. If the insured survives, the policy ends and the beneficiary receives nothing.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LIFE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22116"/>
            <printName language="en" preferredForLanguage="true" text="term life insurance policy"/>
            <code code="TLIFE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The patient is receiving a subsequent fill significantly later than would be expected based on the amount previously supplied and the therapy dosage instructions</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SupplyDetectedIssueCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16693"/>
            <printName language="en" preferredForLanguage="true" text="Refill Too Late Alert"/>
            <code code="TOOLATE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The patient is receiving a subsequent fill significantly earlier than would be expected based on the amount previously supplied and the therapy dosage instructions</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SupplyDetectedIssueCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16692"/>
            <printName language="en" preferredForLanguage="true" text="Refill Too Soon Alert"/>
            <code code="TOOSOON" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed therapy may interact with an existing or recent therapeutic product</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InteractionDetectedIssueCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17807"/>
            <printName language="en" preferredForLanguage="true" text="Therapeutic Product Alert"/>
            <code code="TPROD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Fees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g. monthly) fee.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceAdjudicationPaymentGroupCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoicePaymentCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20064"/>
            <printName language="en" preferredForLanguage="true" text="transaction fee"/>
            <code code="TRAN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Can be a URL or hyperlinks that link to the transmission formats that are specified for a particular reporting program.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationQualityMeasureAttribute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23436"/>
            <printName language="en" preferredForLanguage="true" text="transmission format"/>
            <code code="TRANF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Transfer of ownership for a product.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActProductAcquisitionCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17959"/>
            <printName language="en" preferredForLanguage="true" text="Transfer"/>
            <code code="TRANSFER" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A charge to cover the cost of travel time and/or cost in conjuction with providing a service or product. It may be charged per kilometer or per hour based on the effective agreement.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceDetailGenericProviderCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20041"/>
            <printName language="en" preferredForLanguage="true" text="travel"/>
            <code code="TRAVEL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>An interaction where the exposure participants traveled together in/on the same vehicle/trip (e.g. concurrent co-passengers).</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActExposureCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22360"/>
            <printName language="en" preferredForLanguage="true" text="Common Travel Interaction"/>
            <code code="TRAVINT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Communication of an agent from one living subject to another living subject through direct contact with blood or blood products where the contact with blood is part of a therapeutic procedure.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CaseTransmissionMode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21924"/>
            <printName language="en" preferredForLanguage="true" text="transfusion transmission"/>
            <code code="TRNSFTRNS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Type of security metadata about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ActTrustPolicyType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23659"/>
            <printName language="en" preferredForLanguage="true" text="trust accreditation"/>
            <code code="TRSTACCRD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Type of security metadata observation made about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SECTRSTOBS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23667"/>
            <printName language="en" preferredForLanguage="true"
                       text="trust accreditation observation"/>
            <code code="TRSTACCRDOBS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Type of security metadata about privacy and security requirements with which a security domain must comply. \[ISO IEC 10181-1\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ActTrustPolicyType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23660"/>
            <printName language="en" preferredForLanguage="true" text="trust agreement"/>
            <code code="TRSTAGRE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Type of security metadata observation made about privacy and security requirements with which a security domain must comply. \[ISO IEC 10181-1\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SECTRSTOBS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23666"/>
            <printName language="en" preferredForLanguage="true" text="trust agreement observation"/>
            <code code="TRSTAGREOBS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Type of security metadata about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ActTrustPolicyType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23661"/>
            <printName language="en" preferredForLanguage="true" text="trust assurance"/>
            <code code="TRSTASSUR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Type of security metadata about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability). \[Based on ISO IEC 10181-1\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ActTrustPolicyType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23662"/>
            <printName language="en" preferredForLanguage="true" text="trust certificate"/>
            <code code="TRSTCERT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Type of security metadata observation made about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability). \[Based on ISO IEC 10181-1\]</p>
                        <b>For example,</b>
                        <p>* A Certificate Policy (CP), which is a named set of rules that indicates the applicability of a certificate to a particular community and/or class of application with common security requirements. For example, a particular Certificate Policy might indicate the applicability of a type of certificate to the authentication of electronic data interchange transactions for the trading of goods within a given price range. \[Trust Service Principles and Criteria for Certification Authorities Version 2.0 March 2011 Copyright 2011 by Canadian Institute of Chartered Accountants. * A Certificate Practice Statement (CSP), which is a statement of the practices which an Authority employs in issuing and managing certificates. \[Trust Service Principles and Criteria for Certification Authorities Version 2.0 March 2011 Copyright 2011 by Canadian Institute of Chartered Accountants.\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SECTRSTOBS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23668"/>
            <printName language="en" preferredForLanguage="true" text="trust certificate observation"/>
            <code code="TRSTCERTOBS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Type of security metadata about a complete set of contracts, regulations, or commitments that enable participating actors to rely on certain assertions by other actors to fulfill their information security requirements. \[Kantara Initiative\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ActTrustPolicyType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23663"/>
            <printName language="en" preferredForLanguage="true" text="trust framework"/>
            <code code="TRSTFWK" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Type of security metadata observation made about a complete set of contracts, regulations or commitments that enable participating actors to rely on certain assertions by other actors to fulfill their information security requirements. \[Kantara Initiative\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SECTRSTOBS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23670"/>
            <printName language="en" preferredForLanguage="true" text="trust framework observation"/>
            <code code="TRSTFWKOBS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Type of security metadata observation made about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SECTRSTOBS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23669"/>
            <printName language="en" preferredForLanguage="true" text="trust assurance observation"/>
            <code code="TRSTLOAOBS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Type of security metadata about a security architecture system component that supports enforcement of security policies.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ActTrustPolicyType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23664"/>
            <printName language="en" preferredForLanguage="true" text="trust mechanism"/>
            <code code="TRSTMEC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Type of security metadata observation made about a security architecture system component that supports enforcement of security policies.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SECTRSTOBS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23671"/>
            <printName language="en" preferredForLanguage="true" text="trust mechanism observation"/>
            <code code="TRSTMECOBS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A code representing Title 38 Section 7332, which is a US Federal law stipulating the privacy rights of veterans diagnosed and treated for substance use disorders, infection with the human immunodeficiency virus, or sickle cell anemia.</p>
                        <p>https://www.gpo.gov/fdsys/granule/USCODE-2011-title38/USCODE-2011-title38-partV-chap73-subchapIII-sec7332/content-detail.html . (1) Records of the identity, diagnosis, prognosis, or treatment of any patient or subject which are maintained in connection with the performance of any program or activity (including education, training, treatment, rehabilitation, or research) relating to drug abuse, alcoholism or alcohol abuse, infection with the human immunodeficiency virus, or sickle cell anemia which is carried out by or for the Department under this title shall, except as provided in subsections (e) and (f), be confidential, and (section 5701 of this title to the contrary notwithstanding) such records may be disclosed only for the purposes and under the circumstances expressly authorized under subsection (b). (2) Paragraph (1) prohibits the disclosure to any person or entity other than the patient or subject concerned of the fact that a special written consent is required in order for such records to be disclosed. (b) (1) The content of any record referred to in subsection (a) may be disclosed by the Secretary in accordance with the prior written consent of the patient or subject with respect to whom such record is maintained, but only to such extent, under such circumstances, and for such purposes as may be allowed in regulations prescribed by the Secretary. (2) Whether or not any patient or subject, with respect to whom any given record referred to in subsection (a) is maintained, gives written consent, the content of such record may be disclosed by the Secretary as follows: (A) To medical personnel to the extent necessary to meet a bona fide medical emergency. (B) To qualified personnel for the purpose of conducting scientific research, management audits, financial audits, or program evaluation, but such personnel may not identify, directly or indirectly, any individual patient or subject in any report of such research, audit, or evaluation, or otherwise disclose patient or subject identities in any manner. (C) (i) In the case of any record which is maintained in connection with the performance of any program or activity relating to infection with the human immunodeficiency virus, to a Federal, State, or local public-health authority charged under Federal or State law with the protection of the public health, and to which Federal or State law requires disclosure of such record, if a qualified representative of such authority has made a written request that such record be provided as required pursuant to such law for a purpose authorized by such law. (ii) A person to whom a record is disclosed under this paragraph may not redisclose or use such record for a purpose other than that for which the disclosure was made. (D) If authorized by an appropriate order of a court of competent jurisdiction granted after application showing good cause therefor. In assessing good cause the court shall weigh the public interest and the need for disclosure against the injury to the patient or subject, to the physician-patient relationship, and to the treatment services. Upon the granting of such order, the court, in determining the extent to which any disclosure of all or any part of any record is necessary, shall impose appropriate safeguards against unauthorized disclosure. (E) To an entity described in paragraph (1)(B) of section 5701(k) of this title, but only to the extent authorized by such section. (F) (i) To a representative of a patient who lacks decision-making capacity, when a practitioner deems the content of the given record necessary for that representative to make an informed decision regarding the patient's treatment. (ii) In this subparagraph, the term "representative" means an individual, organization, or other body authorized under section 7331 of this title and its implementing regulations to give informed consent on behalf of a patient who lacks decision-making capacity. (G) To a State controlled substance monitoring program, including a program approved by the Secretary of Health and Human Services under section 399O of the Public Health Service Act (42 U.S.C. 280g-3), to the extent necessary to prevent misuse and diversion of prescription medicines. (H) (i) To a non-Department entity (including private entities and other Federal agencies) for purposes of providing health care, including hospital care, medical services, and extended care services, to Veterans or performing other health care-related activities or functions. (ii) An entity to which a record is disclosed under this subparagraph may not disclose or use such record for a purpose other than that for which the disclosure was made or as permitted by law. (I) To a third party in order to recover or collect reasonable charges for care furnished to, or paid on behalf of, a Veteran in connection with a non-service connected disability as permitted by section 1729 of this title or for a condition for which recovery is authorized or with respect to which the United States is deemed to be a third party beneficiary under the Act entitled 'An Act to provide for the recovery from tortiously liable third persons of the cost of hospital and medical care and treatment furnished by the United States' (Public Law 87-693; 42 U.S.C. 2651 et seq.; commonly known as the 'Federal Medical Care Recovery Act').</p>
                        <i>Usage Note:</i>Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by 38 U.S. Code Section 7332 - Confidentiality of certain medical records https://www.gpo.gov/fdsys/granule/USCODE-2011-title38/USCODE-2011-title38-partV-chap73-subchapIII-sec7332/content-detail.html use "Title38Section7332" as the security label policy code.<p>Since information governed by a Title 38 Section 7332 has a level of confidentiality protection that is more stringent than the normal level of protection under HIPAA 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code "R" (restricted).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActUSPrivacyLaw"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23766"/>
            <printName language="en" preferredForLanguage="true" text="Title 38 Section 7332"/>
            <code code="Title38Section7332" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A supply action that provides sufficient material for a single dose.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActPharmacySupplyType"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16223"/>
            <printName language="en" preferredForLanguage="true" text="Unit Dose"/>
            <code code="UD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A supply action that provides sufficient material for a single dose via multiple products. E.g. 2 50mg tablets for a 100mg unit dose.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActPharmacySupplyType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21824"/>
            <printName language="en" preferredForLanguage="true" text="unit dose equivalent"/>
            <code code="UDE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The filtration of a colloidal substance through a semipermeable medium that allows only the passage of small molecules.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActSpecimenTreatmentCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14048"/>
            <printName language="en" preferredForLanguage="true" text="Ultrafiltration"/>
            <code code="UFIL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Life insurance under which the benefit is payable upon the insuredaTMs death or diagnosis of a terminal illness. If an insured dies during that period, the beneficiary receives the death payments. If the insured survives, the policy ends and the beneficiary receives nothing</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LIFE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22117"/>
            <printName language="en" preferredForLanguage="true"
                       text="universal life insurance policy"/>
            <code code="ULIFE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A form of insurance protection that provides additional liability coverage after the limits of your underlying policy are reached. An umbrella liability policy also protects you (the insured) in many situations not covered by the usual liability policies.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInsuranceTypeCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22122"/>
            <printName language="en" preferredForLanguage="true"
                       text="umbrella liability insurance policy"/>
            <code code="UMBRL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>An automobile insurance policy under which the insurance company will indemnify a loss for which another motorist is liable if that motorist is unable to pay because he or she is uninsured. Coverage under the policy applies to bodily injury damages only. Injuries to the covered party caused by a hit-and-run driver are also covered.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AUTOPOL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22101"/>
            <printName language="en" preferredForLanguage="true" text="uninsured motorist policy"/>
            <code code="UNINSMOT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Maximum unit price that will be covered for the authorized product or service.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCoverageQuantityLimitCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17499"/>
            <printName language="en" preferredForLanguage="true" text="Unit Price"/>
            <code code="UNITPRICE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Maximum number of items that will be covered of the product or service specified.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCoverageQuantityLimitCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17498"/>
            <printName language="en" preferredForLanguage="true" text="Unit Quantity"/>
            <code code="UNITQTY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The service provided is not related to another billed service. For example, 2 unrelated services provided on the same day to the same patient which may normally result in a refused payment for one of the items.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceOverrideCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21316"/>
            <printName language="en" preferredForLanguage="true" text="unrelated service"/>
            <code code="UNRELAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**United Nations Standard Products and Services Classification, managed by Uniform Code Council (UCC): www.unspsc.org</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceDetailClinicalProductCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22179"/>
            <printName language="en" preferredForLanguage="true"
                       text="United Nations Standard Products and Services Classification"/>
            <code code="UNSPSC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Universal Product Code is one of a wide variety of bar code languages widely used in the United States and Canada for items in stores.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceDetailDrugProductCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22180"/>
            <printName language="en" preferredForLanguage="true" text="Universal Product Code"/>
            <code code="UPC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Custodian security system must declassify information assigned security labels by instantiating a new version of the classified information so as to break the binding of the classifying security label when assigning a new security label that marks the information as classified at a more protected level in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the previous assignment and binding.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ObligationPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23753"/>
            <printName language="en" preferredForLanguage="true" text="upgrade security label"/>
            <code code="UPGRDLABEL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Premium paid on service fees in compensation for providing an expedited response to an urgent situation.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceDetailGenericProviderCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21315"/>
            <printName language="en" preferredForLanguage="true" text="urgent"/>
            <code code="URGENT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An informed assertion by an adult, or the parent/guardian of a minor who is a candidate research subject, of the individual's willingness to participate in unspecified research studies, including storage, maintenance, and secondary research use of identifiable biospecimens and data. If broad consent is obtained, any subsequent storage, maintenance, and secondary research uses of the individual’s identifiable biospecimens and data consistent with the broad consent would not require additional consent, so long as additional conditions are met, including limited review by an IRB. The consent is legally binding. Background: In the US, informed assent is governed under 49 CFR § 11.116 - General Requirements for Informed Consent. Available at https://www.law.cornell.edu/cfr/text/49/11.116</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActUSPrivacyConsentDirective"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="25102"/>
            <printName language="en" preferredForLanguage="true" text="Broad Consent for Research"/>
            <code code="USBroadResearchConsent" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Usage notes.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationQualityMeasureAttribute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23025"/>
            <printName language="en" preferredForLanguage="true" text="notice of use"/>
            <code code="USE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An informed assertion by a minor who is a candidate research subject, of the individual's willingness to participate in research. Assent means a child's affirmative agreement to participate in a clinical investigation. Mere failure to object should not, absent affirmative agreement, be construed as assent. The minor's assent must be accompanied by parental or guardian consent that the minor participate in a specified research. The assent is not legally binding, however, the accompanying consent is legally binding. Background: In the US, informed assent is governed under 21 CFR Part 50, Subpart D - Additional Safeguards for Children in Clinical Investigations. Available at https://www.law.cornell.edu/cfr/text/21/part-50/subpart-D</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActUSPrivacyConsentDirective"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="25100"/>
            <printName language="en" preferredForLanguage="true" text="Informed Assent for Research"/>
            <code code="USResearchInformedAssent" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An informed assertion by an adult, or the parent/guardian of a minor who is a candidate research subject, of the individual's willingness to participate in a specified research study. The consent is legally binding. Background: In the US, informed assent is governed under 49 CFR § 11.116 - General Requirements for Informed Consent. Available at https://www.law.cornell.edu/cfr/text/49/11.116</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActUSPrivacyConsentDirective"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="25101"/>
            <printName language="en" preferredForLanguage="true" text="Informed Consent for Research"/>
            <code code="USResearchInformedConsent" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A displayed mark, required to be rendered as "(U)", indicating that a portion of an electronic or hardcopy information is neither Executive Order 13556 nor classified information authorities cover as protected. Although this information is not controlled or classified, agencies must still handle it in accordance with Federal Information Security Modernization Act (FISMA) requirements. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html</p>
                        <i>Usage Note:</i>Regulatory Source: 32 CFR § 2002.20 Marking. Federal Register Page 63344 63344 (ii) Authorized holders permitted to designate CUI must portion mark both CUI and uncontrolled unclassified portions.<p>CUI Marking Handbook https://www.archives.gov/files/cui/20161206-cui-marking-handbook-v1-1.pdf</p>
                        <p>CUI Portion Marking: Portion marking of CUI is optional in a fully unclassified document, but is permitted and encouraged to facilitate information sharing and proper handling of the information. Agency heads may approve the required use of CUI Portion marking on all CUI generated within their agency. As such, users should consult their agency CUI policy when creating CUI documents. When CUI Portion Markings are used and a portion does not contain CUI a "U" is placed in parentheses to indicate that the portion contains Uncontrolled Unclassified Information. (Page 14)</p>
                        <p>CUI Portion Markings are placed at the beginning of the portion to which they apply and must be used throughout the entire document. They are presented in all capital letters and separated as indicated in this handbook and the CUI Registry. The presence of EVEN ONE item of CUI in a document requires CUI marking of that document. Because of this, CUI Portion Markings can be of great assistance in determining if a document contains CUI and therefore must be marked as such. Remember: When portion markings are used and any portion does not contain CUI, a "(U)" is placed in front of that portion to indicate that it contains Uncontrolled - or non-CUI - Unclassified Information. (Page 15)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ControlledUnclassifiedInformation"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24064"/>
            <printName language="en" preferredForLanguage="true" text="(U)"/>
            <code code="UUI" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14812"/>
            <printName language="en" preferredForLanguage="true" text="Visa"/>
            <code code="V" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates that the ICSR is describing a problem with the actual vaccine product such as physical defects (cloudy, particulate matter) or inability to confer immunity.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IndividualCaseSafetyReportType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23103"/>
            <printName language="en" preferredForLanguage="true" text="vaccine product problem"/>
            <code code="VAC_PROBLEM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The specified element did not pass business-rule validation.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActAdministrativeAuthorizationDetectedIssueCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21651"/>
            <printName language="en" preferredForLanguage="true" text="validation issue"/>
            <code code="VALIDAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Communication of an agent from a living subject acting as a required intermediary in the agent transmission process to a recipient living subject via direct contact.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CaseTransmissionMode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21927"/>
            <printName language="en" preferredForLanguage="true" text="vector-borne transmission"/>
            <code code="VECTRNS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The provider has received a verbal permission from an authoritative source to perform the service or supply the item being invoiced.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceOverrideCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19712"/>
            <printName language="en" preferredForLanguage="true" text="verbal authorization"/>
            <code code="VERBAUTH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Services provided directly and through contracted and operated veteran health programs.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActProgramTypeCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22145"/>
            <printName language="en" preferredForLanguage="true" text="veteran health program"/>
            <code code="VET" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**Indicates that the paper version of the record has, should be or is being verified against the electronic version.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActObservationVerificationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22862"/>
            <printName language="en" preferredForLanguage="true" text="verify paper"/>
            <code code="VFPAPER" status="active"/>
            <code code="VRFPAPER" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy for handling information related to harm by violence, which is afforded heightened confidentiality. Harm by violence is perpetrated by an unrelated person.</p>
                        <p>Access control concerns for information about mental or physical harm resulting from violence caused by an unrelated person may include manipulation of care givers or access to records that enable the perpetrator contact or locate the patient, but the perpetrator will likely not have established abusive psychological control over the patient.</p>
                        <i>Usage Note:</i>If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law in addition to this more generic code.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationSensitivityPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23887"/>
            <printName language="en" preferredForLanguage="true"
                       text="violence information sensitivity"/>
            <code code="VIO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Set of codes for a policy that provides coverage for health care expenses arising from vision services.<p>A health insurance policy that covers benefits for vision care services, prescriptions, and products.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActHealthInsuranceTypeCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22115"/>
            <printName language="en" preferredForLanguage="true" text="vision care policy"/>
            <code code="VISPOL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Diet with low content of the amino-acids valin, leucin, and isoleucin, for "maple syrup disease."</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DIET"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10392"/>
            <printName language="en" preferredForLanguage="true" text="low valin, leucin, isoleucin"/>
            <code code="VLI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An observation that reports the volume of a sample.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActSpecObsCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14369"/>
            <printName language="en" preferredForLanguage="true" text="ActSpecObsVolumeCode"/>
            <code code="VOLUME" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A patient encounter where the patient and the practitioner(s) are not in the same physical location. Examples include telephone conference, email exchange, robotic surgery, and televideo conference.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActEncounterCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16236"/>
            <printName language="en" preferredForLanguage="true" text="virtual"/>
            <code code="VR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Vision dispense invoice for up to 2 lens (left and right), frame and optional discount. Eye exams are invoiced as a clinical service invoice.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceRootGroupCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20030"/>
            <printName language="en" preferredForLanguage="true" text="vision dispense invoice"/>
            <code code="VRXINV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Accommodations in which there are 3 or more beds.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HL7AccommodationCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16135"/>
            <printName language="en" preferredForLanguage="true" text="Ward"/>
            <code code="W" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Communication of an agent from a contaminated water source to a living subject whether the water is ingested as a food or not. The route of entry of the water may be through any bodily orifice.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CaseTransmissionMode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21928"/>
            <printName language="en" preferredForLanguage="true" text="water-borne transmission"/>
            <code code="WATTRNS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Insurance policy for injuries sustained in the work place or in the course of employment.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInsurancePolicyCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActProgramTypeCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19719"/>
            <printName language="en" preferredForLanguage="true" text="worker's compensation"/>
            <code code="WCBPOL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Transaction counts and value totals for each calendar week within the date range specified.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActAdjudicationGroupCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceAdjudicationPaymentSummaryCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17972"/>
            <printName language="en" preferredForLanguage="true" text="week"/>
            <code code="WEEK" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A person enters a wellness or preventive care reminder for a given patient.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="REMLE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23267"/>
            <printName language="en" preferredForLanguage="true" text="wellness reminder list entry"/>
            <code code="WELLREMLE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A person reviews a list of wellness or preventive care reminders for a given patient.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="REMLREV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23271"/>
            <printName language="en" preferredForLanguage="true" text="wellness reminder list review"/>
            <code code="WELLREMLREV" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="COND"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17794"/>
            <code code="WGHT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Work Injury related additional Information Attachment</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActClaimAttachmentCategoryCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23011"/>
            <printName language="en" preferredForLanguage="true" text="work injury report attachment"/>
            <code code="WIATTCH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Exposure interaction occurred in a work setting, i.e. participants are co-workers.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActExposureCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22370"/>
            <printName language="en" preferredForLanguage="true" text="Work Interaction"/>
            <code code="WORK2" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Incident or accident is the result of a work place accident</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActIncidentCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16510"/>
            <printName language="en" preferredForLanguage="true" text="Workplace accident"/>
            <code code="WPA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Government mandated program providing coverage, disability income, and vocational rehabilitation for injuries sustained in the work place or in the course of employment. Employers may either self-fund the program, purchase commercial coverage, or pay a premium to a government entity that administers the program. Employees may be required to pay premiums toward the cost of coverage as well.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22146"/>
            <printName language="en" preferredForLanguage="true" text="(workers compensation program"/>
            <code code="WRKCOMP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Used by one system to inform another that the container is no longer available within the scope of the system (e.g., tube broken or discarded).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActContainerRegistrationCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14065"/>
            <printName language="en" preferredForLanguage="true" text="Container Unavailable"/>
            <code code="X" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Digital X-Ray Attachment</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActClaimAttachmentCategoryCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23005"/>
            <printName language="en" preferredForLanguage="true" text="x-ray"/>
            <code code="XRAY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Transaction counts and value totals for each calendar year within the date range specified.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActAdjudicationGroupCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceAdjudicationPaymentSummaryCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17973"/>
            <printName language="en" preferredForLanguage="true" text="year"/>
            <code code="YEAR" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An account represents a grouping of financial transactions that are tracked and reported together with a single balance. Examples of account codes (types) are Patient billing accounts (collection of charges), Cost centers; Cash.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="ACCT" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20849"/>
            <printName language="en" preferredForLanguage="true" text="ActAccountCode"/>
            <code code="_ActAccountCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Includes coded responses that will occur as a result of the adjudication of an electronic invoice at a summary level and provides guidance on interpretation of the referenced adjudication results.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="ADJUD" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20850"/>
            <printName language="en" preferredForLanguage="true" text="ActAdjudicationCode"/>
            <code code="_ActAdjudicationCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Catagorization of grouping criteria for the associated transactions and/or summary (totals, subtotals).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActAdjudicationCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="ADJUD" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20851"/>
            <printName language="en" preferredForLanguage="true" text="ActAdjudicationGroupCode"/>
            <code code="_ActAdjudicationGroupCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Explanatory codes that provide information derived by an Adjudicator during the course of adjudicating an invoice.</p>
                        <p>Codes from this domain are purely informational and do not materially affect the adjudicated invoice. That is, these codes do not impact or explain financial adjustments to an invoice. A companion domain (ActAdjudicationReasonCode) includes reasons which have a financial impact on an Invoice (claim).</p>
                        <p>Example adjudication information code is 54540 - Patient has reached Plan Maximum for current year.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="20852"/>
            <printName language="en" preferredForLanguage="true" text="ActAdjudicationInformationCode"/>
            <code code="_ActAdjudicationInformationCode" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Actions to be carried out by the recipient of the Adjudication Result information.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="20853"/>
            <printName language="en" preferredForLanguage="true"
                       text="ActAdjudicationResultActionCode"/>
            <code code="_ActAdjudicationResultActionCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActAdministrativeDetectedIssueCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21389"/>
            <printName language="en" preferredForLanguage="true"
                       text="ActAdministrativeAuthorizationDetectedIssueCode"/>
            <code code="_ActAdministrativeAuthorizationDetectedIssueCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies types of detectyed issues for Act class "ALRT" for the administrative and patient administrative acts domains.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ISSUE"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="ALRT" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20854"/>
            <printName language="en" preferredForLanguage="true"
                       text="ActAdministrativeDetectedIssueCode"/>
            <code code="_ActAdministrativeDetectedIssueCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Codes dealing with the management of Detected Issue observations for the administrative and patient administrative acts domains.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActDetectedIssueManagementCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20855"/>
            <printName language="en" preferredForLanguage="true"
                       text="ActAdministrativeDetectedIssueManagementCode"/>
            <code code="_ActAdministrativeDetectedIssueManagementCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActAdministrativeDetectedIssueCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21391"/>
            <printName language="en" preferredForLanguage="true"
                       text="ActAdministrativeRuleDetectedIssueCode"/>
            <code code="_ActAdministrativeRuleDetectedIssueCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**An identifying modifier code for healthcare interventions or procedures.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21993"/>
            <printName language="en" preferredForLanguage="true" text="ActBillableModifierCode"/>
            <code code="_ActBillableModifierCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>An identifying code for billable services, as opposed to codes for similar services used to identify them for functional purposes.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActProcedureCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22218"/>
            <printName language="en" preferredForLanguage="true" text="ActBillableServiceCode"/>
            <code code="_ActBillableServiceCode" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <conceptProperty name="internalId" value="20856"/>
            <printName language="en" preferredForLanguage="true" text="ActBillableTreatmentPlanCode"/>
            <code code="_ActBillableTreatmentPlanCode" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The type of provision(s) made for reimbursing for the deliver of healthcare services and/or goods provided by a Provider, over a specified period.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="20857"/>
            <printName language="en" preferredForLanguage="true" text="ActBillingArrangementCode"/>
            <code code="_ActBillingArrangementCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Type of bounded ROI.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="ROIBND" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20858"/>
            <printName language="en" preferredForLanguage="true" text="ActBoundedROICode"/>
            <code code="_ActBoundedROICode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The type and scope of responsibility taken-on by the performer of the Act for a specific subject of care.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="PCPR" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21825"/>
            <printName language="en" preferredForLanguage="true" text="act care provision"/>
            <code code="_ActCareProvisionCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Coded types of attachments included to support a healthcare claim.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="CATEGORY" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23004"/>
            <printName language="en" preferredForLanguage="true" text="ActClaimAttachmentCategoryCode"/>
            <code code="_ActClaimAttachmentCategoryCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Denotes the specific service that has been performed. This is obtained from the professional service catalog pertaining to the discipline of the health service provider. Professional services are generally cognitive in nature and exclude surgical procedures. E.g. Provided training, Provided drug therapy review, Gave smoking-cessation counseling, etc.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21511"/>
            <printName language="en" preferredForLanguage="true"
                       text="ActCognitiveProfessionalServiceCode"/>
            <code code="_ActCognitiveProfessionalServiceCode" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Specifies the type or actual definition of a contractually binding agreement or a non-binding representation of that agreement between a grantor and a grantee as to the exchange of the grantee's considerations in return for the grantor's control of certain assets. The type of assets exchanged include rights, license, terms of service, valued items, information and real property assets and control over such assets such as physical and locatable property; intellectual property; biospecimen; genomic and genetic information related to an individual including that disclosed by genetically related individuals with or without the individual's consent; personal identifiable, pseudonymized, anonymized, de-identified per some rubric, and relinkable variants.</p>
                        <i>Usage Note:</i>Types or actual definitions of a contractually binding agreement or a non-binding representation of that agreement include:<p>* \_ActDecision (formally ActConsentDirective), which specifies the type of decision made by the grantor. The decision types are mapped to ISO/TS 17975 Health informatics - Principles and data requirements for consent in the Collection, Use or Disclosure of personal health information; * \_ActPrivacyConsentDirective, which is the parent of types of registry participation consent directives, and of realm specific privacy consent directive policies such as \_USPrivacyConsentDirective and \_GDPRPrivacyConsentDirective.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActPolicyType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24098"/>
            <printName language="en" preferredForLanguage="true" text="_ActConsent"/>
            <code code="_ActConsent" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Specifies the type of agreement between one or more grantor and grantee in which rights and obligations related to one or more shared items of interest are allocated.</p>
                        <i>Usage Note:</i>Such agreements may be considered "consent directives" or "contracts" depending on the context, and are considered closely related or synonymous from a legal perspective.<b>Examples:</b>
                        <p>* Healthcare Privacy Consent Directive permitting or restricting in whole or part the collection, access, use, and disclosure of health information, and any associated handling caveats. * Healthcare Medical Consent Directive to receive medical procedures after being informed of risks and benefits, thereby reducing the grantee's liability. * Research Informed Consent for participation in clinical trials and disclosure of health information after being informed of risks and benefits, thereby reducing the grantee's liability. * Substitute decision maker delegation in which the grantee assumes responsibility to act on behalf of the grantor. * Contracts in which the agreement requires assent/dissent by the grantor of terms offered by a grantee, a consumer opts out of an "award" system for use of a retailer's marketing or credit card vendor's point collection cards in exchange for allowing purchase tracking and profiling. * A mobile device or App privacy policy and terms of service to which a user must agree in whole or in part in order to utilize the service. * Agreements between a client and an authorization server or between an authorization server and a resource operator and/or resource owner permitting or restricting e.g., collection, access, use, and disclosure of information, and any associated handling caveats.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActPrivacyPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23324"/>
            <printName language="en" preferredForLanguage="true" text="ActConsentDirective"/>
            <code code="_ActConsentDirective" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>The type of consent directive, e.g., to consent or dissent to collect, access, or use in specific ways within an EHRS or for health information exchange; or to disclose health information for purposes such as research.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="CONS" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22199"/>
            <printName language="en" preferredForLanguage="true" text="ActConsentType"/>
            <code code="_ActConsentType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Constrains the ActCode to the domain of Container Registration</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="CONTREG" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20860"/>
            <printName language="en" preferredForLanguage="true" text="ActContainerRegistrationCode"/>
            <code code="_ActContainerRegistrationCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An observation form that determines parameters or attributes of an Act. Examples are the settings of a ventilator machine as parameters of a ventilator treatment act; the controls on dillution factors of a chemical analyzer as a parameter of a laboratory observation act; the settings of a physiologic measurement assembly (e.g., time skew) or the position of the body while measuring blood pressure.</p>
                        <p>Control variables are forms of observations because just as with clinical observations, the Observation.code determines the parameter and the Observation.value assigns the value. While control variables sometimes can be observed (by noting the control settings or an actually measured feedback loop) they are not primary observations, in the sense that a control variable without a primary act is of no use (e.g., it makes no sense to record a blood pressure position without recording a blood pressure, whereas it does make sense to record a systolic blood pressure without a diastolic blood pressure).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="OBS" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20861"/>
            <printName language="en" preferredForLanguage="true" text="ActControlVariable"/>
            <code code="_ActControlVariable" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indication of authorization for healthcare service(s) and/or product(s). If authorization is approved, funds are set aside.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCoverageConfirmationCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="COV" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20862"/>
            <printName language="en" preferredForLanguage="true"
                       text="ActCoverageAuthorizationConfirmationCode"/>
            <code code="_ActCoverageAuthorizationConfirmationCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Response to an insurance coverage eligibility query or authorization request.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="COV" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20863"/>
            <printName language="en" preferredForLanguage="true" text="ActCoverageConfirmationCode"/>
            <code code="_ActCoverageConfirmationCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indication of eligibility coverage for healthcare service(s) and/or product(s).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCoverageConfirmationCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20864"/>
            <printName language="en" preferredForLanguage="true"
                       text="ActCoverageEligibilityConfirmationCode"/>
            <code code="_ActCoverageEligibilityConfirmationCode" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Criteria that are applicable to the authorized coverage.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="COV" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20865"/>
            <printName language="en" preferredForLanguage="true" text="ActCoverageLimitCode"/>
            <code code="_ActCoverageLimitCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Codes representing the level of coverage provided under the policy or program in terms of the types of entities that may play covered parties based on their personal relationships or employment status.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCoveredPartyLimitCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22345"/>
            <printName language="en" preferredForLanguage="true" text="ActCoveragePartyLimitGroupCode"/>
            <code code="_ActCoveragePartyLimitGroupCode" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Maximum amount paid or maximum number of services/products covered; or maximum amount or number covered during a specified time period under the policy or program.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCoverageLimitCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="COV" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22342"/>
            <printName language="en" preferredForLanguage="true" text="ActCoverageQuantityLimitCode"/>
            <code code="_ActCoverageQuantityLimitCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Set of codes indicating the type of insurance policy or program that pays for the cost of benefits provided to covered parties.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="COV" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22096"/>
            <printName language="en" preferredForLanguage="true" text="ActCoverageTypeCode"/>
            <code code="_ActCoverageTypeCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Codes representing the types of covered parties that may receive covered benefits under a policy or program.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCoverageLimitCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22344"/>
            <printName language="en" preferredForLanguage="true" text="ActCoveredPartyLimitCode"/>
            <code code="_ActCoveredPartyLimitCode" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by a credentialing agency, i.e. government or non-government agency. Failure in executing this Act may result in loss of credential to the person or organization who participates as performer of the Act. Excludes employment agreements.</p>
                        <p>**Example:**Hospital license; physician license; clinic accreditation.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCareProvisionCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="PCPR" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21826"/>
            <printName language="en" preferredForLanguage="true" text="act credentialed care"/>
            <code code="_ActCredentialedCareCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by an agency for credentialing individuals.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="PCPR" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21827"/>
            <printName language="en" preferredForLanguage="true"
                       text="act credentialed care provision peron"/>
            <code code="_ActCredentialedCareProvisionPersonCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by an agency for credentialing programs within organizations.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCredentialedCareCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="PCPR" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21828"/>
            <printName language="en" preferredForLanguage="true"
                       text="act credentialed care provision program"/>
            <code code="_ActCredentialedCareProvisionProgramCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Specifies the type of agreement between one or more grantor and grantee in which rights and obligations related to one or more shared items of interest are allocated.</p>
                        <i>Usage Note:</i>Such agreements may be considered "consent directives" or "contracts" depending on the context, and are considered closely related or synonymous from a legal perspective.<b>Examples:</b>
                        <p>* Healthcare Privacy Consent Directive permitting or restricting in whole or part the collection, access, use, and disclosure of health information, and any associated handling caveats. * Healthcare Medical Consent Directive to receive medical procedures after being informed of risks and benefits, thereby reducing the grantee's liability. * Research Informed Consent for participation in clinical trials and disclosure of health information after being informed of risks and benefits, thereby reducing the grantee's liability. * Substitute decision maker delegation in which the grantee assumes responsibility to act on behalf of the grantor. * Contracts in which the agreement requires assent/dissent by the grantor of terms offered by a grantee, a consumer opts out of an "award" system for use of a retailer's marketing or credit card vendor's point collection cards in exchange for allowing purchase tracking and profiling. * A mobile device or App privacy policy and terms of service to which a user must agree in whole or in part in order to utilize the service. * Agreements between a client and an authorization server or between an authorization server and a resource operator and/or resource owner permitting or restricting e.g., collection, access, use, and disclosure of information, and any associated handling caveats.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActConsent"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24107"/>
            <printName language="en" preferredForLanguage="true" text="_ActDecision"/>
            <code code="_ActDecision" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies types of detected issues for Act class "ALRT"</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HL7DefinedActCodes"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20866"/>
            <printName language="en" preferredForLanguage="true" text="ActDetectedIssueCode"/>
            <code code="_ActDetectedIssueCode" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Codes dealing with the management of Detected Issue observations</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="ALRT" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20867"/>
            <printName language="en" preferredForLanguage="true" text="ActDetectedIssueManagementCode"/>
            <code code="_ActDetectedIssueManagementCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Accommodation type. In Intent mood, represents the accommodation type requested. In Event mood, represents accommodation assigned/used. In Definition mood, represents the available accommodation type.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceDetailPreferredAccommodationCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="ACCM" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20868"/>
            <printName language="en" preferredForLanguage="true" text="ActEncounterAccommodationCode"/>
            <code code="_ActEncounterAccommodationCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Domain provides codes that qualify the ActEncounterClass (ENC)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCareProvisionCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="ENC" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20869"/>
            <printName language="en" preferredForLanguage="true" text="ActEncounterCode"/>
            <code code="_ActEncounterCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Concepts that identify the type or nature of exposure interaction. Examples include "household", "care giver", "intimate partner", "common space", "common substance", etc. to further describe the nature of interaction.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="EXPOS" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22353"/>
            <printName language="en" preferredForLanguage="true" text="ActExposureCode"/>
            <code code="_ActExposureCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies types of detected issues for Act class "ALRT" for the financial acts domain.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ISSUE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20870"/>
            <printName language="en" preferredForLanguage="true" text="ActFinancialDetectedIssueCode"/>
            <code code="_ActFinancialDetectedIssueCode" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Codes dealing with the management of Detected Issue observations for the financial acts domain.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActDetectedIssueManagementCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20871"/>
            <printName language="en" preferredForLanguage="true"
                       text="ActFinancialDetectedIssueManagementCode"/>
            <code code="_ActFinancialDetectedIssueManagementCode" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="XACT" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20872"/>
            <printName language="en" preferredForLanguage="true" text="ActFinancialTransactionCode"/>
            <code code="_ActFinancialTransactionCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>European Union General Data Protection Regulation (GDPR) consent directives.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActPrivacyConsentDirective"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24109"/>
            <printName language="en" preferredForLanguage="true" text="_ActGDPRConsentDirective"/>
            <code code="_ActGDPRConsentDirective" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>GDPR is a regulation on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, and repealing Directive 95/46/EC (Data Protection Directive). Promulgated by the European Parliament and Council of the European Union. Regulation available at L119, 4 May 2016, p. 1-88.</p>
                        <p>GDPR privacy policies specifying types of lawful personal data processing based on a controller meeting one or more processing condition such as specified by law, compliance with data controller legal obligations, protection of data subject's vital interests, perform tasks in the public interest, related to legal claims, research and statistics, management of health or social care systems, legitimate interests of controller or third party. Processing sensitive personal data, including genetic, biometric and health data, as well as personal data from which racial and ethnic origin, political opinions, religious or ideological convictions or membership in a union can be attributed to a person, requires meeting at least one sensitive personal processing condition.</p>
                        <p>GDPR 'processing' means any operation or set of operations which is performed on personal data or on sets of personal data, whether or not by automated means, such as collection, recording, organisation, structuring, storage, adaptation or alteration, retrieval, consultation, use, disclosure by transmission, dissemination or otherwise making available, alignment or combination, restriction, erasure or destruction. Article 4 https://gdpr-info.eu/art-4-gdpr/</p>
                        <i>Usage Note:</i>
                        <p>* Confidentiality: e.g., U (unrestricted) for anonymized personal information; L (low) for pseudonymized U (unrestricted) for anonymized personal information; M (moderate) for indirectly identifiable information such as test scores and work times; N (normal) for personal information; and R (restricted) for sensitive personal information * DPR sensitivity \[personal data revealing racial or ethnic origin, political opinions, religious or philosophical beliefs, or trade union membership, and the processing of genetic data, biometric data for the purpose of uniquely identifying a natural person, data concerning health or data concerning a natural person's sex life or sexual orientation, some of which are defined at Article 4 https://gdpr-info.eu/art-4-gdpr/ * GDPR processing policies and GDPR ConsentDirectiveTypes, such as data subject consent and research consent. * Other security category codes, such as compartment codes for legitimate relationship, * Handling instructions including * Purpose of use stipulated in a GDPR consent or contract restricting processing or related to the scope of the processing policy such as public health, research, and legal obligations * Obligation policies such as GDPR Information Obligations https://gdpr-info.eu/issues/information-obligations, data minimization and deleting when processing is complete * Refrain policies such as no relinking</p>
                        <p>See Intersoft GDPR at https://gdpr-info.eu/issues/personal-data/ Art. 4 GDPR Definitions https://gdpr-info.eu/art-4-gdpr/ Art. 9 GDPR Processing of special categories of personal data https://gdpr-info.eu/art-9-gdpr/ Relevant Recitals (26) Not applicable to anonymous data (30) Online identifiers for profiling and identification (34) Genetic data (35) Health data (51) Protecting sensitive personal data at Intersoft GDPR briefing papers and navigating tool https://gdpr-info.eu/</p>
                        <p>Authorities</p>
                        <p>* European Data Protection Supervisor - Security Measures for Personal Data Processing (Link) * Data Protection Authority Isle of Man - Know your data - Mapping the 5 W's (Link) * Data Protection Authority UK - Key definitions (Link) * European Commission - What is personal data? (Link) * European Commission - What personal data is considered sensitive? (Link) * EU publications - Handbook on European data protection law - Personal data, page 83 (Link)</p>
                        <p>Expert contribution A&amp;L Goodbody - The GDPR: A Guide for Businesses - Definition of Personal &amp; Sensitive Data, Page 8 (Link) Bird &amp; Bird - Sensitive data and lawful processing (Link) https://ec.europa.eu/commission/priorities/justice-and-fundamental-rights/data-protection/2018-reform-eu-data-protection-rules\_en General Data Protection Regulation https://eur-lex.europa.eu/legal-content/EN/TXT/?qid=1528874672298&amp;uri=CELEX%3A32016R0679 Communication on data protection - guidance on direct application of the GDPR http://eur-lex.europa.eu/legal-content/EN/TXT/?qid=1517578296944&amp;uri=CELEX%3A52018DC0043 Intersoft GDPR briefing papers and navigating tool https://gdpr-info.eu/</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActPrivacyLaw"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24120"/>
            <printName language="en" preferredForLanguage="true"
                       text="General Data Protection Regulation"/>
            <code code="_ActGDPRPrivacyLaw" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Specifies types of consent directives authorizing a registry or repository to collect and, under certain terms, manage the access, use, and disclosure of personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual.</p>
                        <p>Registries governed by registry consent directives are data management systems, which use metadata to support the collection, access, use, and disclosure of personal information or effects as well as observational or analytic information generated about personal information or effects stored in federated repositories. Such registries are used for a variety of purposes by federated health information exchanges, health information systems, personal record systems, and research organizations to locate and retrieve personal information or effects as well as observational or analytic information generated about personal information stored externally to their systems.</p>
                        <p>Repositories governed by registry consent directives are data stores used to collect, access, use, and disclose personal information or effects as well as observational or analytic information generated about personal information or effects and metadata used to manage the repository contents. Such repositories are used for a variety of purposes by centralized health information exchanges, health information systems used by providers and payers, personal record systems, and research organizations. A repository typically includes a registry component that provides the data store with content management capabilities for internal purposes. A repository may also interface with one or more external registries, which provide federated content management.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActPrivacyConsentDirective"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24112"/>
            <printName language="en" preferredForLanguage="true" text="_ActGenericConsentDirective"/>
            <code code="_ActGenericConsentDirective" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Set of codes indicating the type of health insurance policy that covers health services provided to covered parties. A health insurance policy is a written contract for insurance between the insurance company and the policyholder, and contains pertinent facts about the policy owner (the policy holder), the health insurance coverage, the insured subscribers and dependents, and the insurer. Health insurance is typically administered in accordance with a plan, which specifies (1) the type of health services and health conditions that will be covered under what circumstances (e.g., exclusion of a pre-existing condition, service must be deemed medically necessary; service must not be experimental; service must provided in accordance with a protocol; drug must be on a formulary; service must be prior authorized; or be a referral from a primary care provider); (2) the type and affiliation of providers (e.g., only allopathic physicians, only in network, only providers employed by an HMO); (3) financial participations required of covered parties (e.g., co-pays, coinsurance, deductibles, out-of-pocket); and (4) the manner in which services will be paid (e.g., under indemnity or fee-for-service health plans, the covered party typically pays out-of-pocket and then file a claim for reimbursement, while health plans that have contractual relationships with providers, i.e., network providers, typically do not allow the providers to bill the covered party for the cost of the service until after filing a claim with the payer and receiving reimbursement).</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInsuranceTypeCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22099"/>
            <printName language="en" preferredForLanguage="true" text="ActHealthInsuranceTypeCode"/>
            <code code="_ActHealthInsuranceTypeCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Code identifying the type of identification document (e.g. passport, drivers license)</p>
                        <p>**Implementation Note:**The proposal called for a domain, but a code was also provided. When codes are available for the value set the code IDENTDOC (identity document) will be used as the headcode for the specializable value set.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22267"/>
            <printName language="en" preferredForLanguage="true" text="ActIdentityDocumentCode"/>
            <code code="_ActIdentityDocumentCode" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Set of codes indicating the type of incident or accident.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="INC" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20873"/>
            <printName language="en" preferredForLanguage="true" text="ActIncidentCode"/>
            <code code="_ActIncidentCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The type of health information to which the subject of the information or the subject's delegate consents or dissents.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22244"/>
            <printName language="en" preferredForLanguage="true" text="ActInformationAccessCode"/>
            <code code="_ActInformationAccessCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Concepts conveying the context in which authorization given under jurisdictional law, by organizational policy, or by a patient consent directive permits the collection, access, use or disclosure of specified patient health information.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22332"/>
            <printName language="en" preferredForLanguage="true"
                       text="ActInformationAccessContextCode"/>
            <code code="_ActInformationAccessContextCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The type of action permitted on information by jurisdictional, organizational, or personal policy.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActPolicyType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24087"/>
            <printName language="en" preferredForLanguage="true" text="_ActInformationActionPolicy"/>
            <code code="_ActInformationActionPolicy" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**Indicates the set of information types which may be manipulated or referenced, such as for recommending access restrictions.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="DOC" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22386"/>
            <printName language="en" preferredForLanguage="true" text="ActInformationCategoryCode"/>
            <code code="_ActInformationCategoryCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Information management directives related to privacy, security, integrity, and control concerns, which may be governed by specific laws; based on private sector self-governance; adopted "best practices" recognized by a community of interest; or terms of license, participation, or service as implemented in jurisdictional, organizational, or personal policies.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActPolicyType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24065"/>
            <printName language="en" preferredForLanguage="true" text="_ActInformationPolicy"/>
            <code code="_ActInformationPolicy" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Types of sensitivity policies that apply to Acts. Act.confidentialityCode is defined in the RIM as "constraints around appropriate disclosure of information about this Act, regardless of mood."</p>
                        <i>Usage Note:</i>ActSensitivity codes are used to bind information to an Act.confidentialityCode according to local sensitivity policy so that those confidentiality codes can then govern its handling across enterprises. Internally to a policy domain, however, local policies guide the access control system on how end users in that policy domain are able to use information tagged with these sensitivity values.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InformationSensitivityPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23337"/>
            <printName language="en" preferredForLanguage="true"
                       text="ActInformationSensitivityPolicy"/>
            <code code="_ActInformationSensitivityPolicy" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Set of codes indicating the type of insurance policy or other source of funds to cover healthcare costs.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCoverageTypeCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="POLICY" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20874"/>
            <printName language="en" preferredForLanguage="true" text="ActInsurancePolicyCode"/>
            <code code="_ActInsurancePolicyCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Set of codes indicating the type of insurance policy. Insurance, in law and economics, is a form of risk management primarily used to hedge against the risk of potential financial loss. Insurance is defined as the equitable transfer of the risk of a potential loss, from one entity to another, in exchange for a premium and duty of care. A policy holder is an individual or an organization enters into a contract with an underwriter which stipulates that, in exchange for payment of a sum of money (a premium), one or more covered parties (insureds) is guaranteed compensation for losses resulting from certain perils under specified conditions. The underwriter analyzes the risk of loss, makes a decision as to whether the risk is insurable, and prices the premium accordingly. A policy provides benefits that indemnify or cover the cost of a loss incurred by a covered party, and may include coverage for services required to remediate a loss. An insurance policy contains pertinent facts about the policy holder, the insurance coverage, the covered parties, and the insurer. A policy may include exemptions and provisions specifying the extent to which the indemnification clause cannot be enforced for intentional tortious conduct of a covered party, e.g., whether the covered parties are jointly or severably insured.<i>Discussion:</i>In contrast to programs, an insurance policy has one or more policy holders, who own the policy. The policy holder may be the covered party, a relative of the covered party, a partnership, or a corporation, e.g., an employer. A subscriber of a self-insured health insurance policy is a policy holder. A subscriber of an employer sponsored health insurance policy is holds a certificate of coverage, but is not a policy holder; the policy holder is the employer. See CoveredRoleType.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCoverageTypeCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22097"/>
            <printName language="en" preferredForLanguage="true" text="ActInsuranceTypeCode"/>
            <code code="_ActInsuranceTypeCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Codes representing a grouping of invoice elements (totals, sub-totals), reported through a Payment Advice or a Statement of Financial Activity (SOFA). The code can represent summaries by day, location, payee and other cost elements such as bonus, retroactive adjustment and transaction fees.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceElementCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20875"/>
            <printName language="en" preferredForLanguage="true"
                       text="ActInvoiceAdjudicationPaymentCode"/>
            <code code="_ActInvoiceAdjudicationPaymentCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Codes representing adjustments to a Payment Advice such as retroactive, clawback, garnishee, etc.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceAdjudicationPaymentCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20893"/>
            <printName language="en" preferredForLanguage="true"
                       text="ActInvoiceAdjudicationPaymentGroupCode"/>
            <code code="_ActInvoiceAdjudicationPaymentGroupCode" status="active"/>
            <code code="_ActInvoicePaymentCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Codes representing a grouping of invoice elements (totals, sub-totals), reported through a Payment Advice or a Statement of Financial Activity (SOFA). The code can represent summaries by day, location, payee, etc.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceAdjudicationPaymentCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20876"/>
            <printName language="en" preferredForLanguage="true"
                       text="ActInvoiceAdjudicationPaymentSummaryCode"/>
            <code code="_ActInvoiceAdjudicationPaymentSummaryCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An identifying data string for healthcare products.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceDetailCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20877"/>
            <printName language="en" preferredForLanguage="true"
                       text="ActInvoiceDetailClinicalProductCode"/>
            <code code="_ActInvoiceDetailClinicalProductCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An identifying data string for healthcare procedures.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceDetailCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20878"/>
            <printName language="en" preferredForLanguage="true"
                       text="ActInvoiceDetailClinicalServiceCode"/>
            <code code="_ActInvoiceDetailClinicalServiceCode" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Codes representing a service or product that is being invoiced (billed). The code can represent such concepts as "office visit", "drug X", "wheelchair" and other billable items such as taxes, service charges and discounts.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceElementCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20879"/>
            <printName language="en" preferredForLanguage="true" text="ActInvoiceDetailCode"/>
            <code code="_ActInvoiceDetailCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An identifying data string for A substance used as a medication or in the preparation of medication.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceDetailCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20880"/>
            <printName language="en" preferredForLanguage="true"
                       text="ActInvoiceDetailDrugProductCode"/>
            <code code="_ActInvoiceDetailDrugProductCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The billable item codes to identify adjudicator specified components to the total billing of a claim.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceDetailGenericCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20881"/>
            <printName language="en" preferredForLanguage="true"
                       text="ActInvoiceDetailGenericAdjudicatorCode"/>
            <code code="_ActInvoiceDetailGenericAdjudicatorCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The detail item codes to identify charges or changes to the total billing of a claim due to insurance rules and payments.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceDetailCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20882"/>
            <printName language="en" preferredForLanguage="true" text="ActInvoiceDetailGenericCode"/>
            <code code="_ActInvoiceDetailGenericCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The billable item codes to identify modifications to a billable item charge. As for example after hours increase in the office visit fee.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceDetailGenericCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20883"/>
            <printName language="en" preferredForLanguage="true"
                       text="ActInvoiceDetailGenericModifierCode"/>
            <code code="_ActInvoiceDetailGenericModifierCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The billable item codes to identify provider supplied charges or changes to the total billing of a claim.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceDetailGenericCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20884"/>
            <printName language="en" preferredForLanguage="true"
                       text="ActInvoiceDetailGenericProviderCode"/>
            <code code="_ActInvoiceDetailGenericProviderCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An identifying data string for oral health procedure codes, e.g. extract tooth.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceDetailCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20885"/>
            <printName language="en" preferredForLanguage="true"
                       text="ActInvoiceDetailOralHealthProcedureCode"/>
            <code code="_ActInvoiceDetailOralHealthProcedureCode" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An identifying data string for medical facility accommodations.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceDetailCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20886"/>
            <printName language="en" preferredForLanguage="true"
                       text="ActInvoiceDetailPreferredAccommodationCode"/>
            <code code="_ActInvoiceDetailPreferredAccommodationCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The billable item codes to identify modifications to a billable item charge by a tax factor applied to the amount. As for example 7% provincial sales tax.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceDetailGenericCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20887"/>
            <printName language="en" preferredForLanguage="true" text="ActInvoiceDetailTaxCode"/>
            <code code="_ActInvoiceDetailTaxCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="INVE" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20888"/>
            <printName language="en" preferredForLanguage="true" text="ActInvoiceElementCode"/>
            <code code="_ActInvoiceElementCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the different types of summary information that can be reported by queries dealing with Statement of Financial Activity (SOFA). The summary information is generally used to help resolve balance discrepancies between providers and payors.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="INVE" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20889"/>
            <printName language="en" preferredForLanguage="true" text="ActInvoiceElementSummaryCode"/>
            <code code="_ActInvoiceElementSummaryCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results.</p>
                        <p>Invoice elements of this type signify a grouping of one or more children (detail) invoice elements. They do not have intrinsic costing associated with them, but merely reflect the sum of all costing for it's immediate children invoice elements.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceElementCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="INVE" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20890"/>
            <printName language="en" preferredForLanguage="true" text="ActInvoiceGroupCode"/>
            <code code="_ActInvoiceGroupCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results.</p>
                        <p>Invoice elements of this type signify a grouping of one or more children (detail) invoice elements. They do not have intrinsic costing associated with them, but merely reflect the sum of all costing for it's immediate children invoice elements.</p>
                        <p>The domain is only specified for an intermediate invoice element group (non-root or non-top level) for an Invoice.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceGroupCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="INVE" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20891"/>
            <printName language="en" preferredForLanguage="true" text="ActInvoiceInterGroupCode"/>
            <code code="_ActInvoiceInterGroupCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Includes coded responses that will occur as a result of the adjudication of an electronic invoice at a summary level and provides guidance on interpretation of the referenced adjudication results.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="INVE" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20892"/>
            <printName language="en" preferredForLanguage="true" text="ActInvoiceOverrideCode"/>
            <code code="_ActInvoiceOverrideCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results.</p>
                        <p>Invoice elements of this type signify a grouping of one or more children (detail) invoice elements. They do not have intrinsic costing associated with them, but merely reflect the sum of all costing for it's immediate children invoice elements.</p>
                        <p>Codes from this domain reflect the type of Invoice such as Pharmacy Dispense, Clinical Service and Clinical Product. The domain is only specified for the root (top level) invoice element group for an Invoice.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceGroupCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="INVE" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20894"/>
            <printName language="en" preferredForLanguage="true" text="ActInvoiceRootGroupCode"/>
            <code code="_ActInvoiceRootGroupCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Provides codes associated with ActClass value of LIST (working list)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="LIST" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20895"/>
            <printName language="en" preferredForLanguage="true" text="ActListCode"/>
            <code code="_ActListCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>An identifying code for billable medical services, as opposed to codes for similar services to identify them for clinical purposes.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActBillableServiceCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22219"/>
            <printName language="en" preferredForLanguage="true" text="ActMedicalBillableServiceCode"/>
            <code code="_ActMedicalBillableServiceCode" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>General category of medical service provided to the patient during their encounter.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCareProvisionCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20896"/>
            <printName language="en" preferredForLanguage="true" text="ActMedicalServiceCode"/>
            <code code="_ActMedicalServiceCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**A collection of concepts that identifies different types of 'duration-based' mediation working lists.</p>
                        <p>**Examples:**"Continuous/Chronic" "Short-Term" and "As Needed"</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActTherapyDurationWorkingListCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="LIST" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21754"/>
            <printName language="en" preferredForLanguage="true"
                       text="act medication therapy duration working list"/>
            <code code="_ActMedicationTherapyDurationWorkingListCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies types of monitoring programs</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="MPROT" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20897"/>
            <printName language="en" preferredForLanguage="true" text="ActMonitoringProtocolCode"/>
            <code code="_ActMonitoringProtocolCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>An identifying code for billable services that are not medical procedures, such as social services or governmental program services.<b>Example:</b>Building a wheelchair ramp, help with groceries, giving someone a ride, etc.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActBillableServiceCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22220"/>
            <printName language="en" preferredForLanguage="true"
                       text="ActNonMedicalBillableServiceCode"/>
            <code code="_ActNonMedicalBillableServiceCode" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Concepts representing indications (reasons for clinical action) other than diagnosis and symptoms.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="ACT" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22387"/>
            <printName language="en" preferredForLanguage="true"
                       text="ActNonObservationIndicationCode"/>
            <code code="_ActNonObservationIndicationCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActListCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="LIST" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20898"/>
            <printName language="en" preferredForLanguage="true" text="ActObservationList"/>
            <code code="_ActObservationList" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the type of verification investigation being undertaken with respect to the subject of the verification activity.</p>
                        <b>Examples:</b>
                        <ul>
                           <li>
                              <p>Verification of eligibility for coverage under a policy or program - aka enrolled/covered by a policy or program</p>
                           </li>
                           <li>
                              <p>Verification of record - e.g., person has record in an immunization registry</p>
                           </li>
                           <li>
                              <p>Verification of enumeration - e.g. NPI</p>
                           </li>
                           <li>
                              <p>Verification of Board Certification - provider specific</p>
                           </li>
                           <li>
                              <p>Verification of Certification - e.g. JAHCO, NCQA, URAC</p>
                           </li>
                           <li>
                              <p>Verification of Conformance - e.g. entity use with HIPAA, conformant to the CCHIT EHR system criteria</p>
                           </li>
                           <li>
                              <p>Verification of Provider Credentials</p>
                           </li>
                           <li>
                              <p>Verification of no adverse findings - e.g. on National Provider Data Bank, Health Integrity Protection Data Base (HIPDB)</p>
                           </li>
                        </ul>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="VERIF" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21907"/>
            <printName language="en" preferredForLanguage="true" text="act observation verification"/>
            <code code="_ActObservationVerificationType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**An identifying code for oral health interventions/procedures.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActProcedureCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22178"/>
            <printName language="en" preferredForLanguage="true" text="ActOralHealthProcedureCode"/>
            <code code="_ActOralHealthProcedureCode" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The type of order that was fulfilled by the clinical service</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="20899"/>
            <printName language="en" preferredForLanguage="true" text="ActOrderCode"/>
            <code code="_ActOrderCode" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Provides a categorization for annotations recorded directly against the patient .</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AnnotationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22821"/>
            <printName language="en" preferredForLanguage="true" text="ActPatientAnnotationType"/>
            <code code="_ActPatientAnnotationType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A code specifying the particular kind of Patient Safety Incident that the Incident class instance represents.<p>**Examples:**"Medication incident", "slips, trips and falls incident".The actual value set for the domain will be determined by each (realm) implementation, whose Patient Safety terminology will be specific, although probably linked to the WHO Patient Safety Taxonomy that is currently under development</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActIncidentCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22265"/>
            <printName language="en" preferredForLanguage="true" text="ActPatientSafetyIncidentCode"/>
            <code code="_ActPatientSafetyIncidentCode" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Definition: Characterizes how a patient was or will be transported to the site of a patient encounter.</p>
                        <i>Examples:</i>Via ambulance, via public transit, on foot.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActTransportationModeCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="TRNS" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21546"/>
            <printName language="en" preferredForLanguage="true"
                       text="ActPatientTransportationModeCode"/>
            <code code="_ActPatientTransportationModeCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Code identifying the method or the movement of payment instructions.</p>
                        <p>Codes are drawn from X12 data element 591 (PaymentMethodCode)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="XACT" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20900"/>
            <printName language="en" preferredForLanguage="true" text="ActPaymentCode"/>
            <code code="_ActPaymentCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies types of dispensing events</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="SPLY" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20901"/>
            <printName language="en" preferredForLanguage="true" text="ActPharmacySupplyType"/>
            <code code="_ActPharmacySupplyType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A mandate, regulation, obligation, principle, requirement, rule, or expectation of how an entity is to conduct itself or execute an activity, which may be dictated and enforced by an authority of competent jurisdiction.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="POLICY" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22182"/>
            <printName language="en" preferredForLanguage="true" text="ActPolicyType"/>
            <code code="_ActPolicyType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Specifies types of consent directives governing the collection, access, use, or disclosure of personal information, including de-identified information, and personal effects, such as biometrics, biospecimen or genetic material, which may be used to identify an individual.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActConsent"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24108"/>
            <printName language="en" preferredForLanguage="true" text="_ActPrivacyConsentDirective"/>
            <code code="_ActPrivacyConsentDirective" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A jurisdictional mandate, regulation, obligation, requirement, rule, or expectation deeming certain information to be private to an individual or organization, which is imposed on:</p>
                        <p>* The activity of a governed party * The behavior of a governed party * The manner in which an act is executed by a governed party</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActPrivacyPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23328"/>
            <printName language="en" preferredForLanguage="true" text="ActPrivacyLaw"/>
            <code code="_ActPrivacyLaw" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A policy deeming certain information to be private to an individual or organization.</p>
                        <i>Definition:</i>A mandate, obligation, requirement, rule, or expectation relating to privacy.<i>Discussion:* ActPrivacyPolicyType codes support the designation of the 1..\* policies that are applicable to an Act such as a Consent Directive, a Role such as a VIP Patient, or an Entity such as a patient who is a minor. 1..\</i>ActPrivacyPolicyType values may be associated with an Act or Role to indicate the policies that govern the assignment of an Act or Role confidentialityCode. Use of multiple ActPrivacyPolicyType values enables fine grain specification of applicable policies, but must be carefully assigned to ensure cogency and avoid creation of conflicting policy mandates.<i>Usage Note:</i>Statutory title may be named in the ActClassPolicy Act Act.title to specify which privacy policy is being referenced.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActPolicyType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23323"/>
            <printName language="en" preferredForLanguage="true" text="ActPrivacyPolicy"/>
            <code code="_ActPrivacyPolicy" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An Act which characterizes a Privilege can have additional observations to provide a finer definition of the requested or conferred privilege. This domain describes the categories under which this additional information is classified.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21535"/>
            <printName language="en" preferredForLanguage="true" text="ActPrivilegeCategorization"/>
            <code code="_ActPrivilegeCategorization" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This domain includes observations used to characterize a privilege, under which this additional information is classified.</p>
                        <p>*Examples:*A privilege to prescribe drugs has a RESTRICTION that excludes prescribing narcotics; a surgical procedure privilege has a PRE-CONDITION that it requires prior Board approval.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21585"/>
            <printName language="en" preferredForLanguage="true" text="ActPrivilegeCategorizationType"/>
            <code code="_ActPrivilegeCategorizationType" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Describes the high level classification of professional services for grouping.</p>
                        <p>**Examples:**Education, Counseling, Surgery, etc.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActListCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22076"/>
            <printName language="en" preferredForLanguage="true" text="ActProcedureCategoryList"/>
            <code code="_ActProcedureCategoryList" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An identifying code for healthcare interventions/procedures.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="20902"/>
            <printName language="en" preferredForLanguage="true" text="ActProcedureCode"/>
            <code code="_ActProcedureCode" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The method that a product is obtained for use by the subject of the supply act (e.g. patient). Product examples are consumable or durable goods.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="SPLY" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20903"/>
            <printName language="en" preferredForLanguage="true" text="ActProductAcquisitionCode"/>
            <code code="_ActProductAcquisitionCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A set of codes used to indicate coverage under a program. A program is an organized structure for administering and funding coverage of a benefit package for covered parties meeting eligibility criteria, typically related to employment, health, financial, and demographic status. Programs are typically established or permitted by legislation with provisions for ongoing government oversight. Regulations may mandate the structure of the program, the manner in which it is funded and administered, covered benefits, provider types, eligibility criteria and financial participation. A government agency may be charged with implementing the program in accordance to the regulation. Risk of loss under a program in most cases would not meet what an underwriter would consider an insurable risk, i.e., the risk is not random in nature, not financially measurable, and likely requires subsidization with government funds.<i>Discussion:</i>Programs do not have policy holders or subscribers. Program eligibles are enrolled based on health status, statutory eligibility, financial status, or age. Program eligibles who are covered parties under the program may be referred to as members, beneficiaries, eligibles, or recipients. Programs risk are underwritten by not for profit organizations such as governmental entities, and the beneficiaries typically do not pay for any or some portion of the cost of coverage. See CoveredPartyRoleType.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCoverageTypeCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22098"/>
            <printName language="en" preferredForLanguage="true" text="ActProgramTypeCode"/>
            <code code="_ActProgramTypeCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This is the domain of registry types. Examples include Master Patient Registry, Staff Registry, Employee Registry, Tumor Registry.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="20904"/>
            <printName language="en" preferredForLanguage="true" text="ActRegistryCode"/>
            <code code="_ActRegistryCode" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**An access control object used to manage permissions and capabilities of users within information systems. (See HL7 RBAC specification fo examples of thes objects.)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22641"/>
            <printName language="en" preferredForLanguage="true" text="ActSecurityObjectCode"/>
            <code code="_ActSecurityObjectCode" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the type of observation that is made about a specimen that may affect its processing, analysis or further result interpretation</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="SPCOBS" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20906"/>
            <printName language="en" preferredForLanguage="true" text="ActSpecObsCode"/>
            <code code="_ActSpecObsCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Transportation of a specimen.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="TRNS" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22388"/>
            <printName language="en" preferredForLanguage="true" text="ActSpecimenTransportCode"/>
            <code code="_ActSpecimenTransportCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Set of codes related to specimen treatments</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="SPCTRT" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20905"/>
            <printName language="en" preferredForLanguage="true" text="ActSpecimenTreatmentCode"/>
            <code code="_ActSpecimenTreatmentCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Describes the type of substance administration being performed. This should not be used to carry codes for identification of products. Use an associated role or entity to carry such information.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="SBADM" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21517"/>
            <printName language="en" preferredForLanguage="true" text="ActSubstanceAdministrationCode"/>
            <code code="_ActSubstanceAdministrationCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies types of detected issues regarding the administration or supply of an item to a patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ISSUE"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="ALRT" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20907"/>
            <printName language="en" preferredForLanguage="true"
                       text="ActSuppliedItemDetectedIssueCode"/>
            <code code="_ActSuppliedItemDetectedIssueCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A task or action that a user may perform in a clinical information system (e.g., medication order entry, laboratory test results review, problem list entry).</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="ACT" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22047"/>
            <printName language="en" preferredForLanguage="true" text="ActTaskCode"/>
            <code code="_ActTaskCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Codes used to identify different types of 'duration-based' working lists. Examples include "Continuous/Chronic", "Short-Term" and "As-Needed".</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActListCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="LIST" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21522"/>
            <printName language="en" preferredForLanguage="true"
                       text="ActTherapyDurationWorkingListCode"/>
            <code code="_ActTherapyDurationWorkingListCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Characterizes how a transportation act was or will be carried out.</p>
                        <i>Examples:</i>Via private transport, via public transit, via courier.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="TRNS" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21545"/>
            <printName language="en" preferredForLanguage="true" text="ActTransportationModeCode"/>
            <code code="_ActTransportationModeCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Specific US privacy consent directives in accordance with US federal, state, regional, organizational, or personal privacy policies.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActPrivacyConsentDirective"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24099"/>
            <printName language="en" preferredForLanguage="true" text="_ActUSPrivacyConsentDirective"/>
            <code code="_ActUSPrivacyConsentDirective" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <i>Definition:</i>A jurisdictional mandate in the U.S. relating to privacy.<i>Usage Note:</i>ActPrivacyLaw codes may be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialtyCode complies. May be used to further specify rationale for assignment of other ActPrivacyPolicy codes in the US realm, e.g., ETH and 42CFRPart2 can be differentiated from ETH and Title38Part1.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActPrivacyLaw"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23760"/>
            <printName language="en" preferredForLanguage="true" text="_ActUSPrivacyLaw"/>
            <code code="_ActUSPrivacyLaw" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Administration of the proposed therapy may be inappropriate or contraindicated as proposed</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActSuppliedItemDetectedIssueCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="ALRT" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20908"/>
            <printName language="en" preferredForLanguage="true"
                       text="AdministrationDetectedIssueCode"/>
            <code code="_AdministrationDetectedIssueCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>
                        <p>Represents types of consent that patient must sign prior to receipt of service, which is required for billing purposes.</p>
                        <b>Examples:</b>
                        <p>* Advanced beneficiary medically necessity notice. * Advanced beneficiary agreement to pay notice. * Advanced beneficiary requests payer billed.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22095"/>
            <printName language="en" preferredForLanguage="true" text="AdvanceBeneficiaryNoticeType"/>
            <code code="_AdvanceBeneficiaryNoticeType" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Indicates the class of actions taken with regard to a substance administration related adverse event. This characterization offers a judgment of the practitioner's response to the patient's problem.<b>Examples:</b>Example values include dose withdrawn, dose reduced, dose not changed.<b>NOTE:</b>The concept domain is currently supported by a value set created by the International Conference on Harmonization</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22266"/>
            <printName language="en" preferredForLanguage="true"
                       text="AdverseSubstanceAdministrationEventActionTakenType"/>
            <code code="_AdverseSubstanceAdministrationEventActionTakenType" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20909"/>
            <printName language="en" preferredForLanguage="true" text="AnnotationType"/>
            <code code="_AnnotationType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AdministrationDetectedIssueCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="ALRT" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20910"/>
            <printName language="en" preferredForLanguage="true"
                       text="AppropriatenessDetectedIssueCode"/>
            <code code="_AppropriatenessDetectedIssueCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActAdministrativeDetectedIssueManagementCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="ALRT" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21387"/>
            <printName language="en" preferredForLanguage="true"
                       text="Authorization Issue Management Code"/>
            <code code="_AuthorizationIssueManagementCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Physicians Current Procedural Terminology (CPT) Manual is a listing of descriptive terms and identifying codes for reporting medical services and procedures performed by physicians. Available for the AMA at the address listed for CPT above. These codes are found in Appendix A of CPT 2000 Standard Edition. (CPT 2000 Standard Edition, American Medical Association, Chicago, IL).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22176"/>
            <printName language="en" preferredForLanguage="true" text="CPT4"/>
            <code code="_CPT4" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Physicians Current Procedural Terminology (CPT) Manual is a listing of descriptive terms and identifying codes for reporting medical services and procedures performed by physicians. Available for the AMA at the address listed for CPT above. These codes are found in Appendix A of CPT 2000 Standard Edition. (CPT 2000 Standard Edition, American Medical Association, Chicago, IL).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceDetailClinicalServiceCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActProcedureCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22177"/>
            <printName language="en" preferredForLanguage="true" text="CPT5"/>
            <code code="_CPT5" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Code for the mechanism by which disease was acquired by the living subject involved in the public health case. Includes sexually transmitted, airborne, bloodborne, vectorborne, foodborne, zoonotic, nosocomial, mechanical, dermal, congenital, environmental exposure, indeterminate.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationIssueTriggerCodedObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21908"/>
            <printName language="en" preferredForLanguage="true" text="case transmission mode"/>
            <code code="_CaseTransmissionMode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies types of issues detected regarding the performance of a clinical action on a patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ISSUE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20911"/>
            <printName language="en" preferredForLanguage="true"
                       text="ClinicalActionDetectedIssueCode"/>
            <code code="_ClinicalActionDetectedIssueCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Used in a patient care message to report and query simple clinical (non-lab) observations.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21527"/>
            <printName language="en" preferredForLanguage="true" text="CommonClinicalObservationType"/>
            <code code="_CommonClinicalObservationType" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActAccountCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20912"/>
            <printName language="en" preferredForLanguage="true" text="CreditCard"/>
            <code code="_CreditCard" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>DEA schedule for a drug.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CTLSUB"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20913"/>
            <printName language="en" preferredForLanguage="true" text="DEADrugSchedule"/>
            <code code="_DEADrugSchedule" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed therapy may be contraindicated or ineffective based on an existing or recent drug therapy</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AdministrationDetectedIssueCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20914"/>
            <printName language="en" preferredForLanguage="true" text="DrugActionDetectedIssueCode"/>
            <code code="_DrugActionDetectedIssueCode" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AnnotationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20915"/>
            <printName language="en" preferredForLanguage="true" text="ECGAnnotationType"/>
            <code code="_ECGAnnotationType" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActControlVariable"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20916"/>
            <printName language="en" preferredForLanguage="true" text="ECGControlVariable"/>
            <code code="_ECGControlVariable" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationSequenceType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20917"/>
            <printName language="en" preferredForLanguage="true" text="ECGObservationSequenceType"/>
            <code code="_ECGObservationSequenceType" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationSeriesType"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="OBSSER" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20918"/>
            <printName language="en" preferredForLanguage="true" text="ECGObservationSeriesType"/>
            <code code="_ECGObservationSeriesType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Types of sensitivity policies that may apply to a sensitive attribute on an Entity.</p>
                        <i>Usage Note:</i>EntitySensitivity codes are used to convey a policy that is applicable to sensitive information conveyed by an entity attribute. May be used to bind a Role.confidentialityCode associated with an Entity per organizational policy. Role.confidentialityCode is defined in the RIM as "an indication of the appropriate disclosure of information about this Role with respect to the playing Entity."</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InformationSensitivityPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23351"/>
            <printName language="en" preferredForLanguage="true"
                       text="EntityInformationSensitivityPolicy"/>
            <code code="_EntitySensitivityPolicyType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <conceptProperty name="internalId" value="20919"/>
            <printName language="en" preferredForLanguage="true" text="ExternallyDefinedActCodes"/>
            <code code="_ExternallyDefinedActCodes" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>FDA label data</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20920"/>
            <printName language="en" preferredForLanguage="true" text="FDALabelData"/>
            <code code="_FDALabelData" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>None provided</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="OBS" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22650"/>
            <printName language="en" preferredForLanguage="true" text="GeneticObservationType"/>
            <code code="_GeneticObservationType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Health Care Financing Administration Common Procedural Coding System (HCPCS) Codes are procedure identifying codes. HCPCS is Health Care Finance AdministrationaTMs (HFCA) coding scheme to group procedures performed for payment to providers. contains codes for medical equipment, injectable drugs, transportation services, and other services not found in CPT4.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceDetailClinicalServiceCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActProcedureCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22175"/>
            <printName language="en" preferredForLanguage="true" text="HCPCS"/>
            <code code="_HCPCS" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**External value set for accommodation types used in the U.S. Health Care Financing Administration (HCFA) Common Procedure Coding System (HCPCS) including modifiers.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActEncounterAccommodationCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22152"/>
            <printName language="en" preferredForLanguage="true" text="HCPCSAccommodationCode"/>
            <code code="_HCPCSAccommodationCode" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Accommodation type. In Intent mood, represents the accommodation type requested. In Event mood, represents accommodation assigned/used. In Definition mood, represents the available accommodation type.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActEncounterAccommodationCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="ACCM" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22153"/>
            <printName language="en" preferredForLanguage="true" text="HL7AccommodationCode"/>
            <code code="_HL7AccommodationCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Domain provides the root for HL7-defined detailed or rich codes for the Act classes.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="20921"/>
            <printName language="en" preferredForLanguage="true" text="HL7DefinedActCodes"/>
            <code code="_HL7DefinedActCodes" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The trigger event referenced by the Control Act instance. Values are drawn from the available trigger events used in the release of HL7 identified by the versionCode.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HL7DefinedActCodes"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20922"/>
            <printName language="en" preferredForLanguage="true" text="HL7TriggerEventCode"/>
            <code code="_HL7TriggerEventCode" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**International Classification of Diseases, 10th Revision, Procedure Coding System (ICD-10-PCS) are procedure identifying codes. ICD-10-PCS describes the classification of inpatient procedures for statistical purposes.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceDetailClinicalServiceCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActProcedureCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22173"/>
            <printName language="en" preferredForLanguage="true" text="ICD10PCS"/>
            <code code="_ICD10PCS" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**International Classification of Diseases, 9th Revision, Procedure Coding System (ICD-9-PCS) are procedure identifying codes. ICD-9-PCS describes the classification of inpatient procedures for statistical purposes.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceDetailClinicalServiceCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActProcedureCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22174"/>
            <printName language="en" preferredForLanguage="true" text="ICD9PCS"/>
            <code code="_ICD9PCS" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Observation codes which describe characteristics of the immunization material.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23241"/>
            <printName language="en" preferredForLanguage="true" text="ImmunizationObservationType"/>
            <code code="_ImmunizationObservationType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Includes those concepts that are provided to justify the fact that an adverse event or product problem is required to be reported in an expedited fashion.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22078"/>
            <printName language="en" preferredForLanguage="true"
                       text="IndividualCaseSafetyReportCriteria"/>
            <code code="_IndividualCaseSafetyReportCriteria" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Includes relevant pieces of information about a product or its process of creation. The vocabulary domain is used to characterize products when they are cited in adverse event or product problem reports.<p>**Examples:**Weight, color, dimensions.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22079"/>
            <printName language="en" preferredForLanguage="true"
                       text="IndividualCaseSafetyReportProductCharacteristic"/>
            <code code="_IndividualCaseSafetyReportProductCharacteristic" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A code that is used to indicate the type of case safety report received from sender. The current code example reference is from the International Conference on Harmonisation (ICH) Expert Workgroup guideline on Clinical Safety Data Management: Data Elements for Transmission of Individual Case Safety Reports. The unknown/unavailable option allows the transmission of information from a secondary sender where the initial sender did not specify the type of report.</p>
                        <p>Example concepts include: Spontaneous, Report from study, Other.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21394"/>
            <printName language="en" preferredForLanguage="true"
                       text="Individual Case Safety Report Type"/>
            <code code="_IndividualCaseSafetyReportType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A mandate, obligation, requirement, rule, or expectation characterizing the value or importance of a resource and may include its vulnerability. (Based on ISO7498-2:1989. Note: The vulnerability of personally identifiable sensitive information may be based on concerns that the unauthorized disclosure may result in social stigmatization or discrimination.) Description: Types of Sensitivity policy that apply to Acts or Roles. A sensitivity policy is adopted by an enterprise or group of enterprises (a 'policy domain') through a formal data use agreement that stipulates the value, importance, and vulnerability of information. A sensitivity code representing a sensitivity policy may be associated with criteria such as categories of information or sets of information identifiers (e.g., a value set of clinical codes or branch in a code system hierarchy). These criteria may in turn be used for the Policy Decision Point in a Security Engine. A sensitivity code may be used to set the confidentiality code used on information about Acts and Roles to trigger the security mechanisms required to control how security principals (i.e., a person, a machine, a software application) may act on the information (e.g., collection, access, use, or disclosure). Sensitivity codes are never assigned to the transport or business envelope containing patient specific information being exchanged outside of a policy domain as this would disclose the information intended to be protected by the policy. When sensitive information is exchanged with others outside of a policy domain, the confidentiality code on the transport or business envelope conveys the receiver's responsibilities and indicates the how the information is to be safeguarded without unauthorized disclosure of the sensitive information. This ensures that sensitive information is treated by receivers as the sender intends, accomplishing interoperability without point to point negotiations.</p>
                        <i>Usage Note:</i>Sensitivity codes are not useful for interoperability outside of a policy domain because sensitivity policies are typically localized and vary drastically across policy domains even for the same information category because of differing organizational business rules, security policies, and jurisdictional requirements. For example, an employee's sensitivity code would make little sense for use outside of a policy domain. 'Taboo' would rarely be useful outside of a policy domain unless there are jurisdictional requirements requiring that a provider disclose sensitive information to a patient directly. Sensitivity codes may be more appropriate in a legacy system's Master Files in order to notify those who access a patient's orders and observations about the sensitivity policies that apply. Newer systems may have a security engine that uses a sensitivity policy's criteria directly. The specializable InformationSensitivityPolicy Act.code may be useful in some scenarios if used in combination with a sensitivity identifier and/or Act.title.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActPrivacyPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23329"/>
            <printName language="en" preferredForLanguage="true" text="InformationSensitivityPolicy"/>
            <code code="_InformationSensitivityPolicy" status="active"/>
         </concept>
         <concept isSelectable="false">
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AppropriatenessDetectedIssueCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="ALRT" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20923"/>
            <printName language="en" preferredForLanguage="true" text="InteractionDetectedIssueCode"/>
            <code code="_InteractionDetectedIssueCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Total counts and total net amounts adjudicated for all Invoice Groupings that were adjudicated within a time period based on the adjudication date of the Invoice Grouping.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceElementSummaryCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="INVE" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20924"/>
            <printName language="en" preferredForLanguage="true" text="InvoiceElementAdjudicated"/>
            <code code="_InvoiceElementAdjudicated" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Total counts and total net amounts paid for all Invoice Groupings that were paid within a time period based on the payment date.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceElementSummaryCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="INVE" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20925"/>
            <printName language="en" preferredForLanguage="true" text="InvoiceElementPaid"/>
            <code code="_InvoiceElementPaid" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Total counts and total net amounts billed for all Invoice Groupings that were submitted within a time period. Adjudicated invoice elements are included.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceElementSummaryCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="INVE" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20926"/>
            <printName language="en" preferredForLanguage="true" text="InvoiceElementSubmitted"/>
            <code code="_InvoiceElementSubmitted" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**The set of LOINC codes for the act of determining the period of time that has elapsed since an entity was born or created.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="OBS" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22389"/>
            <printName language="en" preferredForLanguage="true"
                       text="LOINCObservationActContextAgeType"/>
            <code code="_LOINCObservationActContextAgeType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="OBS" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22390"/>
            <printName language="en" preferredForLanguage="true" text="MedicationObservationType"/>
            <code code="_MedicationObservationType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**To allow queries to specify useful information about the age of the patient without disclosing possible protected health information.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22046"/>
            <printName language="en" preferredForLanguage="true" text="ObservationActAgeGroupType"/>
            <code code="_ObservationActAgeGroupType" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Dianostic procedures ordered or performed to evaluate whether a sensitivity to a substance is present. This test may be associated with specimen collection and/or substance administration challenge actiivities.</p>
                        <p>**Example:**Skin tests and eosinophilia evaluations.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21942"/>
            <printName language="en" preferredForLanguage="true" text="observation allergy test"/>
            <code code="_ObservationAllergyTestCode" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates the type of allergy test performed or to be performed. E.g. the specific antibody or skin test performed</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21494"/>
            <printName language="en" preferredForLanguage="true" text="ObservationAllergyTestType"/>
            <code code="_ObservationAllergyTestType" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A kind of observation that allows a Secondary Observation (source act) to assert (at various levels of probability) that the target act of the association (which may be of any type of act) is implicated in the etiology of another observation that is named as the subject of the Secondary Observation</p>
                        <p>**Example:**Causality assertions where an accident is the cause of a symptom; predisposition assertions where the genetic state plus environmental factors are implicated in the development of a disease; reaction assertions where a substance exposure is associated with a finding of wheezing.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21941"/>
            <printName language="en" preferredForLanguage="true"
                       text="observation causality assessment"/>
            <code code="_ObservationCausalityAssessmentType" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>
                        <p>The set of observation type concepts that can be used to express pre-conditions to a particular dosage definition.</p>
                        <p>Rationale: Used to constrain the set of observations to those related to the applicability of a dosage, such as height, weight, age, pregnancy, liver function, kidney function, etc. For example, in drug master-file type records indicating when a specified dose is applicable.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21714"/>
            <printName language="en" preferredForLanguage="true"
                       text="observation dosage definition precondition type"/>
            <code code="_ObservationDosageDefinitionPreconditionType" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22041"/>
            <printName language="en" preferredForLanguage="true"
                       text="ObservationGenomicFamilyHistoryType"/>
            <code code="_ObservationGenomicFamilyHistoryType" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Includes all codes defining types of indications such as diagnosis, symptom and other indications such as contrast agents for lab tests</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21541"/>
            <printName language="en" preferredForLanguage="true" text="ObservationIndicationType"/>
            <code code="_ObservationIndicationType" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Distinguishes the kinds of coded observations that could be the trigger for clinical issue detection. These are observations that are not measurable, but instead can be defined with codes. Coded observation types include: Allergy, Intolerance, Medical Condition, Pregnancy status, etc.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21524"/>
            <printName language="en" preferredForLanguage="true"
                       text="ObservationIssueTriggerCodedObservationType"/>
            <code code="_ObservationIssueTriggerCodedObservationType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Distinguishes between the kinds of measurable observations that could be the trigger for clinical issue detection. Measurable observation types include: Lab Results, Height, Weight.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21525"/>
            <printName language="en" preferredForLanguage="true"
                       text="ObservationIssueTriggerMeasuredObservationType"/>
            <code code="_ObservationIssueTriggerMeasuredObservationType" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Codes used to define various metadata aspects of a health quality measure.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23018"/>
            <printName language="en" preferredForLanguage="true"
                       text="ObservationQualityMeasureAttribute"/>
            <code code="_ObservationQualityMeasureAttribute" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>An observation related to a query response.<p>**Example:**The degree of match or match weight returned by a matching algorithm in a response to a query.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22264"/>
            <printName language="en" preferredForLanguage="true" text="ObservationQueryMatchType"/>
            <code code="_ObservationQueryMatchType" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20928"/>
            <printName language="en" preferredForLanguage="true" text="ObservationSequenceType"/>
            <code code="_ObservationSequenceType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20929"/>
            <printName language="en" preferredForLanguage="true" text="ObservationSeriesType"/>
            <code code="_ObservationSeriesType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the kinds of observations that can be performed</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="OBS" codeSystem="2.16.840.1.113883.5.6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20930"/>
            <printName language="en" preferredForLanguage="true" text="ObservationType"/>
            <code code="_ObservationType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Identifies the type of Vision Prescription Observation that is being described.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22243"/>
            <printName language="en" preferredForLanguage="true"
                       text="ObservationVisionPrescriptionType"/>
            <code code="_ObservationVisionPrescriptionType" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates the type of characteristics a patient should have for a given therapy to be appropriate. E.g. Weight, Age, certain lab values, etc.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21526"/>
            <printName language="en" preferredForLanguage="true"
                       text="PatientCharacteristicObservationType"/>
            <code code="_PatientCharacteristicObservationType" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Reporting codes that are related to an immunization event.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23244"/>
            <printName language="en" preferredForLanguage="true"
                       text="PatientImmunizationRelatedObservationType"/>
            <code code="_PatientImmunizationRelatedObservationType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Observation types for specifying criteria used to assert that a subject is included in a particular population.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23543"/>
            <printName language="en" preferredForLanguage="true"
                       text="PopulationInclusionObservationType"/>
            <code code="_PopulationInclusionObservationType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Types of observations that can be made about Preferences.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23622"/>
            <printName language="en" preferredForLanguage="true" text="_PreferenceObservationType"/>
            <code code="_PreferenceObservationType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Shape of the region on the object being referenced</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="20931"/>
            <printName language="en" preferredForLanguage="true" text="ROIOverlayShape"/>
            <code code="_ROIOverlayShape" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Types of sensitivity policies that apply to Roles.</p>
                        <i>Usage Notes:</i>RoleSensitivity codes are used to bind information to a Role.confidentialityCode per organizational policy. Role.confidentialityCode is defined in the RIM as "an indication of the appropriate disclosure of information about this Role with respect to the playing Entity."</text>
                  </definition>
                  <usageNotes>
                     <text>RoleSensitivity codes are used to bind information to a Role.confidentialityCode per organizational policy.  Role.confidentialityCode is defined in the RIM as "an indication of the appropriate disclosure of information about this Role with respect to the playing Entity."</text>
                  </usageNotes>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InformationSensitivityPolicy"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23346"/>
            <printName language="en" preferredForLanguage="true"
                       text="RoleInformationSensitivityPolicy"/>
            <code code="_RoleInformationSensitivityPolicy" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Types of measurement observations typically performed in a clinical (non-lab) setting. E.g. Height, Weight, Blood-pressure</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21523"/>
            <printName language="en" preferredForLanguage="true"
                       text="SimpleMeasurableClinicalObservationType"/>
            <code code="_SimpleMeasurableClinicalObservationType" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The specific chemical or radiological substance administered or to be administered into the body for therapeutic effect.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HL7DefinedActCodes"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20932"/>
            <printName language="en" preferredForLanguage="true" text="SubstanceAdministrationActCode"/>
            <code code="_SubstanceAdministrationActCode" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supplying the product at this time may be inappropriate or indicate compliance issues with the associated therapy</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActSuppliedItemDetectedIssueCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20933"/>
            <printName language="en" preferredForLanguage="true" text="SupplyDetectedIssueCode"/>
            <code code="_SupplyDetectedIssueCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed therapy may be inappropriate or ineffective based on the proposed start or end time.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AdministrationDetectedIssueCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20934"/>
            <printName language="en" preferredForLanguage="true" text="TimingDetectedIssueCode"/>
            <code code="_TimingDetectedIssueCode" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Code retired in December 2019 and replaced by code HIPAAConsent. Originally entered with copy/paste error in code value.</p>
                        <p>A code representing U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Section 164.522), which stipulates the process by which a covered entity seeks agreement from an individual regarding how it will use and disclose the individual's protected health information for treatment, payment, and health care operations is termed a "consent." The Privacy Rule permits, but does not require, a covered entity to voluntarily obtain patient consent for uses and disclosures of protected health information for treatment, payment, and health care operations. Covered entities that do so have complete discretion to design a process that best suits their needs. From https://www.hhs.gov/hipaa/for-professionals/faq/264/what-is-the-difference-between-consent-and-authorization/index.html. The provisions relating to consent are largely contained in Section 164.522 Rights to request privacy protection for protected health information https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-522.pdf.</p>
                        <i>Usage Note:</i>Used to indicate the legal authority for assigning security labels to governed information. In this case, where collection, access, use, or disclosure of healthcare information is governed by 45 CFR Section 164.522 use "HIPAAConsent" as the security label policy code.<p>Since information governed by a 45 CFR Section 164.522 has a level of confidentiality protection that is more stringent than the normal level of protection under HIPAA 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code "R" (restricted).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActUSPrivacyLaw"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24117"/>
            <printName language="en" preferredForLanguage="true" text="HIPAA Consent"/>
            <code code="a) HIPAAConsent" status="retired"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="ActExposureLevelCode" title="ActExposureLevelCode"
               codeSystemId="2.16.840.1.113883.5.1114">
      <historyItem dateTime="2020-05-06" id="v3-ActExposureLevelCode-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A qualitative measure of the degree of exposure to the causative agent. This includes concepts such as "low", "medium" and "high". This quantifies how the quantity that was available to be administered to the target differs from typical or background levels of the substance.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Exposure to an agent at a relatively high level above background.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActExposureLevelCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22373"/>
            <printName language="en" preferredForLanguage="true" text="high"/>
            <code code="HIGH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Exposure to an agent at a relatively low level above background.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActExposureLevelCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22374"/>
            <printName language="en" preferredForLanguage="true" text="low"/>
            <code code="LOW" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Exposure to an agent at a relatively moderate level above background.A</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActExposureLevelCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22375"/>
            <printName language="en" preferredForLanguage="true" text="medium"/>
            <code code="MEDIUM" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A qualitative measure of the degree of exposure to the causative agent. This includes concepts such as "low", "medium" and "high". This quantifies how the quantity that was available to be administered to the target differs from typical or background levels of the substance.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22372"/>
            <printName language="en" preferredForLanguage="true" text="ActExposureLevelCode"/>
            <code code="_ActExposureLevelCode" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="ActInvoiceElementModifier" title="ActInvoiceElementModifier"
               codeSystemId="2.16.840.1.113883.5.1051">
      <historyItem dateTime="2020-05-06" id="v3-ActInvoiceElementModifier-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Processing consideration and clarification codes.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Electronic form with supporting information to follow.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="17706"/>
            <printName language="en" preferredForLanguage="true" text="Electronic Form To Follow"/>
            <code code="EFORM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Fax with supporting information to follow.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="17707"/>
            <printName language="en" preferredForLanguage="true" text="Fax To Follow"/>
            <code code="FAX" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Represents the last invoice from the perspective of the provider.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="17708"/>
            <printName language="en" preferredForLanguage="true" text="Last Invoice"/>
            <code code="LINV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Paper documentation (or other physical format) with supporting information to follow.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="17705"/>
            <printName language="en" preferredForLanguage="true" text="Paper Documentation To Follow"/>
            <code code="PAPER" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="ActMood" title="ActMood" codeSystemId="2.16.840.1.113883.5.1001">
      <historyItem dateTime="2020-05-06" id="v3-ActMood-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>OpenIssue: In Ballot 2009May, a strong Negative vote was lodged against several of the concept definitions in the vocabulary used for Act.moodCode. The vote was found "Persuasive With Mod", with the understanding that M and M would undertake a detailed review of these concept definitions for a future release of the RIM.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2023-05-30" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>A property that indicates the status of the concept. One of active, experimental, deprecated, or retired.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="Name:Class" type="Token" isMandatoryIndicator="false">
            <description>The formal name for the class clone under this code</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="synonymCode" type="Token" isMandatoryIndicator="false">
            <description>An additional concept code that was also attributed to a concept</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>An act that has been scheduled to be performed at a specific place and time.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PRMS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11626"/>
            <conceptProperty name="Name:Class" value="Appointment"/>
            <printName language="en" preferredForLanguage="true" text="appointment"/>
            <code code="APT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A request act that is specialized for the appointment scheduling request/fulfillment cycle. An appointment request is fulfilled only and completely by an appointment (APT), i.e., all that the appointment request intends is to create an appointment *(the actual act may well not happen if that is the professional decision during the appointment)*.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActMoodActRequest"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11625"/>
            <conceptProperty name="Name:Class" value="AppointmentRequest"/>
            <printName language="en" preferredForLanguage="true" text="appointment request"/>
            <code code="ARQ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Deprecation Comment:</b>This concept This codes should no longer be used. Instead, set attribute Act.isCriterionInd to "true" and use the desired mood for your criterion.<b>Definition:</b>A condition that must be true for the source act to be considered.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActMoodPredicate"/>
            </conceptRelationship>
            <conceptProperty name="deprecationDate" value="2010-07-12"/>
            <conceptProperty name="internalId" value="22042"/>
            <conceptProperty name="Name:Class" value="Criterion"/>
            <printName language="en" preferredForLanguage="true" text="criterion"/>
            <code code="CRT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A definition of a kind of act that can occur .<b>OpenIssue:</b>The semantic constructs embodied in DEF and CRT moods seem indistinguishable, and their uses can readily be determined by the context in which these are used. Therefore, this OpenIssue has been created to declare that it is likely that ActMood.DEF will be "retired" in the future in favor of the more general ActMood.CRT.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActMoodPotential"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10198"/>
            <conceptProperty name="Name:Class" value="Definition"/>
            <printName language="en" preferredForLanguage="true" text="definition"/>
            <code code="DEF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>An act that actually happens (may be an ongoing act or a documentation of a past act).</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActMoodCompletionTrack"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10201"/>
            <conceptProperty name="Name:Class" value="Event"/>
            <printName language="en" preferredForLanguage="true" text="event (occurrence)"/>
            <code code="EVN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Deprecation Comment:</b>This concept This codes should no longer be used. Instead, set attribute Act.isCriterionInd to "true" and use the desired mood for your criterion.<b>Definition:</b>A criterion (CRT) that has\_match = an event (EVN).</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CRT"/>
            </conceptRelationship>
            <conceptProperty name="deprecationDate" value="2010-07-12"/>
            <conceptProperty name="internalId" value="10203"/>
            <conceptProperty name="Name:Class" value="EventCriterion"/>
            <printName language="en" preferredForLanguage="true" text="event criterion"/>
            <code code="EVN.CRT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>An act that is considered to have some noteworthy likelihood of occurring in the future (has\_match = event).<p>**Examples:**Prognosis of a condition, Expected date of discharge from hospital, patient will likely need an emergency decompression of the intracranial pressure by morning.</p>
                        <p>**UsageNotes:**INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with expectation, which is a prediction that something will happen in the future. GOL (goal) reflects a hope rather than a prediction. RSK (risk) reflects a potential negative event that may or may not be expected to happen.</p>
                     </text>
                  </definition>
                  <usageNotes>
                     <text>INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with expectation, which is a prediction that something will happen in the future. GOL (goal) reflects a hope rather than a prediction. RSK (risk) reflects a potential negative event that may or may not be expected to happen.</text>
                  </usageNotes>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActMoodPredicate"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21574"/>
            <conceptProperty name="Name:Class" value="Expectation"/>
            <printName language="en" preferredForLanguage="true" text="expectation"/>
            <code code="EXPEC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>An expectation that is considered to be desirable to occur in the future<p>**Examples:**Target weight below 80Kg, Stop smoking, Regain ability to walk, goal is to administer thrombolytics to candidate patients presenting with acute myocardial infarction.</p>
                        <b>UsageNotes:</b>INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with goal which doesn't represent an intention to act, merely a hope for an eventual result. A goal is distinct from the intended actions to reach that goal. "I will reduce the dose of drug x to 20mg" is an intent. "I hope to be able to get the patient to the point where I can reduce the dose of drug x to 20mg" is a goal. EXPEC (expectation) reflects a prediction rather than a hope. RSK (risk) reflects a potential negative event rather than a hope.</text>
                  </definition>
                  <usageNotes>
                     <text>INT (intent) reflects a plan for the future, which is a declaration to do something.  This contrasts with goal which doesn't represent an intention to act, merely a hope for an eventual result.  A goal is distinct from the intended actions to reach that goal.  "I will reduce the dose of drug x to 20mg" is an intent.  "I hope to be able to get the patient to the point where I can reduce the dose of drug x to 20mg" is a goal. EXPEC (expectation) reflects a prediction rather than a hope. RSK (risk) reflects a potential negative event rather than a hope.</text>
                  </usageNotes>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="EXPEC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18864"/>
            <conceptProperty name="Name:Class" value="Goal"/>
            <printName language="en" preferredForLanguage="true" text="Goal"/>
            <code code="GOL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A criterion expressed over goals (ActMood.GOL).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CRT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23057"/>
            <printName language="en" preferredForLanguage="true" text="goal criterion"/>
            <code code="GOL.CRT" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>An intention or plan for an act.<b>&gt;UsageNotes:</b>The final outcome of the intent, the act that is intended to occur, is always an event. However the final outcome may be reached indirectly via steps through other intents, such as promise, permission request, or an appointment that may lead to an actual event to occur. Alternatively, the intended act may never occur.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActMoodCompletionTrack"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10199"/>
            <conceptProperty name="Name:Class" value="Intent"/>
            <printName language="en" preferredForLanguage="true" text="intent"/>
            <code code="INT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A criterion expressed over intents (ActMood.INT).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CRT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23054"/>
            <printName language="en" preferredForLanguage="true" text="intent criterion"/>
            <code code="INT.CRT" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>One of a set of acts that specify an option for the property values that the parent act may have. Typically used in definitions or orders to describe alternatives. An option can only be used as a group, that is, all assigned values must be used together. The actual mood of the act is the same as the parent act, and they must be linked by an actrelationship with type = OPTN.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActMoodPredicate"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10204"/>
            <conceptProperty name="Name:Class" value="Option"/>
            <printName language="en" preferredForLanguage="true" text="option"/>
            <code code="OPT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A request act that is specialized for an event request/fulfillment cycle.<b>UsageNotes:</b>The fulfillment cycle may involve intermediary fulfilling acts in moods such as PRMS, APT, or even another RQO before being fulfilled by the final event.<b>UsageNotes:</b>The concepts of a "request" and an "order" are viewed as different, because there is an implication of a mandate associated with order. In practice, however, this distinction has no general functional value in the inter-operation of health care computing. "Orders" are commonly refused for a variety of clinical and business reasons, and the notion of a "request" obligates the recipient (the fulfiller) to respond to the sender (the author). Indeed, in many regions, including Australia and Europe, the common term used is "request."<p>Thus, the concept embodies both notions, as there is no useful distinction to be made. If a mandate is to be associated with a request, this will be embodied in the "local" business rules applied to the transactions. Should HL7 desire to provide a distinction between these in the future, the individual concepts could be added as specializations of this concept.</p>
                        <p>The critical distinction here, is the difference between this concept and an "intent", of which it is a specialization. An intent involves decisions by a single party, the author. A request, however, involves decisions by two parties, the author and the fulfiller, with an obligation on the part of the fulfiller to respond to the request indicating that the fulfiller will indeed fulfill the request.</p>
                     </text>
                  </definition>
                  <usageNotes>
                     <text>The concepts of a "request" and an "order" are viewed as different, because there is an implication of a mandate associated with order.  In practice, however, this distinction has no general functional value in the inter-operation of health care computing.  "Orders" are commonly refused for a variety of clinical and business reasons, and the notion of a "request" obligates the recipient (the fulfiller) to respond to the sender (the author).  Indeed, in many regions, including Australia and Europe, the common term used is "request." Thus, the concept embodies both notions, as there is no useful distinction to be made.  If a mandate is to be associated with a request, this will be embodied in the "local" business rules applied to the transactions.  Should HL7 desire to provide a distinction between these in the future, the individual concepts could be added as specializations of this concept. The critical distinction here, is the difference between this concept and an "intent", of which it is a specialization.  An intent involves decisions by a single party, the author.  A request, however, involves decisions by two parties, the author and the fulfiller, with an obligation on the part of the fulfiller to respond to the request indicating that the fulfiller will indeed fulfill the request.</text>
                  </usageNotes>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActMoodActRequest"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19973"/>
            <conceptProperty name="Name:Class" value="Request"/>
            <printName language="en" preferredForLanguage="true" text="request"/>
            <code code="ORD" status="retired"/>
            <code code="RQO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A kind of act that defines a permission that has been granted.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActMoodPotential"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21381"/>
            <conceptProperty name="Name:Class" value="Permission"/>
            <printName language="en" preferredForLanguage="true" text="permission"/>
            <code code="PERM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A request for a permission to perform the act. Typically a payer (or possibly a supervisor) is being requested to give permission to perform the act. As opposed to the RQO, the requestee is not asked to perform or cause to perform the act but only to give the permission.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActMoodActRequest"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21382"/>
            <conceptProperty name="Name:Class" value="PermissionRequest"/>
            <printName language="en" preferredForLanguage="true" text="permission request"/>
            <code code="PERMRQ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A commitment to perform an act (may be either solicited or unsolicited). The committer becomes responsible to the other party for executing the act, and, as a consequence, the other party may rely on the first party to perform or cause to perform the act.<b>UsageNotes:</b>Commitments may be retracted or cancelled.</text>
                  </definition>
                  <usageNotes>
                     <text>Commitments may be retracted or cancelled.</text>
                  </usageNotes>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16728"/>
            <conceptProperty name="Name:Class" value="Promise"/>
            <printName language="en" preferredForLanguage="true" text="promise"/>
            <code code="PRMS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A criterion expressed over promises (ActMood.PRMS).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INT.CRT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23056"/>
            <printName language="en" preferredForLanguage="true" text="promise criterion"/>
            <code code="PRMS.CRT" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A suggestion that an act might be performed. Not an explicit request, and professional responsibility may or may not be present.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActMoodDesire"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16726"/>
            <conceptProperty name="Name:Class" value="Proposal"/>
            <printName language="en" preferredForLanguage="true" text="proposal"/>
            <code code="PRP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A suggestion that an act should be performed with an acceptance of some degree of professional responsibility for the resulting act. Not an explicit request. .<b>UsageNotes:</b>Where there is no clear definition or applicable concept of "professional responsibility", RMD becomes indistinguishable from PRP. .</text>
                  </definition>
                  <usageNotes>
                     <text>Where there is no clear definition or applicable concept of "professional responsibility", RMD becomes indistinguishable from PRP. .</text>
                  </usageNotes>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PRP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21571"/>
            <conceptProperty name="Name:Class" value="Recommendation"/>
            <printName language="en" preferredForLanguage="true" text="recommendation"/>
            <code code="RMD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A criterion expressed over requests or orders (ActMood.RQO).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INT.CRT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23055"/>
            <printName language="en" preferredForLanguage="true" text="request criterion"/>
            <code code="RQO.CRT" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**An act that may occur in the future and which is regarded as undesirable</p>
                        <p>**Examples:**Increased risk of DVT, at risk for sub-acute bacterial endocarditis.</p>
                        <p>**UsageNotes:**Note: An observation in RSK mood expresses the undesirable act, and not the underlying risk factor. A risk factor that is present (e.g. obesity, smoking, etc) should be expressed in event mood. INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with RSK (risk), which is the potential that something negative will occur that may or may not ever happen. GOL (goal) reflects a hope to achieve something. EXPEC (expectation) is the prediction of a positive or negative event. This contrasts with RSK (risk), which is the potential that something negative will occur that may or may not ever happen, and may not be expected to happen.</p>
                     </text>
                  </definition>
                  <usageNotes>
                     <text>Note: An observation in RSK mood expresses the undesirable act, and not the underlying risk factor. A risk factor that is present (e.g. obesity, smoking, etc) should be expressed in event mood. INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with RSK (risk), which is the potential that something negative will occur that may or may not ever happen. GOL (goal) reflects a hope to achieve something. EXPEC (expectation) is the prediction of a positive or negative event. This contrasts with RSK (risk), which is the potential that something negative will occur that may or may not ever happen, and may not be expected to happen.</text>
                  </usageNotes>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="EXPEC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21575"/>
            <conceptProperty name="Name:Class" value="Risk"/>
            <printName language="en" preferredForLanguage="true" text="risk"/>
            <code code="RSK" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A criterion expressed over risks (ActMood.RSK).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CRT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23058"/>
            <printName language="en" preferredForLanguage="true" text="risk criterion"/>
            <code code="RSK.CRT" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A kind of act that may occur during the specified time period.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActMoodPotential"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19168"/>
            <conceptProperty name="Name:Class" value="ResourceSlot"/>
            <printName language="en" preferredForLanguage="true" text="resource slot"/>
            <code code="SLOT" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A request (or order) for an act that is part of a defined request/fulfillment cycle.<b>UsageNotes:</b>Use of an HL7 defined request/fulfillment framework is not required to use this mood code.</text>
                  </definition>
                  <usageNotes>
                     <text>Use of an HL7 defined request/fulfillment framework is not required to use this mood code.</text>
                  </usageNotes>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActMoodDesire"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23089"/>
            <conceptProperty name="Name:Class" value="ActRequest"/>
            <printName language="en" preferredForLanguage="true" text="act request"/>
            <code code="_ActMoodActRequest" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>These are moods describing activities as they progress in the business cycle, from defined, through planned and ordered to completed.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="20935"/>
            <conceptProperty name="Name:Class" value="Process"/>
            <printName language="en" preferredForLanguage="true" text="ActMoodCompletionTrack"/>
            <code code="_ActMoodCompletionTrack" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A desire to have an act occur.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23088"/>
            <conceptProperty name="Name:Class" value="Desire"/>
            <printName language="en" preferredForLanguage="true" text="desire"/>
            <code code="_ActMoodDesire" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A possible act.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActMoodCompletionTrack"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23087"/>
            <conceptProperty name="Name:Class" value="Potential"/>
            <printName language="en" preferredForLanguage="true" text="potential"/>
            <code code="_ActMoodPotential" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>An act that expresses condition statements for other acts.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="20936"/>
            <conceptProperty name="Name:Class" value="Predicate"/>
            <printName language="en" preferredForLanguage="true" text="ActMoodPredicate"/>
            <code code="_ActMoodPredicate" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="ActPriority" title="ActPriority" codeSystemId="2.16.840.1.113883.5.7">
      <historyItem dateTime="2020-05-06" id="v3-ActPriority-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A set of codes (e.g., for routine, emergency), specifying the urgency under which the Act happened, can happen, is happening, is intended to happen, or is requested/demanded to happen.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>As soon as possible, next highest priority after stat.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="16868"/>
            <printName language="en" preferredForLanguage="true" text="ASAP"/>
            <code code="A" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Filler should contact the placer as soon as results are available, even for preliminary results. (Was "C" in HL7 version 2.3's reporting priority.)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="16876"/>
            <printName language="en" preferredForLanguage="true" text="callback results"/>
            <code code="CR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Filler should contact the placer (or target) to schedule the service. (Was "C" in HL7 version 2.3's TQ-priority component.)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="16871"/>
            <printName language="en" preferredForLanguage="true" text="callback for scheduling"/>
            <code code="CS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Filler should contact the placer to schedule the service. (Was "C" in HL7 version 2.3's TQ-priority component.)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16872"/>
            <printName language="en" preferredForLanguage="true" text="callback placer for scheduling"/>
            <code code="CSP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Filler should contact the service recipient (target) to schedule the service. (Was "C" in HL7 version 2.3's TQ-priority component.)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16873"/>
            <printName language="en" preferredForLanguage="true"
                       text="contact recipient for scheduling"/>
            <code code="CSR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Beneficial to the patient but not essential for survival.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="12239"/>
            <printName language="en" preferredForLanguage="true" text="elective"/>
            <code code="EL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An unforeseen combination of circumstances or the resulting state that calls for immediate action.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="12241"/>
            <printName language="en" preferredForLanguage="true" text="emergency"/>
            <code code="EM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Used to indicate that a service is to be performed prior to a scheduled surgery. When ordering a service and using the pre-op priority, a check is done to see the amount of time that must be allowed for performance of the service. When the order is placed, a message can be generated indicating the time needed for the service so that it is not ordered in conflict with a scheduled operation.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="16870"/>
            <printName language="en" preferredForLanguage="true" text="preop"/>
            <code code="P" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An "as needed" order should be accompanied by a description of what constitutes a need. This description is represented by an observation service predicate as a precondition.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="16875"/>
            <printName language="en" preferredForLanguage="true" text="as needed"/>
            <code code="PRN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Routine service, do at usual work hours.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="16869"/>
            <printName language="en" preferredForLanguage="true" text="routine"/>
            <code code="R" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A report should be prepared and sent as quickly as possible.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="16877"/>
            <printName language="en" preferredForLanguage="true" text="rush reporting"/>
            <code code="RR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>With highest priority (e.g., emergency).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="16867"/>
            <printName language="en" preferredForLanguage="true" text="stat"/>
            <code code="S" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>It is critical to come as close as possible to the requested time (e.g., for a through antimicrobial level).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="16874"/>
            <printName language="en" preferredForLanguage="true" text="timing critical"/>
            <code code="T" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Drug is to be used as directed by the prescriber.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="20843"/>
            <printName language="en" preferredForLanguage="true" text="use as directed"/>
            <code code="UD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Calls for prompt action.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="12240"/>
            <printName language="en" preferredForLanguage="true" text="urgent"/>
            <code code="UR" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="ActReason" title="ActReason" codeSystemId="2.16.840.1.113883.5.8">
      <historyItem dateTime="2020-05-06" id="v3-ActReason-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A set of codes specifying the motivation, cause, or rationale of an Act, when such rationale is not reasonably represented as an ActRelationship of type "has reason" linking to another Act.</p>
                  <i>Examples:</i>Example reasons that might qualify for being coded in this field might be: "routine requirement", "infectious disease reporting requirement", "on patient request", "required by law".</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2023-05-30" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired..</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Operational activities conducted for the purposes of meeting of criteria defined by an accrediting entity for an activity, product, or service</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OPERAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22704"/>
            <printName language="en" preferredForLanguage="true" text="accreditation"/>
            <code code="ACCRED" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Accommodation requested is not available.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActAccommodationReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17429"/>
            <printName language="en" preferredForLanguage="true"
                       text="Accommodation Requested Not Available"/>
            <code code="ACCREQNA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Order was created with incorrect data and is changed to reflect the intended accuracy of the order.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ModifyPrescriptionReasonType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23635"/>
            <printName language="en" preferredForLanguage="true" text="administrative error in order"/>
            <code code="ADMINERROR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>To evaluate for service authorization, payment, reporting, or performance/outcome measures.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PatientProfileQueryReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22221"/>
            <printName language="en" preferredForLanguage="true" text="administrative review"/>
            <code code="ADMREV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Storage conditions caused the substance to be ineffective.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvalidReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23238"/>
            <printName language="en" preferredForLanguage="true" text="adverse storage condition"/>
            <code code="ADVSTORAGE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person becomes eligible for a program based on age.</p>
                        <i>Example:</i>In the U.S., a person who is 65 years of age or older is eligible for Medicare.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoverageEligibilityReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21565"/>
            <printName language="en" preferredForLanguage="true" text="age eligibility"/>
            <code code="AGE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Patient has had a prior allergic intolerance response to alternate product or one of its components.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SubstanceAdminSubstitutionNotAllowedReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22259"/>
            <printName language="en" preferredForLanguage="true" text="allergy intolerance"/>
            <code code="ALGINT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**Patient has already been given a new (renewal) prescription.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PharmacySupplyRequestRenewalRefusalReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21732"/>
            <printName language="en" preferredForLanguage="true" text="new prescription exists"/>
            <code code="ALREADYRX" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**This therapy has been ordered as a backup to a preferred therapy. This order will be released when and if the preferred therapy is unsuccessful.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CombinedPharmacyOrderSuspendReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21691"/>
            <printName language="en" preferredForLanguage="true" text="try another treatment first"/>
            <code code="ALTCHOICE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The decision on which the recorded information was based was changed before the decision had an effect.</p>
                        <p>**Example:**Aborted prescription before patient left office, released prescription before suspend took effect.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ControlActNullificationReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22024"/>
            <printName language="en" preferredForLanguage="true" text="altered decision"/>
            <code code="ALTD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge. Use of the data must be related to specified biomedical basic or applied research. For example, research on rare plants to determine whether biologic properties may be useful for pharmaceutical development. May be used in combination with clinical trial and other healthcare research purposes of use.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HRESCH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23864"/>
            <printName language="en" preferredForLanguage="true" text="biomedical research"/>
            <code code="BIORCH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The time slots previously allocated are now blocked and no longer available for booking Appointments</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SchedulingActReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14885"/>
            <printName language="en" preferredForLanguage="true" text="Unexpected Block (of Schedule)"/>
            <code code="BLK" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="17436"/>
            <code code="BONUS" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform policy override operations on information for provision of immediately needed health care for an emergent condition affecting potential harm, death or patient safety by end users who are not provisioned for this purpose of use. Includes override of organizational provisioning policies and may include override of subject of care consent directive restricting access.</p>
                        <i>Map:</i>Partially Maps to ISO 14265 Classification Term "Emergency care provision to an individual subject of care" described as "To inform persons needing to provide health care services to the subject of care urgently, possibly needing to over-ride the policies and consents pertaining to Purpose 1 above." Purpose 1 is equivalent to HL7 treatment purpose of use: "Clinical care provision to an individual subject of care" described as "To inform persons or processes responsible for providing health care services to the subject of care." The ISO description conflates both of the proposed specializations of HL7 ETREAT: break the glass and the typically broader access to health information normally available to providers who are provisioned for emergency workflows on a regular basis, e.g., Emergency Room providers. Examples of greater access than is normally accessible by providers based on the need to know are access to sensitive information for which access typically requires a patient's consent. This is not an override of a patient's dissent to disclose sensitive information in cases where the applicable policy waives the need for that consent to access this information. In US, Title 38 Section 7332 and 42 CFR Part 2 both permit emergency access without the need to override a patient's consent directive; rather, this access is a limitation to the patient's right to dissent from disclosure.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ETREAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23924"/>
            <printName language="en" preferredForLanguage="true" text="break the glass"/>
            <code code="BTG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform analytics, evaluation and other secondary uses of treatment and healthcare related information to manage the quality, efficacy, patient safety, population health, and cost effectiveness of healthcare delivery. Explicitly excludes the use of information to organize the delivery of health care for care coordination and case management, or to provide healthcare treatment.</p>
                        <i>Usage Note:</i>The concept of care management is narrower than the list of activities related to more general organizational objectives such as provider profiling, education of healthcare and non-healthcare professionals; insurance underwriting, premium rating, reinsurance; organizational legal, medical review, auditing, compliance and fraud and abuse detection; business planning, development, and restructuring; fund-raising; and customer service.<i>Map:</i>Maps to ISO 14265 Classification Term "Health service management and quality assurance" described as "To inform persons or processes responsible for determining the availability, quality, safety, equity and cost-effectiveness of health care services."<p>There is a semantic gap in concepts. This classification term is described as activities, i.e., "to inform persons" or "to inform processes" rather than the rationale for performing actions/operations on information related to the activity.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HOPERAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22683"/>
            <printName language="en" preferredForLanguage="true" text="care management"/>
            <code code="CAREMGT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The level of coverage under the policy or program is available only to children</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22082"/>
            <printName language="en" preferredForLanguage="true" text="Children only"/>
            <code code="CHD" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Information has changed since the record was created.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_GenericUpdateReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21673"/>
            <printName language="en" preferredForLanguage="true" text="information change"/>
            <code code="CHGDATA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Clarification is required before the order can be acted upon.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CombinedPharmacyOrderSuspendReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21689"/>
            <printName language="en" preferredForLanguage="true"
                       text="prescription requires clarification"/>
            <code code="CLARIF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Order is changed based on a clinical reason.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ModifyPrescriptionReasonType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23636"/>
            <printName language="en" preferredForLanguage="true" text="clinical modification"/>
            <code code="CLINMOD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information for conducting scientific investigations in accordance with clinical trial protocols to obtain health care knowledge.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HRESCH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23424"/>
            <printName language="en" preferredForLanguage="true" text="clinical trial research"/>
            <code code="CLINTRCH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information for conducting scientific investigations in accordance with clinical trial protocols to obtain health care knowledge without provision of patient care. May be post-coordinated or used with other purposes of use such as disease, discipline, specialty, population origins or ancestry, translational healthcare research. For example, a clinical trial conducted on laboratory specimens collected from a specified patient population.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CLINTRCH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23868"/>
            <printName language="en" preferredForLanguage="true"
                       text="clinical trial research without patient care"/>
            <code code="CLINTRCHNPC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information for conducting scientific investigations with patient care in accordance with clinical trial protocols to obtain health care knowledge. May be post-coordinated or used with other purposes of use such as disease, discipline, specialty, population origins or ancestry, translational healthcare research. For example, an "off-label" drug used for cancer therapy administer to a specified patient population.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CLINTRCH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23869"/>
            <printName language="en" preferredForLanguage="true"
                       text="clinical trial research with patient care"/>
            <code code="CLINTRCHPC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform health care as part of the clinical trial protocol.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TREAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22684"/>
            <printName language="en" preferredForLanguage="true" text="clinical trial"/>
            <code code="CLINTRL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information for provision of additional clinical evidence in support of a request for coverage or payment for health services.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HPAYMT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23421"/>
            <printName language="en" preferredForLanguage="true" text="claim attachment"/>
            <code code="CLMATTCH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more actions on information in order to organize the provision and case management of an individual's healthcare, including: Monitoring a person's goals, needs, and preferences; acting as the communication link between two or more participants concerned with a person's health and wellness; organizing and facilitating care activities and promoting self-management by advocating for, empowering, and educating a person; and ensuring safe, appropriate, non-duplicative, and effective integrated care.</p>
                        <i>Usage Note:</i>Use when describing these functions: 1. Monitoring a person's goals, needs, and preferences. 2. Acting as the communication link between two or more participants concerned with a person's health and wellness. 3. Organizing and facilitating care activities and promoting self-management by advocating for, empowering, and educating a person. 4. Ensuring safe, appropriate, non-duplicative, and effective integrated care.<p>The goal is to clearly differentiate this type of coordination of care from HIPAA Operations by specifying that these actions on information are undertaken in the provision of healthcare treatment.</p>
                        <p>For similar uses of this concept, see SAMHSA Confidentiality of Substance Use Disorder Patient Records Supplemental notice of proposed rulemaking, which differentiates concepts of care coordination and case management for the provision of treatment as specifically distinct from activities related to health care delivery management and the operations of organizational entities involved in the delivery of healthcare.</p>
                        <i>Map:</i>Maps to ISO 14265 Classification Terms: "Support of care activities within the provider organisation for an individual subject of care" described as "To inform persons or processes enabling others to provide health care services to the subject of care." "Subject of Care Uses" described as "To inform the subject of care in support of his or her own interests."</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TREAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23927"/>
            <printName language="en" preferredForLanguage="true" text="coordination of care"/>
            <code code="COC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Cold chain was not maintained for the substance.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ADVSTORAGE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23239"/>
            <printName language="en" preferredForLanguage="true" text="cold chain break"/>
            <code code="COLDCHNBRK" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Patient has compliance issues with medication such as differing appearance, flavor, size, shape or consistency.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SubstanceAdminSubstitutionNotAllowedReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22260"/>
            <printName language="en" preferredForLanguage="true" text="compliance concern"/>
            <code code="COMPCON" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Operational activities required to meet a mandate related to an activity, product, or service</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OPERAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22702"/>
            <printName language="en" preferredForLanguage="true" text="compliance"/>
            <code code="COMPL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**Contraindication identified</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PharmacySupplyEventAbortReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22855"/>
            <printName language="en" preferredForLanguage="true" text="contraindication"/>
            <code code="CONTRA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information for conducting prior authorization or predetermination of coverage for services.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HPAYMT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23422"/>
            <printName language="en" preferredForLanguage="true" text="coverage authorization"/>
            <code code="COVAUTH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information for conducting activities related to coverage under a program or policy.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HPAYMT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23456"/>
            <printName language="en" preferredForLanguage="true"
                       text="coverage under policy or program"/>
            <code code="COVERAGE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>When a client has no contact with the health system for an extended period, coverage is suspended. Client will be reinstated to original start date upon proof of identification, residency etc.</p>
                        <p>Example: Coverage may be suspended during a strike situation, when employer benefits for employees are not covered (i.e. not in effect).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActIneligibilityReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19731"/>
            <printName language="en" preferredForLanguage="true" text="coverage suspended"/>
            <code code="COVSUS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person becomes eligible for insurance or a program because of crime related health condition or injury.</p>
                        <i>Example:</i>A person is a claimant under the U.S. Crime Victims Compensation program.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoverageEligibilityReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21558"/>
            <printName language="en" preferredForLanguage="true" text="crime victim"/>
            <code code="CRIME" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates that the decision to substitute or to not substitute was driven by a desire to maintain consistency with a pre-existing therapy. I.e. The performer provided the same item/service as had been previously provided rather than providing exactly what was ordered, or rather than substituting with a lower-cost equivalent.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SubstanceAdminSubstitutionReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19989"/>
            <printName language="en" preferredForLanguage="true" text="continuing therapy"/>
            <code code="CT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The Patient is deceased</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SchedulingActReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14884"/>
            <printName language="en" preferredForLanguage="true" text="Patient Deceased"/>
            <code code="DEC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Client deceased.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActIneligibilityReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19729"/>
            <printName language="en" preferredForLanguage="true" text="deceased"/>
            <code code="DECSD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The level of coverage under the policy or program is available only to a subscriber's dependents.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22083"/>
            <printName language="en" preferredForLanguage="true" text="Dependents only"/>
            <code code="DEP" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person becomes a claimant under a disability income insurance policy or a disability rehabilitation program because of a health condition or injury which limits the person's ability to earn an income or function without institutionalization.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoverageEligibilityReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21560"/>
            <printName language="en" preferredForLanguage="true" text="disability"/>
            <code code="DIS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information used for provision of immediately needed health care to a population of living subjects located in a disaster zone.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PUBHLTH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23410"/>
            <printName language="en" preferredForLanguage="true" text="disaster"/>
            <code code="DISASTER" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The medication is no longer being manufactured or is otherwise no longer available.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MedicationOrderAbortReasonCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PharmacySupplyRequestRenewalRefusalReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21706"/>
            <printName language="en" preferredForLanguage="true" text="product discontinued"/>
            <code code="DISCONT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information used for cadaveric organ, eye or tissue donation.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HOPERAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23412"/>
            <printName language="en" preferredForLanguage="true" text="donation"/>
            <code code="DONAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The medication is being re-prescribed at a different dosage.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="REPLACE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21705"/>
            <printName language="en" preferredForLanguage="true" text="change in medication/dose"/>
            <code code="DOSECHG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The current level of the medication in the patient's system is too high. The medication is suspended to allow the level to subside to a safer level.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CombinedPharmacyOrderSuspendReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21694"/>
            <printName language="en" preferredForLanguage="true" text="drug level too high"/>
            <code code="DRUGHIGH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge. Use of the data must be related to specified conditions, diagnosis, or disease healthcare research. For example, conducting cancer research by testing reaction of tumor cells to certain biologics. May be used in combination with clinical trial and other healthcare research purposes of use.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HRESCH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23865"/>
            <printName language="en" preferredForLanguage="true"
                       text="disease specific healthcare research"/>
            <code code="DSRCH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The level of coverage under the policy or program is available to an employee and his or her children.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22084"/>
            <printName language="en" preferredForLanguage="true" text="Employee and children"/>
            <code code="ECH" status="retired"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="17438"/>
            <code code="EDU" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The information was recorded incorrectly or was recorded in the wrong record.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ControlActNullificationReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22023"/>
            <printName language="en" preferredForLanguage="true" text="entered in error"/>
            <code code="EIE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information used for conducting eligibility determination for coverage in a program or policy. May entail review of financial status or disability assessment.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="COVERAGE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23420"/>
            <printName language="en" preferredForLanguage="true" text="eligibility determination"/>
            <code code="ELIGDTRM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information used for conducting eligibility verification of coverage in a program or policy. May entail provider contacting coverage source (e.g., government health program such as workers compensation or health plan) for confirmation of enrollment, eligibility for specific services, and any applicable copays.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="COVERAGE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23457"/>
            <printName language="en" preferredForLanguage="true" text="eligibility verification"/>
            <code code="ELIGVER" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The level of coverage under the policy or program is available only to an employee.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22085"/>
            <printName language="en" preferredForLanguage="true" text="Employee only"/>
            <code code="EMP" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person becomes eligible for insurance provided as an employment benefit based on employment status.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoverageEligibilityReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21556"/>
            <printName language="en" preferredForLanguage="true" text="employment benefit"/>
            <code code="EMPLOY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Operational activities conducted to administer information relating to entities involves with an activity, product, or service</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OPERAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22705"/>
            <printName language="en" preferredForLanguage="true" text="entity administration"/>
            <code code="ENADMIN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information used for enrolling a covered party in a program or policy. May entail recording of covered party's and any dependent's demographic information and benefit choices.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="COVERAGE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23458"/>
            <printName language="en" preferredForLanguage="true" text="enrollment"/>
            <code code="ENROLLM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Moved to an error in placing the patient in the original location.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TransferActReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15984"/>
            <printName language="en" preferredForLanguage="true" text="Error"/>
            <code code="ER" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information for provision of immediately needed health care for an emergent condition in an emergency room or similar emergent care context by end users provisioned for this purpose, which does not constitute as policy override such as in a "Break the Glass" purpose of use.</p>
                        <p>Map:Partially Maps to ISO 14265 Classification Term "Emergency care provision to an individual subject of care" described as "To inform persons needing to provide health care services to the subject of care urgently, possibly needing to over-ride the policies and consents pertaining to Purpose 1 above." Purpose 1 is equivalent to HL7 treatment purpose of use: "Clinical care provision to an individual subject of care" described as "To inform persons or processes responsible for providing health care services to the subject of care."</p>
                        <p>The ISO description conflates both of the proposed specializations of HL7 ETREAT: break the glass and the typically broader access to health information normally available to providers who are provisioned for emergency workflows on a regular basis, e.g., Emergency Room providers. Examples of greater access than is normally accessible by providers based on the need to know are access to sensitive information for which access typically requires a patient's consent. This is not an override of a patient's dissent to disclose sensitive information in cases where the applicable policy waives the need for that consent to access this information. In US, Title 38 Section 7332 and 42 CFR Part 2 both permit emergency access without the need to override a patient's consent directive; rather, this access is a limitation to the patient's right to dissent from disclosure.</p>
                        <p>There is a semantic gap in concepts. This classification term is described as activities "to inform persons" rather than the rationale for performing actions/operations on information related to the activity.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ETREAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23925"/>
            <printName language="en" preferredForLanguage="true" text="emergency room treatment"/>
            <code code="ERTREAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The level of coverage under the policy or program is available to an employee and his or her spouse.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22086"/>
            <printName language="en" preferredForLanguage="true" text="Employee and spouse"/>
            <code code="ESP" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information for provision of immediately needed health care for an emergent condition.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TREAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22682"/>
            <printName language="en" preferredForLanguage="true" text="Emergency Treatment"/>
            <code code="ETREAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The lot from which the substance was drawn was expired.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvalidReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23236"/>
            <printName language="en" preferredForLanguage="true" text="expired lot"/>
            <code code="EXPLOT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The level of coverage under the policy or program is available to a subscriber's family.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22087"/>
            <printName language="en" preferredForLanguage="true" text="Family"/>
            <code code="FAM" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**Request for further authorization must be done through patient's family physician.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PharmacySupplyRequestRenewalRefusalReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21731"/>
            <printName language="en" preferredForLanguage="true"
                       text="family physician must authorize further fills"/>
            <code code="FAMPHYS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information in response to a request by a family member authorized by the patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PATRQT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23426"/>
            <printName language="en" preferredForLanguage="true" text="family requested"/>
            <code code="FAMRQT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Ordered quantity has already been completely fulfilled.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_StatusRevisionRefusalReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23016"/>
            <printName language="en" preferredForLanguage="true" text="fully filled"/>
            <code code="FILLED" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Patient unable to pay and not covered by insurance</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SchedulingActReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14882"/>
            <printName language="en" preferredForLanguage="true" text="No Financial Backing"/>
            <code code="FIN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person becomes eligible for a program based on financial criteria.</p>
                        <i>Example:</i>A person whose family income is below a financial threshold for eligibility for Medicaid or SCHIP.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoverageEligibilityReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21564"/>
            <printName language="en" preferredForLanguage="true" text="financial eligibility"/>
            <code code="FINAN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Previously recorded information was erroneous and is being corrected.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_GenericUpdateReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21674"/>
            <printName language="en" preferredForLanguage="true" text="error correction"/>
            <code code="FIXDATA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Accommodation is assigned for floor convenience.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActAccommodationReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17430"/>
            <printName language="en" preferredForLanguage="true" text="Floor Convenience"/>
            <code code="FLRCNV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**The bulk supply is issued to replenish a ward for local dispensing. (Includes both mobile and fixed-location ward stocks.)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PharmacySupplyEventStockReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21722"/>
            <printName language="en" preferredForLanguage="true" text="floor stock"/>
            <code code="FLRSTCK" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**Order to be fulfilled was aborted</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PharmacySupplyEventAbortReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22852"/>
            <printName language="en" preferredForLanguage="true" text="order aborted"/>
            <code code="FOABORT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**Order to be fulfilled was suspended</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PharmacySupplyEventAbortReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22853"/>
            <printName language="en" preferredForLanguage="true" text="order suspended"/>
            <code code="FOSUSP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates that the decision to substitute or to not substitute was driven by a policy expressed within the formulary.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SubstanceAdminSubstitutionReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19990"/>
            <printName language="en" preferredForLanguage="true" text="formulary policy"/>
            <code code="FP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information used for fraud detection and prevention processes.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HOPERAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23413"/>
            <printName language="en" preferredForLanguage="true" text="fraud"/>
            <code code="FRAUD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**The order has been stopped by the prescriber but this fact has not necessarily captured electronically.</p>
                        <p>**Example:**A verbal stop, a fax, etc.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActSupplyFulfillmentRefusalReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21748"/>
            <printName language="en" preferredForLanguage="true" text="order stopped"/>
            <code code="FRR01" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**Order has not been fulfilled within a reasonable amount of time, and may not be current.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActSupplyFulfillmentRefusalReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21749"/>
            <printName language="en" preferredForLanguage="true" text="stale-dated order"/>
            <code code="FRR02" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**Data needed to safely act on the order which was expected to become available independent of the order is not yet available</p>
                        <p>**Example:**Lab results, diagnostic imaging, etc.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActSupplyFulfillmentRefusalReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21750"/>
            <printName language="en" preferredForLanguage="true" text="incomplete data"/>
            <code code="FRR03" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**Product not available or manufactured. Cannot supply.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActSupplyFulfillmentRefusalReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21751"/>
            <printName language="en" preferredForLanguage="true" text="product unavailable"/>
            <code code="FRR04" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**The dispenser has ethical, religious or moral objections to fulfilling the order/dispensing the product.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActSupplyFulfillmentRefusalReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21752"/>
            <printName language="en" preferredForLanguage="true" text="ethical/religious"/>
            <code code="FRR05" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**Fulfiller not able to provide appropriate care associated with fulfilling the order.</p>
                        <p>**Example:**Therapy requires ongoing monitoring by fulfiller and fulfiller will be ending practice, leaving town, unable to schedule necessary time, etc.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActSupplyFulfillmentRefusalReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21753"/>
            <printName language="en" preferredForLanguage="true" text="unable to provide care"/>
            <code code="FRR06" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information used within government processes.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HOPERAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23414"/>
            <printName language="en" preferredForLanguage="true" text="government"/>
            <code code="GOV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information for conducting activities related to meeting accreditation criteria.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HOPERAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22692"/>
            <printName language="en" preferredForLanguage="true" text="health accreditation"/>
            <code code="HACCRED" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information used for conducting activities required to meet a mandate.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HOPERAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22689"/>
            <printName language="en" preferredForLanguage="true" text="health compliance"/>
            <code code="HCOMPL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information used for handling deceased patient matters.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HOPERAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23415"/>
            <printName language="en" preferredForLanguage="true" text="decedent"/>
            <code code="HDECD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operation operations on information used to manage a patient directory.</p>
                        <b>Examples:</b>
                        <p>* facility * enterprise * payer * health information exchange patient directory</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HOPERAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23416"/>
            <printName language="en" preferredForLanguage="true" text="directory"/>
            <code code="HDIRECT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more actions on information used for conducting administrative and contractual activities by or on behalf of organizational entities responsible for delivery of an individual's benefits in a healthcare program, health plan or insurance. Explicitly excludes the use of information to organize the delivery of health care for care coordination and case management, or to provide healthcare treatment.</p>
                        <i>Usage Note:</i>Examples of activities conducted under this purpose of use: provider profiling, risk adjustment, underwriting, fraud and abuse, quality improvement population health and care management. Aligns with HIPAA Operation POU minus coordination of care or other treatment related activities. Similar to the description in SAMHSA Confidentiality of Substance Use Disorder Patient Records Supplemental notice of proposed rulemaking.<i>Map:</i>Maps to ISO 14265 Classification Term "Administration of care for an individual subject of care" described as "To inform persons or processes responsible for enabling the availability of resources or funding or permissions for providing health care services to the subject of care."<p>However, this classification term is described as activities, i.e., "to inform persons" or "to inform processes" rather than the rationale for performing actions/operations on information related to the activity.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HOPERAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23926"/>
            <printName language="en" preferredForLanguage="true" text="healthcare delivery management"/>
            <code code="HDM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person becomes eligible for a program because of a qualifying health condition or injury.</p>
                        <i>Examples:</i>A person is determined to have a qualifying health conditions include pregnancy, HIV/AIDs, tuberculosis, end stage renal disease, breast or cervical cancer, or other condition requiring specialized health services, hospice, institutional or community based care provided under a program</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoverageEligibilityReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21562"/>
            <printName language="en" preferredForLanguage="true" text="health status"/>
            <code code="HEALTH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information for conducting activities required by legal proceeding.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HOPERAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22690"/>
            <printName language="en" preferredForLanguage="true" text="legal"/>
            <code code="HLEGAL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information for marketing services and products related to health care.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PurposeOfUse"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22678"/>
            <printName language="en" preferredForLanguage="true" text="healthcare marketing"/>
            <code code="HMARKT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**The original reason for suspending the medication has ended.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MedicationOrderReleaseReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21713"/>
            <printName language="en" preferredForLanguage="true"
                       text="suspend reason no longer applies"/>
            <code code="HOLDDONE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MedicationOrderReleaseReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21712"/>
            <printName language="en" preferredForLanguage="true" text="suspend reason inappropriate"/>
            <code code="HOLDINAP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information used for conducting administrative and contractual activities related to the provision of health care.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PurposeOfUse"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22686"/>
            <printName language="en" preferredForLanguage="true" text="healthcare operations"/>
            <code code="HOPERAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The patient has been admitted to a care facility and their community medications are suspended until hospital discharge.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CombinedPharmacyOrderSuspendReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21684"/>
            <printName language="en" preferredForLanguage="true" text="admission to hospital"/>
            <code code="HOSPADM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information used for assessing results and comparative effectiveness achieved by health care practices and interventions.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HOPERAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22688"/>
            <printName language="en" preferredForLanguage="true" text="health outcome measure"/>
            <code code="HOUTCOMS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information for conducting financial or contractual activities related to payment for provision of health care.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PurposeOfUse"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22685"/>
            <printName language="en" preferredForLanguage="true" text="healthcare payment"/>
            <code code="HPAYMT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information used for conducting activities to meet program accounting requirements.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HOPERAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22691"/>
            <printName language="en" preferredForLanguage="true" text="health program reporting"/>
            <code code="HPRGRP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information used for conducting administrative activities to improve health care quality.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HOPERAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22687"/>
            <printName language="en" preferredForLanguage="true" text="health quality improvement"/>
            <code code="HQUALIMP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge. Use of the data iincludes basic and applied research such as biomedical, population origin or ancestry, translational research, and disease, discipline, specialty specific healthcare research and clinical trial research.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PurposeOfUse"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22679"/>
            <printName language="en" preferredForLanguage="true" text="healthcare research"/>
            <code code="HRESCH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information to administer the electronic systems used for the delivery of health care.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HOPERAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22695"/>
            <printName language="en" preferredForLanguage="true" text="health system administration"/>
            <code code="HSYSADMIN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information that is simulated or synthetic health data used for testing system capabilities outside of a production or operational system environment.</p>
                        <i>Usage Note:</i>Data marked with a HTEST security label enables an access control system to permit interfacing systems or end users provisioned with a clearance, which includes a HTEST purpose of use attribute, to test, verify, or validate that a system or application will operate in production as intended based on design specifications.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SYSDEV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23874"/>
            <printName language="en" preferredForLanguage="true" text="test health data"/>
            <code code="HTEST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**Testing has shown that the patient already has immunity to the agent targeted by the immunization.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActNoImmunizationReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21745"/>
            <printName language="en" preferredForLanguage="true" text="immunity"/>
            <code code="IMMUNE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**The patient's medical condition has nearly abated.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SupplyOrderAbortReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21737"/>
            <printName language="en" preferredForLanguage="true" text="condition improved"/>
            <code code="IMPROV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The covered party (patient) specified with the Invoice is not correct.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceCancelReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19733"/>
            <printName language="en" preferredForLanguage="true"
                       text="incorrect covered party as patient"/>
            <code code="INCCOVPTY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The billing information, specified in the Invoice Elements, is not correct. This could include incorrect costing for items included in the Invoice.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceCancelReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19735"/>
            <printName language="en" preferredForLanguage="true" text="incorrect billing"/>
            <code code="INCINVOICE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The policy specified with the Invoice is not correct. For example, it may belong to another Adjudicator or Covered Party.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceCancelReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19734"/>
            <printName language="en" preferredForLanguage="true" text="incorrect policy"/>
            <code code="INCPOLICY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The provider specified with the Invoice is not correct.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvoiceCancelReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19736"/>
            <printName language="en" preferredForLanguage="true" text="incorrect provider"/>
            <code code="INCPROV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The level of coverage under the policy or program is available to an individual.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22088"/>
            <printName language="en" preferredForLanguage="true" text="Individual"/>
            <code code="IND" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The therapy has been found to not have the desired therapeutic benefit on the patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MedicationOrderAbortReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21703"/>
            <printName language="en" preferredForLanguage="true" text="ineffective"/>
            <code code="INEFFECT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The record is already in the requested state.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ControlActNullificationRefusalReasonType"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_StatusRevisionRefusalReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23015"/>
            <printName language="en" preferredForLanguage="true" text="in requested state"/>
            <code code="INRQSTATE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The patient has an intolerance to the medication.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SupplyOrderAbortReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21990"/>
            <printName language="en" preferredForLanguage="true" text="intolerance"/>
            <code code="INTOL" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19726"/>
            <code code="INVOICE" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information to assign, persist, and manage labels to healthcare data to characterize various aspects, such as its security classification, sensitivity, compartment, integrity, and provenance; applicable privacy, consent, security, provenance, and trust policies; and handling caveats such as purpose of use, obligations, and refrain policies.</p>
                        <p>Label management includes classification of target data by constructing and binding of a label set per applicable policies, security policy information file semantics, and classification guides. Label management also includes process and procedures for subsequent revision of a label for, e.g., reclassification, downgrading classification, and declassification.</p>
                        <p>Label revisions may be triggered by, e.g., expiry of classification period; changes in applicable policy, e.g., revocation of a consent directive; or changes in the governing policy domain in which the data is relocated or a copy of the data is sent. If a label is revised, an audit log should be kept and the provenance of the label changes should be tracked.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HSYSADMIN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23871"/>
            <printName language="en" preferredForLanguage="true" text="labeling"/>
            <code code="LABELING" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The therapy would interfere with a planned lab test and the therapy is being withdrawn until the test is completed.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CombinedPharmacyOrderSuspendReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21687"/>
            <printName language="en" preferredForLanguage="true" text="lab interference issues"/>
            <code code="LABINT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**To provide information as a result of a subpoena.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PatientProfileQueryReasonCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OPERAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21719"/>
            <printName language="en" preferredForLanguage="true" text="subpoena"/>
            <code code="LEGAL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**The prescription may not be reassigned from the original pharmacy.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PharmacySupplyRequestFulfillerRevisionRefusalReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22864"/>
            <printName language="en" preferredForLanguage="true" text="locked"/>
            <code code="LOCKED" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**The bulk supply will be administered within a long term care facility.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PharmacySupplyEventStockReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21725"/>
            <printName language="en" preferredForLanguage="true" text="long term care use"/>
            <code code="LTC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationPrivacyReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22708"/>
            <printName language="en" preferredForLanguage="true" text="marketing"/>
            <code code="MARKT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Information is combined into the record.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_GenericUpdateReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23469"/>
            <printName language="en" preferredForLanguage="true" text="merge data"/>
            <code code="MDATA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The medical condition of the Patient has changed</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SchedulingActReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14883"/>
            <printName language="en" preferredForLanguage="true" text="Medical Status Altered"/>
            <code code="MED" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Required for medical reasons(s).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActAccommodationReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17428"/>
            <printName language="en" preferredForLanguage="true" text="Medical Necessity"/>
            <code code="MEDNEC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**The patient currently has a medical condition for which the vaccine is contraindicated or for which precaution is warranted.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActNoImmunizationReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21747"/>
            <printName language="en" preferredForLanguage="true" text="medical precaution"/>
            <code code="MEDPREC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information to administer health care coverage to an enrollee under a policy or program.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HOPERAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22694"/>
            <printName language="en" preferredForLanguage="true" text="member administration"/>
            <code code="MEMADMIN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information to assign, persist, and manage metadata to healthcare data to characterize various aspects used for its indexing, discovery, retrieval, and processing by systems, applications, and end users. For example, master index identifier, media type, and location.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HSYSADMIN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23872"/>
            <printName language="en" preferredForLanguage="true" text="metadata management"/>
            <code code="METAMGT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information for conducting activities required by military processes, procedures, policies, or law.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HOPERAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23875"/>
            <printName language="en" preferredForLanguage="true" text="military command"/>
            <code code="MILCDM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information for the process of releasing military personnel from their service obligations, which may include determining service merit, discharge benefits, and disability assessment.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="COVERAGE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23876"/>
            <printName language="en" preferredForLanguage="true" text="military discharge"/>
            <code code="MILDCRG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**Therapy has been changed and new prescription issued</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PharmacySupplyRequestRenewalRefusalReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21733"/>
            <printName language="en" preferredForLanguage="true" text="modified prescription exists"/>
            <code code="MODIFY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Monitoring the patient while taking the medication, the decision has been made that the therapy is no longer appropriate.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MedicationOrderAbortReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21702"/>
            <printName language="en" preferredForLanguage="true" text="response to monitoring"/>
            <code code="MONIT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The Physician is in a meeting. For example, he/she may request administrative time to talk to family after appointment</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SchedulingActReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14886"/>
            <printName language="en" preferredForLanguage="true" text="In an outside meeting"/>
            <code code="MTG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person becomes eligible for a program based on more than one criterion.</p>
                        <i>Examples:</i>In the U.S., a child whose familiy income meets Medicaid financial thresholds and whose age is less than 18 is eligible for the Early and Periodic Screening, Diagnostic, and Treatment program (EPSDT). A person whose family income meets Medicaid financial thresholds and whose age is 65 years or older is eligible for Medicaid and Medicare, and are referred to as dual eligibles.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoverageEligibilityReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21566"/>
            <printName language="en" preferredForLanguage="true" text="multiple criteria eligibility"/>
            <code code="MULTI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**Patient must see prescriber prior to further fills.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PharmacySupplyRequestRenewalRefusalReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21728"/>
            <printName language="en" preferredForLanguage="true" text="patient must make appointment"/>
            <code code="NEEDAPMT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**New information has become available to supplement the record.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_GenericUpdateReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21672"/>
            <printName language="en" preferredForLanguage="true" text="new information"/>
            <code code="NEWDATA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**The current medication will be replaced by a new strength of the same medication.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SupplyOrderAbortReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21739"/>
            <printName language="en" preferredForLanguage="true" text="new strength"/>
            <code code="NEWSTR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**A new therapy will be commenced when current supply exhausted.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SupplyOrderAbortReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21738"/>
            <printName language="en" preferredForLanguage="true" text="new therapy"/>
            <code code="NEWTHER" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The agent does not have permission.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NOPERM"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22913"/>
            <printName language="en" preferredForLanguage="true" text="no agent permission"/>
            <code code="NOAGNTPERM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>There is no match.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ControlActNullificationRefusalReasonType"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RefusalReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22907"/>
            <printName language="en" preferredForLanguage="true" text="no match"/>
            <code code="NOMATCH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Patient not available for a period of time due to a scheduled therapy, leave of absence or other reason.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CombinedPharmacyOrderSuspendReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21695"/>
            <printName language="en" preferredForLanguage="true" text="patient not-available"/>
            <code code="NON-AVAIL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>There is no permission.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ControlActNullificationRefusalReasonType"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RefusalReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22911"/>
            <printName language="en" preferredForLanguage="true" text="no permission"/>
            <code code="NOPERM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**Patient did not come to get medication</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PharmacySupplyEventAbortReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22850"/>
            <printName language="en" preferredForLanguage="true" text="not picked up"/>
            <code code="NOPICK" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>There is no match for the product in the master file repository.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NOMATCH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22909"/>
            <printName language="en" preferredForLanguage="true" text="no product match"/>
            <code code="NOPRODMTCH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>There is no match for the record in the database.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ControlActNullificationReasonCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_StatusRevisionRefusalReasonCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NOMATCH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22908"/>
            <printName language="en" preferredForLanguage="true" text="no record match"/>
            <code code="NORECMTCH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The underlying condition has been resolved or has evolved such that a different treatment is no longer needed.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MedicationOrderAbortReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21704"/>
            <printName language="en" preferredForLanguage="true"
                       text="no longer required for treatment"/>
            <code code="NOREQ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>There is no match for the service in the master file repository.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NOMATCH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22910"/>
            <printName language="en" preferredForLanguage="true" text="no service match"/>
            <code code="NOSERMTCH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**Original prescriber is no longer available to prescribe and no other prescriber has taken responsibility for the patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PharmacySupplyRequestRenewalRefusalReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21730"/>
            <printName language="en" preferredForLanguage="true" text="prescriber not available"/>
            <code code="NOTAVAIL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The product does not have (or no longer has) coverage under the patientaTMs insurance policy.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MedicationOrderAbortReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21709"/>
            <printName language="en" preferredForLanguage="true" text="not covered"/>
            <code code="NOTCOVER" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**Patient no longer or has never been under this prescribers care.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PharmacySupplyRequestRenewalRefusalReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21729"/>
            <printName language="en" preferredForLanguage="true"
                       text="patient no longer in this practice"/>
            <code code="NOTPAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**The user does not have permission</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PharmacySupplyRequestFulfillerRevisionRefusalReasonCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_StatusRevisionRefusalReasonCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SubstanceAdministrationPermissionRefusalReasonCode"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NOPERM"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22865"/>
            <printName language="en" preferredForLanguage="true" text="no user permission"/>
            <code code="NOUSERPERM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The user does not have permission.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NOPERM"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22912"/>
            <printName language="en" preferredForLanguage="true" text="no user permission"/>
            <code code="NOUSRPERM" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>There is no match for the record and version.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NOMATCH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23279"/>
            <printName language="en" preferredForLanguage="true" text="no version match"/>
            <code code="NOVERMTCH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**The observation or test was neither defined or scheduled in the study protocol.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ClinicalResearchObservationReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21628"/>
            <printName language="en" preferredForLanguage="true" text="non-protocol"/>
            <code code="NPT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**The bulk supply is intended for general clinician office use.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PharmacySupplyEventStockReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21724"/>
            <printName language="en" preferredForLanguage="true" text="office use"/>
            <code code="OFFICE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**This medication is on hold.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PharmacySupplyRequestRenewalRefusalReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21734"/>
            <printName language="en" preferredForLanguage="true" text="medication on hold"/>
            <code code="ONHOLD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Administrative and contractual processes required to support an activity, product, or service</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationPrivacyReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22699"/>
            <printName language="en" preferredForLanguage="true" text="operations"/>
            <code code="OPERAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>In the case of 'substitution', indicates that the substitution occurred because the ordered item was not in stock. In the case of 'no substitution', indicates that a cheaper equivalent was not substituted because it was not in stock.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SubstanceAdminSubstitutionReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19987"/>
            <printName language="en" preferredForLanguage="true" text="out of stock"/>
            <code code="OS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**There was no supply of the product on hand to perform the service.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActNoImmunizationReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21744"/>
            <printName language="en" preferredForLanguage="true" text="product out of stock"/>
            <code code="OSTOCK" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Operational activities conducted for the purposes of assessing the results of an activity, product, or service</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OPERAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22701"/>
            <printName language="en" preferredForLanguage="true" text="outcome measure"/>
            <code code="OUTCOMS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The substance was administered outside of the recommended schedule or practice.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvalidReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23240"/>
            <printName language="en" preferredForLanguage="true"
                       text="administered outside recommended schedule or practice"/>
            <code code="OUTSIDESCHED" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information to which the patient has not consented by authorized entities for treating a condition which poses an immediate threat to the patient's health and which requires immediate medical intervention.</p>
                        <i>Usage Notes:</i>The patient is unable to provide consent, but the provider determines they have an urgent healthcare related reason to access the record.</text>
                  </definition>
                  <usageNotes>
                     <text>The patient is unable to provide consent, but the provider determines they have an urgent healthcare related reason to access the record.</text>
                  </usageNotes>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActConsentInformationAccessOverrideReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22194"/>
            <printName language="en" preferredForLanguage="true" text="emergency treatment override"/>
            <code code="OVRER" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information to which the patient has not consented because deemed incompetent to provide consent.</p>
                        <i>Usage Note:</i>Maps to v2 CON-16 Subject Competence Indicator (ID) 01791 Definition: Identifies whether the subject was deemed competent to provide consent. Refer to table HL7 Table 0136 - Yes/No Indicator and CON-23 Non-Subject Consenter Reason User-defined Table 0502 - Non-Subject Consenter Reason code NC "Subject is not competent to consent".</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActConsentInformationAccessOverrideReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23877"/>
            <printName language="en" preferredForLanguage="true" text="incompetency override"/>
            <code code="OVRINCOMP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information to which the patient declined to consent for providing health care.</p>
                        <i>Usage Notes:</i>The patient, while able to give consent, has not. However the provider believes it is in the patient's interest to access the record without patient consent.</text>
                  </definition>
                  <usageNotes>
                     <text>The patient, while able to give consent, has not.  However the provider believes it is in the patient's interest to access the record without patient consent.</text>
                  </usageNotes>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActConsentInformationAccessOverrideReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22197"/>
            <printName language="en" preferredForLanguage="true" text="professional judgment override"/>
            <code code="OVRPJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information to which the patient has not consented for public safety reasons.</p>
                        <i>Usage Notes:</i>The patient, while able to give consent, has not. However, the provider believes that access to masked patient information is justified because of concerns related to public safety.</text>
                  </definition>
                  <usageNotes>
                     <text>The patient, while able to give consent, has not.  However, the provider believes that access to masked patient information is justified because of concerns related to public safety.</text>
                  </usageNotes>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActConsentInformationAccessOverrideReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22195"/>
            <printName language="en" preferredForLanguage="true" text="public safety override"/>
            <code code="OVRPS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information to which the patient has not consented for third party safety.</p>
                        <i>Usage Notes:</i>The patient, while able to give consent, has not. However, the provider believes that access to masked patient information is justified because of concerns related to the health and safety of one or more third parties.</text>
                  </definition>
                  <usageNotes>
                     <text>The patient, while able to give consent, has not.  However, the provider believes that access to masked patient information is justified because of concerns related to the health and safety of one or more third parties.</text>
                  </usageNotes>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActConsentInformationAccessOverrideReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22196"/>
            <printName language="en" preferredForLanguage="true" text="third party safety override"/>
            <code code="OVRTPS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The Patient requested the action</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActAccommodationReason"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SchedulingActReason"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SubstanceAdminSubstitutionNotAllowedReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14880"/>
            <printName language="en" preferredForLanguage="true" text="Patient request"/>
            <code code="PAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information used for operational activities conducted to administer the delivery of health care to a patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HOPERAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22693"/>
            <printName language="en" preferredForLanguage="true" text="patient administration"/>
            <code code="PATADMIN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**To obtain records as part of patient care.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PatientProfileQueryReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21717"/>
            <printName language="en" preferredForLanguage="true" text="patient care"/>
            <code code="PATCAR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**Patient changed their mind regarding obtaining medication</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PharmacySupplyEventAbortReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22851"/>
            <printName language="en" preferredForLanguage="true" text="patient changed mind"/>
            <code code="PATDEC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**Patient not eligible for drug</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SubstanceAdministrationPermissionRefusalReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22858"/>
            <printName language="en" preferredForLanguage="true" text="patient not eligible"/>
            <code code="PATINELIG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**The patient or their guardian objects to receiving the vaccine.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActNoImmunizationReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21740"/>
            <printName language="en" preferredForLanguage="true" text="patient objection"/>
            <code code="PATOBJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**Patient requests information from their profile.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PatientProfileQueryReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21716"/>
            <printName language="en" preferredForLanguage="true" text="patient request query"/>
            <code code="PATREQ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information in response to a patient's request.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PurposeOfUse"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23425"/>
            <printName language="en" preferredForLanguage="true" text="patient requested"/>
            <code code="PATRQT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information in processes related to ensuring the safety of health care.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HOPERAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22696"/>
            <printName language="en" preferredForLanguage="true" text="patient safety"/>
            <code code="PATSFTY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Administrative, financial, and contractual processes related to payment for an activity, product, or service</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationPrivacyReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22698"/>
            <printName language="en" preferredForLanguage="true" text="payment"/>
            <code code="PAYMT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information used for monitoring performance of recommended health care practices and interventions.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HOPERAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23417"/>
            <printName language="en" preferredForLanguage="true" text="performance measure"/>
            <code code="PERFMSR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**The bulk supply is being transferred to another dispensing facility to.</p>
                        <p>**Example:**Alleviate a temporary shortage.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PharmacySupplyEventStockReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21726"/>
            <printName language="en" preferredForLanguage="true" text="pharmacy transfer"/>
            <code code="PHARM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**The patient or their guardian objects to receiving the vaccine because of philosophical beliefs.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActNoImmunizationReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21742"/>
            <printName language="en" preferredForLanguage="true" text="philosophical objection"/>
            <code code="PHILISOP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The Physician requested the action</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SchedulingActReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14881"/>
            <printName language="en" preferredForLanguage="true" text="Physician request"/>
            <code code="PHY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person becomes a claimant under a property and casualty insurance policy because of a related health condition or injury resulting from a circumstance covered under the terms of the policy.</p>
                        <i>Example:</i>A person is a claimant under a homeowners insurance policy because of an injury sustained on the policyholderaTMs premises.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoverageEligibilityReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21561"/>
            <printName language="en" preferredForLanguage="true"
                       text="property and casualty condition"/>
            <code code="PNC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information, including genealogical pedigrees, historical records, surveys, family health data, health records, and genetic information, for conducting scientific investigations to obtain health care knowledge. Use of the data must be related to population origins and/or ancestry healthcare research. For example, gathering genetic specimens from a specific population in order to determine the ancestry and population origins of that group. May be used in combination with clinical trial and other healthcare research purposes of use.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HRESCH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23866"/>
            <printName language="en" preferredForLanguage="true"
                       text="population origins or ancestry healthcare research"/>
            <code code="POARCH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information for provision of health care to a population of living subjects, e.g., needle exchange program.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TREAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22681"/>
            <printName language="en" preferredForLanguage="true" text="population health"/>
            <code code="POPHLTH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**The observation or test occurred due to it being defined in the research protocol, and during an activity or event that was scheduled in the protocol.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ClinicalResearchObservationReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21626"/>
            <printName language="en" preferredForLanguage="true" text="per protocol"/>
            <code code="PPT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**To evaluate the provider's current practice for professional-improvement reasons.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PatientProfileQueryReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21720"/>
            <printName language="en" preferredForLanguage="true" text="practice review"/>
            <code code="PRCREV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information in preparation for conducting scientific investigation to obtain health care knowledge, such as research on animals or review of patient health records, to determine the feasibility of a clinical trial study; assist with protocol design; or in preparation for institutional review board or ethics committee approval process. May be post-coordinated or used with other purposes of use such as disease, discipline, specialty, population origins or ancestry, translational healthcare research.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CLINTRCH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23870"/>
            <printName language="en" preferredForLanguage="true" text="preclinical trial research"/>
            <code code="PRECLINTRCH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The patient refused to take the product.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MedicationOrderAbortReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21710"/>
            <printName language="en" preferredForLanguage="true" text="patient refuse"/>
            <code code="PREFUS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The patient is pregnant or breast feeding. The therapy will be resumed when the pregnancy is complete and the patient is no longer breastfeeding.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CombinedPharmacyOrderSuspendReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21692"/>
            <printName language="en" preferredForLanguage="true"
                       text="parent is pregnant/breast feeding"/>
            <code code="PREG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Operational activities conducted to meet program accounting requirements related to an activity, product, or service</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OPERAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22703"/>
            <printName language="en" preferredForLanguage="true" text="program reporting"/>
            <code code="PRGRPT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**This product is not available or manufactured.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PharmacySupplyRequestRenewalRefusalReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22867"/>
            <printName language="en" preferredForLanguage="true" text="product not available"/>
            <code code="PRNA" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="17435"/>
            <code code="PROA" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The substance was recalled by the manufacturer.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInvalidReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23237"/>
            <printName language="en" preferredForLanguage="true" text="product recall"/>
            <code code="PRODRECALL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**The bulk supply is intended for dispensing according to a specific program.</p>
                        <p>**Example:**Mass immunization.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PharmacySupplyEventStockReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21723"/>
            <printName language="en" preferredForLanguage="true" text="program use"/>
            <code code="PROG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**Patient does not meet required protocol</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SubstanceAdministrationPermissionRefusalReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22857"/>
            <printName language="en" preferredForLanguage="true" text="protocol not met"/>
            <code code="PROTUNMET" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**Provider is not authorized to prescribe or dispense</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SubstanceAdministrationPermissionRefusalReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22859"/>
            <printName language="en" preferredForLanguage="true" text="provider not authorized"/>
            <code code="PROVUNAUTH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information for conducting public health activities, such as the reporting of notifiable conditions.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PurposeOfUse"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23409"/>
            <printName language="en" preferredForLanguage="true" text="public health"/>
            <code code="PUBHLTH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information in response to a request by a person appointed as the patient's legal representative.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PATRQT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23427"/>
            <printName language="en" preferredForLanguage="true" text="power of attorney"/>
            <code code="PWATRNY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Reason for performing one or more operations on information, which may be permitted by source system's security policy in accordance with one or more privacy policies and consent directives.</p>
                        <i>Usage Notes:</i>The rationale or purpose for an act relating to the management of personal health information, such as collecting personal health information for research or public health purposes.</text>
                  </definition>
                  <usageNotes>
                     <text>The rationale or purpose for an act relating to the management of personal health information, such as collecting personal health information for research or public health purposes.</text>
                  </usageNotes>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActHealthInformationManagementReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23408"/>
            <printName language="en" preferredForLanguage="true" text="purpose of use"/>
            <code code="PurposeOfUse" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Operational activities conducted for the purposes of improving the quality of an activity, product, or service</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OPERAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22700"/>
            <printName language="en" preferredForLanguage="true" text="quality improvement"/>
            <code code="QUALIMP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**Patient requested a revised quantity of medication</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PharmacySupplyEventAbortReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22854"/>
            <printName language="en" preferredForLanguage="true" text="change supply quantity"/>
            <code code="QUANTCHG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The manufacturer or other agency has requested that stocks of a medication be removed from circulation.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MedicationOrderAbortReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21707"/>
            <printName language="en" preferredForLanguage="true" text="product recalled"/>
            <code code="RECALL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information used within the health records management process.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HOPERAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23418"/>
            <printName language="en" preferredForLanguage="true" text="records management"/>
            <code code="RECORDMGT" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="17437"/>
            <code code="RECOV" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Client was registered in error.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActIneligibilityReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19730"/>
            <printName language="en" preferredForLanguage="true" text="registered in error"/>
            <code code="REGERR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Review for the purpose of regulatory compliance.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PatientProfileQueryReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21991"/>
            <printName language="en" preferredForLanguage="true" text="regulatory review"/>
            <code code="REGUL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**The patient or their guardian objects to receiving the vaccine on religious grounds.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActNoImmunizationReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21741"/>
            <printName language="en" preferredForLanguage="true" text="religious objection"/>
            <code code="RELIG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information about the amount remitted for a health care claim.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HPAYMT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23423"/>
            <printName language="en" preferredForLanguage="true" text="remittance advice"/>
            <code code="REMITADV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Item in current order is no longer in use as requested and a new one has/will be created to replace it.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MedicationOrderAbortReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23262"/>
            <printName language="en" preferredForLanguage="true" text="change in order"/>
            <code code="REPLACE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Current order was issued with incorrect data and a new order has/will be created to replace it.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MedicationOrderAbortReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23263"/>
            <printName language="en" preferredForLanguage="true" text="error in order"/>
            <code code="REPLACEFIX" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Investigative activities conducted for the purposes of obtaining knowledge</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationPrivacyReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22707"/>
            <printName language="en" preferredForLanguage="true" text="research"/>
            <code code="RESCH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**The event occurred so that a test or observation performed at a prior event could be performed again due to conditions set forth in the protocol.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ClinicalResearchEventReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21623"/>
            <printName language="en" preferredForLanguage="true" text="retest"/>
            <code code="RET" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="17434"/>
            <code code="RETRO" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Moved at the request of the patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TransferActReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15985"/>
            <printName language="en" preferredForLanguage="true" text="Request"/>
            <code code="RQ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates that the decision to substitute or to not substitute was driven by a jurisdictional regulatory requirement mandating or prohibiting substitution.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SubstanceAdminSubstitutionReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19988"/>
            <printName language="en" preferredForLanguage="true" text="regulatory requirement"/>
            <code code="RR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**To provide research data, as authorized by the patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PatientProfileQueryReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21718"/>
            <printName language="en" preferredForLanguage="true" text="research"/>
            <code code="RSRCH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The patient is believed to be allergic to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CombinedPharmacyOrderSuspendReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21685"/>
            <printName language="en" preferredForLanguage="true" text="allergy"/>
            <code code="SALG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**The event occurred due to it being scheduled in the research protocol.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ClinicalResearchEventReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21622"/>
            <printName language="en" preferredForLanguage="true" text="scheduled"/>
            <code code="SCH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The drug interacts with a short-term treatment that is more urgently required. This order will be resumed when the short-term treatment is complete.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CombinedPharmacyOrderSuspendReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21690"/>
            <printName language="en" preferredForLanguage="true"
                       text="drug interacts with another drug"/>
            <code code="SDDI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Another short-term co-occurring therapy fulfills the same purpose as this therapy. This therapy will be resumed when the co-occuring therapy is complete.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CombinedPharmacyOrderSuspendReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21688"/>
            <printName language="en" preferredForLanguage="true" text="duplicate therapy"/>
            <code code="SDUPTHER" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The patient is believed to have an intolerance to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CombinedPharmacyOrderSuspendReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21686"/>
            <printName language="en" preferredForLanguage="true" text="suspected intolerance"/>
            <code code="SINTOL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The level of coverage under the policy or program is available to a subscriber's spouse and children</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22089"/>
            <printName language="en" preferredForLanguage="true" text="Spouse and children"/>
            <code code="SPC" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The level of coverage under the policy or program is available only to a subscribers spouse</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22090"/>
            <printName language="en" preferredForLanguage="true" text="Spouse only"/>
            <code code="SPO" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Provision of a service, product, or capability to an individual or organization</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationPrivacyReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22709"/>
            <printName language="en" preferredForLanguage="true" text="service"/>
            <code code="SRVC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person becomes eligible for a program based on statutory criteria.</p>
                        <i>Examples:</i>A person is a member of an indigenous group, a veteran of military service, or in the U.S., a recipient of adoption assistance and foster care under Title IV-E of the Social Security.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoverageEligibilityReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21563"/>
            <printName language="en" preferredForLanguage="true" text="statutory eligibility"/>
            <code code="STATUTORY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Renewing or original prescriber informed patient to stop using the medication.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PharmacySupplyRequestRenewalRefusalReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23625"/>
            <printName language="en" preferredForLanguage="true"
                       text="prescriber stopped medication for patient"/>
            <code code="STOPMED" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information in response to a request by a person authorized by the patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PATRQT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23428"/>
            <printName language="en" preferredForLanguage="true" text="support network"/>
            <code code="SUPNWK" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The drug is contraindicated for patients receiving surgery and the patient is scheduled to be admitted for surgery in the near future. The drug will be resumed when the patient has sufficiently recovered from the surgery.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CombinedPharmacyOrderSuspendReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21696"/>
            <printName language="en" preferredForLanguage="true" text="patient scheduled for surgery"/>
            <code code="SURG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Operational activities conducted to administer the electronic systems used for an activity, product, or service</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OPERAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22706"/>
            <printName language="en" preferredForLanguage="true" text="system administration"/>
            <code code="SYSADMN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information to design, develop, implement, test, or deploy a healthcare system or application.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HOPERAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23873"/>
            <printName language="en" preferredForLanguage="true" text="system development"/>
            <code code="SYSDEV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The prescribed product has specific clinical release or other therapeutic characteristics not shared by other substitutable medications.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SubstanceAdminSubstitutionNotAllowedReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21815"/>
            <printName language="en" preferredForLanguage="true" text="therapeutic characteristics"/>
            <code code="THERCHAR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information used to prevent injury or disease to living subjects who may be the target of violence.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PUBHLTH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23411"/>
            <printName language="en" preferredForLanguage="true" text="threat"/>
            <code code="THREAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**The patient should have medication remaining.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PharmacySupplyRequestRenewalRefusalReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21735"/>
            <printName language="en" preferredForLanguage="true" text="too early"/>
            <code code="TOOEARLY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information used in training and education.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HOPERAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23419"/>
            <printName language="en" preferredForLanguage="true" text="training"/>
            <code code="TRAIN" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19727"/>
            <code code="TRAN" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge related to evidence based medicine during the course of providing healthcare treatment. Sometimes referred to as "bench to bedside", which is the iterative feedback loop between healthcare research and clinical trials with input from information collected in the course of routine provision of healthcare. For example, by extending a patient encounter to conduct a survey related to a research topic such as attitudes about use of a wellness device that a patient agreed to use. May be used in combination with clinical trial and other healthcare research purposes of use.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HRESCH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23867"/>
            <printName language="en" preferredForLanguage="true"
                       text="translational healthcare research"/>
            <code code="TRANSRCH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information for provision of health care.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PurposeOfUse"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22680"/>
            <printName language="en" preferredForLanguage="true" text="treatment"/>
            <code code="TREAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>The specific manufactured drug is part of a clinical trial.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SubstanceAdminSubstitutionNotAllowedReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22261"/>
            <printName language="en" preferredForLanguage="true" text="clinical trial drug"/>
            <code code="TRIAL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**The event occurred in order to terminate the subject's participation in the study.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ClinicalResearchEventReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21624"/>
            <printName language="en" preferredForLanguage="true" text="termination"/>
            <code code="TRM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Information is separated from the record.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_GenericUpdateReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23470"/>
            <printName language="en" preferredForLanguage="true" text="unmerge data"/>
            <code code="UMDATA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**&lt;The patient is not (or is no longer) able to use the medication in a manner prescribed.</p>
                        <p>**Example:**CanaTMt swallow.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MedicationOrderAbortReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21708"/>
            <printName language="en" preferredForLanguage="true" text="unable to use"/>
            <code code="UNABLE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**The target facility does not recognize the dispensing facility.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PharmacySupplyRequestFulfillerRevisionRefusalReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22866"/>
            <printName language="en" preferredForLanguage="true" text="unknown target"/>
            <code code="UNKWNTARGET" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**The event that occurred was initiated by a study participant (e.g. the subject or the investigator), and did not occur for protocol reasons.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ClinicalResearchEventReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21625"/>
            <printName language="en" preferredForLanguage="true" text="unscheduled"/>
            <code code="UNS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**:**The observation or test occurred as defined in the research protocol, but at a point in time not specified in the study protocol.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ClinicalResearchObservationReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21627"/>
            <printName language="en" preferredForLanguage="true" text="per definition"/>
            <code code="UPT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**The intended vaccine has expired or is otherwise believed to no longer be effective.</p>
                        <p>**Example:**Due to temperature exposure.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActNoImmunizationReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21746"/>
            <printName language="en" preferredForLanguage="true" text="vaccine efficacy concerns"/>
            <code code="VACEFF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**The patient or their guardian objects to receiving the vaccine because of concerns over its safety.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActNoImmunizationReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21743"/>
            <printName language="en" preferredForLanguage="true" text="vaccine safety concerns"/>
            <code code="VACSAF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**To validate the patient's record.</p>
                        <p>**Example:**Merging or unmerging records.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PatientProfileQueryReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21992"/>
            <printName language="en" preferredForLanguage="true" text="validation review"/>
            <code code="VALIDATION" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person becomes a claimant under a motor vehicle accident insurance because of a motor vehicle accident related health condition or injury.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoverageEligibilityReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21559"/>
            <printName language="en" preferredForLanguage="true" text="motor vehicle accident victim"/>
            <code code="VEHIC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The patient was previously receiving a medication contraindicated with the current medication. The current medication will remain on hold until the prior medication has been cleansed from their system.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CombinedPharmacyOrderSuspendReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21693"/>
            <printName language="en" preferredForLanguage="true"
                       text="waiting for old drug to wash out"/>
            <code code="WASHOUT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person becomes eligible for insurance or a program because of a work related health condition or injury.</p>
                        <i>Example:</i>A person is a claimant under the U.S. Black Lung Program.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoverageEligibilityReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21557"/>
            <printName language="en" preferredForLanguage="true" text="work related"/>
            <code code="WORK" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The record and version requested to update is not the current version.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ControlActNullificationRefusalReasonType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23278"/>
            <printName language="en" preferredForLanguage="true" text="wrong version"/>
            <code code="WRNGVER" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the reason the patient is assigned to this accommodation type</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="20937"/>
            <printName language="en" preferredForLanguage="true" text="ActAccommodationReason"/>
            <code code="_ActAccommodationReason" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Explanatory codes that describe reasons why an Adjudicator has financially adjusted an invoice (claim).</p>
                        <p>A companion domain (ActAdjudicationInformationCode) includes information reasons which do not have a financial impact on an invoice (claim).</p>
                        <p>Example adjudication reason code is AA-CLAIM-0011 - Only Basic Procedure/Test Eligible.</p>
                        <p>Codes from this domain further rationalizes ActAdjudicationCodes (e.g. AA - Adjudicated with Adjustment), which are used to describe the process of adjudicating an invoice. For AS - Adjudicated as Submitted, there should be no specification of ActAdjudicationReason codes, as there are no financial adjustments against the invoice.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="20938"/>
            <printName language="en" preferredForLanguage="true" text="ActAdjudicationReason"/>
            <code code="_ActAdjudicationReason" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Reason for Clinical Service being performed.</p>
                        <p>This domain excludes reasons specified by diagnosed conditions.</p>
                        <p>Examples of values from this domain include duplicate therapy and fraudulent prescription.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActBillableServiceReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20939"/>
            <printName language="en" preferredForLanguage="true"
                       text="ActBillableClinicalServiceReason"/>
            <code code="_ActBillableClinicalServiceReason" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>This domain is used to document reasons for providing a billable service; the billable services may include both clinical services and social services.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22209"/>
            <printName language="en" preferredForLanguage="true" text="ActBillableServiceReason"/>
            <code code="_ActBillableServiceReason" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To perform one or more operations on information to which the patient has not consented as deemed necessary by authorized entities for providing care in the best interest of the patient; providing immediately needed health care for an emergent condition; or for protecting public or third party safety.</p>
                        <i>Usage Notes:</i>Used to convey the reason that a provider or other entity may or has accessed personal healthcare information. Typically, this involves overriding the subject's consent directives.</text>
                  </definition>
                  <usageNotes>
                     <text>Used to convey the reason that a provider or other entity may or has accessed personal healthcare information.  Typically, this involves overriding the subject's consent directives.</text>
                  </usageNotes>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActHealthInformationManagementReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22198"/>
            <printName language="en" preferredForLanguage="true"
                       text="ActConsentInformationAccessOverrideReason"/>
            <code code="_ActConsentInformationAccessOverrideReason" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Represents the reason for the level of coverage provided under the policy or program in terms of the types of entities that may play covered parties based on their personal relationships or employment status.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22081"/>
            <printName language="en" preferredForLanguage="true" text="ActCoverageLevelRasonCode"/>
            <code code="_ActCoverageLevelRasonCode" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Identifies the reason or rationale for coverage of a service or product based on characteristics of the provider, e.g., contractual relationship to payor, such as in or out-of-network; relationship of the covered party to the provider.</p>
                        <p>**Example:**In closed managed care plan, a covered party is assigned a primary care provider who provides primary care services and authorizes referrals and ancillary and non-primary care services.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCoverageReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22168"/>
            <printName language="en" preferredForLanguage="true" text="ActCoverageProviderReason"/>
            <code code="_ActCoverageProviderReason" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Codes used to specify reasons or criteria relating to coverage provided under a policy or program. May be used to convey reasons pertaining to coverage contractual provisions, including criteria for eligibility, coverage limitations, coverage maximums, or financial participation required of covered parties.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22164"/>
            <printName language="en" preferredForLanguage="true" text="ActCoverageReason"/>
            <code code="_ActCoverageReason" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Identifies the reason or rationale for coverage of a service or product based on clinical efficacy criteria or practices prescribed by the payor.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCoverageReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22169"/>
            <printName language="en" preferredForLanguage="true" text="ActCoverageServiceReason"/>
            <code code="_ActCoverageServiceReason" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The rationale or purpose for an act relating to health information management, such as archiving information for the purpose of complying with an organization policy or jurisdictional law relating to data retention.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationManagementReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22676"/>
            <printName language="en" preferredForLanguage="true"
                       text="ActHealthInformationManagementReason"/>
            <code code="_ActHealthInformationManagementReason" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The rationale or purpose for an act relating to the management of personal health information, such as collecting personal health information for research or public health purposes.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActHealthInformationManagementReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22677"/>
            <printName language="en" preferredForLanguage="true"
                       text="ActHealthInformationPrivacyReason"/>
            <code code="_ActHealthInformationPrivacyReason" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A coded description of the reason for why a patient was administered an immunization.</p>
                        <p>**Examples:**Post Exposure - Reason, Universal Immunization Program, Outbreak Control, Universal School Program</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22077"/>
            <printName language="en" preferredForLanguage="true" text="ActImmunizationReason"/>
            <code code="_ActImmunizationReason" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the reason or rational for why a person is not eligibile for benefits under an insurance policy.</p>
                        <p>Examples are client deceased &amp; adopted client has been given a new policy identifier.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_EligibilityActReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20940"/>
            <printName language="en" preferredForLanguage="true" text="ActIneligibilityReason"/>
            <code code="_ActIneligibilityReason" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The rationale or purpose for an act relating to information management, such as archiving information for the purpose of complying with an enterprise data retention policy.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22675"/>
            <printName language="en" preferredForLanguage="true" text="ActInformationManagementReason"/>
            <code code="_ActInformationManagementReason" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The rationale or purpose for an act relating to the management of personal information, such as disclosing personal tax information for the purpose of complying with a court order.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActInformationManagementReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22697"/>
            <printName language="en" preferredForLanguage="true" text="ActInformationPrivacyReason"/>
            <code code="_ActInformationPrivacyReason" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Types of reasons why a substance is invalid for use.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23235"/>
            <printName language="en" preferredForLanguage="true" text="ActInvalidReason"/>
            <code code="_ActInvalidReason" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Domain specifies the codes used to describe reasons why a Provider is cancelling an Invoice or Invoice Grouping.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="20941"/>
            <printName language="en" preferredForLanguage="true" text="ActInvoiceCancelReason"/>
            <code code="_ActInvoiceCancelReason" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A coded description of the reason for why a patient did not receive a scheduled immunization.</p>
                        <p>(important for public health strategy</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21529"/>
            <printName language="en" preferredForLanguage="true" text="ActNoImmunizationReason"/>
            <code code="_ActNoImmunizationReason" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates why a fulfiller refused to fulfill a supply order, and considered it important to notify other providers of their decision. E.g. "Suspect fraud", "Possible abuse", "Contraindicated".</p>
                        <p>(used when capturing 'refusal to fill' annotations)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21530"/>
            <printName language="en" preferredForLanguage="true"
                       text="ActSupplyFulfillmentRefusalReason"/>
            <code code="_ActSupplyFulfillmentRefusalReason" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**Specifies the reason that an event occurred in a clinical research study.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22391"/>
            <printName language="en" preferredForLanguage="true" text="ClinicalResearchEventReason"/>
            <code code="_ClinicalResearchEventReason" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**SSpecifies the reason that a test was performed or observation collected in a clinical research study.</p>
                        <p>**Note:**This set of codes are not strictly reasons, but are used in the currently Normative standard. Future revisions of the specification will model these as ActRelationships and thes codes may subsequently be retired. Thus, these codes should not be used for new specifications.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22392"/>
            <printName language="en" preferredForLanguage="true"
                       text="ClinicalResearchObservationReason"/>
            <code code="_ClinicalResearchObservationReason" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Indicates why the prescription should be suspended.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22393"/>
            <printName language="en" preferredForLanguage="true"
                       text="CombinedPharmacyOrderSuspendReasonCode"/>
            <code code="_CombinedPharmacyOrderSuspendReasonCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Identifies reasons for nullifying (retracting) a particular control act.</p>
                        <p>**Examples:**"Entered in error", "altered decision", etc.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22394"/>
            <printName language="en" preferredForLanguage="true"
                       text="ConrolActNullificationReasonCode"/>
            <code code="_ConrolActNullificationReasonCode" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Identifies reasons for nullifying (retracting) a particular control act.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22809"/>
            <printName language="en" preferredForLanguage="true"
                       text="ControlActNullificationReasonCode"/>
            <code code="_ControlActNullificationReasonCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Reasons to refuse a transaction to be undone.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23277"/>
            <printName language="en" preferredForLanguage="true"
                       text="ControlActNullificationRefusalReasonType"/>
            <code code="_ControlActNullificationRefusalReasonType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies why a specific query, request, or other trigger event occurred.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21491"/>
            <printName language="en" preferredForLanguage="true" text="ControlActReason"/>
            <code code="_ControlActReason" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>Indicates why the ConditionaTMs status was changed to Nullified.<i>Examples</i>administrative error, diagnostic error.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ControlActReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21492"/>
            <printName language="en" preferredForLanguage="true"
                       text="ControlActReasonConditionNullify"/>
            <code code="_ControlActReasonConditionNullify" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Definition: Identifies the reason or rational for why a person is eligibile for benefits under an insurance policy or progam.</p>
                        <i>Examples:</i>A person is a claimant under an automobile insurance policy are client deceased &amp; adopted client has been given a new policy identifier. A new employee is eligible for health insurance as an employment benefit. A person meets a government program eligibility criteria for financial, age or health status.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_EligibilityActReasonCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21555"/>
            <printName language="en" preferredForLanguage="true" text="CoverageEligibilityReason"/>
            <code code="_CoverageEligibilityReason" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Identifies the reason or rationale for coverage of a service or product based on coverage exclusions related to the risk of adverse selection by covered parties.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCoverageReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22165"/>
            <printName language="en" preferredForLanguage="true" text="CoverageExclusionReason"/>
            <code code="_CoverageExclusionReason" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Identifies the reason or rationale for coverage of a service or product based on financial participation responsibilities of the covered party.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCoverageReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22166"/>
            <printName language="en" preferredForLanguage="true"
                       text="CoverageFinancialParticipationReason"/>
            <code code="_CoverageFinancialParticipationReason" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Identifies the reason or rationale for limitations on the coverage of a service or product based on coverage contract provisions.</p>
                        <p>**Example:**The maximum cost per unit; or the maximum number of units per period, which is typically the policy or program effective time.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCoverageReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22167"/>
            <printName language="en" preferredForLanguage="true" text="CoverageLimitationReason"/>
            <code code="_CoverageLimitationReason" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the reason or rational for why a person is eligibile for benefits under an insurance policy or progam.</p>
                        <i>Examples:</i>A person is a claimant under an automobile insurance policy are client deceased &amp; adopted client has been given a new policy identifier. A new employee is eligible for health insurance as an employment benefit. A person meets a government program eligibility criteria for financial, age or health status.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCoverageReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21493"/>
            <printName language="en" preferredForLanguage="true" text="EligibilityActReasonCode"/>
            <code code="_EligibilityActReasonCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Identifies why a change is being made to a record.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22395"/>
            <printName language="en" preferredForLanguage="true" text="GenericUpdateReasonCode"/>
            <code code="_GenericUpdateReasonCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>This domain is used to document why the procedure is a duplicate of one ordered/charged previously for the same patient within the same date of service and has been determined to be medically necessary.<b>Example:</b>A doctor needs a different view in a chest X-Ray.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActBillableClinicalServiceReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22210"/>
            <printName language="en" preferredForLanguage="true"
                       text="MedicallyNecessaryDuplicateProcedureReason"/>
            <code code="_MedicallyNecessaryDuplicateProcedureReason" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Indicates the reason the medication order should be aborted.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ControlActReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21701"/>
            <printName language="en" preferredForLanguage="true" text="medication order abort reason"/>
            <code code="_MedicationOrderAbortReasonCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**A collection of concepts that indicate why the prescription should be released from suspended state.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ControlActReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21711"/>
            <printName language="en" preferredForLanguage="true"
                       text="medication order release reason"/>
            <code code="_MedicationOrderReleaseReasonCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Types of reason why a prescription is being changed.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ControlActReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23634"/>
            <printName language="en" preferredForLanguage="true" text="ModifyPrescriptionReasonType"/>
            <code code="_ModifyPrescriptionReasonType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The reason the action wasn't performed, e.g. why the medication was not taken. If an action wasn"t performed, it is often clinically important to know why the action wasn"t taken.</p>
                        <p>*Examples:*Patient refused, clinically inappropriate, absolute contraindication etc.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21569"/>
            <printName language="en" preferredForLanguage="true" text="NonPerformanceReasonCode"/>
            <code code="_NonPerformanceReasonCode" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**A collection of concepts identifying why the patient's profile is being queried.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21715"/>
            <printName language="en" preferredForLanguage="true" text="patient profile query reason"/>
            <code code="_PatientProfileQueryReasonCode" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**Identifies why the dispense event was not completed.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ControlActReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22849"/>
            <printName language="en" preferredForLanguage="true" text="PharmacySupplyEventAbortReason"/>
            <code code="_PharmacySupplyEventAbortReason" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**A collection of concepts that indicates the reason for a "bulk supply" of medication.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ControlActReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21721"/>
            <printName language="en" preferredForLanguage="true"
                       text="pharmacy supply event stock reason"/>
            <code code="_PharmacySupplyEventStockReasonCode" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**Indicates why the request to transfer a prescription from one dispensing facility to another has been refused.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22863"/>
            <printName language="en" preferredForLanguage="true"
                       text="PharmacySupplyRequestFulfillerRevisionRefusalReasonCode"/>
            <code code="_PharmacySupplyRequestFulfillerRevisionRefusalReasonCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**A collection of concepts that identifies why a renewal prescription has been refused.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ControlActReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21727"/>
            <printName language="en" preferredForLanguage="true"
                       text="pharmacy supply request renewal refusal reason"/>
            <code code="_PharmacySupplyRequestRenewalRefusalReasonCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Code assigned to indicate the rationale for not performing an evaluation investigation on a device for which a defect has been reported.</p>
                        <p>Examples include: device received in a condition that made analysis impossible, device evaluation anticipated but not yet begun, device not made by company.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21408"/>
            <printName language="en" preferredForLanguage="true" text="ReasonForNotEvaluatingDevice"/>
            <code code="_ReasonForNotEvaluatingDevice" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The reason a referral was made.</p>
                        <p>*Examples:*Specialized Medical Assistance, Other Care Requirements.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21568"/>
            <printName language="en" preferredForLanguage="true" text="ReferralReasonCode"/>
            <code code="_ReferralReasonCode" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Identifies why a request to add (or activate) a record is being refused. Examples include the receiving system not able to match the identifier and find that record in the receiving system, having no permission, or a detected issue exists which precludes the requested action.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22906"/>
            <printName language="en" preferredForLanguage="true" text="RefusalReasonCode"/>
            <code code="_RefusalReasonCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Reasons for cancelling or rescheduling an Appointment</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="20942"/>
            <printName language="en" preferredForLanguage="true" text="SchedulingActReason"/>
            <code code="_SchedulingActReason" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates why the act revision (status update) is being refused.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23014"/>
            <printName language="en" preferredForLanguage="true"
                       text="StatusRevisionRefusalReasonCode"/>
            <code code="_StatusRevisionRefusalReasonCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Reasons why substitution of a substance administration request is not permitted.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21531"/>
            <printName language="en" preferredForLanguage="true"
                       text="SubstanceAdminSubstitutionNotAllowedReason"/>
            <code code="_SubstanceAdminSubstitutionNotAllowedReason" status="active"/>
         </concept>
         <concept isSelectable="false">
            <conceptProperty name="internalId" value="20943"/>
            <printName language="en" preferredForLanguage="true"
                       text="SubstanceAdminSubstitutionReason"/>
            <code code="_SubstanceAdminSubstitutionReason" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**Indicates why the requested authorization to prescribe or dispense a medication has been refused.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22856"/>
            <printName language="en" preferredForLanguage="true"
                       text="SubstanceAdministrationPermissionRefusalReasonCode"/>
            <code code="_SubstanceAdministrationPermissionRefusalReasonCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**A collection of concepts that indicates why the prescription should no longer be allowed to be dispensed (but can still administer what is already being dispensed).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ControlActReason"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21736"/>
            <printName language="en" preferredForLanguage="true" text="supply order abort reason"/>
            <code code="_SupplyOrderAbortReasonCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The explanation for why a patient is moved from one location to another within the organization</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="20944"/>
            <printName language="en" preferredForLanguage="true" text="TransferActReason"/>
            <code code="_TransferActReason" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="ActRelationshipCheckpoint" title="ActRelationshipCheckpoint"
               codeSystemId="2.16.840.1.113883.5.10">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipCheckpoint-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A code specifying when in the course of an Act a precondition for the Act is evaluated (e.g., before the Act starts for the first time, before every repetition, after each repetition but not before the first, or throughout the entire time of the Act.)</p>
                  <i>Discussion:</i>This attribute is part of the workflow control suite of attributes. An action plan is a composite Act with component Acts. In a sequential plan, each component has a sequenceNumber that specifies the ordering of the plan steps. Before each step is executed and has preconditions these conditions are tested and if the test is positive, the Act has clearance for execution. The repeatNumber may indicate that an Act may be repeatedly executed. The checkpointCode is specifies when the precondition is checked and is analogous to the various conditional statements and loop constructs in programming languages "while-do" vs. "do-while" or "repeat-until" vs. "loop-exit".<p>For all checkpointCodes, except "end", preconditions are being checked at the time when the preceding step of the plan has terminated and this step would be next in the sequence established by the sequenceNumber attribute.</p>
                  <p>When the checkpointCode for a criterion of a repeatable Act is "end", the criterion is tested only at the end of each repetition of that Act. When the condition holds true, the next repetition is ready for execution.</p>
                  <p>When the checkpointCode is "entry" the criterion is checked at the beginning of each repetition (if any) whereas "beginning" means the criterion is checked only once before the repetition "loop" starts.</p>
                  <p>The checkpointCode "through" is special in that it requires the condition to hold throughout the execution of the Act, even throughout a single execution. As soon as the condition turns false, the Act should receive an interrupt event (see interruptibleInd) and will eventually terminate.</p>
                  <p>The checkpointCode "exit" is only used on a special plan step that represents a loop exit step. This allows an action plan to exit due to a condition tested inside the execution of this plan. Such exit criteria are sequenced with the other plan components using the ActRelationship.sequenceNumber.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Condition is tested every time before execution of the service (WHILE condition DO service).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10351"/>
            <printName language="en" preferredForLanguage="true" text="beginning"/>
            <code code="B" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Condition is tested at the end of a repeated service execution. The service is repeated only if the condition is true (DO service WHILE condition).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10352"/>
            <printName language="en" preferredForLanguage="true" text="end"/>
            <code code="E" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Condition is tested once before the service is executed (IF condition THEN service).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10350"/>
            <printName language="en" preferredForLanguage="true" text="entry"/>
            <code code="S" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Condition must be true throughout the execution and the service is interrupted (asynchronously) as soon as the condition turns false (asynchronous WHILE loop). The service must be interruptible.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10353"/>
            <printName language="en" preferredForLanguage="true" text="through"/>
            <code code="T" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Condition is a loop checkpoint, i.e. it is a step of an activity plan and, if negative causes the containing loop to exit.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10354"/>
            <printName language="en" preferredForLanguage="true" text="exit"/>
            <code code="X" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="ActRelationshipJoin" title="ActRelationshipJoin"
               codeSystemId="2.16.840.1.113883.5.12">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipJoin-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A code specifying how concurrent Acts are resynchronized in a parallel branch construct.</p>
                  <i>Discussion:</i>This attribute is part of the workflow control suite of attributes. An action plan is a composite Act with component Acts. In a sequential plan, each component has a sequenceNumber that specifies the ordering of the plan steps. Branches exist when multiple components have the same sequenceNumber. Branches are parallel if the splitCode specifies that more than one branch can be executed at the same time. The joinCode then specifies if and how the braches are resynchronized.<p>The principal re-synchronization actions are (1) the control flow waits for a branch to terminate (wait-branch), (2) the branch that is not yet terminated is aborted (kill-branch), (3) the branch is not re-synchronized at all and continues in parallel (detached branch).</p>
                  <p>A kill branch is only executed if there is at least one active wait (or exclusive wait) branch. If there is no other wait branch active, a kill branch is not started at all (rather than being aborted shortly after it is started.) Since a detached branch is unrelated to all other branches, active detached branches do not protect a kill-branch from being aborted.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Detach this branch from the other branches so it will not be resynchronized with the other branches.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10364"/>
            <printName language="en" preferredForLanguage="true" text="detached"/>
            <code code="D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>When all other concurrent branches are terminated, interrupt and discontinue this branch.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10362"/>
            <printName language="en" preferredForLanguage="true" text="kill"/>
            <code code="K" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Wait for this branch to terminate.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10361"/>
            <printName language="en" preferredForLanguage="true" text="wait"/>
            <code code="W" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Wait for any one of the branches in the set of exclusive wait branches to terminate, then discontinue all the other exclusive wait branches.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10363"/>
            <printName language="en" preferredForLanguage="true" text="exclusive wait"/>
            <code code="X" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="ActRelationshipSplit" title="ActRelationshipSplit"
               codeSystemId="2.16.840.1.113883.5.13">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipSplit-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A code specifying how branches in an action plan are selected among other branches.</p>
                  <i>Discussion:</i>This attribute is part of the workflow control suite of attributes. An action plan is a composite Act with component Acts. In a sequential plan, each component has a sequenceNumber that specifies the ordering of the plan steps. Branches exist when multiple components have the same sequenceNumber. The splitCode specifies whether a branch is executed exclusively (case-switch) or inclusively, i.e., in parallel with other branches.<p>In addition to exlusive and inclusive split the splitCode specifies how the pre-condition (also known as "guard conditions" on the branch) are evaluated. A guard condition may be evaluated once when the branching step is entered and if the conditions do not hold at that time, the branch is abandoned. Conversely execution of a branch may wait until the guard condition turns true.</p>
                  <p>In exclusive wait branches, the first branch whose guard conditions turn true will be executed and all other branches abandoned. In inclusive wait branches some branches may already be executed while other branches still wait for their guard conditions to turn true.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The pre-condition associated with the branch is evaluated once and if true the branch may be entered. All other exclusive branches compete with each other and only one will be selected. This implements a COND, IF and CASE conditionals, or "XOR-split." The order in which the branches are considered may be specified in the priorityNumber attribute.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10356"/>
            <printName language="en" preferredForLanguage="true" text="exclusive try once"/>
            <code code="E1" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A branch is selected as soon as the pre-condition associated with the branch evaluates to true. If the condition is false, the branch may be entered later, when the condition turns true. All other exclusive branches compete with each other and only one will be selected. Each waiting branch executes in parallel with the default join code wait (see below). The order in which the branches are considered may be specified in the Service\_relationship.priority\_nmb.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10357"/>
            <printName language="en" preferredForLanguage="true" text="exclusive wait"/>
            <code code="EW" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A branch is executed if its associated preconditions permit. If associated preconditions do not permit, the branch is dropped. Inclusive branches are not suppressed and do not suppress other branches.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10358"/>
            <printName language="en" preferredForLanguage="true" text="inclusive try once"/>
            <code code="I1" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A branch is executed as soon as its associated conditions permit. If the condition is false, the branch may be entered later, when the condition turns true. Inclusive branches are not suppressed and do not suppress other branches. Each waiting branch executes in parallel with the default join code wait (see below).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10359"/>
            <printName language="en" preferredForLanguage="true" text="inclusive wait"/>
            <code code="IW" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="ActRelationshipSubset" title="ActRelationshipSubset"
               codeSystemId="2.16.840.1.113883.5.1099">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipSubset-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>&lt;ns1:p&gt;Used to indicate that the target of the relationship will be a filtered subset of the total related set of targets.&lt;/ns1:p&gt;&lt;ns1:p&gt;Used when there is a need to limit the number of components to the first, the last, the next, the total, the average or some other filtered or calculated subset.&lt;/ns1:p&gt;</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <conceptProperty name="internalId" value="21376"/>
            <printName language="en" preferredForLanguage="true" text="ActRelationshipExpectedSubset"/>
            <code code="ActRelationshipExpectedSubset" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="21372"/>
            <printName language="en" preferredForLanguage="true" text="ActRelationshipPastSubset"/>
            <code code="ActRelationshipPastSubset" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Restricted to the earliest known occurrence that occurred or was scheduled to occur in the past. The Act with the lowest effective time. ('now' is the time the instance is authored.)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PAST"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21373"/>
            <printName language="en" preferredForLanguage="true" text="first known"/>
            <code code="FIRST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Represents a 'summary' of all acts that are scheduled to occur in the future (whose effective time is greater than 'now' where is the time the instance is authored.). The effectiveTime represents the outer boundary of all occurrences, repeatNumber represents the total number of repetitions, etc.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="FUTURE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21379"/>
            <printName language="en" preferredForLanguage="true" text="future summary"/>
            <code code="FUTSUM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An occurrence that is scheduled to occur in the future. An Act whose effective time is greater than 'now', where 'now' is the time the instance is authored.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ParticipationSubset"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21368"/>
            <printName language="en" preferredForLanguage="true" text="expected future"/>
            <code code="FUTURE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Restricted to the latest known occurrence that is scheduled to occur. The Act with the highest known effective time.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="FUTURE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21378"/>
            <printName language="en" preferredForLanguage="true" text="expected last"/>
            <code code="LAST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The occurrence whose value attribute is greater than all other occurrences at the time the instance is created.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21370"/>
            <printName language="en" preferredForLanguage="true" text="maximum"/>
            <code code="MAX" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The occurrence whose value attribute is less than all other occurrences at the time the instance is created.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21369"/>
            <printName language="en" preferredForLanguage="true" text="minimum"/>
            <code code="MIN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Restricted to the nearest recent known occurrence scheduled to occur in the future. The Act with the lowest effective time, still greater than 'now'. ('now' is the time the instance is authored.)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="FUTURE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21377"/>
            <printName language="en" preferredForLanguage="true" text="expected next"/>
            <code code="NEXT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An occurrence that occurred or was scheduled to occur in the past. An Act whose effective time is less than 'now'. ('now' is the time the instance is authored.)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ParticipationSubset"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21367"/>
            <printName language="en" preferredForLanguage="true" text="previous"/>
            <code code="PAST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Represents a 'summary' of all acts that previously occurred or were scheduled to occur. The effectiveTime represents the outer boundary of all occurrences, repeatNumber represents the total number of repetitions, etc. ('now' is the time the instance is authored.)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PAST"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21375"/>
            <printName language="en" preferredForLanguage="true" text="previous summary"/>
            <code code="PREVSUM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Restricted to the most recent known occurrence that occurred or was scheduled to occur in the past. The Act with the most recent effective time, still less than 'now'. ('now' is the time the instance is authored.)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PAST"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21374"/>
            <printName language="en" preferredForLanguage="true" text="most recent"/>
            <code code="RECENT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Represents a 'summary' of all acts that have occurred or were scheduled to occur and which are scheduled to occur in the future. The effectiveTime represents the outer boundary of all occurrences, repeatNumber represents the total number of repetitions, etc.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ParticipationSubset"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21371"/>
            <printName language="en" preferredForLanguage="true" text="summary"/>
            <code code="SUM" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Used to indicate that the participation is a filtered subset of the total participations of the same type owned by the Act.</p>
                        <p>Used when there is a need to limit the participations to the first, the last, the next or some other filtered subset.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21567"/>
            <printName language="en" preferredForLanguage="true" text="ParticipationSubset"/>
            <code code="_ParticipationSubset" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="ActRelationshipType" title="ActRelationshipType"
               codeSystemId="2.16.840.1.113883.5.1002">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipType-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The source is an excerpt from the target.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired..</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="conductible" type="Boolean" isMandatoryIndicator="false">
            <description>If true, indicates that ActRelationships or Participations of the specified type (and any specializations thereof) will normally conduct. For more usage information, refer to the Core Principles specification.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="isDocumentCharacteristic" type="Boolean"
                                   isMandatoryIndicator="false">
            <description>If true, indicates that the Act attribute or association (as represented by a typeCode for eaither ActRelationship or Pareticipation is a descriptor of the document (record) represented by the act object. If false, indicates the property is a descriptor of the action itself, actual, intended, or potential. Applies to interpretation of attributes and associations with respect to changes in the value of Act.actionNegationInd and Act.moodCode. (See descriptions of these attributes for further discussion.) For example, in an order, the id attribute [isDocumentCharacteristic = true] is an identifier of the record of the order, not an identifier of the intended event. On the other hand, the code attribute [isDocumentCharacteristic = false] describes a characteristic of the intended event.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="Name:Act:inboundRelationship:ActRelationship" type="Token"
                                   isMandatoryIndicator="false">
            <description>Name of inboundRelationship from Act to ActReln</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="Name:Act:outboundRelationship:ActRelationship" type="Token"
                                   isMandatoryIndicator="false">
            <description>Formal name of outboundRelationship from Act to ActReln</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="Sort:Act:inboundRelationship:ActRelationship" type="Token"
                                   isMandatoryIndicator="false">
            <description>Sort key for the inboundRelationship from Act to ActReln</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="Sort:Act:outboundRelationship:ActRelationship" type="Token"
                                   isMandatoryIndicator="false">
            <description>Sort key for the outboundRelationship from Act to ActReln</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="appliesTo" type="String" isMandatoryIndicator="false">
            <description>Haven't a clue!</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="howApplies" type="String" isMandatoryIndicator="false">
            <description>Haven't a clue!</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="Name:ActRelationship:source:Act" type="String"
                                   isMandatoryIndicator="false">
            <description>The name of the assciation from ActRelationship to the source Act</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="Name:ActRelationship:target:Act" type="String"
                                   isMandatoryIndicator="false">
            <description>The name of the assciation from ActRelationship to the source Act</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="synonymCode" type="Token" isMandatoryIndicator="false">
            <description>An additional concept code that was also attributed to a concept</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The source act is intended to provide active immunity against the effects of the target act (the target act describes an infectious disease)</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="IMM"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23305"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship"
                             value="activelyImmunizedAgainst"/>
            <conceptProperty name="conductible" value="true"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="active immunization against"/>
            <code code="ACTIMM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The source act is intended to offer an additional treatment for the management or cure of a pre-existing adverse situation described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature. It is not a requirement that the non-adjunctive treatment is explicitly specified.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TREAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23310"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship"
                             value="adjunctiveTreatmentFor"/>
            <conceptProperty name="conductible" value="true"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="adjunctive treatment"/>
            <code code="ADJUNCT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An addendum (source) to an existing service object (target), containing supplemental information. The addendum is itself an original service object linked to the supplemented service object. The supplemented service object remains in place and its content and status are unaltered.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SEQL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10339"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="appendageOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="appendage"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="BJ_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="BJ_______"/>
            <conceptProperty name="conductible" value="false"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="is appendage"/>
            <code code="APND" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The relationship that links to a Transportation Act (target) from another Act (source) indicating that the subject of the source Act entered into the source Act by means of the target Transportation act.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="STEP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17911"/>
            <conceptProperty name="isDocumentCharacteristic" value="false"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="arrivalFor"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="arrivedBy"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="EAAB_____"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="EAAB_____"/>
            <conceptProperty name="conductible" value="false"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="arrival"/>
            <code code="ARR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A directed association between a source Act and a target Act.<b>Usage Note:</b>This code should never be transmitted in an instance as the value of ActRelationship.typeCode (attribute)</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23252"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="act relationship type"/>
            <code code="ART" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship in which the target act authorizes or certifies the source act.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14019"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="authorizationOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="authorization"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="DH_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="DH_______"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="authorized by"/>
            <code code="AUTH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>The source act is performed to block the effects of the target act. This act relationship should be used when describing near miss type incidents where potential harm could have occurred, but the action described in the source act blocked the potential harmful effects of the incident actually occurring.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RSON"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22188"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="blockedBy"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="blocks"/>
            <conceptProperty name="conductible" value="true"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="blocks"/>
            <code code="BLOCK" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates that the target observation(s) provide an initial reference for the source observation or observation group.</p>
                        <i>UsageConstraints:</i>Both source and target must be Observations or specializations thereof.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SEQL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23101"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="baselineFor"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="baseline"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="BG_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="BG_______"/>
            <conceptProperty name="conductible" value="false"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="has baseline"/>
            <code code="BSLN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>An assertion that an act was the cause of another act.This is stronger and more specific than the support link. The source (cause) is typically an observation, but may be any act, while the target may be any act.<b>Examples:</b>
                        <p>* a growth of Staphylococcus aureus may be considered the cause of an abscess * contamination of the infusion bag was deemed to be the cause of the infection that the patient experienced * lack of staff on the shift was deemed to be a supporting factor (proximal factor) causing the patient safety incident where the patient fell out of bed because the bed-sides had not been put up which caused the night patient to fall out of bed</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10332"/>
            <conceptProperty name="appliesTo" value="cause"/>
            <conceptProperty name="howApplies" value="effect"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="cause"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="causeOf"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="DD_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="DD_______"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="is etiology for"/>
            <code code="CAUS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship that provides an ability to associate a financial transaction (target) as a charge to a clinical act (source). A clinical act may have a charge associated with the execution or delivery of the service.</p>
                        <p>The financial transaction will define the charge (bill) for delivery or performance of the service.</p>
                        <p>Charges and costs are distinct terms. A charge defines what is charged or billed to another organization or entity within an organization. The cost defines what it costs an organization to perform or deliver a service or product.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActRelationshipCostTracking"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14904"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="chargeFor"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="charge"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="DOBA_____"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="DOBA_____"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="has charge"/>
            <code code="CHRG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A contraindication is just a negation of a reason, i.e. it gives a condition under which the action is not to be done. Both, source and target can be any kind of service; target service is in criterion mood. How the strength of a contraindication is expressed (e.g., relative, absolute) is left as an open issue. The priorityNumber attribute could be used.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActRelationshipConditional"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10323"/>
            <conceptProperty name="appliesTo" value="action"/>
            <conceptProperty name="howApplies" value="contra-indication"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="contraindicationFor"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="contraindication"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="CC_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="CC_______"/>
            <conceptProperty name="conductible" value="true"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="has contra-indication"/>
            <code code="CIND" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The target act is a component of the source act, with no semantics regarding composition or aggregation implied.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10318"/>
            <conceptProperty name="conductible" value="false"/>
            <conceptProperty name="isDocumentCharacteristic" value="false"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="componentOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="component"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="E________"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="E________"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="has component"/>
            <code code="COMP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The source act complies with, adheres to, conforms to, or is permissible under (in whole or in part) the policy, contract, agreement, law, conformance criteria, certification guidelines or requirement conveyed by the target act.</p>
                        <p>Examples for compliance relationships are: audits of adherence with a security policy, certificate of conformance to system certification requirements, or consent directive in compliance with or permissible under a privacy policy.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SEQL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22626"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="compliesWith"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="compliance"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="BO_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="BO_______"/>
            <conceptProperty name="conductible" value="false"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="complies with"/>
            <code code="COMPLY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship in which the source act's effective time is the same as the target act's effective time.</p>
                        <i>UsageNote:</i>This code is reflexive. Therefore its inverse code is itself.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ECW"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SCW"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23032"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="isConcurrentWith"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="isConcurrentWith"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="concurrent with"/>
            <code code="CONCURRENT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship that provides an ability to associate a financial transaction (target) as a cost to a clinical act (source). A clinical act may have an inherit cost associated with the execution or delivery of the service.</p>
                        <p>The financial transaction will define the cost of delivery or performance of the service.</p>
                        <p>Charges and costs are distinct terms. A charge defines what is charged or billed to another organization or entity within an organization. The cost defines what it costs an organization to perform or deliver a service or product.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActRelationshipCostTracking"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14903"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="costOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="cost"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="DOBB_____"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="DOBB_____"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="has cost"/>
            <code code="COST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship in which the source act is covered by or is under the authority of a target act. A financial instrument such as an Invoice Element is covered by one or more specific instances of an Insurance Policy.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14894"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="coverageOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="coverage"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="DP_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="DP_______"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="covered by"/>
            <code code="COVBY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A credit relationship ties a financial transaction (target) to an account (source). A credit, once applied (posted), may have either a positive or negative effect on the account balance, depending on the type of account. An asset account credit will decrease the account balance. A non-asset account credit will decrease the account balance.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActRelationshipPosting"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14902"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="creditTo"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="credit"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="DOAA_____"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="DOAA_____"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="has credit"/>
            <code code="CREDIT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship from an Act to a Control Variable. For example, if a Device makes an Observation, this relates the Observation to its Control Variables documenting the device's settings that influenced the observation.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="COMP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17902"/>
            <conceptProperty name="isDocumentCharacteristic" value="false"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="controlVariableFor"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="controlVariable"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="EA_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="EA_______"/>
            <conceptProperty name="conductible" value="false"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="has control variable"/>
            <code code="CTRLV" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="21642"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="curative indication"/>
            <code code="CURE" status="retired"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="21643"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="adjunct curative indication"/>
            <code code="CURE.ADJ" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A debit relationship ties a financial transaction (target) to an account (source). A debit, once applied (posted), may have either a positive or negative effect on the account balance, depending on the type of account. An asset account debit will increase the account balance. A non-asset account debit will decrease the account balance.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActRelationshipPosting"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14901"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="debitTo"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="debit"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="DOAB_____"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="DOAB_____"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="has debit"/>
            <code code="DEBIT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The relationship that links to a Transportation Act (target) from another Act (source) indicating that the subject of the source Act departed from the source Act by means of the target Transportation act.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="STEP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17912"/>
            <conceptProperty name="isDocumentCharacteristic" value="false"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="departureFor"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="departedBy"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="EAAC_____"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="EAAC_____"/>
            <conceptProperty name="conductible" value="false"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="departure"/>
            <code code="DEP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The source act is intended to help establish the presence of a (an adverse) situation described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RSON"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21644"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="diagnosedBy"/>
            <conceptProperty name="conductible" value="true"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="diagnoses"/>
            <code code="DIAG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The source act documents the target act.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SEQL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11609"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="documentation"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="documentationOf"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="BH_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="BH_______"/>
            <conceptProperty name="conductible" value="false"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="documents"/>
            <code code="DOC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Associates a derived Act with its input parameters. E.G., an anion-gap observation can be associated as being derived from given sodium-, (potassium-,), chloride-, and bicarbonate-observations. The narrative content (Act.text) of a source act is wholly machine-derived from the collection of target acts.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10334"/>
            <conceptProperty name="appliesTo" value="output parameter"/>
            <conceptProperty name="howApplies" value="input parameter"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="derivation"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="derivedFrom"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="DF_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="DF_______"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="is derived from"/>
            <code code="DRIV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship in which the source act's effective time is wholly within the target act's effective time (including end points, as defined in the act's effective times)</p>
                        <i>UsageNote:</i>Inverse code is<b>SBSEAE</b>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SAS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23034"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="spansOccurrenceOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="occursDuring"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="occurs during"/>
            <code code="DURING" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship in which the source act ends after the target act ends.</p>
                        <i>UsageNote:</i>Inverse code is<b>EBE</b>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="EAEORECW"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="EAS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23081"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="endsBeforeEndOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="endsAfterEndOf"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="ends after end of"/>
            <code code="EAE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship in which the source act's effective time ends after or concurrent with the end of the target act's effective time.</p>
                        <i>Usage Note:</i>Inverse code is EBEORECW</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="EASORECWS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23646"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship"
                             value="endsBeforeOrConcurrentWithEndOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship"
                             value="endsAfterOrConcurrentWithEndOf"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true"
                       text="ends after or concurrent with end of"/>
            <code code="EAEORECW" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship in which the source act ends after the target act starts.</p>
                        <i>UsageNote:</i>Inverse code is<b>SBE</b>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActRelationshipTemporallyPertains"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="EASORECWS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23079"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="startsBeforeEndOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="endsAfterStartOf"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="ends after start of"/>
            <code code="EAS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship in which the source act's effective time ends after or concurrent with the start of the target act's effective time.</p>
                        <i>Usage Note:</i>Inverse code is EBSORECWS</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActRelationshipTemporallyPertains"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23645"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship"
                             value="endsBeforeOrConcurrentWithStartOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship"
                             value="endsAfterOrConcurrentWithStartOf"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true"
                       text="ends after or concurrent with start of"/>
            <code code="EASORECWS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The source Act ends before the end of the target Act (i.e. if we say "ActOne EBE ActTwo", it means that ActOne ends before the end of ActTwo, therefore ActOne is the source and ActTwo is the target).</p>
                        <i>UsageNote:</i>Inverse code is<b>EAE</b>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="EBEORECW"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SBE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23461"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="endsAfterEndOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="endsBeforeEndOf"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="ends before end of"/>
            <code code="EBE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship in which the source act's effective time ends before or concurrent with the end of the target act's effective time.</p>
                        <i>Usage Note:</i>Inverse code is EAEORECW</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SBE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23648"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship"
                             value="endsAfterOrConcurrentWithEndOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship"
                             value="endsBeforeOrConcurrentWithEndOf"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true"
                       text="ends before or concurrent with end of"/>
            <code code="EBEORECW" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship in which the source act ends before the target act starts.</p>
                        <i>UsageNote:</i>Inverse code is<b>SAE</b>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="EBSORECWS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23078"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="startsAfterEndOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="endsBeforeStartOf"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="ends before start of"/>
            <code code="EBS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship in which the source act's effective time ends before or concurrent with the start of the target act's effective time.</p>
                        <i>Usage Note:</i>Inverse code is EASORECWS</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SBSEBE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23649"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship"
                             value="endsAfterOrConcurrentWithStartOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship"
                             value="endsBeforeOrConcurrentWithStartOf"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true"
                       text="ends before or concurrent with start of"/>
            <code code="EBSORECWS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship in which the source act's effective time ends with the end of the target act's effective time.</p>
                        <i>UsageNote:</i>This code is reflexive. Therefore its inverse code is itself.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="EAEORECW"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="EBEORECW"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ENE"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OVERLAP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23033"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship"
                             value="endsConcurrentlyWith"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship"
                             value="endsConcurrentlyWith"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="ends concurrent with"/>
            <code code="ECW" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The source Act ends when the target act starts (i.e. if we say "ActOne ECWS ActTwo", it means that ActOne ends when ActTwo starts, therefore ActOne is the source and ActTwo is the target).</p>
                        <i>UsageNote:</i>Inverse code is<b>SCWE</b>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="EASORECWS"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="EBSORECWS"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ENS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23463"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship"
                             value="startsConcurrentWithEndOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship"
                             value="endsConcurrentWithStartOf"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="ends concurrent with start of"/>
            <code code="ECWS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship in which the source act ends within the target act's effective time (including end points, as defined in the act's effective times)</p>
                        <i>UsageNote:</i>Inverse code is<b>SBEEAE</b>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OVERLAP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23080"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="encompassesEndOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="endsDuring"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="ends during"/>
            <code code="EDU" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Expresses an association that links two instances of the same act over time, indicating that the instance are part of the same episode, e.g. linking two condition nodes for episode of illness; linking two encounters for episode of encounter.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18865"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="linkedBy"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="links"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="BG_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="BG_______"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="episodeLink"/>
            <code code="ELNK" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship in which the source act's effective time ends near the end of the target act's effective time. Near is defined separately as a time interval.</p>
                        <i>Usage Note:</i>Inverse code is ENS</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActRelationshipTemporallyPertainsApproximates"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23640"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="endsNearStart"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="endsNearEnd"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="ends near end"/>
            <code code="ENE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship in which the source act's effective time ends near the start of the target act's effective time. Near is defined separately as a time interval.</p>
                        <i>Usage Note:</i>Inverse code is ENE</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActRelationshipTemporallyPertainsApproximates"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23641"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="endsNearEnd"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="endsNearStart"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="ends near start"/>
            <code code="ENS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates that the target Act provides evidence in support of the action represented by the source Act. The target is not a 'reason' for the source act, but rather gives supporting information on why the source act is an appropriate course of action. Possible targets might be clinical trial results, journal articles, similar successful therapies, etc.</p>
                        <i>Rationale:</i>Provides a mechanism for conveying clinical justification for non-approved or otherwise non-traditional therapies.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21572"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="provides evidence for"/>
            <code code="EVID" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The source act is aggravated by the target act. (Example "chest pain" EXACBY "exercise")</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22827"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="exacerbated by"/>
            <code code="EXACBY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This is the inversion of support. Used to indicate that a given observation is explained by another observation or condition.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10331"/>
            <conceptProperty name="howApplies" value="explaining observation or condition"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="explanationFor"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="explanation"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="DI_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="DI_______"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="has explanation"/>
            <code code="EXPL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The source act fulfills (in whole or in part) the target act. Source act must be in a mood equal or more actual than the target act.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SEQL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10342"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="fulfillment"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="inFulfillmentOf"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="BA_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="BA_______"/>
            <conceptProperty name="conductible" value="false"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="fulfills"/>
            <code code="FLFS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The generalization relationship can be used to express categorical knowledge about services (e.g., amilorid, triamterene, and spironolactone have the common generalization potassium sparing diuretic).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SEQL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10348"/>
            <conceptProperty name="appliesTo" value="specialization"/>
            <conceptProperty name="howApplies" value="generalization"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="specialization"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="generalization"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="BC_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="BC_______"/>
            <conceptProperty name="conductible" value="false"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="has generalization"/>
            <code code="GEN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A goal-evaluation links an observation (intent or actual) to a goal to indicate that the observation evaluates the goal. Given the goal and the observation, a "goal distance" (e.g., goal to observation) can be "calculated" and need not be sent explicitly.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SEQL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10346"/>
            <conceptProperty name="appliesTo" value="evaluation"/>
            <conceptProperty name="howApplies" value="goal"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="evaluation"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="evaluationOf"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="BD_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="BD_______"/>
            <conceptProperty name="conductible" value="false"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="evaluates (goal)"/>
            <code code="GEVL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A goal that one defines given a patient's health condition. Subsequently planned actions aim to meet that goal. Source is an observation or condition node, target must be an observation in goal mood.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OUTC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10325"/>
            <conceptProperty name="appliesTo" value="observation, condition"/>
            <conceptProperty name="howApplies" value="goal"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="goalOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="goal"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="AB_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="AB_______"/>
            <conceptProperty name="conductible" value="false"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="has goal"/>
            <code code="GOAL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The source act is intented to provide immunity against the effects of the target act (the target act describes an infectious disease)</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RSON"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23304"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="immunizedAgainst"/>
            <conceptProperty name="conductible" value="true"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="immunization against"/>
            <code code="IMM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The source Act is independent of the time of the target Act.</p>
                        <i>UsageNote:</i>This code is reflexive. Therefore its inverse code is itself.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActRelationshipTemporallyPertains"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23582"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="independentOfTimeOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship"
                             value="independentOfTimeOf"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="independent of time of"/>
            <code code="INDEPENDENT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Used to capture the link between a potential service ("master" or plan) and an actual service, where the actual service instantiates the potential service. The instantiation may override the master's defaults.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SEQL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10341"/>
            <conceptProperty name="appliesTo" value="instance"/>
            <conceptProperty name="howApplies" value="master"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="instantiation"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="definition"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="BB_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="BB_______"/>
            <conceptProperty name="conductible" value="false"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="instantiates (master)"/>
            <code code="INST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>the target act documents a set of circumstances (events, risks) which prevent successful completion, or degradation of quality of, the source Act.</p>
                        <i>UsageNote:</i>This provides the semantics to document barriers to care</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23597"/>
            <conceptProperty name="appliesTo" value="any Act"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="interferesWith"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="interferedBy"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="G________"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="G________"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="interfered by"/>
            <code code="INTF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Items located</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20841"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="itemStorageFor"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="itemStorage"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="DR_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="DR_______"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="items located"/>
            <code code="ITEMSLOC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship that limits or restricts the source act by the elements of the target act. For example, an authorization may be limited by a financial amount (up to $500). Target Act must be in EVN.CRIT mood.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14896"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="limitationOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="limitation"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="DQ_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="DQ_______"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="limited by"/>
            <code code="LIMIT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The target Acts are aggregated by the source Act. Target Acts may have independent existence, participate in multiple ActRelationships, and do not contribute to the meaning of the source.</p>
                        <b>UsageNotes:</b>This explicitly represents the conventional notion of aggregation. The target Act is part of a collection of Acts (no implication is made of cardinality, a source of Acts may contain zero, one, or more member target Acts).<p>It is expected that this will be primarily used with \_ActClassRecordOrganizer, BATTERY, and LIST</p>
                     </text>
                  </definition>
                  <usageNotes>
                     <text>This explicitly represents the conventional notion of aggregation.  The target Act is part of a collection of Acts (no implication is made of cardinality, a source of Acts may contain zero, one, or more member target Acts). It is expected that this will be primarily used with _ActClassRecordOrganizer, BATTERY, and LIST</text>
                  </usageNotes>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="COMP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23594"/>
            <conceptProperty name="appliesTo" value="any Act"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="memberOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="hasMember"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="EA_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="EA_______"/>
            <conceptProperty name="conductible" value="false"/>
            <conceptProperty name="isDocumentCharacteristic" value="false"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="has member"/>
            <code code="MBR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Indicates that the attributes and associations of the target act provide metadata (for example, identifiers, authorship, etc.) for the source act.<b>Constraint:</b>Source act must have either a mood code that is not "EVN" (event) or its "isCriterion" attribute must set to "true". Target act must be an Act with a mood code of EVN and with isCriterionInd attribute set to "true".</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23111"/>
            <conceptProperty name="conductible" value="false"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="metadataFor"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="metadata"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="DZ_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="AA_______"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="has metadata"/>
            <code code="META" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An assertion that a new observation may be the manifestation of another existing observation or action. This assumption is attributed to the same actor who asserts the manifestation. This is stronger and more specific than an inverted support link. For example, an agitated appearance can be asserted to be the manifestation (effect) of a known hyperthyroxia. This expresses that one might not have realized a symptom if it would not be a common manifestation of a known condition. The target (cause) may be any service, while the source (manifestation) must be an observation.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10333"/>
            <conceptProperty name="appliesTo" value="manifestation"/>
            <conceptProperty name="howApplies" value="cause"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="manifestation"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="manifestationOf"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="DE_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="DE_______"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="is manifestation of"/>
            <code code="MFST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The source act removes or lessens the occurrence or effect of the target act.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RSON"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19986"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="mitigatedBy"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="mitigates"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="CAA______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="CAA______"/>
            <conceptProperty name="conductible" value="true"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="mitigates"/>
            <code code="MITGT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Definition: Used to link a newer version or 'snapshot' of a business object (source) to an older version or 'snapshot' of the same business object (target).</p>
                        <p>*Usage:*The identifier of the Act should be the same for both source and target. If the identifiers are distinct, RPLC should be used instead.</p>
                        <p>Name from source to target = "modifiesPrior"</p>
                        <p>Name from target to source = "modifiesByNew"</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SEQL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21638"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="conductible" value="false"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="modifies"/>
            <code code="MOD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A trigger-match links an actual service (e.g., an observation or procedure that took place) with a service in criterion mood. For example if the trigger is "observation of pain" and pain is actually observed, and if that pain-observation caused the trigger to fire, that pain-observation can be linked with the trigger.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SEQL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10345"/>
            <conceptProperty name="appliesTo" value="matching service"/>
            <conceptProperty name="howApplies" value="trigger"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="match"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="matchOf"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="BF_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="BF_______"/>
            <conceptProperty name="conductible" value="false"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="matches (trigger)"/>
            <code code="MTCH" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="21641"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="adjunct mitigation"/>
            <code code="MTGT.ADJ" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The source act is intended to provide long term maintenance improvement or management of a pre-existing adverse situation described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TREAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23308"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship"
                             value="maintenanceTreatmentFor"/>
            <conceptProperty name="conductible" value="true"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="maintenance treatment"/>
            <code code="MTREAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Used to assign a "name" to a condition thread. Source is a condition node, target can be any service.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10336"/>
            <conceptProperty name="appliesTo" value="condition thread"/>
            <conceptProperty name="howApplies" value="name"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship"
                             value="assignedConditionName"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="conditionNamed"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="DJ_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="DJ_______"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="assigns name"/>
            <code code="NAME" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A desired state that a service action aims to maintain. E.g., keep systolic blood pressure between 90 and 110 mm Hg. Source is an intervention service. Target must be an observation in criterion mood.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActRelationsipObjective"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10327"/>
            <conceptProperty name="appliesTo" value="service"/>
            <conceptProperty name="howApplies" value="criterion"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="maintenanceGoalOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="maintenanceGoal"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="ACA______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="ACA______"/>
            <conceptProperty name="conductible" value="false"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="has continuing objective"/>
            <code code="OBJC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A desired outcome that a service action aims to meet finally. Source is any service (typically an intervention). Target must be an observation in criterion mood.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActRelationsipObjective"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10326"/>
            <conceptProperty name="appliesTo" value="service"/>
            <conceptProperty name="howApplies" value="criterion"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="finalGoalOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="finalGoal"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="ACB______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="ACB______"/>
            <conceptProperty name="conductible" value="false"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="has final objective"/>
            <code code="OBJF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The source act is a single occurrence of a repeatable target act. The source and target act can be in any mood on the "completion track" but the source act must be as far as or further along the track than the target act (i.e., the occurrence of an intent can be an event but not vice versa).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="FLFS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11614"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="occurrence"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="occurrenceOf"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="BAA______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="BAA______"/>
            <conceptProperty name="conductible" value="false"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="occurrence"/>
            <printName language="en" preferredForLanguage="false" text="is occurrence of"/>
            <code code="OCCR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship between a source Act that provides more detailed properties to the target Act.</p>
                        <p>The source act thus is a specialization of the target act, but instead of mentioning all the inherited properties it only mentions new property bindings or refinements.</p>
                        <p>The typical use case is to specify certain alternative variants of one kind of Act. The priorityNumber attribute is used to weigh refinements as preferred over other alternative refinements.</p>
                        <p>Example: several routing options for a drug are specified as one SubstanceAdministration for the general treatment with attached refinements for the various routing options.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SEQL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10347"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="optionFor"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="option"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="BN_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="BN_______"/>
            <conceptProperty name="conductible" value="false"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="has option"/>
            <code code="OPTN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Relates either an appointment request or an appointment to the order for the service being scheduled.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="FLFS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11628"/>
            <conceptProperty name="appliesTo" value="ActMood = ARQ or APT and ActMood = ORD"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="referencedBy"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="referencedOrder"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="BAB______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="BAB______"/>
            <conceptProperty name="conductible" value="false"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="references order"/>
            <code code="OREF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An observation that should follow or does actually follow as a result or consequence of a condition or action (sometimes called "post-conditional".) Target must be an observation as a goal, risk or any criterion. For complex outcomes a conjunction attribute (AND, OR, XOR) can be used. An outcome link is often inverted to describe an outcome assessment.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10324"/>
            <conceptProperty name="appliesTo" value="condition or action"/>
            <conceptProperty name="conductible" value="false"/>
            <conceptProperty name="howApplies" value="outcome"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="outcomeOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="outcome"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="A________"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="A________"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="has outcome"/>
            <code code="OUTC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship in which the source act's effective time overlaps the target act's effective time in any way.</p>
                        <i>UsageNote:</i>This code is reflexive. Therefore its inverse code is itself.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SBEORSCWE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23035"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="overlapsWith"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="overlapsWith"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="overlaps with"/>
            <code code="OVERLAP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The source act is intended to provide palliation for the effects of the target act.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TREAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23309"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship"
                             value="palliativeTreatmentFor"/>
            <conceptProperty name="conductible" value="true"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="palliates"/>
            <code code="PALLTREAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The source Act is a composite of the target Acts. The target Acts do not have an existence independent of the source Act.</p>*UsageNote:* In UML 1.1, this is a "composition" defined as:<i>"A form of aggregation with strong ownership and coincident lifetime as part of the whole. Parts with non-fixed multiplicity may be created after the composite itself, but once created they live and die with it (i.e., they share lifetimes). Such parts can also be explicitly removed before the death of the composite. Composition may be recursive."</i>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="COMP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23596"/>
            <conceptProperty name="appliesTo" value="any Act"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="isPartOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="hasPart"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="EB_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="EB_______"/>
            <conceptProperty name="conductible" value="false"/>
            <conceptProperty name="isDocumentCharacteristic" value="false"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="has part"/>
            <code code="PART" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The source act is intended to provide passive immunity against the effects of the target act (the target act describes an infectious disease).</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="IMM"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23306"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship"
                             value="passivelyImmunizedAgainst"/>
            <conceptProperty name="conductible" value="true"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="passive immunization against"/>
            <code code="PASSIMM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This is a very unspecific relationship from one item of clinical information to another. It does not judge about the role the pertinent information plays.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10329"/>
            <conceptProperty name="appliesTo" value="any service"/>
            <conceptProperty name="conductible" value="true"/>
            <conceptProperty name="howApplies" value="any service"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="pertainsTo"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship"
                             value="pertinentInformation"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="D________"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="D________"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="has pertinent information"/>
            <code code="PERT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A requirement to be true before a service is performed. The target can be any service in criterion mood. For multiple pre-conditions a conjunction attribute (AND, OR, XOR) is applicable.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActRelationshipConditional"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10319"/>
            <conceptProperty name="appliesTo" value="action"/>
            <conceptProperty name="howApplies" value="pre-condition"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="preconditionFor"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="precondition"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="CD_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="CD_______"/>
            <conceptProperty name="conductible" value="true"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="has pre-condition"/>
            <code code="PRCN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship in which the target act is a predecessor instance to the source act. Generally each of these instances is similar, but no identical. In healthcare coverage it is used to link a claim item to a previous claim item that might have claimed for the same set of services.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14018"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="successor"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="predecessor"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="DC_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="DC_______"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="has previous instance"/>
            <printName language="en" preferredForLanguage="false" text="Previous instance"/>
            <code code="PREV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The source act is intended to reduce the risk of of an adverse situation to emerge as described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RSON"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23303"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="prophylaxisOf"/>
            <conceptProperty name="conductible" value="true"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="prophylaxis of"/>
            <code code="PRYLX" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The target observation qualifies (refines) the semantics of the source observation.</p>
                        <i>UsageNote:</i>This is not intended to replace concept refinement and qualification via vocabulary. It is used when there are multiple components which together provide the complete understanding of the source Act.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SUBJ"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23598"/>
            <conceptProperty name="appliesTo" value="any Act"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="qualifies"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="hasQualifier"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="DBA______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="DBA______"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="has qualifier"/>
            <code code="QUALF" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="14892"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <code code="RACT" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A relationship in which the target act is carried out to determine whether an effect attributed to the source act can be recreated.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SEQL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22044"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="conductible" value="false"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="re-challenge"/>
            <code code="RCHAL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>The source act is performed to recover from the effects of the target act.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MITGT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22189"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="recoveredFrom"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="recovers"/>
            <conceptProperty name="conductible" value="true"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="recovers"/>
            <code code="RCVY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship in which the target act is referred to by the source act. This permits a simple reference relationship that distinguishes between the referent and the referee.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14020"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="referencedBy"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="reference"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="DK_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="DK_______"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="refers to"/>
            <code code="REFR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Reference ranges are essentially descriptors of a class of result values assumed to be "normal", "abnormal", or "critical." Those can vary by sex, age, or any other criterion. Source and target are observations, the target is in criterion mood. This link type can act as a trigger in case of alarms being triggered by critical results.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10335"/>
            <conceptProperty name="howApplies" value="range"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="referenceRangeFor"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="referenceRange"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="DL_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="DL_______"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="has reference values"/>
            <code code="REFV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The source act is wholly or partially alleviated by the target act. (Example "chest pain" RELVBY "sublingual nitroglycerin administration")</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22828"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="relieved by"/>
            <code code="RELVBY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship between a source Act that seeks to reverse or undo the action of the prior target Act.</p>
                        <p>Example: A posted financial transaction (e.g., a debit transaction) was applied in error and must be reversed (e.g., by a credit transaction) the credit transaction is identified as an undo (or reversal) of the prior target transaction.</p>
                        <p>Constraints: the "completion track" mood of the target Act must be equally or more "actual" than the source act. I.e., when the target act is EVN the source act can be EVN, or any INT. If the target act is INT, the source act can be INT.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SEQL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14898"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="reversal"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="reversalOf"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="BK_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="BK_______"/>
            <conceptProperty name="conductible" value="false"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="reverses"/>
            <code code="REV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A noteworthy undesired outcome of a patient's condition that is either likely enough to become an issue or is less likely but dangerous enough to be addressed.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OUTC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10328"/>
            <conceptProperty name="appliesTo" value="observation, condition"/>
            <conceptProperty name="howApplies" value="risk"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="riskOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="risk"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="AA_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="AA_______"/>
            <conceptProperty name="conductible" value="false"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="has risk"/>
            <code code="RISK" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A replacement source act replaces an existing target act. The state of the target act being replaced becomes obselete, but the act is typically still retained in the system for historical reference. The source and target must be of the same type.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SEQL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10338"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="replacement"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="replacementOf"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="BI_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="BI_______"/>
            <conceptProperty name="conductible" value="false"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="replaces"/>
            <code code="RPLC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The reason or rationale for a service. A reason link is weaker than a trigger, it only suggests that some service may be or might have been a reason for some action, but not that this reason requires/required the action to be taken. Also, as opposed to the trigger, there is no strong timely relation between the reason and the action. As well as providing various types of information about the rationale for a service, the RSON act relationship is routinely used between a SBADM act and an OBS act to describe the indication for use of a medication. Child concepts may be used to describe types of indication.<i>Discussion:</i>In prior releases, the code "SUGG" (suggests) was expressed as "an inversion of the reason link." That code has been retired in favor of the inversion indicator that is an attribute of ActRelationship.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActRelationshipConditional"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10321"/>
            <conceptProperty name="appliesTo" value="action"/>
            <conceptProperty name="howApplies" value="reason"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="reasonOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="reason"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="CA_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="CA_______"/>
            <conceptProperty name="conductible" value="true"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="has reason"/>
            <code code="RSON" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship in which the source act starts after the target act ends.</p>
                        <i>UsageNote:</i>Inverse code is<b>EBS</b>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SAEORSCWE"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SAS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22043"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="endsBeforeStartof"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="startsAfterEndOf"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="starts after end of"/>
            <code code="SAE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship in which the source act's effective time starts after or concurrent with the end of the target act's effective time.</p>
                        <i>Usage Note:</i>Inverse code is SBEORSCWE</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActRelationshipTemporallyPertains"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23644"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship"
                             value="startsBeforeOrConcurrentWithEndOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship"
                             value="startsAfterOrConcurrentWithEndOf"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true"
                       text="starts after or concurrent with end of"/>
            <code code="SAEORSCWE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The source Act starts after the start of the target Act (i.e. if we say "ActOne SAS ActTwo", it means that ActOne starts after the start of ActTwo, therefore ActOne is the source and ActTwo is the target).</p>
                        <i>UsageNote:</i>Inverse code is<b>SBS</b>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="EAS"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SASORSCW"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21308"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="startsBeforeStartOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="startsAfterStartOf"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="starts after start of"/>
            <code code="SAS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The source Act starts after start of the target Act and ends after end of the target Act.</p>
                        <i>UsageNote:</i>Inverse code is<b>SBSEBE</b>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="EAE"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SAS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23583"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship"
                             value="startsBeforeStartOfEndsBeforeEndOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship"
                             value="startsAfterStartOfEndsAfterAndOf"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true"
                       text="starts after start of, ends after end of"/>
            <code code="SASEAE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The source Act starts after start of the target Act, and ends with the target Act.</p>
                        <i>UsageNote:</i>Inverse code is<b>SBSECWE</b>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SAS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23584"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship"
                             value="startsBeforeStartOfEndsWith"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship"
                             value="startsAfterStartOfEndsWith"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true"
                       text="starts after start of, ends with"/>
            <code code="SASECWE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship in which the source act's effective time starts after or concurrent with the start of the target act's effective time.</p>
                        <i>Usage Note:</i>Inverse code is SBSORSCW</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActRelationshipTemporallyPertains"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23642"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship"
                             value="startsBeforeOrConcurrentWithStartOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship"
                             value="startsAfterOrConcurrentWithStartOf"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true"
                       text="starts after or concurrent with start of"/>
            <code code="SASORSCW" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The source Act start after the start of the target Act, and contains the end of the target Act.</p>
                        <i>UsageNote:</i>Inverse code is<b>SBSEASEBE</b>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SASEAE"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SBEEAE"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SDU"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23585"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship"
                             value="containsStartOfEndsBeforeEndOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship"
                             value="startAfterStartOfContainsEndOf"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true"
                       text="start after start of, contains end of"/>
            <code code="SASSBEEAS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The source Act starts before the end of the target Act (i.e. if we say "ActOne SBE ActTwo", it means that ActOne starts before the end of ActTwo, therefore ActOne is the source and ActTwo is the target).</p>
                        <i>UsageNote:</i>Inverse code is<b>EAS</b>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SBEORSCWE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23460"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="endsAfterStartOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="startsBeforeEndOf"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="starts before end of"/>
            <code code="SBE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The source Act contains the end of the target Act.</p>
                        <i>UsageNote:</i>Inverse code is<b>EDU</b>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OVERLAP"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SASEAE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23587"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="endsDuring"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="containsEndOf"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="contains end of"/>
            <code code="SBEEAE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship in which the source act's effective time starts before or concurrent with the end of the target act's effective time.</p>
                        <i>Usage Note:</i>Inverse code is SAEORSCWE</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActRelationshipTemporallyPertains"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23643"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship"
                             value="startsAfterOrConcurrentWithStartOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship"
                             value="startsBeforeOrConcurrentWithEndOf"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true"
                       text="starts before or concurrent with end of"/>
            <code code="SBEORSCWE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship in which the source act begins before the target act begins.</p>
                        <i>UsageNote:</i>Inverse code is<b>SAS</b>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SBSORSCW"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23076"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="startsAfterStartOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship"
                             value="startsBeforeStartOf"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="starts before start of"/>
            <code code="SBS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The source Act contains the time of the target Act.</p>
                        <i>UsageNote:</i>Inverse code is<b>DURING</b>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SBEEAE"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SBSEAS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23588"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="occursDuring"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="containsTimeOf"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="contains time of"/>
            <code code="SBSEAE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The source Act contains the start of the target Act.</p>
                        <i>UsageNote:</i>Inverse code is<b>SDU</b>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OVERLAP"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SBS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23586"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="startsDuring"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="containsStartOf"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="contains start of"/>
            <code code="SBSEAS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The source Act contains the start of the target Act, and ends before the end of the target Act.</p>
                        <i>UsageNote:</i>Inverse code is<b>SASSBEEAS</b>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="EDU"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SBE"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SBSEAS"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SBSEBE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23589"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship"
                             value="startAfterStartOfContainsEndOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship"
                             value="containsStartOfEndsBeforeEndOf"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true"
                       text="contains start of, ends before end of"/>
            <code code="SBSEASEBE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The source Act starts before the start of the target Act, and ends before the end of the target Act.</p>
                        <i>UsageNote:</i>Inverse code is<b>SASEAE</b>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="EBE"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SBS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23590"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship"
                             value="startsAfterStartOfEndsAfterAndOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship"
                             value="startsBeforeStartOfEndsBeforeEndOf"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true"
                       text="starts before start of, ends before end of"/>
            <code code="SBSEBE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The source Act starts before the start of the target Act, and ends with the target Act.</p>
                        <i>UsageNote:</i>Inverse code is<b>SASECWE</b>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ECW"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SBSEAS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23591"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship"
                             value="startsAfterStartOfEndsWith"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship"
                             value="startsBeforeStartOfEndsWith"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true"
                       text="starts before start of, ends with"/>
            <code code="SBSECWE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship in which the source act's effective time starts before or concurrent with the start of the target act's effective time.</p>
                        <i>Usage Note:</i>Inverse code is SASORSCW</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SBE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23647"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship"
                             value="startsAfterOrConcurrentWithStartOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship"
                             value="startsBeforeOrConcurrentWithStartOf"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true"
                       text="starts before or concurrent with start of"/>
            <code code="SBSORSCW" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Associates a specific time (and associated resources) with a scheduling request or other intent.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="FLFS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11627"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="requestedBy"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="scheduleRequest"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="BAC______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="BAC______"/>
            <conceptProperty name="conductible" value="false"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="schedules request"/>
            <printName language="en" preferredForLanguage="false" text="schedules"/>
            <code code="SCH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship in which the source act's effective time starts with the start of the target act's effective time.</p>
                        <i>UsageNote:</i>This code is reflexive. Therefore its inverse code is itself.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OVERLAP"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SASORSCW"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SBSORSCW"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SNS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23036"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship"
                             value="startsConcurrentlyWith"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship"
                             value="startsConcurrentlyWith"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="starts concurrent with"/>
            <code code="SCW" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The source Act starts when the target act ends (i.e. if we say "ActOne SCWE ActTwo", it means that ActOne starts when ActTwo ends, therefore ActOne is the source and ActTwo is the target).</p>
                        <i>UsageNote:</i>Inverse code is<b>SBSECWS</b>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OVERLAP"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SAEORSCWE"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SNE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23462"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship"
                             value="endsConcurrentWithStartOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship"
                             value="startsConcurrentWithEndOf"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="starts concurrent with end of"/>
            <code code="SCWE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The source Act starts with the target Act, and ends after the end of the target Act.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SBEEAE"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SCW"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23592"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship"
                             value="startsWithEndsBeforeEndOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship"
                             value="startsWithEndsAfterEndOf"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="starts with, ends after end of"/>
            <code code="SCWSEAE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The source Act starts with.the target Act and ends before the end of the target Act.</p>
                        <i>UsageNote:</i>Inverse code is<b>SCWSEAE</b>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="EDU"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SBE"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SCW"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23593"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship"
                             value="startsWithEndsAfterEndOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship"
                             value="startsWithEndsBeforeEndOf"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true"
                       text="starts with. ends before end of"/>
            <code code="SCWSEBE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship in which the source act starts within the target act's effective time (including end points, as defined in the act's effective times)</p>
                        <i>UsageNote:</i>Inverse code is<b>SBSEAS</b>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OVERLAP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23082"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="encompassesStartOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="startsDuring"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="starts during"/>
            <code code="SDU" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An act relationship indicating that the source act follows the target act. The source act should in principle represent the same kind of act as the target. Source and target need not have the same mood code (mood will often differ). The target of a sequel is called antecedent. Examples for sequel relationships are: revision, transformation, derivation from a prototype (as a specialization is a derivation of a generalization), followup, realization, instantiation.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10337"/>
            <conceptProperty name="conductible" value="false"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="sequel"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="sequelTo"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="B________"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="B________"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="is sequel"/>
            <code code="SEQL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship in which the source act's effective time starts near the end of the target act's effective time. Near is defined separately as a time interval.</p>
                        <i>Usage Note:</i>Inverse code is SNS</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActRelationshipTemporallyPertainsApproximates"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23638"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="startsNearStart"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="startsNearEnd"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="starts near end"/>
            <code code="SNE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship in which the source act's effective time starts near the start of the target act's effective time. Near is defined separately as a time interval.</p>
                        <i>Usage Note:</i>Inverse code is SNE</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActRelationshipTemporallyPertainsApproximates"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23639"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="startsNearEnd"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="startsNearStart"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="starts near start"/>
            <code code="SNS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Used to indicate that an existing service is suggesting evidence for a new observation. The assumption of support is attributed to the same actor who asserts the observation. Source must be an observation, target may be any service (e.g., to indicate a status post).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10330"/>
            <conceptProperty name="howApplies" value="supporting evidence"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="supportOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="support"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="DA_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="DA_______"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="has support"/>
            <code code="SPRT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A specialization of "has support" (SPRT), used to relate a secondary observation to a Region of Interest on a multidimensional observation, if the ROI specifies the true boundaries of the secondary observation as opposed to only marking the approximate area. For example, if the start and end of an ST elevation episode is visible in an EKG, this relation would indicate the ROI bounds the "ST elevation" observation -- the ROI defines the true beginning and ending of the episode. Conversely, if a ROI simply contains ST elevation, but it does not define the bounds (start and end) of the episode, the more general "has support" relation is used. Likewise, if a ROI on an image defines the true bounds of a "1st degree burn", the relation "has bounded support" is used; but if the ROI only points to the approximate area of the burn, the general "has support" relation is used.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SPRT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17899"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="boundedSupportOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="boundedSupport"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="DAA______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="DAA______"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="has bounded support"/>
            <code code="SPRTBND" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A collection of sub-services as steps or subtasks performed for the source service. Services may be performed sequentially or concurrently.</p>
                        <i>UsageNotes:</i>Sequence of steps may be indicated by use of \_ActRelationshipTemporallyPertains, as well as via ActRelationship.sequenceNumber, ActRelationship.pauseQuantity, Target.priorityCode.<i>OpenIssue:</i>Need Additional guidelines on when each approach should be used.</text>
                  </definition>
                  <usageNotes>
                     <text>Sequence of steps may be indicated by use of _ActRelationshipTemporallyPertains, as well as via  ActRelationship.sequenceNumber, ActRelationship.pauseQuantity, Target.priorityCode.</text>
                  </usageNotes>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MBR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23595"/>
            <conceptProperty name="appliesTo" value="any _ActMoodCompletionTrack"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="isStepOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="hasStep"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="EAA______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="EAA______"/>
            <conceptProperty name="conductible" value="false"/>
            <conceptProperty name="isDocumentCharacteristic" value="false"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="has step"/>
            <code code="STEP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Relates an Act to its subject Act that the first Act is primarily concerned with.</p>
                        <p>Examples</p>
                        <ul>
                           <li>
                              <p>The first Act may be a ControlAct manipulating the subject Act</p>
                           </li>
                           <li>
                              <p>The first act is a region of interest (ROI) that defines a region within the subject Act.</p>
                           </li>
                           <li>
                              <p>The first act is a reporting or notification Act, that echos the subject Act for a specific new purpose.</p>
                           </li>
                        </ul>
                        <p>Constraints</p>
                        <p>An Act may have multiple subject acts.</p>
                        <p>Rationale</p>
                        <p>The ActRelationshipType "has subject" is similar to the ParticipationType "subject", Acts that primarily operate on physical subjects use the Participation, those Acts that primarily operate on other Acts (other information) use the ActRelationship.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="13971"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="subjectOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="subject"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="DB_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="DB_______"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="has subject"/>
            <code code="SUBJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A new act that carries forward the intention of the original act, but does not completely replace it. The status of the predecessor act must be 'completed'. The original act is the target act and the successor is the source act.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SEQL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11616"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="successor"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="predecessor"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="BIA______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="BIA______"/>
            <conceptProperty name="conductible" value="false"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="succeeds"/>
            <code code="SUCC" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="10322"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <code code="SUGG" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An act that contains summary values for a list or set of subordinate acts. For example, a summary of transactions for a particular accounting period.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15988"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="summaryOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="summary"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="DM_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="DM_______"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="summarized by"/>
            <code code="SUMM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The source act is intented to provide symptomatic relief for the effects of the target act.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TREAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21645"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship"
                             value="symptomaticTreatmentFor"/>
            <conceptProperty name="conductible" value="true"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="symptomatic relief"/>
            <code code="SYMP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The source act is intended to improve a pre-existing adverse situation described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RSON"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23307"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="treatmentFor"/>
            <conceptProperty name="conductible" value="true"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="treats"/>
            <code code="TREAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A pre-condition that if true should result in the source Act being executed. The target is in typically in criterion mood. When reported after the fact (i.e. the criterion has been met) it may be in Event mood. A delay between the trigger and the triggered action can be specified.</p>
                        <i>Discussion:</i>This includes the concept of a required act for a service or financial instrument such as an insurance plan or policy. In such cases, the trigger is the occurrence of a specific condition such as coverage limits being exceeded.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActRelationshipConditional"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10320"/>
            <conceptProperty name="appliesTo" value="action"/>
            <conceptProperty name="howApplies" value="trigger"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="triggerFor"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="trigger"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="CB_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="CB_______"/>
            <conceptProperty name="conductible" value="true"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="has trigger"/>
            <code code="TRIG" status="active"/>
         </concept>
         <concept isSelectable="false">
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21307"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="temporallyRelatesTo"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship"
                             value="temporallyRelatedInformation"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="DN_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="DN_______"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="ActClassTemporallyPertains"/>
            <code code="TemporallyPertains" status="retired"/>
            <code code="_ActClassTemporallyPertains" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A condition thread relationship specifically links condition nodes together to form a condition thread. The source is the new condition node and the target links to the most recent node of the existing condition thread.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SEQL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10340"/>
            <conceptProperty name="appliesTo" value="new head of thread"/>
            <conceptProperty name="howApplies" value="old head of thread"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="update"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="updateOf"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="BE_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="BE_______"/>
            <conceptProperty name="conductible" value="false"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="updates (condition)"/>
            <code code="UPDT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates that the source act makes use of (or will make use of) the information content of the target act.</p>
                        <i>UsageNotes:</i>A usage relationship only makes sense if the target act is authored and occurs independently of the source act. Otherwise a simpler relationship such as COMP would be appropriate.<i>Rationale:</i>There is a need when defining a clinical trial protocol to indicate that the protocol makes use of other protocol or treatment specifications. This is stronger than the assertion of "references". References may exist without usage, and in a clinical trial protocol is common to assert both: what other specifications does this trial use and what other specifications does it merely reference.</text>
                  </definition>
                  <usageNotes>
                     <text>A usage relationship only makes sense if the target act is authored and occurs independently of the source act.  Otherwise a simpler relationship such as COMP would be appropriate.</text>
                  </usageNotes>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="REFR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23102"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="usedBy"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="uses"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="DKA______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="DKA______"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="uses"/>
            <code code="USE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Indicates that the target Act represents the result of the source observation Act.</p>
                        <b>FormalConstraint:</b>Source Act must be an Observation or specialization there-of. Source Act must not have the value attribute specified<b>UsageNote:</b>This relationship allows the result of an observation to be fully expressed as RIM acts as opposed to being embedded in the value attribute. For example, sending a Document act as the result of an imaging observation, sending a list of Procedures and/or other acts as the result of a medical history observation.<p>The valueNegationInd attribute on the source Act has the same semantics of "negated finding" when it applies to the target of a VALUE ActRelationship as it does to the value attribute. On the other hand, if the ActRelationship.negationInd is true for a VALUE ActRelationship, that means the specified observation does not have the indicated value but does not imply a negated finding. Because the semantics are extremely close, it is recommended that Observation.valueNegationInd be used, not ActRelationship.negationInd.</p>
                        <b>OpenIssue:</b>The implications of negationInd on ActRelationship and the valueNegationind on Observation.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23319"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="has value"/>
            <code code="VALUE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The source is a direct quote from the target.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="XCRPT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18661"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="verbatimExcerpt"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship"
                             value="verbatimExcerptFrom"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="BMA______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="BMA______"/>
            <conceptProperty name="conductible" value="false"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="Excerpt verbatim"/>
            <code code="VRXCRPT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The source is an excerpt from the target.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SEQL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18660"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="excerpt"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="excerptFrom"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="BM_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="BM_______"/>
            <conceptProperty name="conductible" value="false"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="Excerpts"/>
            <code code="XCRPT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Used when the target Act is a transformation of the source Act. (For instance, used to show that a CDA document is a transformation of a DICOM SR document.)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SEQL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11624"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="transformation"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="transformationOf"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="BL_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="BL_______"/>
            <conceptProperty name="conductible" value="false"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="transformation"/>
            <code code="XFRM" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Codes that describe the relationship between an Act and a financial instrument such as a financial transaction, account or invoice element.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20946"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="accountingFor"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="accounting"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="DO_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="DO_______"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="ActRelationshipAccounting"/>
            <code code="_ActRelationshipAccounting" status="active"/>
            <code code="_ActRelationshipPosts" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Specifies under what circumstances (target Act) the source-Act may, must, must not or has occurred</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20945"/>
            <conceptProperty name="conductible" value="true"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="conditionedBy"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="conditions"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="C________"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="C________"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="ActRelationshipConditional"/>
            <code code="_ActRelationshipConditional" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Expresses values for describing the relationship relationship between an InvoiceElement or InvoiceElementGroup and a billable act.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActRelationshipAccounting"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActRelationshipPosts"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21360"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="costTrackingOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="costTracking"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="DOB______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="DOB______"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="ActRelationshipCostTracking"/>
            <code code="_ActRelationshipCostTracking" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Expresses values for describing the relationship between a FinancialTransaction and an Account.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActRelationshipAccounting"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActRelationshipPosts"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21359"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="postingTo"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="posting"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="DOA______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="DOA______"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="ActRelationshipPosting"/>
            <code code="_ActRelationshipPosting" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Abstract collector for ActRelationhsip types that relate two acts by their timing.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23581"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true"
                       text="ActRelationshipTemporallyPertains"/>
            <code code="_ActRelationshipTemporallyPertains" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Abstract collector for ActRelationship types that relate two acts by their approximate timing.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActRelationshipTemporallyPertains"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23637"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true"
                       text="ActRelationshipTemporallyPertainsApproximates"/>
            <code code="_ActRelationshipTemporallyPertainsApproximates" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship that defines the relative time of the end source act based on the time of the target act.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActClassTemporallyPertains"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TemporallyPertains"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23077"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship"
                             value="endTemporallyRelatedTo"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship"
                             value="temporallyRelatedEndInformation"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true"
                       text="ActRelationshipTemporallyPertainsEnd"/>
            <code code="_ActRelationshipTemporallyPertainsEnd" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship that defines the relative time of the start source act based on the time of the target act.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActClassTemporallyPertains"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TemporallyPertains"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23075"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship"
                             value="startTemporallyRelatedTo"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship"
                             value="temporallyRelatedStartInformation"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="DNA______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="DNA______"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true"
                       text="ActRelationshipTemporallyPertainsStart"/>
            <code code="_ActRelationshipTemporallyPertainsStart" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The target act is a desired outcome of the source act. Source is any act (typically an intervention). Target must be an observation in criterion mood.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OUTC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21384"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="goalOf"/>
            <conceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="goal"/>
            <conceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="AC_______"/>
            <conceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="AC_______"/>
            <conceptProperty name="conductible" value="false"/>
            <conceptProperty name="Name:ActRelationship:source:Act" value="&amp;"/>
            <conceptProperty name="Name:ActRelationship:target:Act" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="Act Relationsip Objective"/>
            <code code="_ActRelationsipObjective" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="ActSite" title="ActSite" codeSystemId="2.16.840.1.113883.5.1052">
      <historyItem dateTime="2020-05-06" id="v3-ActSite-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An anatomical location on an organism which can be the focus of an act.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired..</description>
         </supportedConceptProperty>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21759"/>
            <printName language="en" preferredForLanguage="true" text="bilateral ears"/>
            <code code="BE" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21760"/>
            <printName language="en" preferredForLanguage="true" text="bilateral nares"/>
            <code code="BN" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21761"/>
            <printName language="en" preferredForLanguage="true" text="buttock"/>
            <code code="BU" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21762"/>
            <printName language="en" preferredForLanguage="true" text="left arm"/>
            <code code="LA" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21763"/>
            <printName language="en" preferredForLanguage="true" text="left anterior chest"/>
            <code code="LAC" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21764"/>
            <printName language="en" preferredForLanguage="true" text="left antecubital fossa"/>
            <code code="LACF" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21765"/>
            <printName language="en" preferredForLanguage="true" text="left deltoid"/>
            <code code="LD" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21766"/>
            <printName language="en" preferredForLanguage="true" text="left ear"/>
            <code code="LE" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21767"/>
            <printName language="en" preferredForLanguage="true" text="left external jugular"/>
            <code code="LEJ" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21768"/>
            <printName language="en" preferredForLanguage="true" text="left foot"/>
            <code code="LF" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21769"/>
            <printName language="en" preferredForLanguage="true" text="left gluteus medius"/>
            <code code="LG" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21770"/>
            <printName language="en" preferredForLanguage="true" text="left hand"/>
            <code code="LH" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21771"/>
            <printName language="en" preferredForLanguage="true" text="left internal jugular"/>
            <code code="LIJ" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21772"/>
            <printName language="en" preferredForLanguage="true" text="left lower abd quadrant"/>
            <code code="LLAQ" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21773"/>
            <printName language="en" preferredForLanguage="true" text="left lower forearm"/>
            <code code="LLFA" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21774"/>
            <printName language="en" preferredForLanguage="true" text="left mid forearm"/>
            <code code="LMFA" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21775"/>
            <printName language="en" preferredForLanguage="true" text="left naris"/>
            <code code="LN" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21776"/>
            <printName language="en" preferredForLanguage="true" text="left posterior chest"/>
            <code code="LPC" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21777"/>
            <printName language="en" preferredForLanguage="true" text="left subclavian"/>
            <code code="LSC" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21778"/>
            <printName language="en" preferredForLanguage="true" text="left thigh"/>
            <code code="LT" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21779"/>
            <printName language="en" preferredForLanguage="true" text="left upper arm"/>
            <code code="LUA" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21780"/>
            <printName language="en" preferredForLanguage="true" text="left upper abd quadrant"/>
            <code code="LUAQ" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21781"/>
            <printName language="en" preferredForLanguage="true" text="left upper forearm"/>
            <code code="LUFA" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21782"/>
            <printName language="en" preferredForLanguage="true" text="left ventragluteal"/>
            <code code="LVG" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21783"/>
            <printName language="en" preferredForLanguage="true" text="left vastus lateralis"/>
            <code code="LVL" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21784"/>
            <printName language="en" preferredForLanguage="true" text="right eye"/>
            <code code="OD" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21785"/>
            <printName language="en" preferredForLanguage="true" text="left eye"/>
            <code code="OS" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21786"/>
            <printName language="en" preferredForLanguage="true" text="bilateral eyes"/>
            <code code="OU" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21787"/>
            <printName language="en" preferredForLanguage="true" text="perianal"/>
            <code code="PA" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21788"/>
            <printName language="en" preferredForLanguage="true" text="perineal"/>
            <code code="PERIN" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21789"/>
            <printName language="en" preferredForLanguage="true" text="right arm"/>
            <code code="RA" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21790"/>
            <printName language="en" preferredForLanguage="true" text="right anterior chest"/>
            <code code="RAC" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21791"/>
            <printName language="en" preferredForLanguage="true" text="right antecubital fossa"/>
            <code code="RACF" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21792"/>
            <printName language="en" preferredForLanguage="true" text="right deltoid"/>
            <code code="RD" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21793"/>
            <printName language="en" preferredForLanguage="true" text="right ear"/>
            <code code="RE" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21794"/>
            <printName language="en" preferredForLanguage="true" text="right external jugular"/>
            <code code="REJ" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21795"/>
            <printName language="en" preferredForLanguage="true" text="right foot"/>
            <code code="RF" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21796"/>
            <printName language="en" preferredForLanguage="true" text="right gluteus medius"/>
            <code code="RG" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21797"/>
            <printName language="en" preferredForLanguage="true" text="right hand"/>
            <code code="RH" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21798"/>
            <printName language="en" preferredForLanguage="true" text="right internal jugular"/>
            <code code="RIJ" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21799"/>
            <printName language="en" preferredForLanguage="true" text="right lower abd quadrant"/>
            <code code="RLAQ" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21800"/>
            <printName language="en" preferredForLanguage="true" text="right lower forearm"/>
            <code code="RLFA" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21801"/>
            <printName language="en" preferredForLanguage="true" text="right mid forearm"/>
            <code code="RMFA" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23250"/>
            <printName language="en" preferredForLanguage="true" text="right naris"/>
            <code code="RN" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21802"/>
            <printName language="en" preferredForLanguage="true" text="right posterior chest"/>
            <code code="RPC" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21803"/>
            <printName language="en" preferredForLanguage="true" text="right subclavian"/>
            <code code="RSC" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21804"/>
            <printName language="en" preferredForLanguage="true" text="right thigh"/>
            <code code="RT" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21805"/>
            <printName language="en" preferredForLanguage="true" text="right upper arm"/>
            <code code="RUA" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21806"/>
            <printName language="en" preferredForLanguage="true" text="right upper abd quadrant"/>
            <code code="RUAQ" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21807"/>
            <printName language="en" preferredForLanguage="true" text="right upper forearm"/>
            <code code="RUFA" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21808"/>
            <printName language="en" preferredForLanguage="true" text="right ventragluteal"/>
            <code code="RVG" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanSubstanceAdministrationSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21809"/>
            <printName language="en" preferredForLanguage="true" text="right vastus lateralis"/>
            <code code="RVL" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An anatomical location on a non-human animal which can be the focus of an act.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="20947"/>
            <printName language="en" preferredForLanguage="true" text="AnimalActSite"/>
            <code code="_AnimalActSite" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An anatomical location on a human which can be the focus of an act.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="20948"/>
            <printName language="en" preferredForLanguage="true" text="HumanActSite"/>
            <code code="_HumanActSite" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The set of body locations to or through which a drug product may be administered.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanActSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21534"/>
            <printName language="en" preferredForLanguage="true"
                       text="HumanSubstanceAdministrationSite"/>
            <code code="_HumanSubstanceAdministrationSite" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An anatomical location on a human of an injury or disease which is the focus of an act.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HumanActSite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20949"/>
            <printName language="en" preferredForLanguage="true" text="InjuryActSite"/>
            <code code="_InjuryActSite" status="retired"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="ActStatus" title="ActStatus" codeSystemId="2.16.840.1.113883.5.14">
      <historyItem dateTime="2020-05-06" id="v3-ActStatus-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Codes representing the defined possible states of an Act, as defined by the Act class state machine.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The Act has been terminated prior to the originally intended completion.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="normal"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15941"/>
            <printName language="en" preferredForLanguage="true" text="aborted"/>
            <code code="aborted" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The Act can be performed or is being performed</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="normal"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15942"/>
            <printName language="en" preferredForLanguage="true" text="active"/>
            <code code="active" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The Act has been abandoned before activation.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="normal"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15938"/>
            <printName language="en" preferredForLanguage="true" text="cancelled"/>
            <code code="cancelled" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An Act that has terminated normally after all of its constituents have been performed.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="normal"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15940"/>
            <printName language="en" preferredForLanguage="true" text="completed"/>
            <code code="completed" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An Act that is still in the preparatory stages has been put aside. No action can occur until the Act is released.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="normal"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15937"/>
            <printName language="en" preferredForLanguage="true" text="held"/>
            <code code="held" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An Act that is in the preparatory stages and may not yet be acted upon</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="normal"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15943"/>
            <printName language="en" preferredForLanguage="true" text="new"/>
            <code code="new" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Encompasses the expected states of an Act, but excludes "nullified" and "obsolete" which represent unusual terminal states for the life-cycle.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="15936"/>
            <printName language="en" preferredForLanguage="true" text="normal"/>
            <code code="normal" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This Act instance was created in error and has been 'removed' and is treated as though it never existed. A record is retained for audit purposes only.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="15934"/>
            <printName language="en" preferredForLanguage="true" text="nullified"/>
            <code code="nullified" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This Act instance has been replaced by a new instance.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="15935"/>
            <printName language="en" preferredForLanguage="true" text="obsolete"/>
            <code code="obsolete" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An Act that has been activated (actions could or have been performed against it), but has been temporarily disabled. No further action should be taken against it until it is released</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="normal"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15939"/>
            <printName language="en" preferredForLanguage="true" text="suspended"/>
            <code code="suspended" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="ActUncertainty" title="ActUncertainty"
               codeSystemId="2.16.840.1.113883.5.1053">
      <historyItem dateTime="2020-05-06" id="v3-ActUncertainty-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <i>OpenIssue:</i>Missing Description</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Specifies that the act statement is made without explicit tagging of uncertainty. This is the normal statement, meaning that it is not free of errors and uncertainty may still exist.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="16900"/>
            <printName language="en" preferredForLanguage="true"
                       text="stated with no assertion of uncertainty"/>
            <code code="N" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Specifies that the originator of the Act statement does not have full confidence in the applicability (i.e., in event mood: factual truth) of the statement.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="16901"/>
            <printName language="en" preferredForLanguage="true" text="stated with uncertainty"/>
            <code code="U" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="ActUSPrivacyLaw" title="ActUSPrivacyLaw"
               codeSystemId="2.16.840.1.113883.5.1138">
      <historyItem dateTime="2020-05-06" id="v3-ActUSPrivacyLaw-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A jurisdictional mandate in the US relating to privacy.</p>
                  <b>Deprecation Comment:</b>Content moved to ActCode under \_ActPrivacyLaw; use that instead.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>A property that indicates the status of the concept. One of active, experimental, deprecated, or retired.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="synonymCode" type="Token" isMandatoryIndicator="false">
            <description>An additional concept code that was also attributed to a concept</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>42 CFR Part 2 stipulates the right of an individual who has applied for or been given diagnosis or treatment for alcohol or drug abuse at a federally assisted program.</p>
                        <i>Definition:</i>Non-disclosure of health information relating to health care paid for by a federally assisted substance abuse program without patient consent.<i>Usage Note:</i>May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialityCode complies.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActUSPrivacyLaw"/>
            </conceptRelationship>
            <conceptProperty name="deprecationDate" value="2016-03-12"/>
            <conceptProperty name="internalId" value="23361"/>
            <printName language="en" preferredForLanguage="true" text="42 CFR Part2"/>
            <code code="42CFRPart2" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>U.S. Federal regulations governing the protection of human subjects in research (codified at Subpart A of 45 CFR part 46) that has been adopted by 15 U.S. Federal departments and agencies in an effort to promote uniformity, understanding, and compliance with human subject protections. Existing regulations governing the protection of human subjects in Food and Drug Administration (FDA)-regulated research (21 CFR parts 50, 56, 312, and 812) are separate from the Common Rule but include similar requirements.</p>
                        <i>Definition:</i>U.S. federal laws governing research-related privacy policies.<i>Usage Note:</i>May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialtyCode complies.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActUSPrivacyLaw"/>
            </conceptRelationship>
            <conceptProperty name="deprecationDate" value="2016-03-12"/>
            <conceptProperty name="internalId" value="23362"/>
            <printName language="en" preferredForLanguage="true" text="Common Rule"/>
            <code code="CommonRule" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Part 164 Subpart E) permits access, use and disclosure of certain personal health information (PHI as defined under the law) for purposes of Treatment, Payment, and Operations, and requires that the provider ask that patients acknowledge the Provider's Notice of Privacy Practices as permitted conduct under the law.</p>
                        <i>Definition:</i>Notification of HIPAA Privacy Practices.<i>Usage Note:</i>May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialtyCode complies.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActUSPrivacyLaw"/>
            </conceptRelationship>
            <conceptProperty name="deprecationDate" value="2016-03-12"/>
            <conceptProperty name="internalId" value="23363"/>
            <printName language="en" preferredForLanguage="true"
                       text="HIPAA notice of privacy practices"/>
            <code code="HIPAANOPP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Part 164 Section 164.508) requires authorization for certain uses and disclosure of psychotherapy notes.</p>
                        <i>Definition:</i>Authorization that must be obtained for disclosure of psychotherapy notes.<i>Usage Note:</i>May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialityCode complies.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActUSPrivacyLaw"/>
            </conceptRelationship>
            <conceptProperty name="deprecationDate" value="2016-03-12"/>
            <conceptProperty name="internalId" value="23364"/>
            <printName language="en" preferredForLanguage="true" text="HIPAA psychotherapy notes"/>
            <code code="HIPAAPsyNotes" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Section 13405(a) of the Health Information Technology for Economic and Clinical Health Act (HITECH) stipulates the right of an individual to have disclosures regarding certain health care items or services for which the individual pays out of pocket in full restricted from a health plan.</p>
                        <i>Definition:</i>Non-disclosure of health information to a health plan relating to health care items or services for which an individual pays out of pocket in full.<i>Usage Note:</i>May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialityCode complies.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActUSPrivacyLaw"/>
            </conceptRelationship>
            <conceptProperty name="deprecationDate" value="2016-03-12"/>
            <conceptProperty name="internalId" value="23365"/>
            <printName language="en" preferredForLanguage="true" text="HIPAA self-pay"/>
            <code code="HIPAASelfPay" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Title 38 Part 1-protected information may only be disclosed to a third party with the special written consent of the patient except where expressly authorized by 38 USC 7332. VA may disclose this information for specific purposes to: VA employees on a need to know basis - more restrictive than Privacy Act need to know; contractors who need the information in order to perform or fulfill the duties of the contract; and researchers who provide assurances that the information will not be identified in any report. This information may also be disclosed without consent where patient lacks decision-making capacity; in a medical emergency for the purpose of treating a condition which poses an immediate threat to the health of any individual and which requires immediate medical intervention; for eye, tissue, or organ donation purposes; and disclosure of HIV information for public health purposes.</p>
                        <i>Definition:</i>Title 38 Part 1 - §1.462 Confidentiality restrictions.<p>(a) General. The patient records to which §§1.460 through 1.499 of this part apply may be disclosed or used only as permitted by these regulations and may not otherwise be disclosed or used in any civil, criminal, administrative, or legislative proceedings conducted by any Federal, State, or local authority. Any disclosure made under these regulations must be limited to that information which is necessary to carry out the purpose of the disclosure. SUBCHAPTER III--PROTECTION OF PATIENT RIGHTS Sec. 7332. Confidentiality of certain medical records (a)(1) Records of the identity, diagnosis, prognosis, or treatment of any patient or subject which are maintained in connection with the performance of any program or activity (including education, training, treatment, rehabilitation, or research) relating to drug abuse, alcoholism or alcohol abuse, infection with the human immunodeficiency virus, or sickle cell anemia which is carried out by or for the Department under this title shall, except as provided in subsections (e) and (f), be confidential, and (section 5701 of this title to the contrary notwithstanding) such records may be disclosed only for the purposes and under the circumstances expressly authorized under subsection (b).</p>
                        <i>Usage Note:</i>May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialityCode complies.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActUSPrivacyLaw"/>
            </conceptRelationship>
            <conceptProperty name="deprecationDate" value="2016-03-12"/>
            <conceptProperty name="internalId" value="23367"/>
            <printName language="en" preferredForLanguage="true" text="Title 38 Section 7332"/>
            <code code="Title38Part1" status="active"/>
            <code code="Title38Section7332" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <i>Definition:</i>A jurisdictional mandate in the U.S. relating to privacy.<i>Usage Note:</i>ActPrivacyLaw codes may be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialtyCode complies. May be used to further specify rationale for assignment of other ActPrivacyPolicy codes in the US realm, e.g., ETH and 42CFRPart2 can be differentiated from ETH and Title38Part1.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="deprecationDate" value="2016-03-12"/>
            <conceptProperty name="internalId" value="23360"/>
            <printName language="en" preferredForLanguage="true" text="ActUSPrivacyLaw"/>
            <code code="_ActUSPrivacyLaw" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="AdaSnodent" title="Systematized Nomenclature of Dentistry (SNODENT)"
               codeSystemId="2.16.840.1.113883.3.3150">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Systematized Nomenclature of Dentistry (SNODENT) is owned, maintained and distributed by the American Dental Association (ADA). SNODENT is a vocabulary designed for use in the electronic environment - for electronic health and dental records. The intended purpose is to:</p>
                  <p>* Provide standardized terms for describing dental disease * Capture clinical detail and patient characteristics * Permit analysis of patient care services and outcomes * To be interoperable with Electronic Health Records (EHR) and Electronic Dental Records (EDR)</p>
                  <p>SNODENT licensing information can be found at: http://www.ada.org/8466.aspx</p>
                  <p>URL for Official Source: http://www.ada.org/snodent.aspx</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Tooth Absent</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="24020"/>
            <printName language="en" preferredForLanguage="true" text="Tooth Absent"/>
            <code code="100203D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The lingual aspect of the tooth.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23849"/>
            <printName language="en" preferredForLanguage="true" text="Lingual Surface"/>
            <code code="103356D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The buccal aspect of the tooth.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23848"/>
            <printName language="en" preferredForLanguage="true" text="Buccal Surface"/>
            <code code="103387D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Impacted tooth</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="24021"/>
            <printName language="en" preferredForLanguage="true" text="Impacted tooth"/>
            <code code="104161D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Bone structure of maxilla</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="24027"/>
            <printName language="en" preferredForLanguage="true" text="Bone structure of maxilla"/>
            <code code="108042D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Cleft palate with cleft lip</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="24008"/>
            <printName language="en" preferredForLanguage="true" text="Cleft palate with cleft lip"/>
            <code code="115902D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary tooth</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="24023"/>
            <printName language="en" preferredForLanguage="true" text="Supernumerary tooth"/>
            <code code="116259D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Tooth can be moved less than 1mm in the buccolingual or mesiodistal direction</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23845"/>
            <printName language="en" preferredForLanguage="true" text="Tooth mobility - grade 1"/>
            <code code="116762D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Juvenile rheumatoid arthritis</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="24018"/>
            <printName language="en" preferredForLanguage="true" text="Juvenile rheumatoid arthritis"/>
            <code code="117349D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Primary Dentition</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="24024"/>
            <printName language="en" preferredForLanguage="true" text="Primary Dentition"/>
            <code code="121288D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Anterior open bite</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="24036"/>
            <printName language="en" preferredForLanguage="true" text="Anterior open bite"/>
            <code code="121344D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Hemifacial microsomia</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="24011"/>
            <printName language="en" preferredForLanguage="true" text="Hemifacial microsomia"/>
            <code code="122924D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Ankylosis of tooth</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="24022"/>
            <printName language="en" preferredForLanguage="true" text="Ankylosis of tooth"/>
            <code code="127066D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Posterior crossbite</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="24039"/>
            <printName language="en" preferredForLanguage="true" text="Posterior crossbite"/>
            <code code="127434D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The mesial aspect of the tooth.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23850"/>
            <printName language="en" preferredForLanguage="true" text="Mesial Surface"/>
            <code code="132513D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Cleft palate</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="24010"/>
            <printName language="en" preferredForLanguage="true" text="Cleft palate"/>
            <code code="132578D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Gingival Recession</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="24005"/>
            <printName language="en" preferredForLanguage="true" text="Gingival Recession"/>
            <code code="133426D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Cleidocranial dysostosis</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="24013"/>
            <printName language="en" preferredForLanguage="true" text="Cleidocranial dysostosis"/>
            <code code="133572D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Tooth can be moved 1mm or more in the buccolingual or mesiodistal direction. No mobility in the occlusoapical direction (vertical mobility).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23846"/>
            <printName language="en" preferredForLanguage="true" text="Tooth mobility - grade 2"/>
            <code code="136123D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Anterior crossbite</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="24035"/>
            <printName language="en" preferredForLanguage="true" text="Anterior crossbite"/>
            <code code="137027D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Defective dental restoration</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23998"/>
            <printName language="en" preferredForLanguage="true" text="Defective dental restoration"/>
            <code code="138900D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Permanent Dentition</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="24026"/>
            <printName language="en" preferredForLanguage="true" text="Permanent Dentition"/>
            <code code="139017D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The side of a tooth adjacent to the inside of the cheek or lips.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23859"/>
            <printName language="en" preferredForLanguage="true" text="Facial surface of tooth"/>
            <code code="139277D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Ectopic tooth</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="24019"/>
            <printName language="en" preferredForLanguage="true" text="Ectopic tooth"/>
            <code code="139347D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Poor oral hygiene</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23995"/>
            <printName language="en" preferredForLanguage="true" text="Poor oral hygiene"/>
            <code code="140234D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Posterior open bite</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="24040"/>
            <printName language="en" preferredForLanguage="true" text="Posterior open bite"/>
            <code code="141881D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Temporomandibular joint disorder</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23996"/>
            <printName language="en" preferredForLanguage="true"
                       text="Temporomandibular joint disorder"/>
            <code code="143353D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Bone structure of mandible</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="24028"/>
            <printName language="en" preferredForLanguage="true" text="Bone structure of mandible"/>
            <code code="144511D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The distal aspect of the tooth.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23851"/>
            <printName language="en" preferredForLanguage="true" text="Distal Surface"/>
            <code code="146014D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Treacher Collins syndrome</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="24014"/>
            <printName language="en" preferredForLanguage="true" text="Treacher Collins syndrome"/>
            <code code="146718D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Tooth can be moved 1mm or more in the buccolingual or mesiodistal direction. Mobility in the occlusoapical direction is also present (vertical mobility)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23847"/>
            <printName language="en" preferredForLanguage="true" text="Tooth mobility - grade 3"/>
            <code code="149641D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Cleft lip</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="24007"/>
            <printName language="en" preferredForLanguage="true" text="Cleft lip"/>
            <code code="149694D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Bimaxillary protrusion</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="24004"/>
            <printName language="en" preferredForLanguage="true" text="Bimaxillary protrusion"/>
            <code code="157044D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Permanent mandibular left first premolar tooth; Universal designation 21; ISO designation 34</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23813"/>
            <printName language="en" preferredForLanguage="true"
                       text="Permanent lower left first premolar tooth"/>
            <code code="160654D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Permanent mandibular right second molar tooth; Universal designation 31; ISO designation 47</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23823"/>
            <printName language="en" preferredForLanguage="true"
                       text="Permanent lower right second molar tooth"/>
            <code code="160704D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Permanent mandibular right first molar tooth; Universal designation 30; ISO designation 46</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23822"/>
            <printName language="en" preferredForLanguage="true"
                       text="Permanent lower right first molar tooth"/>
            <code code="160770D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Permanent mandibular left canine tooth; Universal designation 22; ISO designation 33</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23814"/>
            <printName language="en" preferredForLanguage="true"
                       text="Permanent lower left canine tooth"/>
            <code code="160817D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Permanent maxillary right canine tooth; Universal designation 6; ISO designation 13</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23798"/>
            <printName language="en" preferredForLanguage="true"
                       text="Permanent upper right canine tooth"/>
            <code code="160840D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Permanent maxillary right central incisor tooth; Universal designation 8; ISO designation 11</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23800"/>
            <printName language="en" preferredForLanguage="true"
                       text="Permanent upper right central incisor tooth"/>
            <code code="160903D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Permanent maxillary left canine tooth; Universal designation 11; ISO designation 23</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23803"/>
            <printName language="en" preferredForLanguage="true"
                       text="Permanent upper left canine tooth"/>
            <code code="160957D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Permanent maxillary left central incisor tooth; Universal designation 9; ISO designation 21</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23801"/>
            <printName language="en" preferredForLanguage="true"
                       text="Permanent upper left central incisor tooth"/>
            <code code="161006D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Permanent maxillary right first molar tooth; Universal designation 3; ISO designation 16</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23795"/>
            <printName language="en" preferredForLanguage="true"
                       text="Permanent upper right first molar tooth"/>
            <code code="161010D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Permanent mandibular left central incisor tooth; Universal designation 24; ISO designation 31</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23816"/>
            <printName language="en" preferredForLanguage="true"
                       text="Permanent lower left central incisor tooth"/>
            <code code="161068D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Permanent maxillary left lateral incisor tooth; Universal designation 10; ISO designation 22</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23802"/>
            <printName language="en" preferredForLanguage="true"
                       text="Permanent upper left lateral incisor tooth"/>
            <code code="161109D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Permanent mandibular right third molar tooth; Universal designation 32; ISO designation 48</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23824"/>
            <printName language="en" preferredForLanguage="true"
                       text="Permanent lower right third molar tooth"/>
            <code code="161121D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Permanent maxillary left first molar tooth; Universal designation 14; ISO designation 26</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23806"/>
            <printName language="en" preferredForLanguage="true"
                       text="Permanent upper left first molar tooth"/>
            <code code="161132D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Permanent mandibular left second premolar tooth; Universal designation 20; ISO designation 35</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23812"/>
            <printName language="en" preferredForLanguage="true"
                       text="Permanent lower left second premolar tooth"/>
            <code code="161150D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Permanent maxillary left second premolar tooth; Universal designation 13; ISO designation 25</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23805"/>
            <printName language="en" preferredForLanguage="true"
                       text="Permanent upper left second premolar tooth"/>
            <code code="161178D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Permanent mandibular right lateral incisor tooth; Universal designation 26; ISO designation 42</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23818"/>
            <printName language="en" preferredForLanguage="true"
                       text="Permanent lower right lateral incisor tooth"/>
            <code code="161197D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Permanent maxillary right third molar tooth; Universal designation 1; ISO designation 18</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23793"/>
            <printName language="en" preferredForLanguage="true"
                       text="Permanent upper right third molar tooth"/>
            <code code="161227D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Permanent mandibular left third molar tooth; Universal designation 17; ISO designation 38</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23809"/>
            <printName language="en" preferredForLanguage="true"
                       text="Permanent lower left third molar tooth"/>
            <code code="161258D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Permanent maxillary right second molar tooth; Universal designation 2; ISO designation 17</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23794"/>
            <printName language="en" preferredForLanguage="true"
                       text="Permanent upper right second molar tooth"/>
            <code code="161262D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Permanent mandibular right central incisor tooth; Universal designation 25; ISO designation 41</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23817"/>
            <printName language="en" preferredForLanguage="true"
                       text="Permanent lower right central incisor tooth"/>
            <code code="161291D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Permanent maxillary left second molar tooth; Universal designation 15; ISO designation 27</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23807"/>
            <printName language="en" preferredForLanguage="true"
                       text="Permanent upper left second molar tooth"/>
            <code code="161317D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Permanent maxillary left first premolar tooth; Universal designation 12; ISO designation 24</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23804"/>
            <printName language="en" preferredForLanguage="true"
                       text="Permanent upper left first premolar tooth"/>
            <code code="161329D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Permanent mandibular left second molar tooth; Universal designation 18; ISO designation 37</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23810"/>
            <printName language="en" preferredForLanguage="true"
                       text="Permanent lower left second molar tooth"/>
            <code code="161372D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Permanent mandibular right second premolar tooth; Universal designation 29; ISO designation 45</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23821"/>
            <printName language="en" preferredForLanguage="true"
                       text="Permanent lower right second premolar tooth"/>
            <code code="161412D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Permanent maxillary left third molar tooth; Universal designation 16; ISO designation 28</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23808"/>
            <printName language="en" preferredForLanguage="true"
                       text="Permanent upper left third molar tooth"/>
            <code code="161454D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Permanent mandibular left lateral incisor tooth; Universal designation 23; ISO designation 32</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23815"/>
            <printName language="en" preferredForLanguage="true"
                       text="Permanent lower left lateral incisor tooth"/>
            <code code="161477D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Permanent mandibular right first premolar tooth; Universal designation 28; ISO designation 44</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23820"/>
            <printName language="en" preferredForLanguage="true"
                       text="Permanent lower right first premolar tooth"/>
            <code code="161496D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Permanent mandibular right canine tooth; Universal designation 27; ISO designation 43</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23819"/>
            <printName language="en" preferredForLanguage="true"
                       text="Permanent lower right canine tooth"/>
            <code code="161514D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Permanent mandibular left first molar tooth; Universal designation 19; ISO designation 36</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23811"/>
            <printName language="en" preferredForLanguage="true"
                       text="Permanent lower left first molar tooth"/>
            <code code="161533D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Permanent maxillary right second premolar tooth; Universal designation 4; ISO designation 15</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23796"/>
            <printName language="en" preferredForLanguage="true"
                       text="Permanent upper right second premolar tooth"/>
            <code code="161546D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Permanent maxillary right first premolar tooth; Universal designation 5; ISO designation 14</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23797"/>
            <printName language="en" preferredForLanguage="true"
                       text="Permanent upper right first premolar tooth"/>
            <code code="161607D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Deciduous mandibular right canine tooth; Universal designation R; ISO designation 83</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23842"/>
            <printName language="en" preferredForLanguage="true"
                       text="Primary lower right canine tooth"/>
            <code code="161892D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Permanent maxillary right lateral incisor tooth; Universal designation 7; ISO designation 12</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23799"/>
            <printName language="en" preferredForLanguage="true"
                       text="Permanent upper right lateral incisor tooth"/>
            <code code="161941D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Deciduous mandibular right lateral incisor tooth; Universal designation Q; ISO designation 82</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23841"/>
            <printName language="en" preferredForLanguage="true"
                       text="Primary lower right lateral incisor tooth"/>
            <code code="161956D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Deciduous maxillary left first molar tooth; Universal designation I; ISO designation 64</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23833"/>
            <printName language="en" preferredForLanguage="true"
                       text="Primary upper left first molar tooth"/>
            <code code="162004D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Deciduous mandibular right central incisor tooth; Universal designation P; ISO designation 81</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23840"/>
            <printName language="en" preferredForLanguage="true"
                       text="Primary lower right central incisor tooth"/>
            <code code="162062D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Deciduous maxillary right second molar tooth; Universal designation A; ISO designation 55</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23825"/>
            <printName language="en" preferredForLanguage="true"
                       text="Primary upper right second molar tooth"/>
            <code code="162091D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Deciduous mandibular left lateral incisor tooth; Universal designation N; ISO designation 72</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23838"/>
            <printName language="en" preferredForLanguage="true"
                       text="Primary lower left lateral incisor tooth"/>
            <code code="162129D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Deciduous mandibular right first molar tooth: Universal designation S; ISO designation 84</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23843"/>
            <printName language="en" preferredForLanguage="true"
                       text="Primary lower right first molar tooth"/>
            <code code="162206D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Deciduous maxillary right first molar tooth; Universal designation B; ISO designation 54</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23826"/>
            <printName language="en" preferredForLanguage="true"
                       text="Primary upper right first molar tooth"/>
            <code code="162234D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Deciduous maxillary right canine tooth; Universal designation C; ISO designation 53</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23827"/>
            <printName language="en" preferredForLanguage="true"
                       text="Primary upper right canine tooth"/>
            <code code="162268D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Deciduous maxillary left canine tooth; Universal designation H; ISO designation 63</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23832"/>
            <printName language="en" preferredForLanguage="true"
                       text="Primary upper left canine tooth"/>
            <code code="162309D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Deciduous mandibular left second molar tooth; Universal designation K; ISO designation 75</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23835"/>
            <printName language="en" preferredForLanguage="true"
                       text="Primary lower left second molar tooth"/>
            <code code="162321D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Deciduous mandibular left central incisor tooth: Universal designation O; ISO designation 71</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23839"/>
            <printName language="en" preferredForLanguage="true"
                       text="Primary lower left central incisor tooth"/>
            <code code="162345D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Deciduous maxillary left lateral incisor tooth; Universal designation G; ISO designation 62</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23831"/>
            <printName language="en" preferredForLanguage="true"
                       text="Primary upper left lateral incisor tooth"/>
            <code code="162350D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Deciduous maxillary left central incisor tooth; Universal designation F; ISO designation 61</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23830"/>
            <printName language="en" preferredForLanguage="true"
                       text="Primary upper left central incisor tooth"/>
            <code code="162418D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Deciduous mandibular right second molar tooth; Universal designation T; ISO designation 85</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23844"/>
            <printName language="en" preferredForLanguage="true"
                       text="Primary lower right second molar tooth"/>
            <code code="162425D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Deciduous mandibular left canine tooth; Universal designation M; ISO designation 73</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23837"/>
            <printName language="en" preferredForLanguage="true"
                       text="Primary lower left canine tooth"/>
            <code code="162441D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Deciduous maxillary right lateral incisor tooth; Universal designation D; ISO designation 52</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23828"/>
            <printName language="en" preferredForLanguage="true"
                       text="Primary upper right lateral incisor tooth"/>
            <code code="162494D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Deciduous mandibular left first molar tooth; Universal designation L; ISO designation 74</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23836"/>
            <printName language="en" preferredForLanguage="true"
                       text="Primary lower left first molar tooth"/>
            <code code="162537D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Deciduous maxillary left second molar tooth; Universal designation J; ISO designation 65</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23834"/>
            <printName language="en" preferredForLanguage="true"
                       text="Primary upper left second molar tooth"/>
            <code code="162585D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Deciduous maxillary right central incisor tooth; Universal designation E; ISO designation 51</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23829"/>
            <printName language="en" preferredForLanguage="true"
                       text="Primary upper right central incisor tooth"/>
            <code code="162619D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The mesial lingual aspect of the tooth.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23852"/>
            <printName language="en" preferredForLanguage="true" text="Mesial-lingual"/>
            <code code="163013D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The distal lingual aspect of the tooth.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23853"/>
            <printName language="en" preferredForLanguage="true" text="Distal-lingual"/>
            <code code="163468D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The distal buccal aspect of the tooth.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23858"/>
            <printName language="en" preferredForLanguage="true" text="Distal-buccal"/>
            <code code="163596D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The mesial buccal aspect of the tooth.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23860"/>
            <printName language="en" preferredForLanguage="true" text="Mesial-buccal"/>
            <code code="163680D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary permanent maxillary right central incisor tooth; Universal designation 58</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23988"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary permanent maxillary right central incisor tooth"/>
            <code code="177259D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary deciduous maxillary left lateral incisor tooth; Universal designation GS</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23956"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary deciduous maxillary left lateral incisor tooth"/>
            <code code="177263D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary permanent mandibular left lateral incisor tooth; Universal designation 73</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23967"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary permanent mandibular left lateral incisor tooth"/>
            <code code="177271D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary permanent mandibular right central incisor tooth; Universal designation 75</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23972"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary permanent mandibular right central incisor tooth"/>
            <code code="177285D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary deciduous mandibular left central incisor tooth; Universal designation OS</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23944"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary deciduous mandibular left central incisor tooth"/>
            <code code="177292D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary deciduous mandibular right second molar tooth; Universal designation TS</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23952"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary deciduous mandibular right second molar tooth"/>
            <code code="177302D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary deciduous mandibular left lateral incisor tooth; Universal designation NS</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23946"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary deciduous mandibular left lateral incisor tooth"/>
            <code code="177318D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary permanent maxillary left second premolar tooth; Universal designation 63</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23985"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary permanent maxillary left second premolar tooth"/>
            <code code="177325D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary permanent maxillary right canine tooth; Universal designation 56</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23987"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary permanent maxillary right canine tooth"/>
            <code code="177339D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary permanent mandibular right canine tooth; Universal designation 77</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23971"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary permanent mandibular right canine tooth"/>
            <code code="177341D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary permanent maxillary left canine tooth; Universal designation 61</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23979"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary permanent maxillary left canine tooth"/>
            <code code="177356D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary deciduous maxillary right first molar tooth; Universal designation BS</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23960"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary deciduous maxillary right first molar tooth"/>
            <code code="177360D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary permanent maxillary left second molar tooth; Universal designation 65</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23984"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary permanent maxillary left second molar tooth"/>
            <code code="177373D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary deciduous mandibular right canine tooth; Universal designation RS</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23948"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary deciduous mandibular right canine tooth"/>
            <code code="177387D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary permanent maxillary right third molar tooth; Universal designation 51</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23994"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary permanent maxillary right third molar tooth"/>
            <code code="177394D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary permanent mandibular right second premolar tooth; Universal designation 79</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23977"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary permanent mandibular right second premolar tooth"/>
            <code code="177409D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary permanent mandibular right first molar tooth; Universal designation 80</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23973"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary permanent mandibular right first molar tooth"/>
            <code code="177413D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary deciduous mandibular left first molar tooth; Universal designation LS</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23945"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary deciduous mandibular left first molar tooth"/>
            <code code="177421D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary permanent mandibular right second molar tooth; Universal designation 81</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23976"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary permanent mandibular right second molar tooth"/>
            <code code="177432D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary permanent maxillary left first premolar tooth; Universal designation 62</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23982"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary permanent maxillary left first premolar tooth"/>
            <code code="177445D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary deciduous mandibular right central incisor tooth; Universal designation PS</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23949"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary deciduous mandibular right central incisor tooth"/>
            <code code="177450D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary deciduous mandibular right lateral incisor tooth; Universal designation QS</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23951"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary deciduous mandibular right lateral incisor tooth"/>
            <code code="177466D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary permanent mandibular left first molar tooth; Universal designation 69</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23965"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary permanent mandibular left first molar tooth"/>
            <code code="177478D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary permanent maxillary right lateral incisor tooth; Universal designation 57</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23991"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary permanent maxillary right lateral incisor tooth"/>
            <code code="177484D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary deciduous maxillary left canine tooth; Universal designation HS</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23953"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary deciduous maxillary left canine tooth"/>
            <code code="177497D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary permanent mandibular right lateral incisor tooth; Universal designation 76</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23975"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary permanent mandibular right lateral incisor tooth"/>
            <code code="177506D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary permanent mandibular left central incisor tooth; Universal designation 74</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23964"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary permanent mandibular left central incisor tooth"/>
            <code code="177510D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary permanent mandibular left canine tooth; Universal designation 72</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23963"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary permanent mandibular left canine tooth"/>
            <code code="177523D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary permanent maxillary right first molar tooth; Universal designation 53</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23989"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary permanent maxillary right first molar tooth"/>
            <code code="177534D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary permanent maxillary right second premolar tooth; Universal designation 54</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23993"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary permanent maxillary right second premolar tooth"/>
            <code code="177547D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary deciduous mandibular left canine tooth; Universal designation MS</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23943"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary deciduous mandibular left canine tooth"/>
            <code code="177552D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary permanent maxillary left third molar tooth; Universal designation 66</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23986"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary permanent maxillary left third molar tooth"/>
            <code code="177568D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary deciduous maxillary right canine tooth; Universal designation CS</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23958"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary deciduous maxillary right canine tooth"/>
            <code code="177575D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary deciduous maxillary left second molar tooth; Universal designation JS</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23957"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary deciduous maxillary left second molar tooth"/>
            <code code="177581D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary permanent mandibular right first premolar tooth; Universal designation 78</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23974"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary permanent mandibular right first premolar tooth"/>
            <code code="177599D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary permanent mandibular right third molar tooth; Universal designation 82</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23978"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary permanent mandibular right third molar tooth"/>
            <code code="177608D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary permanent maxillary right first premolar tooth; Universal designation 55</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23990"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary permanent maxillary right first premolar tooth"/>
            <code code="177612D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary deciduous maxillary right lateral incisor tooth; Universal designation DS</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23961"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary deciduous maxillary right lateral incisor tooth"/>
            <code code="177620D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary permanent mandibular left first premolar tooth ; Universal designation 71</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23966"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary permanent mandibular left first premolar tooth"/>
            <code code="177631D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary permanent maxillary right second molar tooth; Universal designation 52</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23992"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary permanent maxillary right second molar tooth"/>
            <code code="177649D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary permanent maxillary left first molar tooth; Universal designation 64</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23981"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary permanent maxillary left first molar tooth"/>
            <code code="177654D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary deciduous maxillary right second molar tooth; Universal designation AS</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23962"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary deciduous maxillary right second molar tooth"/>
            <code code="177665D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary permanent mandibular left second molar tooth; Universal designation 68</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23968"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary permanent mandibular left second molar tooth"/>
            <code code="177677D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary permanent maxillary left lateral incisor tooth; Universal designation 60</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23983"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary permanent maxillary left lateral incisor tooth"/>
            <code code="177683D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary deciduous maxillary right central incisor tooth; Universal designation ES</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23959"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary deciduous maxillary right central incisor tooth"/>
            <code code="177696D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary deciduous mandibular left second molar tooth ; Universal designation KS</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23947"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary deciduous mandibular left second molar tooth"/>
            <code code="177704D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary deciduous maxillary left first molar tooth; Universal designation IS</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23955"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary deciduous maxillary left first molar tooth"/>
            <code code="177715D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary permanent mandibular left second premolar tooth; Universal designation 70</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23969"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary permanent mandibular left second premolar tooth"/>
            <code code="177727D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary deciduous maxillary left central incisor tooth; Universal designation FS</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23954"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary deciduous maxillary left central incisor tooth"/>
            <code code="177736D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary permanent mandibular left third molar tooth; Universal designation 67</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23970"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary permanent mandibular left third molar tooth"/>
            <code code="177743D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary deciduous mandibular right first molar tooth; Universal designation SS</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23950"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary deciduous mandibular right first molar tooth"/>
            <code code="177758D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary permanent maxillary left central incisor tooth; Universal designation 59</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23980"/>
            <printName language="en" preferredForLanguage="true"
                       text="Supernumerary permanent maxillary left central incisor tooth"/>
            <code code="177762D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Overjet</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="24033"/>
            <printName language="en" preferredForLanguage="true" text="Overjet"/>
            <code code="197703D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Complete trisomy 21 syndrome</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="24016"/>
            <printName language="en" preferredForLanguage="true" text="Complete trisomy 21 syndrome"/>
            <code code="198545D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Marfan syndrome</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="24017"/>
            <printName language="en" preferredForLanguage="true" text="Marfan syndrome"/>
            <code code="199380D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The folds of mucous membrane extending from the gingiva to the midline of the lower lip.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23854"/>
            <printName language="en" preferredForLanguage="true" text="Lower labial frenum"/>
            <code code="209615D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The folds of mucous membrane extending from the gingiva to the midline of the upper lip.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23855"/>
            <printName language="en" preferredForLanguage="true" text="Upper labial frenum"/>
            <code code="209620D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A fold or band of mucous membrane connecting the upper alveolar ridge to the cheek and separating the labial vestibule from the buccal vestibule</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23856"/>
            <printName language="en" preferredForLanguage="true" text="Upper buccal frenum"/>
            <code code="209631D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A fold or band of mucous membrane connecting the lower alveolar ridge to the cheek and separating the labial vestibule from the buccal vestibule</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23857"/>
            <printName language="en" preferredForLanguage="true" text="Lower buccal frenum"/>
            <code code="209645D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Active dental caries</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23997"/>
            <printName language="en" preferredForLanguage="true" text="Active dental caries"/>
            <code code="210116D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Deep impinging overbite with soft tissue destruction</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23999"/>
            <printName language="en" preferredForLanguage="true"
                       text="Deep impinging overbite with soft tissue destruction"/>
            <code code="210952D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Anterior crossbite with destruction of oral mucosa</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="24000"/>
            <printName language="en" preferredForLanguage="true"
                       text="Anterior crossbite with destruction of oral mucosa"/>
            <code code="210953D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Lip incompetence due to horizontal overbite</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="24001"/>
            <printName language="en" preferredForLanguage="true"
                       text="Lip incompetence due to horizontal overbite"/>
            <code code="210954D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Posterior crossbite limited to left side</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="24002"/>
            <printName language="en" preferredForLanguage="true"
                       text="Posterior crossbite limited to left side"/>
            <code code="210955D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Posterior crossbite limited to right side</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="24003"/>
            <printName language="en" preferredForLanguage="true"
                       text="Posterior crossbite limited to right side"/>
            <code code="210956D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Articulatory defect secondary to dental defect</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="24006"/>
            <printName language="en" preferredForLanguage="true"
                       text="Articulatory defect secondary to dental defect"/>
            <code code="210957D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Cleft lip &amp; alveolus</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="24009"/>
            <printName language="en" preferredForLanguage="true" text="Cleft lip &amp; alveolus"/>
            <code code="210958D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Craniosynostosis syndrome</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="24012"/>
            <printName language="en" preferredForLanguage="true" text="Craniosynostosis syndrome"/>
            <code code="210959D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Arthrogryposis</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="24015"/>
            <printName language="en" preferredForLanguage="true" text="Arthrogryposis"/>
            <code code="210960D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Mixed Dentition</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="24025"/>
            <printName language="en" preferredForLanguage="true" text="Mixed Dentition"/>
            <code code="210962D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Anterior segment of maxilla</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="24029"/>
            <printName language="en" preferredForLanguage="true" text="Anterior segment of maxilla"/>
            <code code="210963D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Posterior segment of maxilla</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="24030"/>
            <printName language="en" preferredForLanguage="true" text="Posterior segment of maxilla"/>
            <code code="210964D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Anterior part of lower alveolar ridge</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="24031"/>
            <printName language="en" preferredForLanguage="true"
                       text="Anterior part of lower alveolar ridge"/>
            <code code="210965D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Posterior part of lower alveolar ridge</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="24032"/>
            <printName language="en" preferredForLanguage="true"
                       text="Posterior part of lower alveolar ridge"/>
            <code code="210966D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Overbite</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="24034"/>
            <printName language="en" preferredForLanguage="true" text="Overbite"/>
            <code code="210967D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Anterior deviation of posterior interarch</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="24037"/>
            <printName language="en" preferredForLanguage="true"
                       text="Anterior deviation of posterior interarch"/>
            <code code="210972D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Posterior deviation of posterior interarch</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="24038"/>
            <printName language="en" preferredForLanguage="true"
                       text="Posterior deviation of posterior interarch"/>
            <code code="210974D" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="AddressPartType" title="AddressPartType"
               codeSystemId="2.16.840.1.113883.5.16">
      <historyItem dateTime="2020-05-06" id="v3-AddressPartType-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>Code that specifies whether an address part names the street, city, country, postal code, post box, etc.<p>Discussion: The hierarchical nature of these concepts shows composition. E.g. "Street Name" is part of "Street Address Line"</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="ComponentOf" name="ComponentOf">
            <description>This relationship indicates that the source concept is a component of the target concept.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This can be a unit designator, such as apartment number, suite number, or floor. There may be several unit designators in an address (e.g., "3rd floor, Appt. 342"). This can also be a designator pointing away from the location, rather than specifying a smaller location within some larger one (e.g., Dutch "t.o." means "opposite to" for house boats located across the street facing houses).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ComponentOf">
               <targetConcept code="AL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10651"/>
            <printName language="en" preferredForLanguage="true" text="additional locator"/>
            <code code="ADL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>An address line is for either an additional locator, a delivery address or a street address.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22619"/>
            <printName language="en" preferredForLanguage="true" text="address line"/>
            <code code="AL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The numeric portion of a building number</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ComponentOf">
               <targetConcept code="BNR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17881"/>
            <printName language="en" preferredForLanguage="true" text="building number numeric"/>
            <code code="BNN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The number of a building, house or lot alongside the street. Also known as "primary street number". This does not number the street but rather the building.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ComponentOf">
               <targetConcept code="SAL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10649"/>
            <printName language="en" preferredForLanguage="true" text="building number"/>
            <code code="BNR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Any alphabetic character, fraction or other text that may appear after the numeric portion of a building number</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ComponentOf">
               <targetConcept code="BNR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17882"/>
            <printName language="en" preferredForLanguage="true" text="building number suffix"/>
            <code code="BNS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The name of the party who will take receipt at the specified address, and will take on responsibility for ensuring delivery to the target recipient</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="17879"/>
            <printName language="en" preferredForLanguage="true" text="care of"/>
            <code code="CAR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A geographic sub-unit delineated for demographic purposes.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="17934"/>
            <printName language="en" preferredForLanguage="true" text="census tract"/>
            <code code="CEN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Country</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10644"/>
            <printName language="en" preferredForLanguage="true" text="country"/>
            <code code="CNT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A sub-unit of a state or province. (49 of the United States of America use the term "county;" Louisiana uses the term "parish".)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="12210"/>
            <printName language="en" preferredForLanguage="true" text="county or parish"/>
            <code code="CPA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The name of the city, town, village, or other community or delivery center</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10646"/>
            <printName language="en" preferredForLanguage="true" text="municipality"/>
            <code code="CTY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A delivery address line is frequently used instead of breaking out delivery mode, delivery installation, etc. An address generally has only a delivery address line or a street address line, but not both.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17887"/>
            <printName language="en" preferredForLanguage="true" text="delivery address line"/>
            <code code="DAL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Delimiters are printed without framing white space. If no value component is provided, the delimiter appears as a line break.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10643"/>
            <printName language="en" preferredForLanguage="true" text="delimiter"/>
            <code code="DEL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates the type of delivery installation (the facility to which the mail will be delivered prior to final shipping via the delivery mode.) Example: post office, letter carrier depot, community mail center, station, etc.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ComponentOf">
               <targetConcept code="DAL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17890"/>
            <printName language="en" preferredForLanguage="true" text="delivery installation type"/>
            <code code="DINST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The location of the delivery installation, usually a town or city, and is only required if the area is different from the municipality. Area to which mail delivery service is provided from any postal facility or service such as an individual letter carrier, rural route, or postal route.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ComponentOf">
               <targetConcept code="DAL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17892"/>
            <printName language="en" preferredForLanguage="true" text="delivery installation area"/>
            <code code="DINSTA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A number, letter or name identifying a delivery installation. E.g., for Station A, the delivery installation qualifier would be 'A'.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ComponentOf">
               <targetConcept code="DAL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17891"/>
            <printName language="en" preferredForLanguage="true"
                       text="delivery installation qualifier"/>
            <code code="DINSTQ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Direction (e.g., N, S, W, E)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ComponentOf">
               <targetConcept code="SAL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10650"/>
            <printName language="en" preferredForLanguage="true" text="direction"/>
            <code code="DIR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates the type of service offered, method of delivery. For example: post office box, rural route, general delivery, etc.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ComponentOf">
               <targetConcept code="DAL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17888"/>
            <printName language="en" preferredForLanguage="true" text="delivery mode"/>
            <code code="DMOD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Represents the routing information such as a letter carrier route number. It is the identifying number of the designator (the box number or rural route number).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ComponentOf">
               <targetConcept code="DAL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17889"/>
            <printName language="en" preferredForLanguage="true" text="delivery mode identifier"/>
            <code code="DMODID" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A value that uniquely identifies the postal address.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23531"/>
            <printName language="en" preferredForLanguage="true" text="delivery point identifier"/>
            <code code="DPID" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**An intersection denotes that the actual address is located AT or CLOSE TO the intersection OF two or more streets.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ComponentOf">
               <targetConcept code="AL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22620"/>
            <printName language="en" preferredForLanguage="true" text="intersection"/>
            <code code="INT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A numbered box located in a post station.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ComponentOf">
               <targetConcept code="DMODID"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10652"/>
            <printName language="en" preferredForLanguage="true" text="post box"/>
            <code code="POB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A subsection of a municipality</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="17880"/>
            <printName language="en" preferredForLanguage="true" text="precinct"/>
            <code code="PRE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A street address line is frequently used instead of breaking out build number, street name, street type, etc. An address generally has only a delivery address line or a street address line, but not both.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14822"/>
            <printName language="en" preferredForLanguage="true" text="street address line"/>
            <code code="SAL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A sub-unit of a country with limited sovereignty in a federally organized country.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10645"/>
            <printName language="en" preferredForLanguage="true" text="state or province"/>
            <code code="STA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The base name of a roadway or artery recognized by a municipality (excluding street type and direction)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ComponentOf">
               <targetConcept code="STR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17883"/>
            <printName language="en" preferredForLanguage="true" text="street name base"/>
            <code code="STB" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="ComponentOf">
               <targetConcept code="SAL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10648"/>
            <printName language="en" preferredForLanguage="true" text="street name"/>
            <code code="STR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The designation given to the street. (e.g. Street, Avenue, Crescent, etc.)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ComponentOf">
               <targetConcept code="STR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17884"/>
            <printName language="en" preferredForLanguage="true" text="street type"/>
            <code code="STTYP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The number or name of a specific unit contained within a building or complex, as assigned by that building or complex.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ComponentOf">
               <targetConcept code="ADL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17886"/>
            <printName language="en" preferredForLanguage="true" text="unit identifier"/>
            <code code="UNID" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates the type of specific unit contained within a building or complex. E.g. Appartment, Floor</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ComponentOf">
               <targetConcept code="ADL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17885"/>
            <printName language="en" preferredForLanguage="true" text="unit designator"/>
            <code code="UNIT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A postal code designating a region defined by the postal service.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10647"/>
            <printName language="en" preferredForLanguage="true" text="postal code"/>
            <code code="ZIP" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="AddressUse" title="AddressUse" codeSystemId="2.16.840.1.113883.5.1119">
      <historyItem dateTime="2020-05-06" id="v3-AddressUse-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Codes that provide guidance around the circumstances in which a given address should be used.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>An automated answering machine used for less urgent cases and if the main purpose of contact is to leave a message or access an automated announcement.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TelecommunicationAddressUse"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22743"/>
            <printName language="en" preferredForLanguage="true" text="answering service"/>
            <code code="AS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A flag indicating that the address is bad, in fact, useless.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_GeneralAddressUse"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22730"/>
            <printName language="en" preferredForLanguage="true" text="bad address"/>
            <code code="BAD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Indicates that the address is considered sensitive and should only be shared or published in accordance with organizational controls governing patient demographic information with increased sensitivity. Uses of Addresses. Lloyd to supply more complete description.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_GeneralAddressUse"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22731"/>
            <printName language="en" preferredForLanguage="true" text="confidential address"/>
            <code code="CONF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Indicates a work place address or telecommunication address that reaches the individual or organization directly without intermediaries. For phones, often referred to as a 'private line'.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="WP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22737"/>
            <printName language="en" preferredForLanguage="true" text="direct"/>
            <code code="DIR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A contact specifically designated to be used for emergencies. This is the first choice in emergencies, independent of any other use codes.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TelecommunicationAddressUse"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22744"/>
            <printName language="en" preferredForLanguage="true" text="emergency contact"/>
            <code code="EC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A communication address at a home, attempted contacts for business purposes might intrude privacy and chances are one will contact family or other household members instead of the person one wishes to call. Typically used with urgent cases, or if no other contacts are available.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_GeneralAddressUse"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22732"/>
            <printName language="en" preferredForLanguage="true" text="home address"/>
            <code code="H" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The primary home, to reach a person after business hours.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="H"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22733"/>
            <printName language="en" preferredForLanguage="true" text="primary home"/>
            <code code="HP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A vacation home, to reach a person while on vacation.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="H"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22734"/>
            <printName language="en" preferredForLanguage="true" text="vacation home"/>
            <code code="HV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A telecommunication device that moves and stays with its owner. May have characteristics of all other use codes, suitable for urgent matters, not the first choice for routine business.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TelecommunicationAddressUse"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22745"/>
            <printName language="en" preferredForLanguage="true" text="mobile contact)"/>
            <code code="MC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This address is no longer in use.</p>
                        <i>Usage Note:</i>Address may also carry valid time ranges. This code is used to cover the situations where it is known that the address is no longer valid, but no particular time range for its use is known.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_GeneralAddressUse"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23468"/>
            <printName language="en" preferredForLanguage="true" text="no longer in use"/>
            <code code="OLD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A paging device suitable to solicit a callback or to leave a very short message.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TelecommunicationAddressUse"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22746"/>
            <printName language="en" preferredForLanguage="true" text="pager"/>
            <code code="PG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Used primarily to visit an address.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PostalAddressUse"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22740"/>
            <printName language="en" preferredForLanguage="true" text="physical visit address"/>
            <code code="PHYS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Used to send mail.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PostalAddressUse"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22741"/>
            <printName language="en" preferredForLanguage="true" text="postal address"/>
            <code code="PST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Indicates a work place address or telecommunication address that is a 'standard' address which may reach a reception service, mail-room, or other intermediary prior to the target entity.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="WP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22738"/>
            <printName language="en" preferredForLanguage="true" text="public"/>
            <code code="PUB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A temporary address, may be good for visit or mailing. Note that an address history can provide more detailed information.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_GeneralAddressUse"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22735"/>
            <printName language="en" preferredForLanguage="true" text="temporary address"/>
            <code code="TMP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>An office address. First choice for business related contacts during business hours.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_GeneralAddressUse"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22736"/>
            <printName language="en" preferredForLanguage="true" text="work place"/>
            <code code="WP" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Address uses that can apply to both postal and telecommunication addresses.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22729"/>
            <printName language="en" preferredForLanguage="true" text="_GeneralAddressUse"/>
            <code code="_GeneralAddressUse" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Address uses that only apply to postal addresses, not telecommunication addresses.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22739"/>
            <printName language="en" preferredForLanguage="true" text="_PostalAddressUse"/>
            <code code="_PostalAddressUse" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Address uses that only apply to telecommunication addresses, not postal addresses.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22742"/>
            <printName language="en" preferredForLanguage="true" text="_TelecommunicationAddressUse"/>
            <code code="_TelecommunicationAddressUse" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="AdministrativeGender" title="AdministrativeGender"
               codeSystemId="2.16.840.1.113883.5.1">
      <historyItem dateTime="2020-05-06" id="v3-AdministrativeGender-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The gender of a person used for adminstrative purposes (as opposed to clinical gender)</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Female</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10174"/>
            <printName language="en" preferredForLanguage="true" text="Female"/>
            <code code="F" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Male</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10173"/>
            <printName language="en" preferredForLanguage="true" text="Male"/>
            <code code="M" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>En: The gender of a person could not be uniquely defined as male or female, such as intersex. Nl: Het geslacht van een persoon kan niet uniek worden gedefinieerd als man of vrouw, zoals een intersekse-conditie.</p>
                        <i>Open Issue:</i>This is a short-term stopgap solution to the definition issue, full solutions are being worked out by the Gender Harmony project launched in 2019.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="17718"/>
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                  <b>Description:</b>The AHFS Pharmacologic-Therapeutic Classification has been in use in hospitals in the United States since its inception in 1959. An integral part of the American Hospital Formulary Service, the AHFS classification allows the grouping of drugs with similar pharmacologic, therapeutic, and/or chemical characteristics. Today, the AHFS classification is used by many people outside of hospitals.</text>
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         <concept>
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         <concept>
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         <concept>
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         <concept>
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            <conceptProperty name="internalId" value="18461"/>
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         <concept>
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            <conceptProperty name="internalId" value="18467"/>
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         <concept>
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         <concept>
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            <conceptProperty name="internalId" value="18185"/>
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            <printName language="en" preferredForLanguage="false" text="Delaware"/>
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         <concept>
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            <printName language="en" preferredForLanguage="false" text="Santee-Sisseton"/>
            <printName language="en" preferredForLanguage="false" text="Sioux"/>
            <code code="x-DHG" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Diegueno"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18293"/>
            <printName language="en" preferredForLanguage="true" text="Kumeyaay"/>
            <printName language="en" preferredForLanguage="false" text="Campo"/>
            <printName language="en" preferredForLanguage="false" text="Diegueño"/>
            <printName language="en" preferredForLanguage="false" text="Kamia"/>
            <printName language="en" preferredForLanguage="false" text="Kumiái"/>
            <code code="x-DIH" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SirenikskiYupik"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18199"/>
            <printName language="en" preferredForLanguage="true" text="Pacific Yupik Gulf"/>
            <printName language="en" preferredForLanguage="false" text="Aleut"/>
            <printName language="en" preferredForLanguage="false" text="Alutiiq"/>
            <printName language="en" preferredForLanguage="false" text="Chugach Eskimo"/>
            <printName language="en" preferredForLanguage="false" text="Koniag-Chugach"/>
            <printName language="en" preferredForLanguage="false" text="Pacific Yupik"/>
            <printName language="en" preferredForLanguage="false" text="South Alaska Eskimo"/>
            <printName language="en" preferredForLanguage="false" text="Sugcestun"/>
            <printName language="en" preferredForLanguage="false" text="Sugpiak Eskimo"/>
            <printName language="en" preferredForLanguage="false" text="Sugpiaq Eskimo"/>
            <printName language="en" preferredForLanguage="false" text="Suk"/>
            <code code="x-EMS" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Yokutsan"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18489"/>
            <printName language="en" preferredForLanguage="true" text="Kings River"/>
            <printName language="en" preferredForLanguage="false" text="Aiticha"/>
            <printName language="en" preferredForLanguage="false" text="Choinimni"/>
            <printName language="en" preferredForLanguage="false" text="Chukaimina"/>
            <printName language="en" preferredForLanguage="false" text="Entimbich"/>
            <printName language="en" preferredForLanguage="false" text="Kocheyali"/>
            <code code="x-ENH" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InuitInupiaq"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18211"/>
            <printName language="en" preferredForLanguage="true" text="North Alaskan Inuktitut"/>
            <printName language="en" preferredForLanguage="false" text="Inupiaq"/>
            <printName language="en" preferredForLanguage="false" text="Inupiat Eskimo"/>
            <printName language="en" preferredForLanguage="false" text="Inupik"/>
            <printName language="en" preferredForLanguage="false" text="North Alaskan Eskimo"/>
            <printName language="en" preferredForLanguage="false" text="North Alaskan Inupiaq"/>
            <code code="x-ESI" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InuitInupiaq"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18217"/>
            <printName language="en" preferredForLanguage="true" text="Northwest Alaska Inuktitut"/>
            <printName language="en" preferredForLanguage="false" text="Inupiatun"/>
            <printName language="en" preferredForLanguage="false"
                       text="Northwest Alaska Inupiat Eskimo"/>
            <printName language="en" preferredForLanguage="false" text="Seward Peninsula Inupiaq"/>
            <code code="x-ESK" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SirenikskiYupik"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18194"/>
            <printName language="en" preferredForLanguage="true" text="Central Siberian Yupik"/>
            <printName language="en" preferredForLanguage="false" text="St. Lawrence Island Eskimo"/>
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         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SirenikskiYupik"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18196"/>
            <printName language="en" preferredForLanguage="true" text="Central Alaskan Yupik"/>
            <printName language="en" preferredForLanguage="false" text="Central Yupik"/>
            <printName language="en" preferredForLanguage="false" text="West Alaska Eskimo"/>
            <code code="x-ESU" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AthapaskanEyak"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18357"/>
            <printName language="en" preferredForLanguage="true" text="Eyak"/>
            <code code="x-EYA" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InteriorSalish"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18541"/>
            <printName language="en" preferredForLanguage="true" text="Kalispel"/>
            <printName language="en" preferredForLanguage="false" text="Flathead-Kalispel"/>
            <printName language="en" preferredForLanguage="false" text="Kalispel-Flathead"/>
            <code code="x-FLA" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Yokutsan"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18480"/>
            <printName language="en" preferredForLanguage="true" text="Gashowu"/>
            <printName language="en" preferredForLanguage="false" text="Goshowi"/>
            <code code="x-GSH" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_KutchinHan"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18382"/>
            <printName language="en" preferredForLanguage="true" text="Han"/>
            <printName language="en" preferredForLanguage="false" text="Dawson"/>
            <printName language="en" preferredForLanguage="false" text="Han-Kutchin"/>
            <printName language="en" preferredForLanguage="false" text="Moosehide"/>
            <code code="x-HAA" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="18240"/>
            <printName language="en" preferredForLanguage="true" text="Haida"/>
            <code code="x-HAI" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MissouriRiver"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18555"/>
            <printName language="en" preferredForLanguage="true" text="Hidatsa"/>
            <printName language="en" preferredForLanguage="false" text="Hinatsa"/>
            <printName language="en" preferredForLanguage="false" text="Hiraca"/>
            <printName language="en" preferredForLanguage="false" text="Minitari"/>
            <code code="x-HID" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_KoyukonIngalik"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18368"/>
            <printName language="en" preferredForLanguage="true" text="Holikachuk"/>
            <code code="x-HOI" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_UtoAztecan"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18628"/>
            <printName language="en" preferredForLanguage="true" text="Hopi"/>
            <code code="x-HOP" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CaliforniaAthapaskan"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18392"/>
            <printName language="en" preferredForLanguage="true" text="Hupa"/>
            <printName language="en" preferredForLanguage="false" text="Hoopa"/>
            <code code="x-HUP" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_KoyukonIngalik"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18367"/>
            <printName language="en" preferredForLanguage="true" text="Degexit'an"/>
            <code code="x-ING" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ChiwereWinnebago"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18594"/>
            <printName language="en" preferredForLanguage="true" text="Chiwere"/>
            <printName language="en" preferredForLanguage="false" text="Iowa-Oto"/>
            <printName language="en" preferredForLanguage="false" text="Iowa-Otoe"/>
            <code code="x-IOW" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Dhegiha"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18584"/>
            <printName language="en" preferredForLanguage="true" text="Kansa"/>
            <printName language="en" preferredForLanguage="false" text="Kanze"/>
            <printName language="en" preferredForLanguage="false" text="Kaw"/>
            <printName language="en" preferredForLanguage="false" text="Konze"/>
            <code code="x-KAA" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Kalapuyan"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18426"/>
            <printName language="en" preferredForLanguage="true" text="Central Kalapuyan"/>
            <printName language="en" preferredForLanguage="false" text="Kalapuya"/>
            <printName language="en" preferredForLanguage="false" text="Lukamiute"/>
            <printName language="en" preferredForLanguage="false" text="Santiam"/>
            <printName language="en" preferredForLanguage="false" text="Wapatu"/>
            <code code="x-KAL" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SouthernNumic"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18618"/>
            <printName language="en" preferredForLanguage="true" text="Kawaiisu"/>
            <code code="x-KAW" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Keresan"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18324"/>
            <printName language="en" preferredForLanguage="true" text="Rio Grande Keresan"/>
            <printName language="en" preferredForLanguage="false" text="Eastern Keres Pueblo"/>
            <printName language="en" preferredForLanguage="false" text="Eastern Keresan"/>
            <code code="x-KEE" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SaukFoxKickapoo"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18168"/>
            <printName language="en" preferredForLanguage="true" text="Kickapoo"/>
            <printName language="en" preferredForLanguage="false" text="Kikapu"/>
            <code code="x-KIC" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_KiowaTanoan"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18328"/>
            <printName language="en" preferredForLanguage="true" text="Kiowa"/>
            <code code="x-KIO" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Keresan"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18320"/>
            <printName language="en" preferredForLanguage="true" text="Acoma-Laguna"/>
            <printName language="en" preferredForLanguage="false" text="Western Keres"/>
            <printName language="en" preferredForLanguage="false" text="Western Keres Pueblo"/>
            <printName language="en" preferredForLanguage="false" text="Western Keresan"/>
            <code code="x-KJQ" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Pomoan"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18272"/>
            <printName language="en" preferredForLanguage="true" text="Kashaya"/>
            <printName language="en" preferredForLanguage="false" text="Southwestern Pomo"/>
            <code code="x-KJU" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PlateauPenutian"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18499"/>
            <printName language="en" preferredForLanguage="true" text="Klamath-Modoc"/>
            <code code="x-KLA" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_KoyukonIngalik"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18369"/>
            <printName language="en" preferredForLanguage="true" text="Koyukon"/>
            <code code="x-KOY" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CaliforniaAthapaskan"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18394"/>
            <printName language="en" preferredForLanguage="true" text="Cahto"/>
            <printName language="en" preferredForLanguage="false" text="Batem-da-kai-ee"/>
            <printName language="en" preferredForLanguage="false" text="Kai Po-mo"/>
            <printName language="en" preferredForLanguage="false" text="Kato"/>
            <printName language="en" preferredForLanguage="false" text="Tlokeang"/>
            <code code="x-KTW" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_KutchinHan"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18380"/>
            <printName language="en" preferredForLanguage="true" text="Kutchin"/>
            <printName language="en" preferredForLanguage="false" text="Gwich'in"/>
            <code code="x-KUC" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="18335"/>
            <printName language="en" preferredForLanguage="true" text="Kootenai"/>
            <printName language="en" preferredForLanguage="false" text="Ktunaxa"/>
            <printName language="en" preferredForLanguage="false" text="Kutenai"/>
            <code code="x-KUN" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TananaTutchone"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18372"/>
            <printName language="en" preferredForLanguage="true" text="Upper Kuskokwim"/>
            <printName language="en" preferredForLanguage="false" text="Mcgrath Ingalik"/>
            <code code="x-KUU" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Hokan"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18242"/>
            <printName language="en" preferredForLanguage="true" text="Karok"/>
            <printName language="en" preferredForLanguage="false" text="Karuk"/>
            <code code="x-KYH" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Dakotan"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18564"/>
            <printName language="en" preferredForLanguage="true" text="Lakota"/>
            <printName language="en" preferredForLanguage="false" text="Teton"/>
            <printName language="en" preferredForLanguage="false" text="Lakhota"/>
            <code code="x-LKT" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_WesternMiwok"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18462"/>
            <printName language="en" preferredForLanguage="true" text="Lake Miwok"/>
            <code code="x-LMW" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Cupan"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18627"/>
            <printName language="en" preferredForLanguage="true" text="Luiseno"/>
            <code code="x-LUI" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CentralSalish"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18532"/>
            <printName language="en" preferredForLanguage="true" text="Lushootseed"/>
            <code code="x-LUT" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Abenakian"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18175"/>
            <printName language="en" preferredForLanguage="true" text="Maliseet-Passamaquoddy"/>
            <printName language="en" preferredForLanguage="false" text="Malecite-Passamaquoddy"/>
            <code code="x-MAC" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Maiduan"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18438"/>
            <printName language="en" preferredForLanguage="true" text="Northwest Maidu"/>
            <printName language="en" preferredForLanguage="false" text="Concow"/>
            <printName language="en" preferredForLanguage="false" text="Digger"/>
            <printName language="en" preferredForLanguage="false" text="Holólupai"/>
            <printName language="en" preferredForLanguage="false" text="Konkau"/>
            <printName language="en" preferredForLanguage="false" text="Konkow"/>
            <printName language="en" preferredForLanguage="false" text="Maiduan"/>
            <printName language="en" preferredForLanguage="false" text="Meidoo"/>
            <printName language="en" preferredForLanguage="false" text="Michopdo"/>
            <printName language="en" preferredForLanguage="false" text="Nákum"/>
            <printName language="en" preferredForLanguage="false" text="Secumne"/>
            <printName language="en" preferredForLanguage="false" text="Sekumne"/>
            <printName language="en" preferredForLanguage="false" text="Tsamak"/>
            <printName language="en" preferredForLanguage="false" text="Yuba"/>
            <code code="x-MAI" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Algonquian"/>
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            <conceptProperty name="internalId" value="18154"/>
            <printName language="en" preferredForLanguage="true" text="Menominee"/>
            <printName language="en" preferredForLanguage="false" text="Menomini"/>
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         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Siouan"/>
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            <conceptProperty name="internalId" value="18561"/>
            <printName language="en" preferredForLanguage="true" text="Mandan"/>
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         <concept>
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            <conceptProperty name="internalId" value="18172"/>
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         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CentralMuskogean"/>
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            <conceptProperty name="internalId" value="18344"/>
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            <printName language="en" preferredForLanguage="false" text="Hitchiti"/>
            <printName language="en" preferredForLanguage="false" text="Miccosukee"/>
            <printName language="en" preferredForLanguage="false" text="Mikasuki Seminole"/>
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         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NorthernIroquoian"/>
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            <conceptProperty name="internalId" value="18313"/>
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            <printName language="en" preferredForLanguage="false" text="Kanien'kehaka"/>
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         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_WesternNumic"/>
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            <conceptProperty name="internalId" value="18608"/>
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            <printName language="en" preferredForLanguage="false" text="Paviotso"/>
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         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_River"/>
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            <conceptProperty name="internalId" value="18289"/>
            <printName language="en" preferredForLanguage="true" text="Mohave"/>
            <printName language="en" preferredForLanguage="false" text="Mojave"/>
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         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_River"/>
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            <conceptProperty name="internalId" value="18287"/>
            <printName language="en" preferredForLanguage="true" text="Maricopa"/>
            <printName language="en" preferredForLanguage="false" text="Cocomaricopa"/>
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         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Nootkan"/>
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            <conceptProperty name="internalId" value="18643"/>
            <printName language="en" preferredForLanguage="true" text="Makah"/>
            <printName language="en" preferredForLanguage="false" text="Kweedishchaaht"/>
            <printName language="en" preferredForLanguage="false" text="Kwe-Nee-Chee-Aht"/>
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         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_WesternApachean"/>
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            <conceptProperty name="internalId" value="18401"/>
            <printName language="en" preferredForLanguage="true" text="Dine"/>
            <printName language="en" preferredForLanguage="false" text="Navajo"/>
            <code code="x-NAV" status="active"/>
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         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PlateauPenutian"/>
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            <conceptProperty name="internalId" value="18510"/>
            <printName language="en" preferredForLanguage="true" text="Nez Perce"/>
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         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Dakotan"/>
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            <conceptProperty name="internalId" value="18573"/>
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            <printName language="en" preferredForLanguage="false" text="Nakoda"/>
            <printName language="en" preferredForLanguage="false" text="Yankton"/>
            <printName language="en" preferredForLanguage="false" text="Yankton-Yanktonais"/>
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         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Maiduan"/>
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            <conceptProperty name="internalId" value="18436"/>
            <printName language="en" preferredForLanguage="true" text="Northeast Maidu"/>
            <printName language="en" preferredForLanguage="false" text="Mountain Maidu"/>
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         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_EasternMiwok"/>
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            <conceptProperty name="internalId" value="18466"/>
            <printName language="en" preferredForLanguage="true" text="Northern Sierra Miwok"/>
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         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Maiduan"/>
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            <conceptProperty name="internalId" value="18452"/>
            <printName language="en" preferredForLanguage="true" text="Nisenan"/>
            <printName language="en" preferredForLanguage="false" text="Neeshenam"/>
            <printName language="en" preferredForLanguage="false" text="Nishinam"/>
            <printName language="en" preferredForLanguage="false" text="Pujuni"/>
            <printName language="en" preferredForLanguage="false" text="Southern Maidu"/>
            <printName language="en" preferredForLanguage="false" text="Wapumni"/>
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         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Ojibwayan"/>
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            <conceptProperty name="internalId" value="18157"/>
            <printName language="en" preferredForLanguage="true" text="Southern Ojibwa"/>
            <printName language="en" preferredForLanguage="false" text="Chippewa"/>
            <printName language="en" preferredForLanguage="false" text="Mississippi Ojibwa"/>
            <printName language="en" preferredForLanguage="false" text="Saulteaux"/>
            <printName language="en" preferredForLanguage="false" text="Western Ojibwa"/>
            <code code="x-OJB" status="active"/>
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         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InteriorSalish"/>
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                  <p>WHO Adverse Reaction Terms</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="AS4" title="ASTM E1238/ E1467 Universal"
               codeSystemId="2.16.840.1.113883.6.30">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>ASTM E1238/ E1467 Universal</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="AS4E" title="AS4 Neurophysiology Codes"
               codeSystemId="2.16.840.1.113883.6.78">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>AS4 Neurophysiology Codes</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Scpqual" title="pan-Canadian Provider Qualification Types"
               codeSystemId="2.16.840.1.113883.2.20.5.4">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>SCPQUAL is used to encode the degree or educational rank of a healthcare provider credential as defined by the various Royal Canadian Professional Medical Collages. It is also supports the encoding “Expertise type” in the pan-Canadian version 3 messages</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="C5" title="CPT-5" codeSystemId="2.16.840.1.113883.6.82">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>CPT-5</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Calendar" title="Calendar" codeSystemId="2.16.840.1.113883.5.1055">
      <historyItem dateTime="2020-05-06" id="v3-Calendar-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Code system for specifying a type of calendar</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
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                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
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                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The Gregorian calendar is the calendar in effect in most countries of Christian influence since approximately 1582. This calendar superceded the Julian calendar.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="17423"/>
            <printName language="en" preferredForLanguage="true" text="Gregorian"/>
            <code code="GREG" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="CalendarCycle" title="Calendar Cycle Codes"
               codeSystemId="2.16.840.1.113883.5.9">
      <historyItem dateTime="2020-05-06" id="v3-CalendarCycle-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Calendar cycle identifiers</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>A property that indicates the status of the concept. One of active, experimental, deprecated, or retired.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="synonymCode" type="Token" isMandatoryIndicator="false">
            <description>An additional concept code that was also attributed to a concept</description>
         </supportedConceptProperty>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CalendarCycleTwoLetter"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10692"/>
            <printName language="en" preferredForLanguage="true" text="day (continuous)"/>
            <code code="CD" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CalendarCycleTwoLetter"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10696"/>
            <printName language="en" preferredForLanguage="true" text="hour (continuous)"/>
            <code code="CH" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CalendarCycleTwoLetter"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10688"/>
            <printName language="en" preferredForLanguage="true" text="month (continuous)"/>
            <code code="CM" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CalendarCycleTwoLetter"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10698"/>
            <printName language="en" preferredForLanguage="true" text="minute (continuous)"/>
            <code code="CN" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CalendarCycleTwoLetter"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10700"/>
            <printName language="en" preferredForLanguage="true" text="second (continuous)"/>
            <code code="CS" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CalendarCycleOneLetter"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CalendarCycleTwoLetter"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10689"/>
            <printName language="en" preferredForLanguage="true" text="week (continuous)"/>
            <code code="CW" status="active"/>
            <code code="W" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CalendarCycleOneLetter"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CalendarCycleTwoLetter"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10686"/>
            <printName language="en" preferredForLanguage="true" text="year"/>
            <code code="CY" status="active"/>
            <code code="Y" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CalendarCycleOneLetter"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CalendarCycleTwoLetter"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10691"/>
            <printName language="en" preferredForLanguage="true" text="day of the month"/>
            <code code="D" status="active"/>
            <code code="DM" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CalendarCycleOneLetter"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CalendarCycleTwoLetter"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10694"/>
            <printName language="en" preferredForLanguage="true"
                       text="day of the week (begins with Monday)"/>
            <code code="DW" status="active"/>
            <code code="J" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CalendarCycleTwoLetter"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10693"/>
            <printName language="en" preferredForLanguage="true" text="day of the year"/>
            <code code="DY" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CalendarCycleOneLetter"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CalendarCycleTwoLetter"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10695"/>
            <printName language="en" preferredForLanguage="true" text="hour of the day"/>
            <code code="H" status="active"/>
            <code code="HD" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CalendarCycleOneLetter"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CalendarCycleTwoLetter"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10687"/>
            <printName language="en" preferredForLanguage="true" text="month of the year"/>
            <code code="M" status="active"/>
            <code code="MY" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CalendarCycleOneLetter"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CalendarCycleTwoLetter"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10697"/>
            <printName language="en" preferredForLanguage="true" text="minute of the hour"/>
            <code code="N" status="active"/>
            <code code="NH" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CalendarCycleOneLetter"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CalendarCycleTwoLetter"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10699"/>
            <printName language="en" preferredForLanguage="true" text="second of the minute"/>
            <code code="S" status="active"/>
            <code code="SN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The week with the month's first Thursday in it (analagous to the ISO 8601 definition for week of the year).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23532"/>
            <printName language="en" preferredForLanguage="true" text="week of the month"/>
            <code code="WM" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CalendarCycleTwoLetter"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10690"/>
            <printName language="en" preferredForLanguage="true" text="week of the year"/>
            <code code="WY" status="active"/>
         </concept>
         <concept isSelectable="false">
            <conceptProperty name="deprecationDate" value="2013-06-29"/>
            <conceptProperty name="internalId" value="21046"/>
            <printName language="en" preferredForLanguage="true" text="CalendarCycleOneLetter"/>
            <code code="_CalendarCycleOneLetter" status="active"/>
         </concept>
         <concept isSelectable="false">
            <conceptProperty name="deprecationDate" value="2013-06-29"/>
            <conceptProperty name="internalId" value="21047"/>
            <printName language="en" preferredForLanguage="true" text="CalendarCycleTwoLetter"/>
            <code code="_CalendarCycleTwoLetter" status="active"/>
         </concept>
         <concept isSelectable="false">
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CalendarCycleTwoLetter"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21048"/>
            <printName language="en" preferredForLanguage="true" text="GregorianCalendarCycle"/>
            <code code="_GregorianCalendarCycle" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="CalendarType" title="CalendarType"
               codeSystemId="2.16.840.1.113883.5.1017">
      <historyItem dateTime="2020-05-06" id="v3-CalendarType-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Code system for specifying a type of calendar</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The Gregorian calendar is in effect in the most countries of Christian influence since approximately 1582. This calendar superceded the Julian calendar.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10683"/>
            <printName language="en" preferredForLanguage="true" text="Gregorian"/>
            <code code="GREG" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="Camncvs" title="CAMNCVS" codeSystemId="2.16.840.1.113883.6.19">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>CAM &amp; Nursing Coding Vocabulary Set</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="CAS" title="Chemical abstract codes"
               codeSystemId="2.16.840.1.113883.6.61">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Chemical abstract codes</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="CCC" title="Clinical Care Classification System"
               codeSystemId="2.16.840.1.113883.6.236">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Clinical Care Classification System (formerly Home Health Care Classification system) codes. The Clinical Care Classification (CCC) consists of two taxonomies: CCC of Nursing Diagnoses and CCC of Nursing Interventions both of which are classified by 21 Care Components. Each of these are classified by Care Components which provide a standardized framework for documenting patient care in hospitals, home health agencies, ambulatory care clinics, and other health care settings.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="CD2" title="CDT-2 Codes" codeSystemId="2.16.840.1.113883.6.13">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>American Dental Association's Current Dental Terminology 2 (CDT-2) codes.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="CDARUS" title="CDA_RUS" codeSystemId="2.16.840.1.113883.6.239">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Coding system intended for use in the Russian clinical documents</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="CDCA" title="CDC Analyte Codes" codeSystemId="2.16.840.1.113883.6.57">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>CDC Analyte Codes</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="CDCM" title="CDC Methods/Instruments Codes"
               codeSystemId="2.16.840.1.113883.6.58">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>CDC Methods/Instruments Codes</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="CDCNHSN" title="NHSN Surveillance System Codes"
               codeSystemId="2.16.840.1.113883.6.277">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A set of healthcare surveillance vocabulary concepts and associated identifiers intended solely for data submissions to the National Healthcare Safety Network (NHSN). Other uses are not recommended.</p>
                  <p>The CDCNHSN code system is highly specialized to meet the needs of NHSN surveillance reporting, is undergoing changes, and is not recommended for creating value sets to be used outside of NHSN.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-03-24" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="CDS" title="CDC Surveillance" codeSystemId="2.16.840.1.113883.6.79">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>CDC Surveillance</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="CE" title="CEN ECG diagnostic codes"
               codeSystemId="2.16.840.1.113883.6.80">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>CEN ECG diagnostic codes</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Charset" title="Charset" codeSystemId="2.16.840.1.113883.5.21">
      <historyItem dateTime="2020-05-06" id="v3-Charset-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Internet Assigned Numbers Authority (IANA) Charset Types</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>HL7 is indifferent to the use of this Charset.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14863"/>
            <printName language="en" preferredForLanguage="true" text="EBCDIC"/>
            <code code="EBCDIC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Deprecated for HL7 use.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14856"/>
            <printName language="en" preferredForLanguage="true" text="ISO-10646-UCS-2"/>
            <code code="ISO-10646-UCS-2" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Deprecated for HL7 use.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14857"/>
            <printName language="en" preferredForLanguage="true" text="ISO-10646-UCS-4"/>
            <code code="ISO-10646-UCS-4" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>HL7 is indifferent to the use of this Charset.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
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               <documentation>
                  <definition>
                     <text>
                        <p>HL7 is indifferent to the use of this Charset.</p>
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               <documentation>
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                        <p>HL7 is indifferent to the use of this Charset.</p>
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               <documentation>
                  <definition>
                     <text>
                        <p>HL7 is indifferent to the use of this Charset.</p>
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            <printName language="en" preferredForLanguage="true" text="JIS-2022-JP"/>
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            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Required for HL7 use.</p>
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               <documentation>
                  <definition>
                     <text>
                        <p>HL7 is indifferent to the use of this Charset.</p>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Required for Unicode support.</p>
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            <conceptProperty name="internalId" value="14855"/>
            <printName language="en" preferredForLanguage="true" text="UTF-8"/>
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         <documentation>
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                  <p>CLIP</p>
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      <historyItem dateTime="2020-05-06" id="v3-CodeSystem-cs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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         <documentation>
            <description>
               <text>
                  <p>Code systems used in HL7 standards.</p>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Five character alphabetic codes fit into current claims processing software or onto standard paper claim forms. ABC Codes give business parity to licensed CAM and nurse providers who file claims to insurance companies. .</p>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Index for Radiological Diagnosis Revised, 3rd Edition 1986, American College of Radiology, Reston, VA.</p>
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            <printName language="en" preferredForLanguage="true"
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The AHFS Pharmacologic-Therapeutic Classification has been in use in hospitals in the United States since its inception in 1959. An integral part of the American Hospital Formulary Service, the AHFS classification allows the grouping of drugs with similar pharmacologic, therapeutic, and/or chemical characteristics. Today, the AHFS classification is used by many people outside of hospitals.</text>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>WHO Collaborating Centre for International Drug Monitoring, Box 26, S-751 03, Uppsala, Sweden.</p>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>American Society for Testing &amp; Materials and CPT4 (see Appendix X1 of Specification E1238 and Appendix X2 of Specification E1467).</p>
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            <printName language="en" preferredForLanguage="true" text="ASTM E1238/ E1467 Universal"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>ASTM's diagnostic codes and test result coding/grading systems for clinical neurophysiology. See ASTM Specification E1467, Appendix 2.</p>
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            </annotations>
            <conceptProperty name="internalId" value="11060"/>
            <printName language="en" preferredForLanguage="true" text="AS4 Neurophysiology Codes"/>
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            <code code="AcknowledgementCondition" status="active"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A site specific problem code</p>
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                  </definition>
               </documentation>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Acknowledgement code as described in HL7 message processing rules.</p>
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            <conceptProperty name="internalId" value="19877"/>
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         <concept>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The table that provides the detailed or rich codes for the Act classes.</p>
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            </annotations>
            <conceptProperty name="internalId" value="19893"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.4"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A qualitative measure of the degree of exposure to the causative agent. This includes concepts such as "low", "medium" and "high". This quantifies how the quantity that was available to be administered to the target differs from typical or background levels of the substance.</p>
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            </annotations>
            <conceptProperty name="internalId" value="22371"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Processing consideration and clarification codes.</p>
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                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19821"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1051"/>
            <printName language="en" preferredForLanguage="true" text="ActInvoiceElementModifier"/>
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         <concept>
            <conceptProperty name="internalId" value="19802"/>
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         <concept>
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         <concept>
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         <concept>
            <conceptProperty name="internalId" value="19800"/>
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            <code code="ActRelationshipCheckpoint" status="active"/>
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         <concept>
            <conceptProperty name="internalId" value="19858"/>
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         <concept>
            <conceptProperty name="internalId" value="19860"/>
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            <code code="ActRelationshipSplit" status="active"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Used to indicate that the target of the relationship will be a filtered subset of the total related set of targets.</p>
                        <p>Used when there is a need to limit the number of components to the first, the last, the next, the total, the average or some other filtered or calculated subset.</p>
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            </annotations>
            <conceptProperty name="internalId" value="21366"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The source is an excerpt from the target.</p>
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                  </definition>
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            <code code="ActRelationshipType" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An anatomical location on an organism which can be the focus of an act.</p>
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                  </definition>
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            </annotations>
            <conceptProperty name="internalId" value="19822"/>
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            <code code="ActSite" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Contains the names (codes) for each of the states in the state-machine of the RIM Act class.</p>
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                  </definition>
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            </annotations>
            <conceptProperty name="internalId" value="19868"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A jurisdictional mandate in the US relating to privacy.</text>
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               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23359"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1138"/>
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         <concept>
            <conceptProperty name="internalId" value="19823"/>
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            <code code="ActUncertainty" status="active"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Discussion: The hierarchical nature of these concepts shows composition. E.g. "Street Name" is part of "Street Address Line"</p>
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                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19876"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Uses of Addresses. Lloyd to supply more complete description.</text>
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               </documentation>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The gender of a person used for adminstrative purposes (as opposed to clinical gender)</p>
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               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19799"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>American Indian and Alaska Native languages currently being used in the United States.</p>
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                  </definition>
               </documentation>
            </annotations>
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            <printName language="en" preferredForLanguage="true"
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            <code code="AmericanIndianAlaskaNativeLanguages" status="active"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Coded concepts representing the Binding Realms used for Context Binding of terminology in HL7 models. Where concepts align with nations, the country codes from ISO 3166-1 2-character alpha are used for the codes. For those realms where they do not,. codes are created for the concepts. These codes are generally carried in InfrastructureRoot.realmcode, and are used in Context Binding statements.</p>
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            <conceptProperty name="internalId" value="22934"/>
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            <code code="BindingRealm" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>HL7 version 2.x Body site used in chapter(s) 4; HL7 table 0163</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22763"/>
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            <code code="BodySite" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>American Medical Association, P.O. Box 10946, Chicago IL 60610.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11065"/>
            <printName language="en" preferredForLanguage="true" text="CPT-4"/>
            <code code="C4" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>American Medical Association, P.O. Box 10946, Chicago IL 60610.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11066"/>
            <printName language="en" preferredForLanguage="true" text="CPT-5"/>
            <code code="C5" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>CAM &amp; Nursing Coding Vocabulary Set</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19940"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.6.19"/>
            <printName language="en" preferredForLanguage="true" text="CAMNCVS"/>
            <code code="CAMNCVS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>These include unique codes for each unique chemical, including all generic drugs. The codes do not distinguish among different dosing forms. When multiple equivalent CAS numbers exist, use the first one listed in USAN. USAN 1990 and the USP dictionary of drug names, William M. Heller, Ph.D., Executive Editor, United States Pharmacopeial Convention, Inc., 12601 Twinbrook Parkway, Rockville, MD 20852.</p>
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                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11109"/>
            <printName language="en" preferredForLanguage="true" text="Chemical abstract codes"/>
            <code code="CAS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>CCI - Canadian Classification of Health Interventions, developed to accompany ICD-10-CA, maintained by CIHI (Canadian Institute for Health Information).</p>
                        <p>For example: sections 3.AA-3.BZ Diagnostic Imaging Interventions on the Nervous System 3.AN.^ ^.^ ^ Diagnostic Imaging Interventions on the Brain 3.AN.40. ^ ^ Magnetic Resonance Imaging, Brain Incudes: That for meninges, ventricles, cerebellum, brain stem, cisterna \[of brain\], posterior fossa MRI, brain 3.AN.40.VA without contrast 3.AN.40.VC following intravenous injection of contrast 3.AN.40.VZ following percutaneous injection of contrast</p>
                        <p>CIHI Toronto Attn: Director of Standards 90 Eglinton Avenue, Suite 300 Toronto, Ontario Canada M4P 2Y3</p>
                        <p>Phone: (416) 481.2002 Fax: (416) 481-2950</p>
                        <p>www.cihi.ca</p>
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                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19710"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.6.87"/>
            <printName language="en" preferredForLanguage="true"
                       text="Canadian Classification of Health Interventions"/>
            <code code="CCI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>American Dental Association's Current Dental Terminology (CDT-2) code. American Dental Association, 211 E. Chicago Avenue,. Chicago, Illinois 60611.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11062"/>
            <printName language="en" preferredForLanguage="true" text="CDT-2 Codes"/>
            <code code="CD2" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Public Health Practice Program Office, Centers for Disease Control and Prevention, 4770 Buford Highway, Atlanta, GA, 30421. Also available via FTP: ftp.cdc.gov/pub/laboratory \_info/CLIA and Gopher: gopher.cdc.gov:70/11/laboratory\_info/CLIA</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11105"/>
            <printName language="en" preferredForLanguage="true" text="CDC Analyte Codes"/>
            <code code="CDCA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Public Health Practice Program Office, Centers for Disease Control and Prevention, 4770 Buford Highway, Atlanta, GA, 30421. Also available via FTP: ftp.cdc.gov/pub/laboratory \_info/CLIA and Gopher: gopher.cdc.gov:70/11/laboratory\_info/CLIA</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11106"/>
            <printName language="en" preferredForLanguage="true" text="CDC Methods/Instruments Codes"/>
            <code code="CDCM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>CDC Surveillance Codes. For data unique to specific public health surveillance requirements. Epidemiology Program Office, Centers for Disease Control and Prevention, 1600 Clifton Rd, Atlanta, GA, 30333. (404) 639-3661.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11061"/>
            <printName language="en" preferredForLanguage="true" text="CDC Surveillance"/>
            <code code="CDS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>CEN PT007. A quite comprehensive set of ECG diagnostic codes (abbreviations) and descriptions published as a pre-standard by CEN TC251. Available from CEN TC251 secretariat, c/o Georges DeMoor, State University Hospital Gent, De Pintelaan 185-5K3, 9000 Ge</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11063"/>
            <printName language="en" preferredForLanguage="true" text="CEN ECG diagnostic codes"/>
            <code code="CE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Simon Leeming, Beth Israel Hospital, Boston MA. Codes for radiology reports.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11064"/>
            <printName language="en" preferredForLanguage="true" text="CLIP"/>
            <code code="CLP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>CAN/CSA-Z795-96 (R2001) - This Standard provides a framework for consistent recording and classification of information on work-related injuries and diseases in Canada (injury coding).</p>
                        <p>It is constituted of Nature of injury, body part, side of body. For example: Cut or laceration of the Upper Arm, Left Injury = 03400; body part = 31100; side of body = L</p>
                        <p>Code set is maintained by the Canadian Standards Association (CSA).</p>
                        <p>The Canadian Standards Association 5060 Spectrum Way Mississauga, Ontario Canada L4W 5N6</p>
                        <p>Phone: (416) 747-4000 1-800-463-6727 Fax: (416) 747-2473</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19709"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.6.86"/>
            <printName language="en" preferredForLanguage="true" text="CAN/CSA-Z795-96 (R2001)"/>
            <code code="CSAID" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>International coding system for adverse drug reactions. In the USA, maintained by the FDA, Rockville, MD.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11110"/>
            <printName language="en" preferredForLanguage="true" text="COSTART"/>
            <code code="CST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>National Immunization Program, Centers for Disease Control and Prevention, 1660 Clifton Road, Atlanta, GA, 30333</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11107"/>
            <printName language="en" preferredForLanguage="true" text="CDC Vaccine Codes"/>
            <code code="CVX" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19825"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1055"/>
            <printName language="en" preferredForLanguage="true" text="Calendar"/>
            <code code="Calendar" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19934"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.9"/>
            <printName language="en" preferredForLanguage="true" text="CalendarCycle"/>
            <code code="CalendarCycle" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19812"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1017"/>
            <printName language="en" preferredForLanguage="true" text="CalendarType"/>
            <code code="CalendarType" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Internet Assigned Numbers Authority (IANA) Charset Types</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19879"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.21"/>
            <printName language="en" preferredForLanguage="true" text="Charset"/>
            <code code="Charset" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Code systems used in HL7 standards.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19880"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.22"/>
            <printName language="en" preferredForLanguage="true" text="CodeSystem"/>
            <code code="CodeSystem" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19954"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1085"/>
            <printName language="en" preferredForLanguage="true" text="HL7 Code System Type"/>
            <code code="CodeSystemType" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies how to interpret the instance of the code, codeSystem value in a set of translations. Since HL7 (or a government body) may mandate that codes from certain code systems be sent in conformant messages, other synonyms that are sent in the translation set need to be distinguished among the originally captured source, the HL7 specified code, or some future role. When this code is NULL, it indicates that the translation is an undefined type. When valued, this property must contain one of the following values:</p>
                        <p>SRC - Source (or original) code HL7 - HL7 Specified or Mandated SH - both HL7 mandated and the original code (precoordination)</p>
                        <p>There may be additional values added to this value set as we work through the use of codes in messages and determine other Use Cases requiring special interpretation of the translations.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19846"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1074"/>
            <printName language="en" preferredForLanguage="true" text="CodingRationale"/>
            <code code="CodingRationale" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Describes the type of communication function that the associated entity plays in the associated transmission.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19826"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1056"/>
            <printName language="en" preferredForLanguage="true" text="CommunicationFunctionType"/>
            <code code="CommunicationFunctionType" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19806"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1009"/>
            <printName language="en" preferredForLanguage="true" text="CompressionAlgorithm"/>
            <code code="CompressionAlgorithm" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19969"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1088"/>
            <printName language="en" preferredForLanguage="true"
                       text="Possible Concept Code Relationships"/>
            <code code="ConceptCodeRelationship" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates whether the concept that is the target should be interpreted as itself, or whether it should be expanded to include its child concepts, or both when it is included in the source domain/valueset.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19881"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.24"/>
            <printName language="en" preferredForLanguage="true" text="ConceptGenerality"/>
            <code code="ConceptGenerality" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19963"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1087"/>
            <printName language="en" preferredForLanguage="true"
                       text="HL7 Value Set and Coded Concept Property Codes"/>
            <code code="ConceptProperty" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19958"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1086"/>
            <printName language="en" preferredForLanguage="true" text="HL7 Coded Concept Status"/>
            <code code="ConceptStatus" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19882"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.25"/>
            <printName language="en" preferredForLanguage="true" text="Confidentiality"/>
            <code code="Confidentiality" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The type of cap associated with a container</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19883"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.26"/>
            <printName language="en" preferredForLanguage="true" text="ContainerCap"/>
            <code code="ContainerCap" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A material in a blood collection container that facilites the separation of of blood cells from serum or plasma</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19884"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.27"/>
            <printName language="en" preferredForLanguage="true" text="ContainerSeparator"/>
            <code code="ContainerSeparator" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Identifies the order in which content should be processed.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21994"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1110"/>
            <printName language="en" preferredForLanguage="true" text="ContentProcessingMode"/>
            <code code="ContentProcessingMode" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The styles of context conduction usable by relationships within a static model derived from tyhe HL7 Reference Information Model.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23083"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1129"/>
            <printName language="en" preferredForLanguage="true" text="ContextConductionStyle"/>
            <code code="ContextConductionStyle" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This table contains the control codes that are used to manage the propagation and scope of a particular ActRelationship or Participation within a set of Acts.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19827"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1057"/>
            <printName language="en" preferredForLanguage="true" text="ContextControl"/>
            <code code="ContextControl" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The currency unit as defined in ISO 4217</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19828"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1058"/>
            <printName language="en" preferredForLanguage="true" text="Currency"/>
            <code code="Currency" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>From the Message Standards Classes table of the SNOMED-DICOM-Microglossary. College of American Pathologists, Skokie, IL, 60077-1034</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11067"/>
            <printName language="en" preferredForLanguage="true" text="DICOM Class Label"/>
            <code code="DCL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Dean Bidgood, MD; Duke University Medical Center, Durham NC. Digital Imaging and Communications in Medicine (DICOM). From NEMA Publications PS-3.1 - PS 3.12: The ACR-NEMA DICOM Standard. National Electrical Manufacturers Association (NEMA). Rosslyn, VA,</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11068"/>
            <printName language="en" preferredForLanguage="true" text="DICOM modality codes"/>
            <code code="DCM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>HL7 Image Management Special Interest Group, Health Level Seven, Ann Arbor, MI.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11069"/>
            <printName language="en" preferredForLanguage="true" text="DICOM Query Label"/>
            <code code="DQL" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="22872"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1123"/>
            <printName language="en" preferredForLanguage="true" text="DataOperation"/>
            <code code="DataOperation" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19804"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1007"/>
            <printName language="en" preferredForLanguage="true" text="DataType"/>
            <code code="DataType" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19403"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1080"/>
            <printName language="en" preferredForLanguage="true" text="Dentition"/>
            <code code="Dentition" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Domain values for the Device.Alert\_levelCode</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19886"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.31"/>
            <printName language="en" preferredForLanguage="true" text="DeviceAlertLevel"/>
            <code code="DeviceAlertLevel" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the current completion state of a clinical document.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19887"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.33"/>
            <printName language="en" preferredForLanguage="true" text="DocumentCompletion"/>
            <code code="DocumentCompletion" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the storage status of a document.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19888"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.34"/>
            <printName language="en" preferredForLanguage="true" text="DocumentStorage"/>
            <code code="DocumentStorage" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Available from Euclides Foundation International nv, Excelsiorlaan 4A, B-1930 Zaventem, Belgium; Phone: 32 2 720 90 60.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11071"/>
            <printName language="en" preferredForLanguage="true" text="EUCLIDES"/>
            <code code="E" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Available from Euclides Foundation International nv (see above)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11072"/>
            <printName language="en" preferredForLanguage="true" text="Euclides quantity codes"/>
            <code code="E5" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Available from Euclides Foundation International nv, Excelsiorlaan 4A, B-1930 Zaventem, Belgium; Phone: 32 2 720 90 60.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11073"/>
            <printName language="en" preferredForLanguage="true" text="Euclides Lab method codes"/>
            <code code="E6" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Available from Euclides Foundation International nv (see above)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11074"/>
            <printName language="en" preferredForLanguage="true" text="Euclides Lab equipment codes"/>
            <code code="E7" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Enzyme Committee of the International Union of Biochemistry and Molecular Biology. Enzyme Nomenclature: Recommendations on the Nomenclature and Classification of Enzyme-Catalysed Reactions. London: Academic Press, 1992.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11070"/>
            <printName language="en" preferredForLanguage="true" text="Enzyme Codes"/>
            <code code="ENZC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The EPSG (European Petroleum Survey Group) dataset represents all Datums, coordinate references (projected and 2D geographic) and coordinate systems (including Cartesian coordinate systems) used in surveying worldwide. Each record includes a 4-8 digit unique identifier. The current version is available from http://www.epsg.org/. The database contains over 4000 records covering spatial data applications worldwide.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21649"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.6.242"/>
            <printName language="en" preferredForLanguage="true"
                       text="EPSG Geodetic Parameter Dataset"/>
            <code code="EPSG-GeodeticParameterDataset" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The set of values found in the Coord Axis Code column of the Coordinate Axis table as maintained in the EPSG geodetic parameter dataset. These define the axis for coordinate systems for geographic coordinates.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22804"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.6.279"/>
            <printName language="en" preferredForLanguage="true"
                       text="European Petroleum Survey Group Geodetic Parameter Dataset Coordinate Axis"/>
            <code code="EPSG_CA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The set of values found in the Coord Axis Code column of the Coordinate Axis table as maintained in the EPSG geodetic parameter dataset. These define the axis for coordinate systems for geographic coordinates.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22803"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.6.278"/>
            <printName language="en" preferredForLanguage="true"
                       text="European Petroleum Survey Group Geodetic Parameter Dataset Coordinate Reference System"/>
            <code code="EPSG_CRS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The status of an entry as it pertains to its review and incorporation into the HL7 domain specification database.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19889"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.35"/>
            <printName language="en" preferredForLanguage="true" text="EditStatus"/>
            <code code="EditStatus" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Years of education that a person has completed</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19849"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1077"/>
            <printName language="en" preferredForLanguage="true" text="Education Level"/>
            <code code="EducationLevel" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19829"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1059"/>
            <printName language="en" preferredForLanguage="true" text="EmployeeJobClass"/>
            <code code="EmployeeJobClass" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19890"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.36"/>
            <printName language="en" preferredForLanguage="true" text="EncounterAccident"/>
            <code code="EncounterAccident" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The level of resource intensiveness of patient care.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19795"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1084"/>
            <printName language="en" preferredForLanguage="true" text="Encounter Acuity"/>
            <code code="EncounterAcuity" status="retired"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19891"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.37"/>
            <printName language="en" preferredForLanguage="true" text="EncounterAdmissionSource"/>
            <code code="EncounterAdmissionSource" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This domain is defined in UB92 and applies to US realm only</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19892"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.39"/>
            <printName language="en" preferredForLanguage="true" text="EncounterReferralSource"/>
            <code code="EncounterReferralSource" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19894"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.40"/>
            <printName language="en" preferredForLanguage="true" text="EncounterSpecialCourtesy"/>
            <code code="EncounterSpecialCourtesy" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Classifies the Entity class and all of its subclasses. The terminology is hierarchical. At the top is this HL7-defined domain of high-level categories (such as represented by the Entity subclasses). Each of these terms must be harmonized and is specializable. The value sets beneath are drawn from multiple, frequently external, domains that reflect much more fine-grained typing.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19895"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.41"/>
            <printName language="en" preferredForLanguage="true" text="EntityClass"/>
            <code code="EntityClass" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19831"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1060"/>
            <printName language="en" preferredForLanguage="true" text="EntityCode"/>
            <code code="EntityCode" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>EntityDeterminer in natural language grammar is the class of words that comprises articles, demonstrative pronouns, and quantifiers. In the RIM, determiner is a structural code in the Entity class to distinguish whether any given Entity object stands for some, any one, or a specific thing.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19885"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.30"/>
            <printName language="en" preferredForLanguage="true" text="EntityDeterminer"/>
            <code code="EntityDeterminer" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19896"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.42"/>
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         <concept>
            <conceptProperty name="internalId" value="19897"/>
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         <concept>
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               <documentation>
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                        <p>**Description:**The qualifier is a set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type. For example, a given name may be flagged as a nickname, a family name may be a pseudonym or a name of public records.</p>
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            <conceptProperty name="internalId" value="22788"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Indicates whether the name part is a given name, family name, prefix, suffix, etc.</p>
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            <conceptProperty name="internalId" value="22783"/>
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            <conceptProperty name="OID" value="2.16.840.1.113883.5.45"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A set of codes advising a system or user which name in a set of names to select for a given purpose.</p>
                     </text>
                  </definition>
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            <conceptProperty name="internalId" value="22764"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The vocabulary table for the Entity.riskCode attribute</p>
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                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19900"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.46"/>
            <printName language="en" preferredForLanguage="true" text="EntityRisk"/>
            <code code="EntityRisk" status="active"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The status of an instance of the RIM Entity class.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19832"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1061"/>
            <printName language="en" preferredForLanguage="true" text="EntityStatus"/>
            <code code="EntityStatus" status="active"/>
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         <concept>
            <conceptProperty name="internalId" value="19901"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.49"/>
            <printName language="en" preferredForLanguage="true" text="EquipmentAlertLevel"/>
            <code code="EquipmentAlertLevel" status="active"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>In the United States, federal standards for classifying data on ethnicity determine the categories used by federal agencies and exert a strong influence on categorization by state and local agencies and private sector organizations. The federal standards do not conceptually define ethnicity, and they recognize the absence of an anthropological or scientific basis for ethnicity classification. Instead, the federal standards acknowledge that ethnicity is a social-political construct in which an individual's own identification with a particular ethnicity is preferred to observer identification. The standards specify two minimum ethnicity categories: Hispanic or Latino, and Not Hispanic or Latino. The standards define a Hispanic or Latino as a person of "Mexican, Puerto Rican, Cuban, South or Central America, or other Spanish culture or origin, regardless of race." The standards stipulate that ethnicity data need not be limited to the two minimum categories, but any expansion must be collapsible to those categories. In addition, the standards stipulate that an individual can be Hispanic or Latino or can be Not Hispanic or Latino, but cannot be both.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19902"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.50"/>
            <printName language="en" preferredForLanguage="true" text="Ethnicity"/>
            <code code="Ethnicity" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Code for the mechanism by which the exposure agent was exchanged or potentially exchanged by the participants involved in the exposure.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22376"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1113"/>
            <printName language="en" preferredForLanguage="true" text="ExposureMode"/>
            <code code="ExposureMode" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>National Drug Data File. Proprietary product of First DataBank, Inc. (800) 633-3453, or http://www.firstdatabank.com.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11112"/>
            <printName language="en" preferredForLanguage="true" text="First DataBank Drug Codes"/>
            <code code="FDDC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Used for drug-diagnosis interaction checking. Proprietary product of First DataBank, Inc. As above for FDDC.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11111"/>
            <printName language="en" preferredForLanguage="true"
                       text="First DataBank Diagnostic Codes"/>
            <code code="FDDX" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Dept. of Health &amp; Human Services, Food &amp; Drug Administration, Rockville, MD 20857. (device &amp; analyte process codes).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11075"/>
            <printName language="en" preferredForLanguage="true" text="FDA K10"/>
            <code code="FDK" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19816"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1022"/>
            <printName language="en" preferredForLanguage="true" text="GTSAbbreviation"/>
            <code code="GTSAbbreviation" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19903"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.51"/>
            <printName language="en" preferredForLanguage="true" text="GenderStatus"/>
            <code code="GenderStatus" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Health Industry Business Communications Council, 5110 N. 40th St., Ste 120, Phoenix, AZ 85018.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11078"/>
            <printName language="en" preferredForLanguage="true" text="HIBCC"/>
            <code code="HB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>
                        <p>A code assigned to any component that has medicinal properties, and supplies pharmacological activity or other direct effect in the diagnosis, cure, mitigation, treatment or prevention of disease, or to affect the structure or any function of the body of man or other animals. http://www.hc-sc.gc.ca/dhp-mps/prodpharma/databasdon/index\_e.html</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22757"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1103"/>
            <printName language="en" preferredForLanguage="true" text="Active Ingredient Code"/>
            <code code="HC-AIC" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Codes for particular grouping of active ingredients. This is the first 5 characters of active ingredient group number. http://www.hc-sc.gc.ca/dhp-mps/prodpharma/databasdon/index\_e.html</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22758"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1104"/>
            <printName language="en" preferredForLanguage="true" text="Active Ingredient Group Code"/>
            <code code="HC-AIGC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Codes for particular collections of active ingredients combined at specific strengths. http://www.hc-sc.gc.ca/dhp-mps/prodpharma/databasdon/index\_e.html</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22760"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1106"/>
            <printName language="en" preferredForLanguage="true" text="Active Ingredient Group Number"/>
            <code code="HC-AIGN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A Drug Identification Number (DIN) is a number assigned by Health Canada to a drug product prior to being marketed in Canada. It consists of eight digits (numbers) generated by a computer system in the Submission and Information Policy Division. http://www.hc-sc.gc.ca/dhp-mps/prodpharma/databasdon/index\_e.html</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22759"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1105"/>
            <printName language="en" preferredForLanguage="true" text="Health Canada Drug Id Number"/>
            <code code="HC-DIN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A unique identifier assigned to natural health products that have been issued a product licence by Health Canada. http://www.hc-sc.gc.ca/dhp-mps/prodnatur/applications/licen-prod/lnhpd-bdpsnh-eng.php</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22761"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1107"/>
            <printName language="en" preferredForLanguage="true"
                       text="Health Canada Natural Product Number"/>
            <code code="HC-NPN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Home Health Care Classification System; Virginia Saba, EdD, RN; Georgetown University School of Nursing; Washington, DC.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11079"/>
            <printName language="en" preferredForLanguage="true" text="Home Health Care"/>
            <code code="HHC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Health Outcomes Institute codes for outcome variables available (with responses) from Stratis Health (formerly Foundation for Health Care Evaluation and Health Outcomes Institute), 2901 Metro Drive, Suite 400, Bloomington, MN, 55425-1525; (612) 854-3306 (voice); (612) 853-8503 (fax); dziegen@winternet.com. See examples in the Implementation Guide.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11077"/>
            <printName language="en" preferredForLanguage="true" text="Health Outcomes"/>
            <code code="HI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Holds the codes used to identify the committees and SIGS of HL7 in RIM repository tables.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19905"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.54"/>
            <printName language="en" preferredForLanguage="true" text="HL7CommitteeIDInRIM"/>
            <code code="HL7CommitteeIDInRIM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>These concepts represent theconformance requirments defined for including or valuing an element of an HL7 message. The concepts apply equally to conformance profiles defined for Version 2.x messgaes as defined by the Conformance SIG, and to the conformance columns for Version 3 messages as specified in the HMD.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19906"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.55"/>
            <printName language="en" preferredForLanguage="true" text="HL7ConformanceInclusion"/>
            <code code="HL7ConformanceInclusion" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The property Ids that HL7 has defined for customizing Rational Rose.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19907"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.56"/>
            <printName language="en" preferredForLanguage="true" text="HL7DefinedRoseProperty"/>
            <code code="HL7DefinedRoseProperty" status="active"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>HL7 implementation technology specification versions. These codes will document the ITS type and version for message encoding. The code will appear in the instances based upon rules expressed in the ITS, and do not appear in the abstract message, either as it is presented to received from the ITS.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="20090"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1091"/>
            <printName language="en" preferredForLanguage="true" text="HL7 ITS Version Code"/>
            <code code="HL7ITSVersionCode" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This code system holds version codes for the Version 3 standards. Values are to be determined by HL7 and added with each new version of the HL7 Standard.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19985"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.19.5.1"/>
            <printName language="en" preferredForLanguage="true" text="HL7StandardVersionCode"/>
            <code code="HL7StandardVersionCode" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The possible modes of updating that occur when an attribute is received by a system that already contains values for that attribute.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19908"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.57"/>
            <printName language="en" preferredForLanguage="true" text="HL7UpdateMode"/>
            <code code="HL7UpdateMode" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Health Care Financing Administration (HCFA) Common Procedure Coding System (HCPCS) modifiers.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11076"/>
            <printName language="en" preferredForLanguage="true" text="HCFA Procedure Codes (HCPCS)"/>
            <code code="HPC" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19904"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.53"/>
            <printName language="en" preferredForLanguage="true"
                       text="HealthcareProviderTaxonomyHIPAA"/>
            <code code="HealthcareProviderTaxonomyHIPAA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A comprehensive classification of locations and settings where healthcare services are provided. This value set is based on the National Healthcare Safety Network (NHSN) location code system that has been developed over a number of years through CDC's interaction with a variety of healthcare facilities and is intended to serve a variety of reporting needs where coding of healthcare service locations is required.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22401"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.6.259"/>
            <printName language="en" preferredForLanguage="true" text="Healthcare Service Location"/>
            <code code="HealthcareServiceLocation" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>HtmlLinkType values are drawn from HTML 4.0 and describe the relationship between the current document and the anchor that is the target of the link</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19909"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.58"/>
            <printName language="en" preferredForLanguage="true" text="HtmlLinkType"/>
            <code code="HtmlLinkType" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>World Health Publications, Albany, NY.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11084"/>
            <printName language="en" preferredForLanguage="true" text="ICD-10"/>
            <code code="I10" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Procedure Coding System (ICD-10-PCS). See http://www/hcfa.gov/stats/icd10.icd10.htm for more information.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11083"/>
            <printName language="en" preferredForLanguage="true" text="ICD-10 Procedure Codes"/>
            <code code="I10P" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>World Health Publications, Albany, NY.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11082"/>
            <printName language="en" preferredForLanguage="true" text="ICD9"/>
            <code code="I9" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Commission on Professional and Hospital Activities, 1968 Green Road, Ann Arbor, MI 48105 (includes all procedures and diagnostic tests).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11081"/>
            <printName language="en" preferredForLanguage="true" text="ICD-9CM"/>
            <code code="I9C" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>International Society of Blood Transfusion. Blood Group Terminology 1990. VOX Sanquines 1990 58(2):152-169.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11088"/>
            <printName language="en" preferredForLanguage="true" text="ISBT"/>
            <code code="IBT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>International Classification of Health Problems in Primary Care, Classification Committee of World Organization of National Colleges, Academies and Academic Associations of General Practitioners (WONCA), 3rd edition. An adaptation of ICD9 intended for use in General Medicine, Oxford University Press.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11086"/>
            <printName language="en" preferredForLanguage="true" text="ICHPPC-2"/>
            <code code="IC2" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Canadian Coding Standards ICD-10 CA. These standards are a compilation of international rules of coding as established by the World Health Organization (International Classification of Diseases, 10th Revision, Volume 2) and the Diagnosis Typing Standard developed to denote case complexity for application in Canadian facilities.</p>
                        <p>For example:</p>
                        <p>* L40 Psoriasis * L40.0 Psoriasis vulgaris * Nummular psoriasis * Plaque psoriasis * L40.1 Generalized pustular psoriasis * Impetigo herpetiformis * Von ZumbuschaTMs disease * L40.2 Acrodermatitis continua * L40.3 Pustulosis palmaris et plantaris * L40.4 Guttate psoriasis * L40.5\* Arthropathic psoriasis (M07.0-M07.3\*)(M09.0\*) * L40.8 Other psoriasis * Erythroderma psoraticum * Erythrodermic psoriasis * Flexural psoriasis * L40.9 Psoriasis unspecified</p>
                        <p>They are maintained by CIHI (Canadian Institute for Health Information).</p>
                        <p>CIHI Toronto</p>
                        <p>Attn: Director of Standards</p>
                        <p>90 Eglinton Avenue, Suite 300</p>
                        <p>Toronto, Ontario</p>
                        <p>Canada</p>
                        <p>M4P 2Y3</p>
                        <p>Phone: (416) 481.2002</p>
                        <p>Fax: (416) 481-2950</p>
                        <p>www.cihi.ca</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="20078"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.6.94"/>
            <printName language="en" preferredForLanguage="true"
                       text="CanadianDiagnosisCodesICD-10-CA"/>
            <code code="ICD-10-CA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>International Classification of Diseases for Oncology, 2nd Edition. World Health Organization: Geneva, Switzerland, 1990. Order from: College of American Pathologists, 325 Waukegan Road, Northfield, IL, 60093-2750. (847) 446-8800.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11085"/>
            <printName language="en" preferredForLanguage="true"
                       text="International Classification of Diseases for Oncology"/>
            <code code="ICDO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Commission on Professional and Hospital Activities, 1968 Green Road, Ann Arbor, MI 48105.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11080"/>
            <printName language="en" preferredForLanguage="true" text="ICCS"/>
            <code code="ICS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>International Classification of Sleep Disorders Diagnostic and Coding Manual, 1990, available from American Sleep Disorders Association, 604 Second Street SW, Rochester, MN 55902</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11087"/>
            <printName language="en" preferredForLanguage="true"
                       text="International Classification of Sleep Disorders"/>
            <code code="ICSD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Language identifiers as defined by IETF RFC 1766: Tags for the Identification of Languages, or its successor on the IETF Standards Track. The biblio ref for RFC 1766 is: IETF (Internet Engineering Task Force), RFC 1766: Tag</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19951"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.6.84"/>
            <printName language="en" preferredForLanguage="true" text="IETF RFC 1766"/>
            <code code="IETF1766" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>from OID registry</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21430"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.6.121"/>
            <printName language="en" preferredForLanguage="true"
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Two character country codes</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="inactive" value="true"/>
            <conceptProperty name="internalId" value="19796"/>
            <conceptProperty name="OID" value="2.16.1"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="ISO3166-1" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Three character country codes</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="inactive" value="true"/>
            <conceptProperty name="internalId" value="19797"/>
            <conceptProperty name="OID" value="2.16.2"/>
            <printName language="en" preferredForLanguage="true"
                       text="ISO 3166 3 Character Country Codes"/>
            <code code="ISO3166-2" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Numeric country codes</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="inactive" value="true"/>
            <conceptProperty name="internalId" value="19798"/>
            <conceptProperty name="OID" value="2.16.3"/>
            <printName language="en" preferredForLanguage="true" text="ISO 3166 Numeric country Codes"/>
            <code code="ISO3166-3" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>ISO 4217 currency code</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19953"/>
            <printName language="en" preferredForLanguage="true" text="ISO4217"/>
            <code code="ISO4217" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Codes used by IUPAC/IFF to identify the component (analyte) measured. Contact Henrik Olesen, as above for IUPP.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11090"/>
            <printName language="en" preferredForLanguage="true" text="IUPAC/IFCC Component Codes"/>
            <code code="IUPC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>International Union of Pure and Applied Chemistry/International Federation of Clinical Chemistry. The Silver Book: Compendium of terminology and nomenclature of properties in clinical laboratory sciences. Oxford: Blackwell Scientific Publishers, 1995. Henrik Olesen, M.D., D.M.Sc., Chairperson, Department of Clinical Chemistry, KK76.4.2, Rigshospitalet, University Hospital of Copenhagen, DK-2200, Copenhagen. http://inet.uni-c.dk/~qukb7642/</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11089"/>
            <printName language="en" preferredForLanguage="true" text="IUPAC/IFCC Property Codes"/>
            <code code="IUPP" status="active"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Specifies the reliability with which the identifier is known. This attribute MAY be used to assist with identifier matching algorithms.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22613"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1117"/>
            <printName language="en" preferredForLanguage="true" text="IdentifierReliability"/>
            <code code="IdentifierReliability" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Codes to specify the scope in which the identifier applies to the object with which it is associated, and used in the datatype property II.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22608"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1116"/>
            <printName language="en" preferredForLanguage="true" text="IdentifierScope"/>
            <code code="IdentifierScope" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19808"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1010"/>
            <printName language="en" preferredForLanguage="true" text="IntegrityCheckAlgorithm"/>
            <code code="IntegrityCheckAlgorithm" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Clinical examination classification code. Japan Association of Clinical Pathology. Version 8, 1990. A multiaxial code including a subject code (e.g., Rubella = 5f395, identification code (e.g., virus ab IGG), a specimen code (e.g., serum =023) and a method code (e.g., ELISA = 022)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11091"/>
            <printName language="en" preferredForLanguage="true" text="Japanese Chemistry"/>
            <code code="JC8" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Regenstrief Institute, c/o LOINC, 1050 Wishard Blvd., 5th floor, Indianapolis, IN 46202. 317/630-7433. Available from the Regenstrief Institute server at http://www.regenstrief.org/loinc/loinc.htm. Also available via HL7 file server: FTP/Gopher (www.mcis.duke.edu/standards/ termcode/loinclab and www.mcis.duke.edu/standards/termcode/loinclin) and World Wide Web (http:// www.mcis.duke.edu/ standards/termcode/loincl.htm). January 2000 version has identifiers, synonyms and cross-reference codes for reporting over 26,000 laboratory and related observations and 1,500 clinical measures.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11092"/>
            <printName language="en" preferredForLanguage="true"
                       text="Logical Observation Identifier Names and Codes (LOINC)"/>
            <code code="LN" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19911"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.60"/>
            <printName language="en" preferredForLanguage="true" text="LanguageAbilityMode"/>
            <code code="LanguageAbilityMode" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19912"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.61"/>
            <printName language="en" preferredForLanguage="true" text="LanguageAbilityProficiency"/>
            <code code="LanguageAbilityProficiency" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A code depicting the living arrangements of a person</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19913"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.63"/>
            <printName language="en" preferredForLanguage="true" text="LivingArrangement"/>
            <code code="LivingArrangement" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Tells a receiver to ignore just the local markup tags (local\_markup, local\_header, local\_attr) when value="markup", or to ignore the local markup tags and all contained content when value="all"</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19914"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.65"/>
            <printName language="en" preferredForLanguage="true" text="LocalMarkupIgnore"/>
            <code code="LocalMarkupIgnore" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19915"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.66"/>
            <printName language="en" preferredForLanguage="true" text="LocalRemoteControlState"/>
            <code code="LocalRemoteControlState" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The nomenclature relates primarily to vital signs monitoring, but also includes semantics of other medical devices that are commonly used in acute care settings. There are multiple coding partitions each of which has a systematic name consisting of a set of base concepts and differentiating criteria.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19943"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.6.24"/>
            <printName language="en" preferredForLanguage="true"
                       text="ISO 11073-10101 Health informatics - Point-of-care"/>
            <code code="MDC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Codes Used for drug-diagnosis interaction checking. Proprietary product. Hierarchical drug codes for identifying drugs down to manufacturer and pill size. MediSpan, Inc., 8425 Woodfield Crossing Boulevard, Indianapolis, IN 46240. Tel: (800) 428-4495. WWW: http://www.espan.com/medispan/pages/ medhome.html. As above for MGPI.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11113"/>
            <printName language="en" preferredForLanguage="true" text="Medispan Diagnostic Codes"/>
            <code code="MDDX" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19919"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.74"/>
            <printName language="en" preferredForLanguage="true" text="MDFAttributeType"/>
            <code code="MDFAttributeType" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The standard prefixes used in Rose for RIM subject areas that determine the role or function of each subject area.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19923"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.78"/>
            <printName language="en" preferredForLanguage="true" text="MDFSubjectAreaPrefix"/>
            <code code="MDFSubjectAreaPrefix" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proprietary Codes for identifying drugs. Proprietary product of Medical Economics Data, Inc. (800) 223-0581.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11115"/>
            <printName language="en" preferredForLanguage="true" text="Medical Economics Drug Codes"/>
            <code code="MEDC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>MEDCIN contains more than 175,000 clinical data elements arranged in a hierarchy, with each item having weighted links to relevant diagnoses. The clinical data elements are organized into six basic termtypes designed to accommodate information relevant to a clinical encounter. The basic termtypes in MEDCIN's terminological hierarchy are as follows:</p>
                        <p>Symptoms History Physical Examination Tests Diagnoses Therapy</p>
                        <p>Within this basic structure, MEDCIN terms are further organized in a ten level terminological hierarchy, supplemented by an optional, multi-hierarchical diagnostic index. For example, the symptom of "difficulty breathing" is placed in the terminological hierarchy as a subsidiary (or "child") finding of "pulmonary symptoms" although the presence (or absence) of difficulty breathing can related to conditions as diverse as myocardial infarction, bronchitis, pharyngeal foreign bodies, asthma, pulmonary embolism, etc. MEDCIN's diagnostic index provides more than 800 such links for difficulty breathing.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19945"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.6.26"/>
            <printName language="en" preferredForLanguage="true" text="MEDCIN"/>
            <code code="MEDCIN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Dr. Louise Wood, Medicines Control Agency, Market Towers, 1 Nine Elms Lane, London SW85NQ, UK Tel: (44)0 171-273-0000 WWW: http://www.open.gov.uk/mca/mcahome.htm</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11118"/>
            <printName language="en" preferredForLanguage="true"
                       text="Medical Dictionary for Drug Regulatory Affairs (MEDRA)"/>
            <code code="MEDR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Used for drug-diagnosis interaction checking. Proprietary product of Medical Economics Data, Inc. (800) 223-0581.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11114"/>
            <printName language="en" preferredForLanguage="true"
                       text="Medical Economics Diagnostic Codes"/>
            <code code="MEDX" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Medispan hierarchical drug codes for identifying drugs down to manufacturer and pill size. Proprietary product of MediSpan, Inc., 8425 Woodfield Crossing Boulevard, Indianapolis, IN 46240. Tel: (800) 428-4495.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11116"/>
            <printName language="en" preferredForLanguage="true" text="Medispan GPI"/>
            <code code="MGPI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>IETF MIME media types</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19938"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.6.10"/>
            <printName language="en" preferredForLanguage="true" text="MIME"/>
            <code code="MIME" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Medical Subject Headings (MeSH). Bethesda (MD): National Library of Medicine, 2004</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23092"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.6.177"/>
            <printName language="en" preferredForLanguage="true" text="MeSH"/>
            <code code="MSH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Broadly, the fields and values in the Multum Lexicon and the VantageRx Database are intended to be available for use in any HL7 message that includes a reference to non-veterinary drug products or active ingredients that are either approved for sale by the FDA or readily available in the United States. The following inter-related definitions recently circulated by us to the HL7 Vocabulary Technical Committee explain the scope of what we mean by "drug product" and "active ingredient." (A definition for "drug ingredient" is also provided here because the definition of "active ingredient" is reliant on this term.)</p>
                        <p>Drug Product A drug product is a manufactured or extemporaneously-compounded physiologically-active material intended by the preparer to achieve therapeutic, diagnostic, or preventative effects via biochemical mechanisms when applied to an epithelial surface or placed in an internal body space of a targeted organism.</p>
                        <p>Drug Ingredient A drug ingredient is a chemical compound or biologic agent that occurs in a drug product.</p>
                        <p>Active Ingredient An active ingredient is a drug ingredient that mediates one or more of the intended therapeutic, diagnostic, or preventative effects of a drug product and is present in sufficient quantities to achieve such effects according to the allopathic tradition of healthcare practice.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19946"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.6.27"/>
            <printName language="en" preferredForLanguage="true" text="Multum Lexicon"/>
            <code code="MULTUM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>National Immunization Program, Centers for Disease Control and Prevention, 1660 Clifton Road, Atlanta, GA, 30333</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11108"/>
            <printName language="en" preferredForLanguage="true" text="CDC Vaccine Manufacturer Codes"/>
            <code code="MVX" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The status of an instance of the RIM Participation class.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19833"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1062"/>
            <printName language="en" preferredForLanguage="true" text="ManagedParticipationStatus"/>
            <code code="ManagedParticipationStatus" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The closeness or quality of the mapping between the HL7 concept (as represented by the HL7 concept identifier) and the source coding system. The values are patterned after the similar relationships used in the UMLS Metathesaurus. Because the HL7 coding sy</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19916"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.67"/>
            <printName language="en" preferredForLanguage="true" text="MapRelationship"/>
            <code code="MapRelationship" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19878"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.2"/>
            <printName language="en" preferredForLanguage="true" text="MaritalStatus"/>
            <code code="MaritalStatus" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19918"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.73"/>
            <printName language="en" preferredForLanguage="true" text="MaterialType"/>
            <code code="MaterialType" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Code to identify the source of a Message Element Type represented in the 'of MET' column of an HMD.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19920"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.75"/>
            <printName language="en" preferredForLanguage="true" text="MdfHmdMetSourceType"/>
            <code code="MdfHmdMetSourceType" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The row type codes for the tabular representation of a Hierarchical Message Description.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19921"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.76"/>
            <printName language="en" preferredForLanguage="true" text="MdfHmdRowType"/>
            <code code="MdfHmdRowType" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The row types for the tabular representation of an R-MIM.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19922"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.77"/>
            <printName language="en" preferredForLanguage="true" text="MdfRmimRowType"/>
            <code code="MdfRmimRowType" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Internet Assigned Numbers Authority (IANA) Mime Media Types</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19924"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.79"/>
            <printName language="en" preferredForLanguage="true" text="MediaType"/>
            <code code="MediaType" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19926"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.80"/>
            <printName language="en" preferredForLanguage="true" text="MessageCondition"/>
            <code code="MessageCondition" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates that the receiver has messages for the sender</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19789"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1083"/>
            <printName language="en" preferredForLanguage="true" text="Message Waiting Priority"/>
            <code code="MessageWaitingPriority" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19927"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.81"/>
            <printName language="en" preferredForLanguage="true" text="ModifyIndicator"/>
            <code code="ModifyIndicator" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>NAACCR Cancer Registry</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19949"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.6.7"/>
            <printName language="en" preferredForLanguage="true" text="NAACCR"/>
            <code code="NAACCR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>North American Industry Classification System(NAICS) for the United States, a new economic classification system that replaces the 1987 Standard Industrial Classification (SIC) for statistical purposes. NAICS is a system for classifying establishments by type of economic activity. Its purposes are: (1) to facilitate the collection, tabulation, presentation, and analysis of data relating to establishments, and (2) to promote uniformity and comparability in the presentation of statistical data describing the economy. NAICS will be used by Federal statistical agencies that collect or publish data by industry.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19952"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.6.85"/>
            <printName language="en" preferredForLanguage="true"
                       text="North American Industry Classification System"/>
            <code code="NAICS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>North American Nursing Diagnosis Association, Philadelphia, PA.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11095"/>
            <printName language="en" preferredForLanguage="true" text="NANDA"/>
            <code code="NDA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>These provide unique codes for each distinct drug, dosing form, manufacturer, and packaging. (Available from the National Drug Code Directory, FDA, Rockville, MD, and other sources.)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11117"/>
            <printName language="en" preferredForLanguage="true" text="National drug codes"/>
            <code code="NDC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Iowa Intervention Project, College of Nursing, University of Iowa, Iowa City, Iowa</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11093"/>
            <printName language="en" preferredForLanguage="true"
                       text="Nursing Intervention Classification"/>
            <code code="NIC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The NMMDS is the minimum set of items of information with uniform definitions and categories concerning the specific dimension of the context of patient care delivery. It represents the minimum data used to support the management and administration of patient/nursing care delivery across all types of settings. The NMMDS is composed of seventeen (17) data elements organized into three categories: environment, nurse resources, and financial resources. See Tables 1-3 for the elements and related definitions organized by each categories. The NMMDS most appropriately focuses at the first level of accountability for patient/client/family/community nursing care: this may be the delivery unit, service, or center of excellence level. The NMMDS supports numerous constructed variables as well as aggregation of data at the unit, institution, network, and system, etc levels. This minimum data set provides the structure for the collection of uniform information that influences quality of patient care, directly and indirectly.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19942"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.6.23"/>
            <printName language="en" preferredForLanguage="true"
                       text="Nursing Management Minimum Data Set"/>
            <code code="NMMDS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>NOC - Nursing Outcome Codes</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19939"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.6.16"/>
            <printName language="en" preferredForLanguage="true" text="NOC"/>
            <code code="NOC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The UB-92 data element specifications are developed and maintained by the NUBC. The data element specifications are for use in EDI billing and payment transactions and related business applications. There is a proprietary fee. Available from the National Uniform Billing Committee of the American Hospital Association, One North Franklin, Chicago, IL 60606. "UB-92 National Uniform Billing Data Element Specifications as developed by the National Uniform Billing Committee as of August 13, 1999". url: http://www.nubc.org</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="15926"/>
            <printName language="en" preferredForLanguage="true"
                       text="National Uniform Billing Council, UB 92"/>
            <code code="NUBC-UB92" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The Provider Taxonomy Code List is published (released) twice a year on July 1st and January 1st. The July publication is effective for use on October 1st and the January publication is effective for use on April 1st. The time between the publication release and the effective date is considered an implementation period to allow providers, payers and vendors an opportunity to incorporate any changes into their systems. This listing includes Active codes approved for use effective April 1st, 2003, version 3.0; and codes that are New and approved for use effective October 1st, 2003, version 3.1.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="20095"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.6.101"/>
            <printName language="en" preferredForLanguage="true"
                       text="NUCC Health Care Provider Taxonomy"/>
            <code code="NUCCProviderCodes" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19805"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1008"/>
            <printName language="en" preferredForLanguage="true" text="NullFlavor"/>
            <code code="NullFlavor" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Omaha Visiting Nurse Association, Omaha, NB.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11094"/>
            <printName language="en" preferredForLanguage="true" text="Omaha System"/>
            <code code="OHA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Codes to identify products and services that do not have DIN's and which need to be billed. http://www.atlanticpharmaceutical.ca/default.asp?mn=5.23</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22756"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1102"/>
            <printName language="en" preferredForLanguage="true"
                       text="Online Product Identification Number Index of Nova Scotia"/>
            <code code="OPINIONS" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>High level observation categories for the general type of observation being made.</p>
                        <p>URL: http://hl7-fhir.github.io/valueset-observation-category.html</p>
                        <p>This is an inline code system http://hl7.org/fhir/observation-category.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23733"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.4.642.1.222"/>
            <printName language="en" preferredForLanguage="true" text="ObservationCategory"/>
            <code code="ObservationCategory" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19928"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.83"/>
            <printName language="en" preferredForLanguage="true" text="ObservationInterpretation"/>
            <code code="ObservationInterpretation" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19929"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.84"/>
            <printName language="en" preferredForLanguage="true" text="ObservationMethod"/>
            <code code="ObservationMethod" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This domain is the root domain to which all HL7-recognized value sets for the Observation.value attribute will be linked when Observation.value has a coded data type.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19834"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1063"/>
            <printName language="en" preferredForLanguage="true" text="ObservationValue"/>
            <code code="ObservationValue" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19930"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.85"/>
            <printName language="en" preferredForLanguage="true" text="OrderableDrugForm"/>
            <code code="OrderableDrugForm" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19811"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1016"/>
            <printName language="en" preferredForLanguage="true" text="OrganizationNameType"/>
            <code code="OrganizationNameType" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>2010 Industry coding system used by CDC (NIOSH and NCHS) for coding industry text. Industry describes an economic/business sector comprised of businesses/ enterprises concerned with the output of a specified category of products or services.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23917"/>
            <conceptProperty name="OID" value="2.16.840.1.114222.4.5.315"/>
            <printName language="en" preferredForLanguage="true" text="Industry CDC Census 2010"/>
            <code code="PH_Industry_CDC_Census2010" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>2010 Occupation coding system used by CDC (NIOSH and NCHS) for coding occupation text. Occupation describes a set of activities or tasks that individuals are paid to perform or, if unpaid, define a person's contribution to a household/family business/community.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23923"/>
            <conceptProperty name="OID" value="2.16.840.1.114222.4.5.314"/>
            <printName language="en" preferredForLanguage="true" text="Occupation CDC Census 2010"/>
            <code code="PH_Occupation_CDC_Census2010" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The concepts representing the values supporting Occupational Data for Health, including Job Supervisory Level or Pay Grade (ODH) code system consists of data elements that describe a person's work information, structured to facilitate individual, population, and public health use; not intended to support billing.).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23918"/>
            <conceptProperty name="OID" value="2.16.840.1.114222.4.5.327"/>
            <printName language="en" preferredForLanguage="true"
                       text="Occupational Data for Health (ODH)"/>
            <code code="PH_OccupationalDataForHealth_ODH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The PNDS provides standardized terms and codes for patient problems/nursing diagnoses, nursing interventions including actual or expected (goal) outcomes. The PNDS provides standardized terms and codes for nursing diagnoses (a subset of NANDA), nursing interventions and outcomes. The outcomes and interventions are in a relational database. The PNDS intervention and outcome statements are attached in an Access Database. The NANDA diagnoses in the PNDS have already been registered by HL7.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19941"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.6.22"/>
            <printName language="en" preferredForLanguage="true" text="Perioperative Nursing Data Set"/>
            <code code="PNDS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>HCFA Place of Service Codes for Professional Claims (see http://www.hcfa.gov/medicare/poscode.htm).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11096"/>
            <printName language="en" preferredForLanguage="true" text="POS Codes"/>
            <code code="POS" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19931"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.87"/>
            <printName language="en" preferredForLanguage="true" text="ParameterizedDataType"/>
            <code code="ParameterizedDataType" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This code is used to specify the exact function an actor had in a service in all necessary detail. This domain may include local extensions (CWE).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19932"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.88"/>
            <printName language="en" preferredForLanguage="true" text="ParticipationFunction"/>
            <code code="ParticipationFunction" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the primary means by which an Entity participates in an Act.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19835"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1064"/>
            <printName language="en" preferredForLanguage="true" text="ParticipationMode"/>
            <code code="ParticipationMode" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19933"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.89"/>
            <printName language="en" preferredForLanguage="true" text="ParticipationSignature"/>
            <code code="ParticipationSignature" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19935"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.90"/>
            <printName language="en" preferredForLanguage="true" text="ParticipationType"/>
            <code code="ParticipationType" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Patient VIP code</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19847"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1075"/>
            <printName language="en" preferredForLanguage="true" text="PatientImportance"/>
            <code code="PatientImportance" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Describes payment terms for a financial transaction, used in an invoice.</p>
                        <p>This is typically expressed as a responsibility of the acceptor or payor of an invoice.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19936"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.91"/>
            <printName language="en" preferredForLanguage="true" text="PaymentTerms"/>
            <code code="PaymentTerms" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19815"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1021"/>
            <printName language="en" preferredForLanguage="true"
                       text="PeriodicIntervalOfTimeAbbreviation"/>
            <code code="PeriodicIntervalOfTimeAbbreviation" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A code identifying a person's disability.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19937"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.93"/>
            <printName language="en" preferredForLanguage="true" text="PersonDisabilityType"/>
            <code code="PersonDisabilityType" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19810"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1012"/>
            <printName language="en" preferredForLanguage="true" text="PostalAddressUse"/>
            <code code="PostalAddressUse" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19814"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1020"/>
            <printName language="en" preferredForLanguage="true" text="ProbabilityDistributionType"/>
            <code code="ProbabilityDistributionType" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the technique used to perform a procedure.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19836"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1065"/>
            <printName language="en" preferredForLanguage="true" text="ProcedureMethod"/>
            <code code="ProcedureMethod" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19801"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.100"/>
            <printName language="en" preferredForLanguage="true" text="ProcessingID"/>
            <code code="ProcessingID" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19807"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.101"/>
            <printName language="en" preferredForLanguage="true" text="ProcessingMode"/>
            <code code="ProcessingMode" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The domain of coded values used as parameters within QueryByParameter queries.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21536"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1096"/>
            <printName language="en" preferredForLanguage="true" text="QueryParameterValue"/>
            <code code="QueryParameterValue" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19813"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.102"/>
            <printName language="en" preferredForLanguage="true" text="QueryPriority"/>
            <code code="QueryPriority" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Values in this domain specify the units of a query quantity limited request.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19837"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1066"/>
            <printName language="en" preferredForLanguage="true" text="QueryQuantityUnit"/>
            <code code="QueryQuantityUnit" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Defines the units associated with the magnitude of the maximum size limit of a query response that can be accepted by the requesting application.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22256"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1112"/>
            <printName language="en" preferredForLanguage="true" text="QueryRequestLimit"/>
            <code code="QueryRequestLimit" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Values in this domain allow a query response system to return a precise response status.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19838"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1067"/>
            <printName language="en" preferredForLanguage="true" text="QueryResponse"/>
            <code code="QueryResponse" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>State attributes for Query event</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19817"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.103"/>
            <printName language="en" preferredForLanguage="true" text="QueryStatusCode"/>
            <code code="QueryStatusCode" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The Read Clinical Classification of Medicine, Park View Surgery, 26 Leicester Rd., Loughborough LE11 2AG (includes drug procedure and other codes, as well as diagnostic codes).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11097"/>
            <printName language="en" preferredForLanguage="true" text="Read Classification"/>
            <code code="RC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The Read Codes Four Byte Set consists of 4 alphanumeric characters. This version contains approximately 40,000 codes arranged in a hierarchical structure.</p>
                        <p>Top level hierarchy sections: Disorders Findings Surgical procedures Investigations Occupations Drugs</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19947"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.6.28"/>
            <printName language="en" preferredForLanguage="true" text="The Read Codes Four Byte Set:"/>
            <code code="RCFB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The Read Codes Version 2 contains over 70,000 coded concepts arranged in a hierarchical structure.</p>
                        <p>Top level hierarchy sections: Disorders Findings Surgical procedures Investigations Occupations Drugs</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19948"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.6.29"/>
            <printName language="en" preferredForLanguage="true" text="The Read Codes Version 2"/>
            <code code="RCV2" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>In the United States, federal standards for classifying data on race determine the categories used by federal agencies and exert a strong influence on categorization by state and local agencies and private sector organizations. The federal standards do not conceptually define race, and they recognize the absence of an anthropological or scientific basis for racial classification. Instead, the federal standards acknowledge that race is a social-political construct in which an individual's own identification with one more race categories is preferred to observer identification. The standards use a variety of features to define five minimum race categories. Among these features are descent from "the original peoples" of a specified region or nation. The minimum race categories are American Indian or Alaska Native, Asian, Black or African American, Native Hawaiian or Other Pacific Islander, and White. The federal standards stipulate that race data need not be limited to the five minimum categories, but any expansion must be collapsible to those categories.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19818"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.104"/>
            <printName language="en" preferredForLanguage="true" text="Race"/>
            <code code="Race" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19819"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.105"/>
            <printName language="en" preferredForLanguage="true" text="RelationalOperator"/>
            <code code="RelationalOperator" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19830"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.106"/>
            <printName language="en" preferredForLanguage="true" text="RelationshipConjunction"/>
            <code code="RelationshipConjunction" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Assigment of spiritual faith affiliation</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19848"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1076"/>
            <printName language="en" preferredForLanguage="true" text="Religious Affiliation"/>
            <code code="ReligiousAffiliation" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Specifies whether a response is expected from the addressee of this interaction and what level of detail that response should include</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19852"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.108"/>
            <printName language="en" preferredForLanguage="true" text="ResponseLevel"/>
            <code code="ResponseLevel" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19853"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.109"/>
            <printName language="en" preferredForLanguage="true" text="ResponseModality"/>
            <code code="ResponseModality" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Specifies the mode, immediate versus deferred or queued, by which a receiver should communicate its receiver responsibilities.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21431"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.19.5.1"/>
            <printName language="en" preferredForLanguage="true" text="ResponseMode"/>
            <code code="ResponseMode" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19854"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.110"/>
            <printName language="en" preferredForLanguage="true" text="RoleClass"/>
            <code code="RoleClass" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Specific classification codes for further qualifying RoleClass codes.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19855"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.111"/>
            <printName language="en" preferredForLanguage="true" text="RoleCode"/>
            <code code="RoleCode" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Codes representing possible states of a RoleLink, as defined by the RoleLink class state machine.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23253"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1137"/>
            <printName language="en" preferredForLanguage="true" text="RoleLink Status"/>
            <code code="RoleLinkStatus" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19841"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.107"/>
            <printName language="en" preferredForLanguage="true" text="RoleLinkType"/>
            <code code="RoleLinkType" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The status of an instance of the RIM Role class.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19839"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1068"/>
            <printName language="en" preferredForLanguage="true" text="RoleStatus"/>
            <code code="RoleStatus" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19856"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.112"/>
            <printName language="en" preferredForLanguage="true" text="RouteOfAdministration"/>
            <code code="RouteOfAdministration" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The South Carolina Department of Health and Environmental Control GIS Spatial Data Accuracy Tiers have been derived from the National Standard for Spatial Data Accuracy as a means to categorize the accuracy of spatial data assignment utilizing a variety of tools for capturing coordinates including digitizers, geocoding software and global positioning system devices.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21650"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.6.241"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="SCDHEC-GISSpatialAccuracyTiers" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>College of American Pathologists, Skokie, IL, 60077-1034. (formerly designated as 99SDM).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11101"/>
            <printName language="en" preferredForLanguage="true" text="SNOMED- DICOM Microglossary"/>
            <code code="SDM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Systemized Nomenclature of Medicine, 2nd Edition 1984 Vols 1, 2, College of American Pathologists, Skokie, IL.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11098"/>
            <printName language="en" preferredForLanguage="true"
                       text="Systemized Nomenclature of Medicine (SNOMED)"/>
            <code code="SNM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>SNOMED International, 1993 Vols 1-4, College of American Pathologists, Skokie, IL, 60077-1034..</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11099"/>
            <printName language="en" preferredForLanguage="true" text="SNOMED International"/>
            <code code="SNM3" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>College of American Pathologists, 5202 Old Orchard Road, Skokie, IL 60077-1034.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11100"/>
            <printName language="en" preferredForLanguage="true"
                       text="SNOMED topology codes (anatomic sites)"/>
            <code code="SNT" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19857"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.113"/>
            <printName language="en" preferredForLanguage="true" text="Sequencing"/>
            <code code="Sequencing" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19840"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1069"/>
            <printName language="en" preferredForLanguage="true" text="SetOperator"/>
            <code code="SetOperator" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A code indicating the type of special arrangements provided for a patient encounter (e.g., wheelchair, stretcher, interpreter, attendant, seeing eye dog). For encounters in intention moods, this information can be used to identify special arrangements that will need to be made for the incoming patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21583"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.19.6.1"/>
            <printName language="en" preferredForLanguage="true" text="SpecialArrangement"/>
            <code code="SpecialArrangement" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19859"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.129"/>
            <printName language="en" preferredForLanguage="true" text="SpecimenType"/>
            <code code="SpecimenType" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The style code is used within the CDA/SPL narrative block to give the instance author some control over various aspects of style</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21333"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1093"/>
            <printName language="en" preferredForLanguage="true" text="StyleType"/>
            <code code="StyleType" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies what sort of change is permitted or has occurred between the therapy that was ordered and the therapy that was/will be provided.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19842"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1070"/>
            <printName language="en" preferredForLanguage="true" text="SubstanceAdminSubstitution"/>
            <code code="SubstanceAdminSubstitution" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies what sort of change is permitted or has occurred between the item that was ordered/requested and the one that was/will be provided.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19843"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1071"/>
            <printName language="en" preferredForLanguage="true" text="SubstitutionCondition"/>
            <code code="SubstitutionCondition" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>These values are defined within the XHTML 4.0 Table Model</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19861"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.131"/>
            <printName language="en" preferredForLanguage="true" text="TableCellHorizontalAlign"/>
            <code code="TableCellHorizontalAlign" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>These values are defined within the XHTML 4.0 Table Model</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19862"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.132"/>
            <printName language="en" preferredForLanguage="true" text="TableCellScope"/>
            <code code="TableCellScope" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>These values are defined within the XHTML 4.0 Table Model</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19863"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.133"/>
            <printName language="en" preferredForLanguage="true" text="TableCellVerticalAlign"/>
            <code code="TableCellVerticalAlign" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>These values are defined within the XHTML 4.0 Table Model</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19864"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.134"/>
            <printName language="en" preferredForLanguage="true" text="TableFrame"/>
            <code code="TableFrame" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>These values are defined within the XHTML 4.0 Table Model</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19865"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.136"/>
            <printName language="en" preferredForLanguage="true" text="TableRules"/>
            <code code="TableRules" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19866"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.137"/>
            <printName language="en" preferredForLanguage="true" text="TargetAwareness"/>
            <code code="TargetAwareness" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19809"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1011"/>
            <printName language="en" preferredForLanguage="true" text="TelecommunicationAddressUse"/>
            <code code="TelecommunicationAddressUse" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Concepts that define the telecommunication capabilities of a particular device. Used to identify the expected capabilities to be found at a particular telecommunication address.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22722"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1118"/>
            <printName language="en" preferredForLanguage="true" text="TelecommunicationCapabilities"/>
            <code code="TelecommunicationCapabilities" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19867"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.139"/>
            <printName language="en" preferredForLanguage="true" text="TimingEvent"/>
            <code code="TimingEvent" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A code specifying the meaning and purpose of every TransmissionRelationship instance. Each of its values implies specific constraints to what kinds of Transmission objects can be related and in which way.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22038"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1111"/>
            <printName language="en" preferredForLanguage="true"
                       text="TransmissionRelationshipTypeCode"/>
            <code code="TransmissionRelationshipTypeCode" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>INDIAN ENTITIES RECOGNIZED AND ELIGIBLE TO RECEIVE SERVICES FROM THE UNITED STATES BUREAU OF INDIAN AFFAIRS</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19869"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.140"/>
            <printName language="en" preferredForLanguage="true" text="TribalEntityUS"/>
            <code code="TribalEntityUS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Trigger Event ID as published in the standard.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22663"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.1.18"/>
            <printName language="en" preferredForLanguage="true" text="TriggerEventID"/>
            <code code="TriggerEventID" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Uniform Clinical Data Systems. Ms. Michael McMullan, Office of Peer Review Health Care Finance Administration, The Meadows East Bldg., 6325 Security Blvd., Baltimore, MD 21207; (301) 966 6851.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11102"/>
            <printName language="en" preferredForLanguage="true" text="UCDS"/>
            <code code="UC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Unified Code for Units of Measure</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19950"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.6.8"/>
            <printName language="en" preferredForLanguage="true" text="UCUM"/>
            <code code="UCUM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Universal Medical Device Nomenclature System. ECRI, 5200 Butler Pike, Plymouth Meeting, PA 19462 USA. Phone: 215-825-6000, Fax: 215-834-1275.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11123"/>
            <printName language="en" preferredForLanguage="true" text="MDNS"/>
            <code code="UMD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>National Library of Medicine, 8600 Rockville Pike, Bethesda, MD 20894.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11104"/>
            <printName language="en" preferredForLanguage="true" text="Unified Medical Language"/>
            <code code="UML" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The Uniform Code Council. 8163 Old Yankee Road, Suite J, Dayton, OH 45458; (513) 435 3070</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11103"/>
            <printName language="en" preferredForLanguage="true" text="Universal Product Code"/>
            <code code="UPC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A Universal Resource Locator (URL) is a type of telecommunications address specified as Internet standard RFC 1738 \[http://www.ietf.org/rfc/rfc1738.txt\]. The URL specifies the protocol and the contact point defined by that protocol for the resource.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19872"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.143"/>
            <printName language="en" preferredForLanguage="true" text="URLScheme"/>
            <code code="URLScheme" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19870"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.141"/>
            <printName language="en" preferredForLanguage="true" text="UnitsOfMeasureCaseInsensitive"/>
            <code code="UnitsOfMeasure" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19871"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.142"/>
            <printName language="en" preferredForLanguage="true" text="UnitsOfMeasureCaseSensitive"/>
            <code code="UnitsOfMeasureCaseSensitive" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The manufacturer of a vaccine.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19873"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.144"/>
            <printName language="en" preferredForLanguage="true" text="VaccineManufacturer"/>
            <code code="VaccineManufacturer" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The kind of vaccine.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19874"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.145"/>
            <printName language="en" preferredForLanguage="true" text="VaccineType"/>
            <code code="VaccineType" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Vocabulary domain qualifiers are concepts that are used in domain constraints to specify behavior of the new domain.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19875"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.147"/>
            <printName language="en" preferredForLanguage="true" text="VocabularyDomainQualifier"/>
            <code code="VocabularyDomainQualifier" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>World Health organization record number code. A unique sequential number is assigned to each unique single component drug and to each multi-component drug. Eight digits are allotted to each such code, six to identify the active agent, and 2 to identify the salt, of single content drugs. Six digits are assigned to each unique combination of drugs in a dispensing unit. The six digit code is identified by W1, the 8 digit code by W2.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11119"/>
            <printName language="en" preferredForLanguage="true" text="WHO rec# drug codes"/>
            <code code="W1-W2" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>With ASTM extensions (see Implementation Guide), the WHO codes can be used to report serum (and other) levels, patient compliance with drug usage instructions, average daily doses and more (see Appendix X1 the Implementation Guide).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11120"/>
            <printName language="en" preferredForLanguage="true"
                       text="WHO rec# code with ASTM extension"/>
            <code code="W4" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>WHO's ATC codes provide a hierarchical classification of drugs by therapeutic class. They are linked to the record number codes listed above.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11121"/>
            <printName language="en" preferredForLanguage="true" text="WHO ATC"/>
            <code code="WC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Code system of concepts representing a person's job type as defined by compensation and sector (e.g. paid vs. unpaid, self-employed vs. not self-employed, government vs. private, etc.).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23897"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1139"/>
            <printName language="en" preferredForLanguage="true"
                       text="Work Classification (Occupational Data for Health)"/>
            <code code="WorkClassificationODH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Systematized Nomenclature of Dentistry (SNODENT) is owned, maintained and distributed by the American Dental Association (ADA). SNODENT is a vocabulary designed for use in the electronic environment - for electronic health and dental records. The intended purpose is to:</p>
                        <p>* Provide standardized terms for describing dental disease * Capture clinical detail and patient characteristics * Permit analysis of patient care services and outcomes * To be interoperable with Electronic Health Records (EHR) and Electronic Dental Records (EDR)</p>
                        <p>SNODENT licensing information can be found at: http://www.ada.org/8466.aspx</p>
                        <p>URL for Official Source: http://www.ada.org/snodent.aspx</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23792"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.3.3150"/>
            <printName language="en" preferredForLanguage="true"
                       text="Systematized Nomenclature of Dentistry (SNODENT)"/>
            <code code="ada-snodent" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Reference cultures (microorganisms, tissue cultures, etc.), related biological materials and associated data. American Type Culture Collection, 12301 Parklawn Dr, Rockville MD, 20852. (301) 881-2600. http://www.atcc.org</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11059"/>
            <printName language="en" preferredForLanguage="true"
                       text="American Type Culture Collection"/>
            <code code="atc" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Codes for concepts describing the approval level of HL7 artifacts. This code system reflects the concepts expressed in HL7's Governance &amp; Operations Manual (GOM) past and present.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23112"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1130"/>
            <printName language="en" preferredForLanguage="true" text="HL7ApprovalStatus"/>
            <code code="hl7ApprovalStatus" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="23146"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1132"/>
            <printName language="en" preferredForLanguage="true" text="HL7CMETAttribution"/>
            <code code="hl7CMETAttribution" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Codes identifying types of HL7 Implementation Technology Specifications</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23211"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1135"/>
            <printName language="en" preferredForLanguage="true" text="HL7ITSType"/>
            <code code="hl7ITSType" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Codes for HL7 publishing 'domain's (specific content area)</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23170"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1136"/>
            <printName language="en" preferredForLanguage="true" text="HL7PublishingDomain"/>
            <code code="hl7PublishingDomain" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Codes for HL7 publishing 'section's (major business categories)</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23154"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1133"/>
            <printName language="en" preferredForLanguage="true" text="HL7PublishingSection"/>
            <code code="hl7PublishingSection" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Codes for HL7 publishing 'sub-section's (business sub-categories)</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23159"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1134"/>
            <printName language="en" preferredForLanguage="true" text="HL7PublishingSubSection"/>
            <code code="hl7PublishingSubSection" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Identifies allowed codes for HL7aTMs v3 conformance property.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22997"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1125"/>
            <printName language="en" preferredForLanguage="true" text="HL7V3Conformance"/>
            <code code="hl7V3Conformance" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Based on concepts for resolutions from HL7 ballot spreadsheet according to HL7's Governance &amp; Operations Manual (GOM).</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23132"/>
            <conceptProperty name="OID" value="2.16.840.1.113883.5.1131"/>
            <printName language="en" preferredForLanguage="true" text="HL7VoteResolution"/>
            <code code="hl7VoteResolution" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>ISO/IEC 21000-6:2004 describes a Rights Data Dictionary which comprises a set of clear, consistent, structured, integrated and uniquely identified terms to support the MPEG-21 Rights Expression Language (REL), ISO/IEC 21000-5. Annex A specifies the methodology for and structure of the RDD Dictionary, and specifies how further Terms may be defined under the governance of a Registration Authority, requirements for which are described in Annex C.</p>
                        <p>Taken together, these specifications and the RDD Dictionary and Database make up the RDD System. Use of the RDD System will facilitate the accurate exchange and processing of information between interested parties involved in the administration of rights in, and use of, Digital Items, and in particular it is intended to support ISO/IEC 21000-5 (REL). Clause 6 describes how ISO/IEC 21000-6:2004 relates to ISO/IEC 21000-5.</p>
                        <p>As well as providing definitions of terms for use in ISO/IEC 21000-5, the RDD System is designed to support the mapping of terms from different namespaces. Such mapping will enable the transformation of metadata from the terminology of one namespace (or Authority) into that of another namespace. Mapping, to ensure minimum ambiguity or loss of semantic integrity, will be the responsibility of the Registration Authority. Provision of automated trm look-up is also a requirement.</p>
                        <p>The RDD Dictionary is a prescriptive dctionary, in the sense that it defines a single meaning for a trm represented by a particular RddAuthorized TermName, but it is also inclusive in that it can recognize the prescription of other Headwords and definitions by other Authorities and incorporates them through mappings. The RDD Dictionary also supports the circumstance that the same name may have different meanings under different Authorities. ISO/IEC 21000-6:2004describes audit provisions so that additions, amendments and deletions to Terms and their attributes can be tracked.</p>
                        <p>ISO/IEC 21000-6:2004 recognizes legal definitions as and only as Terms from other Authorities that can be mapped into the RDD Dictionary. Therefore Terms that are directly authorized by the RDD Registration Authority neither define nor prescribe intellectual property rights or other legal entities.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23074"/>
            <conceptProperty name="OID" value="1.0.21000.6"/>
            <printName language="en" preferredForLanguage="true"
                       text="ISO/IEC 21000-6:2004(E) Rights Data Dictionary"/>
            <code code="iso21000-6-2004E-RDD" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="CodeSystemType" title="HL7 Code System Type"
               codeSystemId="2.16.840.1.113883.5.1085">
      <historyItem dateTime="2020-05-06" id="v3-CodeSystemType-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Retired code system for HL7 Code System Types. This description added to conform to shareable codesystem profile</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Code system is created and maintained by an organization outside of HL7</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19956"/>
            <printName language="en" preferredForLanguage="true" text="External"/>
            <code code="E" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Code system is created and updated by an organization outside of HL7, but an internal copy is mainted by HL7 for convenience</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19957"/>
            <printName language="en" preferredForLanguage="true" text="external-internal"/>
            <code code="EI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Code system is created and maintained by HL7</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19955"/>
            <printName language="en" preferredForLanguage="true" text="Internal"/>
            <code code="I" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="CodingRationale" title="CodingRationale"
               codeSystemId="2.16.840.1.113883.5.1074">
      <historyItem dateTime="2020-05-06" id="v3-CodingRationale-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Identifies how to interpret the instance of the code, codeSystem value in a set of translations. Since HL7 (or a government body) may mandate that codes from certain code systems be sent in conformant messages, other synonyms that are sent in the translation set need to be distinguished among the originally captured source, the HL7 specified code, or some future role. When this code is NULL, it indicates that the translation is an undefined type. When valued, this property must contain one of the following values:</p>
                  <p>SRC - Source (or original) code HL7 - HL7 Specified or Mandated SH - both HL7 mandated and the original code (precoordination)</p>
                  <p>There may be additional values added to this value set as we work through the use of codes in messages and determine other Use Cases requiring special interpretation of the translations.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired..</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>HL7 Specified or Mandated</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19252"/>
            <printName language="en" preferredForLanguage="true" text="HL7 Specified or Mandated"/>
            <code code="HL7" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Originally produced code.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22615"/>
            <printName language="en" preferredForLanguage="true" text="originally produced code"/>
            <code code="O" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Originally produced code, required by the specification describing the use of the coded concept.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23533"/>
            <printName language="en" preferredForLanguage="true" text="original and required"/>
            <code code="OR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Post-coded from free text source&lt;/description&gt;</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22617"/>
            <printName language="en" preferredForLanguage="true" text="post-coded"/>
            <code code="P" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Post-coded from free text source, required by the specification describing the use of the coded concept.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23534"/>
            <printName language="en" preferredForLanguage="true" text="post-coded and required"/>
            <code code="PR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Required standard code for HL7.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22616"/>
            <printName language="en" preferredForLanguage="true" text="required"/>
            <code code="R" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Both HL7 mandated and the original code (precoordination)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19253"/>
            <printName language="en" preferredForLanguage="true"
                       text="Both HL7 mandated and the original code"/>
            <code code="SH" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Source (or original) code</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19251"/>
            <printName language="en" preferredForLanguage="true" text="Source (or original) code"/>
            <code code="SRC" status="retired"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="CommunicationFunctionType" title="CommunicationFunctionType"
               codeSystemId="2.16.840.1.113883.5.1056">
      <historyItem dateTime="2020-05-06" id="v3-CommunicationFunctionType-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Describes the type of communication function that the associated entity plays in the associated transmission.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The entity is the receiver of the transmission.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="16033"/>
            <printName language="en" preferredForLanguage="true" text="receiver"/>
            <code code="RCV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The entity is the one to which the response or reply to the transmission should be sent.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="16034"/>
            <printName language="en" preferredForLanguage="true" text="respond to"/>
            <code code="RSP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The entity is the sender of the transmission.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="16032"/>
            <printName language="en" preferredForLanguage="true" text="sender"/>
            <code code="SND" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="CompressionAlgorithm" title="CompressionAlgorithm"
               codeSystemId="2.16.840.1.113883.5.1009">
      <historyItem dateTime="2020-05-06" id="v3-CompressionAlgorithm-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Type of compression algorithm used</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="howApplies" type="String" isMandatoryIndicator="false">
            <description>Haven't a clue!</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>bzip-2 compression format. See \[http://www.bzip.org/\] for more information.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23535"/>
            <printName language="en" preferredForLanguage="true" text="bzip"/>
            <code code="BZ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The deflate compressed data format as specified in RFC 1951 \[http://www.ietf.org/rfc/rfc1951.txt\].</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10621"/>
            <conceptProperty name="howApplies" value="mandatory"/>
            <printName language="en" preferredForLanguage="true" text="deflate"/>
            <code code="DF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A compressed data format that is compatible with the widely used GZIP utility as specified in RFC 1952 \[http://www.ietf.org/rfc/rfc1952.txt\] (uses the deflate algorithm).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10622"/>
            <conceptProperty name="howApplies" value="other"/>
            <printName language="en" preferredForLanguage="true" text="gzip"/>
            <code code="GZ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Original UNIX compress algorithm and file format using the LZC algorithm (a variant of LZW). Patent encumbered and less efficient than deflate.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10624"/>
            <conceptProperty name="howApplies" value="deprecated"/>
            <printName language="en" preferredForLanguage="true" text="compress"/>
            <code code="Z" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>7z compression file format. See \[http://www.7-zip.org/7z.html\] for more information.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23536"/>
            <printName language="en" preferredForLanguage="true" text="Z7"/>
            <code code="Z7" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A compressed data format that also uses the deflate algorithm. Specified as RFC 1950 \[http://www.ietf.org/rfc/rfc1952.txt\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10623"/>
            <conceptProperty name="howApplies" value="other"/>
            <printName language="en" preferredForLanguage="true" text="zlib"/>
            <code code="ZL" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="ConceptCodeRelationship" title="Possible Concept Code Relationships"
               codeSystemId="2.16.840.1.113883.5.1088">
      <historyItem dateTime="2020-05-06" id="v3-ConceptCodeRelationship-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Deprecation Comment:</b>Deprecated as per 11/2008 Harmonization cleanup; internal and obsolete HL7 usage, no longer used.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="inverseRelationship" type="Token" isMandatoryIndicator="false">
            <description>Property applies to the ConceptCodeRelationship code system. For each concept, it identifies the name of the inverse relationship.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The target concept is a part or portion of the source concept.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19971"/>
            <conceptProperty name="inverseRelationship" value="partOf"/>
            <printName language="en" preferredForLanguage="true" text="has part"/>
            <code code="hasPart" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Target concept is a subtype / subclass or the source (or the target concept implies the source</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19970"/>
            <conceptProperty name="inverseRelationship" value="isA"/>
            <printName language="en" preferredForLanguage="true" text="has subtype"/>
            <code code="hasSubtype" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The source concept code is "less than" the target concept in a strictly ordinal sense.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19972"/>
            <conceptProperty name="inverseRelationship" value="greaterThan"/>
            <printName language="en" preferredForLanguage="true" text="is smaller than"/>
            <code code="smallerThan" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="ConceptGenerality" title="ConceptGenerality"
               codeSystemId="2.16.840.1.113883.5.24">
      <historyItem dateTime="2020-05-06" id="v3-ConceptGenerality-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Indicates whether the concept that is the target should be interpreted as itself, or whether it should be expanded to include its child concepts, or both when it is included in the source domain/valueset.</p>
                  <b>Deprecation Comment:</b>Deprecated as per 11/2008 Harmonization cleanup; internal and obsolete HL7 usage, no longer used.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Include only the descendents of this concept in the domain or value set, not the concept itself.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11034"/>
            <printName language="en" preferredForLanguage="true" text="Abstract"/>
            <code code="A" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Include only the concept itself in the domain or value set. Do not include descendents of the concept.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11036"/>
            <printName language="en" preferredForLanguage="true" text="Leaf"/>
            <code code="L" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Include both the concept and its descendents as possible values in the domain or value set.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11035"/>
            <printName language="en" preferredForLanguage="true" text="Specializable"/>
            <code code="S" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="ConceptProperty" title="HL7 Value Set and Coded Concept Property Codes"
               codeSystemId="2.16.840.1.113883.5.1087">
      <historyItem dateTime="2020-05-06" id="v3-ConceptProperty-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Deprecation Comment:</b>Deprecated as per 11/2008 Harmonization cleanup; internal and obsolete HL7 usage, no longer used.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Object identifier assigned to a concept</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19967"/>
            <printName language="en" preferredForLanguage="true" text="ISO Object Identifier"/>
            <code code="OID" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Property identifiers for a value sets</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22385"/>
            <printName language="en" preferredForLanguage="true" text="ValueSetPropertyId"/>
            <code code="_ValueSetPropertyId" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Entity to which a given value set or concept code applies</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ValueSetPropertyId"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19964"/>
            <printName language="en" preferredForLanguage="true" text="applies to"/>
            <code code="appliesTo" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Qualifier value for concept status.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22625"/>
            <printName language="en" preferredForLanguage="true" text="concept status qualifier"/>
            <code code="conceptStatusQualifier" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Description of how set or code applies</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ValueSetPropertyId"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19965"/>
            <printName language="en" preferredForLanguage="true" text="how applies"/>
            <code code="howApplies" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Name that should be used when the relationship is used in the reverse (target to source) direction. Example: The inverse relationship of hasPart is isPartOf</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19968"/>
            <printName language="en" preferredForLanguage="true" text="inverted relationship name"/>
            <code code="inverseRelationship" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Outstanding issue that still needs resolution</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ValueSetPropertyId"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19966"/>
            <printName language="en" preferredForLanguage="true" text="open issue"/>
            <code code="openIssue" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**specialized by domain</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22662"/>
            <printName language="en" preferredForLanguage="true" text="specialized by domain"/>
            <code code="specializedByDomain" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="ConceptStatus" title="HL7 Coded Concept Status"
               codeSystemId="2.16.840.1.113883.5.1086">
      <historyItem dateTime="2020-05-06" id="v3-ConceptStatus-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Deprecation Comment:</b>Deprecated as per 11/2008 Harmonization cleanup; internal and obsolete HL7 usage, no longer used.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Concept code is active and in use</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19960"/>
            <printName language="en" preferredForLanguage="true" text="Active"/>
            <code code="A" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Concept code is not longer in use anywhere.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19962"/>
            <printName language="en" preferredForLanguage="true" text="Deleted"/>
            <code code="D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proposed but not yet in general use</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19959"/>
            <printName language="en" preferredForLanguage="true" text="Proposed"/>
            <code code="P" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Concept code has been used previously, but is no longer value for new use.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19961"/>
            <printName language="en" preferredForLanguage="true" text="Retired"/>
            <code code="R" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="Confidentiality" title="Confidentiality"
               codeSystemId="2.16.840.1.113883.5.25">
      <historyItem dateTime="2020-05-06" id="v3-Confidentiality-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A set of codes specifying the security classification of acts and roles in accordance with the definition for concept domain "Confidentiality".</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2023-05-30" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>A property that indicates the status of the concept. One of active, experimental, deprecated, or retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Since the service class can represent knowledge structures that may be considered a trade or business secret, there is sometimes (though rarely) the need to flag those items as of business level confidentiality. However, no patient related information may ever be of this confidentiality level.<i>Deprecation Comment:</i>Replced by ActCode.B</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ConfidentialityByAccessKind"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10235"/>
            <printName language="en" preferredForLanguage="true" text="business"/>
            <code code="B" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Celebrities are people of public interest (VIP) including employees, whose information require special protection.<p>*Deprecation Comment:*Replced by ActCode.CEL</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ConfidentialityModifiers"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10239"/>
            <printName language="en" preferredForLanguage="true" text="celebrity"/>
            <code code="C" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Only clinicians may see this item, billing and administration persons can not access this item without special permission.<p>*Deprecation Comment:*Deprecated due to updated confidentiality codes under ActCode</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ConfidentialityByAccessKind"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10231"/>
            <printName language="en" preferredForLanguage="true" text="clinician"/>
            <code code="D" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Alcohol/drug-abuse related item<p>*Deprecation Comment:*Replced by ActCode.ETH</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ConfidentialityByInfoType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10243"/>
            <printName language="en" preferredForLanguage="true" text="substance abuse related"/>
            <code code="ETH" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>HIV and AIDS related item<p>*Deprecation Comment:*Replced by ActCode.HIV</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ConfidentialityByInfoType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10241"/>
            <printName language="en" preferredForLanguage="true" text="HIV related"/>
            <code code="HIV" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Access only to individual persons who are mentioned explicitly as actors of this service and whose actor type warrants that access (cf. to actor type code).<p>*Deprecation Comment:*Deprecated due to updated confidentiality codes under ActCode</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ConfidentialityByAccessKind"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10233"/>
            <printName language="en" preferredForLanguage="true" text="individual"/>
            <code code="I" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Privacy metadata indicating that a low level of protection is required to safeguard personal and healthcare information, which has been altered in such a way as to minimize the need for confidentiality protections with some residual risks associated with re-linking. The risk of harm to an individual's reputation and sense of privacy if disclosed without authorization is considered negligible, and mitigations are in place to address reidentification risk.</p>
                        <i>Usage Note:</i>
                        <p>The level of protection afforded anonymized and pseudonymized, and non-personally identifiable information (e.g., a limited data set) is dictated by privacy policies and data use agreements intended to engender trust that health information can be used and disclosed with little or no risk of re-identification.</p>
                        <b>Example:</b>Personal and healthcare information, which excludes 16 designated categories of direct identifiers in a HIPAA Limited Data Set. This information may be disclosed by HIPAA Covered Entities without patient authorization for a research, public health, and operations purposes if conditions are met, which includes obtaining a signed data use agreement from the recipient. See 45 CFR Section 164.514.<p>This metadata indicates that the receiver may have an obligation to comply with a data use agreement with the discloser. The discloser may have obligations to comply with policies dictating the methods for de-identification.</p>Confidentiality code total order hierarchy: Low (L) is less protective than<i>V, R, N,</i>and *M*, and subsumes *U*.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Confidentiality"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10234"/>
            <printName language="en" preferredForLanguage="true" text="low"/>
            <code code="L" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Privacy metadata indicating the level of protection required to safeguard personal and healthcare information, which if disclosed without authorization, would present a moderate risk of harm to an individual's reputation and sense of privacy.</p>
                        <i>Usage Note:</i>The level of protection afforded moderately confidential information is dictated by privacy policies intended to engender trust in a service provider. May include publicly available information in jurisdictions that restrict uses of that information without the consent of the data subject.<p>Privacy policies mandating moderate levels of protection, which preempt less protective privacy policies. "Moderate" confidentiality policies differ from and would be preempted by the prevailing privacy policies mandating the normative level of protection for information used in the delivery and management of healthcare.</p>Confidentiality code total order hierarchy: Moderate (M) is less protective than<i>V, R, and N*, and subsumes all other protection levels (i.e., *L</i>and *U*).<b>Examples:</b>Includes personal and health information that an individual authorizes to be collected, accessed, used or disclosed to a bank for a health credit card or savings account; to health oversight authorities; to a hospital patient directory; to worker compensation, disability, property and casualty or life insurers; and to personal health record systems, consumer-controlled devices, social media accounts and online Apps; or for marketing purposes</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Confidentiality"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23322"/>
            <printName language="en" preferredForLanguage="true" text="moderate"/>
            <code code="M" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Privacy metadata indicating the level of protection required to safeguard personal and healthcare information, which if disclosed without authorization, would present a considerable risk of harm to an individual's reputation and sense of privacy.</p>
                        <i>Usage Note:</i>The level of protection afforded normatively confidential information is dictated by the prevailing normative privacy policies, which are intended to engender patient trust in their healthcare providers.<p>Privacy policies mandating normative levels of protection, which preempt less protective privacy policies when the information is used in the delivery and management of healthcare. May be pre-empted by jurisdictional law (e.g., for public health reporting or emergency treatment).</p>
                        <p>Confidentiality code total order hierarchy: Normal (N) is less protective than *V* and *R*, and subsumes all other protection levels (i.e., *M, L, and U*).</p>
                        <p>**Map:**Partial Map to ISO 13606-4 Sensitivity Level (3) Clinical Care when purpose of use is treatment: Default for normal clinical care access (i.e., most clinical staff directly caring for the patient should be able to access nearly all of the EHR). Maps to normal confidentiality for treatment information but not to ancillary care, payment and operations.</p>
                        <b>Examples:</b>
                        <p>n the US, this includes what HIPAA identifies as protected health information (PHI) under 45 CFR Section 160.103.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Confidentiality"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10230"/>
            <printName language="en" preferredForLanguage="true" text="normal"/>
            <code code="N" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Psychiatry related item<p>*Deprecation Comment:*Replced by ActCode.PSY</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ConfidentialityByInfoType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10242"/>
            <printName language="en" preferredForLanguage="true" text="psychiatry relate"/>
            <code code="PSY" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Privacy metadata indicating the level of protection required to safeguard potentially stigmatizing information, which if disclosed without authorization, would present a high risk of harm to an individual's reputation and sense of privacy.</p>
                        <i>Usage Note:</i>The level of protection afforded restricted confidential information is dictated by specially protective organizational or jurisdictional privacy policies, including at an authorized individual's request, intended to engender patient trust in providers of sensitive services.<p>Privacy policies mandating additional levels of protection by restricting information access preempt less protective privacy policies when the information is used in the delivery and management of healthcare. May be pre-empted by jurisdictional law (e.g., for public health reporting or emergency treatment).</p>
                        <p>Confidentiality code total order hierarchy: Restricted (R) is less protective than *V*, and subsumes all other protection levels (i.e., *N, M, L, and U*).</p>
                        <b>Examples:</b>
                        <p>Includes information that is additionally protected such as sensitive conditions mental health, HIV, substance abuse, domestic violence, child abuse, genetic disease, and reproductive health; or sensitive demographic information such as a patient's standing as an employee or a celebrity. May be used to indicate proprietary or classified information that is not related to an individual (e.g., secret ingredients in a therapeutic substance; or the name of a manufacturer).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Confidentiality"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10232"/>
            <printName language="en" preferredForLanguage="true" text="restricted"/>
            <code code="R" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>
                        <p>Information for which the patient seeks heightened confidentiality. Sensitive information is not to be shared with family members. Information reported by the patient about family members is sensitive by default. Flag can be set or cleared on patient's request.</p>
                        <p>*Deprecation Comment:*Deprecated due to updated confidentiality codes under ActCode</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ConfidentialityModifiers"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10237"/>
            <printName language="en" preferredForLanguage="true" text="sensitive"/>
            <code code="S" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Sexual assault / domestic violence related item<p>*Deprecation Comment:*Replced by ActCode.SDV</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ConfidentialityByInfoType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10244"/>
            <printName language="en" preferredForLanguage="true"
                       text="sexual and domestic violence related"/>
            <code code="SDV" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Information not to be disclosed or discussed with patient except through physician assigned to patient in this case. This is usually a temporary constraint only, example use is a new fatal diagnosis or finding, such as malignancy or HIV.<p>*Deprecation Note:*Replced by ActCode.TBOO</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ConfidentialityModifiers"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10238"/>
            <printName language="en" preferredForLanguage="true" text="taboo"/>
            <code code="T" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Privacy metadata indicating that no level of protection is required to safeguard personal and healthcare information that has been disclosed by an authorized individual without restrictions on its use.</p>
                        <b>Examples:</b>Includes publicly available information e.g., business name, phone, email and physical address.<i>Usage Note:</i>The authorization to collect, access, use, and disclose this information may be stipulated in a contract of adhesion by a data user (e.g., via terms of service or data user privacy policies) in exchange for the data subject's use of a service.<p>This metadata indicates that the receiver has no obligation to consider privacy policies other than its own when making access control decisions.</p>
                        <p>This metadata indicates that the receiver has no obligation to consider privacy policies other than its own when making access control decisions.</p>Confidentiality code total order hierarchy: Unrestricted (U) is less protective than<i>V, R, N, M,</i>and *L*, and is the lowest protection levels.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Confidentiality"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23321"/>
            <printName language="en" preferredForLanguage="true" text="unrestricted"/>
            <code code="U" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Privacy metadata indicating the level of protection required under atypical cicumstances to safeguard potentially damaging or harmful information, which if disclosed without authorization, would (1) present an extremely high risk of harm to an individual's reputation, sense of privacy, and possibly safety; or (2) impact an individual's or organization's legal matters.</p>
                        <i>Usage Note:</i>The level of protection afforded very restricted confidential information is dictated by specially protective privacy or legal policies intended to ensure that under atypical circumstances additional protections limit access to only those with a high 'need to know' and the information is kept in highest confidence..<p>Privacy and legal policies mandating the highest level of protection by stringently restricting information access, preempt less protective privacy policies when the information is used in the delivery and management of healthcare including legal proceedings related to healthcare. May be pre-empted by jurisdictional law (e.g., for public health reporting or emergency treatment but only under limited circumstances).</p>
                        <p>Confidentiality code total order hierarchy: Very Restricted (V) is the highest protection level and subsumes all other protection levels s (i.e., *R, N, M, L, and UI*).</p>
                        <b>Examples:</b>
                        <p>Includes information about a victim of abuse, patient requested information sensitivity, and taboo subjects relating to health status that must be discussed with the patient by an attending provider before sharing with the patient. May also include information held under a legal hold or attorney-client privilege.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Confidentiality"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14799"/>
            <printName language="en" preferredForLanguage="true" text="very restricted"/>
            <code code="V" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A specializable code and its leaf codes used in Confidentiality value sets to value the Act.Confidentiality and Role.Confidentiality attribute in accordance with the definition for concept domain "Confidentiality".</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23320"/>
            <printName language="en" preferredForLanguage="true" text="Confidentiality"/>
            <code code="_Confidentiality" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>By accessing subject / role and relationship based rights (These concepts are mutually exclusive, one and only one is required for a valid confidentiality coding.)<p>*Deprecation Comment:*Deprecated due to updated confidentiality codes under ActCode</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21049"/>
            <printName language="en" preferredForLanguage="true" text="ConfidentialityByAccessKind"/>
            <code code="_ConfidentialityByAccessKind" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>By information type, only for service catalog entries (multiples allowed). Not to be used with actual patient data!<p>*Deprecation Comment:*Deprecated due to updated confidentiality codes under ActCode</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21050"/>
            <printName language="en" preferredForLanguage="true" text="ConfidentialityByInfoType"/>
            <code code="_ConfidentialityByInfoType" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Modifiers of role based access rights (multiple allowed)<p>*Deprecation Comment:*Deprecated due to updated confidentiality codes under ActCode</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21051"/>
            <printName language="en" preferredForLanguage="true" text="ConfidentialityModifiers"/>
            <code code="_ConfidentialityModifiers" status="retired"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="ContainerCap" title="ContainerCap" codeSystemId="2.16.840.1.113883.5.26">
      <historyItem dateTime="2020-05-06" id="v3-ContainerCap-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The type of cap associated with a container</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A cap designed to be difficult to open for children. Generally requires multiple simultaneous actions (e.g. squeeze and twist) to open. Used for products that may be dangerous if ingested or overdosed by children.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MedicationCap"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16186"/>
            <printName language="en" preferredForLanguage="true" text="ChildProof"/>
            <code code="CHILD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A cap designed to be easily removed. For products intended to be opened by persons with limited strength or dexterity.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MedicationCap"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16185"/>
            <printName language="en" preferredForLanguage="true" text="EasyOpen"/>
            <code code="EASY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A non-reactive plastic film covering over the opening of a container.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14053"/>
            <printName language="en" preferredForLanguage="true" text="Film"/>
            <code code="FILM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A foil covering (type of foil not specified) over the opening of a container</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14052"/>
            <printName language="en" preferredForLanguage="true" text="Foil"/>
            <code code="FOIL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A non-threaded cap that forms a tight-fitting closure on a container by pushing the fitted end into the conatiner opening</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14051"/>
            <printName language="en" preferredForLanguage="true" text="Push Cap"/>
            <code code="PUSH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A threaded cap that is screwed onto the opening of a container</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14050"/>
            <printName language="en" preferredForLanguage="true" text="Screw Cap"/>
            <code code="SCR" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Cap types for medication containers</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21052"/>
            <printName language="en" preferredForLanguage="true" text="MedicationCap"/>
            <code code="_MedicationCap" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="ContainerSeparator" title="ContainerSeparator"
               codeSystemId="2.16.840.1.113883.5.27">
      <historyItem dateTime="2020-05-06" id="v3-ContainerSeparator-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A material in a blood collection container that facilites the separation of of blood cells from serum or plasma</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A gelatinous type of separator material.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14055"/>
            <printName language="en" preferredForLanguage="true" text="Gel"/>
            <code code="GEL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>No separator material is present in the container.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14056"/>
            <printName language="en" preferredForLanguage="true" text="None"/>
            <code code="NONE" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="ContentProcessingMode" title="ContentProcessingMode"
               codeSystemId="2.16.840.1.113883.5.1110">
      <historyItem dateTime="2020-05-06" id="v3-ContentProcessingMode-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**Identifies the order in which content should be processed.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The content should be processed in a sequential fashion.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21995"/>
            <printName language="en" preferredForLanguage="true" text="Sequential"/>
            <code code="SEQL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The content may be processed in any order.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21996"/>
            <printName language="en" preferredForLanguage="true" text="Unordered"/>
            <code code="UNOR" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="ContextControl" title="ContextControl"
               codeSystemId="2.16.840.1.113883.5.1057">
      <historyItem dateTime="2020-05-06" id="v3-ContextControl-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A code that specifies how an ActRelationship or Participation contributes to the context of an Act, and whether it may be propagated to descendent Acts whose association allows such propagation (see also attributes Participation.contextControlCode, ActRelationship.contextControlCode, ActRelationship.contextConductionInd).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The association adds to the existing context associated with the Act, but will not propagate to any descendant Acts reached by conducting ActRelationships (see contextControlCode). Examples: If an 'Author' Participation were marked as "Additive, Non-Propagating" it means that the author will be added to the set of author participations that have propagated from ancestor Acts for the purpose of this Act. However only the previously propagated authors will propagate to any child Acts that allow context to be propagated.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ContextControlAdditive"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ContextControlNonPropagating"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18932"/>
            <printName language="en" preferredForLanguage="true" text="additive, non-propagating"/>
            <code code="AN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The association adds to the existing context associated with the Act, and will propagate to any descendant Acts reached by conducting ActRelationships (see contextControlCode). Examples: If an 'Author' Participation were marked as "Additive, Propagating" it means that the author will be added to the set of author participations that have propagated from ancestor Acts, and will itself propagate with the other authors to any child Acts that allow context to be propagated.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ContextControlAdditive"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ContextControlPropagating"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18930"/>
            <printName language="en" preferredForLanguage="true" text="additive, propagating"/>
            <code code="AP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The association is added to the existing context associated with the Act, but overrides an association with the same typeCode. However, this overriding association will not propagate to any descendant Acts reached by conducting ActRelationships (see contextControlCode). Examples: If an 'Author' Participation were marked as "Overriding, Non-Propagating" it means that the author will replace the set of author participations that have propagated from ancestor Acts. Furthermore, no author participations whatsoever will propagate to any child Acts that allow context to be propagated.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ContextControlNonPropagating"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ContextControlOverriding"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18933"/>
            <printName language="en" preferredForLanguage="true" text="overriding, non-propagating"/>
            <code code="ON" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The association is added to the existing context associated with the Act, but overrides an association with the same typeCode. This overriding association will propagate to any descendant Acts reached by conducting ActRelationships (see contextControlCode). Examples: If an 'Author' Participation were marked as "Overriding, Propagating" it means that the author will replace the set of author participations that have propagated from ancestor Acts, and will itself be the only author to propagate to any child Acts that allow context to be propagated.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ContextControlOverriding"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ContextControlPropagating"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18931"/>
            <printName language="en" preferredForLanguage="true" text="overriding, propagating"/>
            <code code="OP" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The association adds to the existing context associated with the Act. Both this association and any associations propagated from ancestor Acts are interpreted as being related to this Act.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21053"/>
            <printName language="en" preferredForLanguage="true" text="ContextControlAdditive"/>
            <code code="_ContextControlAdditive" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The association applies only to the current Act and will not propagate to any child Acts that are related via a conducting ActRelationship (refer to contextConductionInd).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21054"/>
            <printName language="en" preferredForLanguage="true" text="ContextControlNonPropagating"/>
            <code code="_ContextControlNonPropagating" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The association adds to the existing context associated with the Act, but replaces associations propagated from ancestor Acts whose typeCodes are the same or more specific.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21055"/>
            <printName language="en" preferredForLanguage="true" text="ContextControlOverriding"/>
            <code code="_ContextControlOverriding" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The association propagates to any child Acts that are related via a conducting ActRelationship (refer to contextConductionInd).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21056"/>
            <printName language="en" preferredForLanguage="true" text="ContextControlPropagating"/>
            <code code="_ContextControlPropagating" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="Cpnum" title="Gold Standard's Clinical Pharmacology Monograph Number"
               codeSystemId="2.16.840.1.113883.4.81">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Gold Standard's Clinical Pharmacology Monograph Number</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="CPT" title="Current Procedural Terminology (CPT®)"
               codeSystemId="2.16.840.1.113883.6.12">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The Current Procedural Terminology (CPT) code set, created and maintained by the American Medical Association, is the language of medicine today and the code to its future. This system of terminology is the most widely accepted medical nomenclature used to report medical procedures and services under public and private health insurance programs. CPT coding is also used for administrative management purposes such as claims processing and developing guidelines for medical care review. Each year, via a rigorous, evidence-based and transparent process, the independent CPT Editorial Panel revises, creates or deletes hundreds of codes in order to reflect current medical practice.</p>
                  <p>Designated by the U.S. Department of Health and Human Services under the Health Insurance Portability and Accountability Act (HIPAA) as a national coding set for physician and other health care professional services and procedures, CPT’s evidence-based codes accurately encompass the full range of health care services.</p>
                  <p>All CPT codes are five-digits and can be either numeric or alphanumeric, depending on the category. CPT code descriptors are clinically focused and utilize common standards so that a diverse set of users can have common understanding across the clinical health care paradigm.</p>
                  <p>There are various types of CPT codes:</p>
                  <p>Category I: These codes have descriptors that correspond to a procedure or service. Codes range from 00100–99499 and are generally ordered into sub-categories based on procedure/service type and anatomy.</p>
                  <p>Category II: These alphanumeric tracking codes are supplemental codes used for performance measurement. Using them is optional and not required for correct coding.</p>
                  <p>Category III: These are temporary alphanumeric codes for new and developing technology, procedures and services. They were created for data collection, assessment and in some instances, payment of new services and procedures that currently don’t meet the criteria for a Category I code.</p>
                  <p>Proprietary Laboratory Analyses (PLA) codes: These codes describe proprietary clinical laboratory analyses and can be either provided by a single (“solesource”) laboratory or licensed or marketed to multiple providing laboratories that are cleared or approved by the Food and Drug Administration (FDA)). This category includes but is not limited to Advanced Diagnostic Laboratory Tests (ADLTs) and Clinical Diagnostic Laboratory Tests (CDLTs), as defined under the Protecting Access to Medicare Act of 2014 (PAMA).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2020-11-12" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Csaid" title="CAN/CSA-Z795-96" codeSystemId="2.16.840.1.113883.6.235">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Inactive since 2015. Nature of injury (NOI) codes, which are part of the Work Injury or Disease Information coding system (CAN/CSA-Z795-96 - R2003).</p>
                  <p>The CSA code set includes 3 parts: Nature of injury (NOI), body part (BP), side of body (SB).</p>
                  <p>For example:</p>
                  <p>* NOI - Cut or laceration Injury = 03400 * BP - Upper Arm body part = 31100 * SOB - Left Side of Body = L</p>
                  <p>The Body Part codes are qualified by the Side of Body codes code system, to be more precise in specifying the location of the injury being coded.</p>
                  <p>Code set is maintained by the Canadian Standards Association (CSA).</p>
                  <p>set is maintained by the Canadian Standards Association (CSA).</p>
                  <p>The Canadian Standards Association 5060 Spectrum Way Mississauga, Ontario Canada L4W 5N6</p>
                  <p>Phone: (416) 747-4000 1-800-463-6727 Fax: (416) 747-2473</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="CST" title="COSTART" codeSystemId="2.16.840.1.113883.6.62">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>COSTART</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="CVX" title="Vaccine Administered Code Set (CVX)"
               codeSystemId="2.16.840.1.113883.12.292">
      <annotations>
         <documentation>
            <description>
               <text>The CDC's National Center of Immunization and Respiratory Diseases (NCIRD - see<a>https://www.cdc.gov/ncird/https://www.cdc.gov/ncird/)) developed and maintains the CVX (vaccine administered) code set. It includes both active and inactive vaccines available in the US. CVX codes for inactive vaccines allow transmission of historical immunization records. When a MVX (manufacturer) code is paired with a CVX (vaccine administered) code, the specific trade named vaccine may be indicated. These codes should be used for immunization messages using either HL7 Version 2.3.1 or HL7 Version 2.5.1. CVX is the underlying Master Code System for V2 table 0292 (Vaccines Administered</a>. The machine readable name for CVX in PHIN VADS is PH_VaccinesAdministeredCVX_CDC_NIP. The version of the CVX code set for certification can be found on the archive page:<a>https://www2a.cdc.gov/vaccines/iis/iisstandards/mu3versioned_codes.asphttps://www2a.cdc.gov/vaccines/iis/iisstandards/mu3versioned_codes.asp</a>
                  <p>The Status column indicates if the vaccine is currently available in the United States.</p>
                  <ul>
                     <li>
                        <p>Active: A currently available administrable vaccine</p>
                     </li>
                  </ul>
                  <ul>
                     <li>
                        <p>Inactive: An administrable vaccine formulation that is no longer available for patient administration, but can be found in historical patient records OR A historical record of a vaccine administered where the exact formulation is unknown</p>
                     </li>
                  </ul>
                  <ul>
                     <li>
                        <p>Pending: A vaccine that is expected to become active in the future</p>
                     </li>
                  </ul>
                  <ul>
                     <li>
                        <p>Non-US: A vaccine that available outside the US only</p>
                     </li>
                  </ul>
                  <ul>
                     <li>
                        <p>Never Active: A vaccine that was never available and is not in the pipeline of new vaccines</p>
                     </li>
                  </ul>
                  <p>The Last Updated column indicates the last time this particular vaccine code was updated in this table.</p>Questions regarding this table should be directed to the IIS Technical Assistance Team via iisinfo@cdc.gov (or use mailing address via<a>https://www2a.cdc.gov/vaccines/iis/iisstandards/vaccines.asp?rpt=cvx#addrhttps://www2a.cdc.gov/vaccines/iis/iisstandards/vaccines.asp?rpt=cvx#addr)</a>
                  <p>HL7 Implementers should note that 'Status' IS NOT CONCEPT STATUS as all codes are ACTIVE in this code system.</p>The current code system is available via<a>https://www2a.cdc.gov/vaccines/iis/iisstandards/vaccines.asp?rpt=cvxhttps://www2a.cdc.gov/vaccines/iis/iisstandards/vaccines.asp?rpt=cvx</a>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2022-12-22" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="DataOperation" title="DataOperation"
               codeSystemId="2.16.840.1.113883.5.1123">
      <historyItem dateTime="2020-05-06" id="v3-DataOperation-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**** MISSING DESCRIPTION ****</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Change the status of an object representing an Act to "aborted", i.e., terminated prior to the originally intended completion. For an HL7 Act, the state transitions per the HL7 Reference Information Model.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MODIFYSTATUS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22879"/>
            <printName language="en" preferredForLanguage="true" text="abort"/>
            <code code="ABORT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Change the status of an object representing an Act to "active", i.e., so it can be performed or is being performed, for the first time. (Contrast with REACTIVATE.) For an HL7 Act, the state transitions per the HL7 Reference Information Model.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MODIFYSTATUS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22880"/>
            <printName language="en" preferredForLanguage="true" text="activate"/>
            <code code="ACTIVATE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Fundamental operation in an Information System (IS) that results only in the addition of information to an object already in existence. Note: The preceding definition is taken from the HL7 RBAC specification. There is no restriction on how the operation is invoked, e.g., via a user interface.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="UPDATE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22877"/>
            <printName language="en" preferredForLanguage="true" text="append"/>
            <code code="APPEND" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Change the status of an object representing an Act to "cancelled", i.e., abandoned before activation. For an HL7 Act, the state transitions per the HL7 Reference Information Model.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MODIFYSTATUS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22881"/>
            <printName language="en" preferredForLanguage="true" text="cancel"/>
            <code code="CANCEL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Change the status of an object representing an Act to "completed", i.e., terminated normally after all of its constituents have been performed. For an HL7 Act, the state transitions per the HL7 Reference Information Model.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MODIFYSTATUS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22882"/>
            <printName language="en" preferredForLanguage="true" text="complete"/>
            <code code="COMPLETE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Fundamental operation in an Information System (IS) that results only in the act of bringing an object into existence. Note: The preceding definition is taken from the HL7 RBAC specification. There is no restriction on how the operation is invoked, e.g., via a user interface. For an HL7 Act, the state transitions per the HL7 Reference Information Model.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OPERATE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22874"/>
            <printName language="en" preferredForLanguage="true" text="create"/>
            <code code="CREATE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Fundamental operation in an Information System (IS) that results only in the removal of information about an object from memory or storage. Note: The preceding definition is taken from the HL7 RBAC specification. There is no restriction on how the operation is invoked, e.g., via a user interface.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OPERATE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22891"/>
            <printName language="en" preferredForLanguage="true" text="delete"/>
            <code code="DELETE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Fundamental operation in HL7 Standards Governance that results only in the addition of deprecation information to an object already in existence without changing the status of the object. Operation used internally in the maintenance and recordkeeping of HL7 terminology and standards artifacts.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MODIFYSTATUS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="722877"/>
            <printName language="en" preferredForLanguage="true" text="deprecate"/>
            <code code="DEPRECATE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Fundamental operation in an IS that results only in initiating performance of a single or set of programs (i.e., software objects). Note: The preceding definition is taken from the HL7 RBAC specification. There is no restriction on how the operation is invoked, e.g., via a user interface.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OPERATE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22892"/>
            <printName language="en" preferredForLanguage="true" text="execute"/>
            <code code="EXECUTE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Change the status of an object representing an Act to "held", i.e., put aside an Act that is still in preparatory stages. No action can occur until the Act is released. For an HL7 Act, the state transitions per the HL7 Reference Information Model.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MODIFYSTATUS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22883"/>
            <printName language="en" preferredForLanguage="true" text="hold"/>
            <code code="HOLD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Change the status of an object representing an Act to a normal state. For an HL7 Act, the state transitions per the HL7 Reference Information Model.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MODIFYSTATUS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22884"/>
            <printName language="en" preferredForLanguage="true" text="jump"/>
            <code code="JUMP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Change the status of an object representing an Act.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="UPDATE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22878"/>
            <printName language="en" preferredForLanguage="true" text="modify status"/>
            <code code="MODIFYSTATUS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Change the status of an object representing an Act to "nullified", i.e., treat as though it never existed. For an HL7 Act, the state transitions per the HL7 Reference Information Model.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MODIFYSTATUS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22885"/>
            <printName language="en" preferredForLanguage="true" text="nullify"/>
            <code code="NULLIFY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Change the status of an object representing an Act to "obsolete" when it has been replaced by a new instance. For an HL7 Act, the state transitions per the HL7 Reference Information Model.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MODIFYSTATUS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22886"/>
            <printName language="en" preferredForLanguage="true" text="obsolete"/>
            <code code="OBSOLETE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Act on an object or objects.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22873"/>
            <printName language="en" preferredForLanguage="true" text="operate"/>
            <code code="OPERATE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Change the status of a formerly active object representing an Act to "active", i.e., so it can again be performed or is being performed. (Contrast with ACTIVATE.) For an HL7 Act, the state transitions per the HL7 Reference Information Model.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MODIFYSTATUS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22887"/>
            <printName language="en" preferredForLanguage="true" text="reactivate"/>
            <code code="REACTIVATE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Fundamental operation in an Information System (IS) that results only in the flow of information about an object to a subject. Note: The preceding definition is taken from the HL7 RBAC specification. There is no restriction on how the operation is invoked, e.g., via a user interface.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OPERATE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22875"/>
            <printName language="en" preferredForLanguage="true" text="read"/>
            <code code="READ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Change the status of an object representing an Act so it is no longer "held", i.e., allow action to occur. For an HL7 Act, the state transitions per the HL7 Reference Information Model.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MODIFYSTATUS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22888"/>
            <printName language="en" preferredForLanguage="true" text="release"/>
            <code code="RELEASE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Change the status of a suspended object representing an Act to "active", i.e., so it can be performed or is being performed. For an HL7 Act, the state transitions per the HL7 Reference Information Model.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MODIFYSTATUS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22889"/>
            <printName language="en" preferredForLanguage="true" text="resume"/>
            <code code="RESUME" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Change the status of an object representing an Act to **suspended**, i.e., so it is temporarily not in service.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MODIFYSTATUS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22890"/>
            <printName language="en" preferredForLanguage="true" text="suspend"/>
            <code code="SUSPEND" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Fundamental operation in an Information System (IS) that results only in the revision or alteration of an object. Note: The preceding definition is taken from the HL7 RBAC specification. There is no restriction on how the operation is invoked, e.g., via a user interface.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OPERATE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22876"/>
            <printName language="en" preferredForLanguage="true" text="revise"/>
            <code code="UPDATE" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="DbSNP" title="Genetic Sequence polymorphism database"
               codeSystemId="2.16.840.1.113883.6.284">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>In collaboration with the National Human Genome Research Institute, The National Center for Biotechnology Information has established the dbSNP database to serve as a central repository for both single base nucleotide substitutions and short deletion and insertion polymorphisms.</p>
                  <p>The entries in the dbSNP database can be used with the HL7 coded data type. For example, in the HL7 messages specified according to the HL7 V2 Clinical Genomics Fully LOINC-Qualified Genetic Variation Model, dbSNP entries can be used to as the observation values for DNA sequence variation identifiers. For example, OBX|1|CWE|48004-6^DNA Sequence Variation Identifier^LN||rs55538123^^dbSNP</p>
                  <p>Versioning is identified by the build id. A new build is released approximately every six months or every year. The latest build id is 130, and the dbSNP web query for built 130 was available on Apr 30, 2009.</p>
                  <p>dbSNP is a database that can be used freely by the public.</p>
                  <p>More information may be fouond at: http://www.ncbi.nlm.nih.gov/projects/SNP/</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="DCL" title="DICOM Class Label" codeSystemId="2.16.840.1.113883.6.83">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>DICOM Class Label</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="DCM" title="DICOM Controlled Terminology"
               codeSystemId="1.2.840.10008.2.16.4">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Coded concepts defined in PS 3.16 Digital Imaging and Communications in Medicine (DICOM): Part 16: Content Mapping Resource, Annex D: DICOM Controlled Terminology Definition</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2020-09-03" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="DEEDS" title="DEEDS vocabularies" codeSystemId="2.16.840.1.113883.6.102">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>root for the DEEDS code sets</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="DeedsOld" title="DEEDS(old)" codeSystemId="2.16.840.1.113883.6.89">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>retired root for DEEDs from earlier work. Superceded.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="DEEDS210" title="DEEDS2.10" codeSystemId="2.16.840.1.113883.6.102.2.10">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Code for ED Practitioner Role</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="DEEDS402" title="DEEDS402" codeSystemId="2.16.840.1.113883.6.102.4.2">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Mode of transport to ED</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="DEEDS405" title="DEEDS405" codeSystemId="2.16.840.1.113883.6.102.4.5">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>ED Source of Referral</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="DEEDS407" title="DEEDS407" codeSystemId="2.16.840.1.113883.6.102.4.7">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Code for Initial Healthcare Encounter for Chief Complaint</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="DEEDS408" title="DEEDS408" codeSystemId="2.16.840.1.113883.6.102.4.8">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Code for Acuity Assessment</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="DEEDS412" title="DEEDS412" codeSystemId="2.16.840.1.113883.6.102.4.12">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>ED Responsiveness Assessment</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
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      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Glasgow eye opening assessment</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
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         <documentation>
            <description>
               <text>
                  <p>Glasgow verbal component assessment</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
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      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Glasgow motor component assessment</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
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   <codeSystem name="DEEDS418" title="DEEDS418" codeSystemId="2.16.840.1.113883.6.102.4.18">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Systolic blood pressure special situation</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="DEEDS422" title="DEEDS422" codeSystemId="2.16.840.1.113883.6.102.4.22">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Heart rate method</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
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      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Respiratory rate special circumstances codes</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
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      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Patient temperature route</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
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      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Injury Activity</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
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      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Safety Equipment Use</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
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   <codeSystem name="DEEDS519" title="DEEDS519" codeSystemId="2.16.840.1.113883.6.102.5.19">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Clinical Finding Data Source</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Dentition" title="Dentition" codeSystemId="2.16.840.1.113883.5.1080">
      <historyItem dateTime="2020-05-06" id="v3-Dentition-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**** MISSING DESCRIPTION ****</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
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                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
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         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
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            <description>Designation of a concept's state. Normally is not populated unless the state is retired..</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Artificial dentition, artificial subsitutes for the natural dentition</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19523"/>
            <printName language="en" preferredForLanguage="true" text="Artificial dentition"/>
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         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Permanent dentition, the natural teeth of adulthood that replace or are added to the deciduous teeth</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19404"/>
            <printName language="en" preferredForLanguage="true" text="Permanent dentition"/>
            <code code="PermanentDentition" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Primary dentition, the first teeth to errupt and usually replaced with permanent dentition</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19502"/>
            <printName language="en" preferredForLanguage="true" text="Primary dentition"/>
            <code code="PrimaryDentition" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary tooth, any tooth in addition to the normal permanent and primary dentition</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19449"/>
            <printName language="en" preferredForLanguage="true" text="Supernumerary Tooth"/>
            <code code="SupernumeraryTooth" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Maxillary right third molar</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PermanentDentition"/>
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            <conceptProperty name="internalId" value="19405"/>
            <printName language="en" preferredForLanguage="true" text="1"/>
            <code code="TID1" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Maxillary left lateral incisor</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PermanentDentition"/>
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            <conceptProperty name="internalId" value="19414"/>
            <printName language="en" preferredForLanguage="true" text="10"/>
            <code code="TID10" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Maxillary left lateral incisor abutment</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ArtificialDentition"/>
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            <conceptProperty name="internalId" value="19673"/>
            <printName language="en" preferredForLanguage="true" text="10a"/>
            <code code="TID10a" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Maxillary left lateral incisor implant</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ArtificialDentition"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19533"/>
            <printName language="en" preferredForLanguage="true" text="10i"/>
            <code code="TID10i" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Maxillary left lateral incisor prosthesis</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ArtificialDentition"/>
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            <conceptProperty name="internalId" value="19596"/>
            <printName language="en" preferredForLanguage="true" text="10p"/>
            <code code="TID10p" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Maxillary left lateral incisor distal prosthesis</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ArtificialDentition"/>
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            <conceptProperty name="internalId" value="19597"/>
            <printName language="en" preferredForLanguage="true" text="10pd"/>
            <code code="TID10pd" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Maxillary left lateral incisor mesial prosthesis</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ArtificialDentition"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19595"/>
            <printName language="en" preferredForLanguage="true" text="10pm"/>
            <code code="TID10pm" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary maxillary left lateral incisor</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SupernumeraryTooth"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19459"/>
            <printName language="en" preferredForLanguage="true" text="10s"/>
            <code code="TID10s" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Maxillary left canine</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PermanentDentition"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19415"/>
            <printName language="en" preferredForLanguage="true" text="11"/>
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         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Maxillary left canine abutment</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ArtificialDentition"/>
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            <conceptProperty name="internalId" value="19674"/>
            <printName language="en" preferredForLanguage="true" text="11a"/>
            <code code="TID11a" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Maxillary left canine implant</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ArtificialDentition"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19534"/>
            <printName language="en" preferredForLanguage="true" text="11i"/>
            <code code="TID11i" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Maxillary left canine prosthesis</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ArtificialDentition"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19599"/>
            <printName language="en" preferredForLanguage="true" text="11p"/>
            <code code="TID11p" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Maxillary left canine distal prosthesis</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ArtificialDentition"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19600"/>
            <printName language="en" preferredForLanguage="true" text="11pd"/>
            <code code="TID11pd" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Maxillary left canine mesial prosthesis</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ArtificialDentition"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19598"/>
            <printName language="en" preferredForLanguage="true" text="11pm"/>
            <code code="TID11pm" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary maxillary left canine</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SupernumeraryTooth"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19460"/>
            <printName language="en" preferredForLanguage="true" text="11s"/>
            <code code="TID11s" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Maxillary left first premolar</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PermanentDentition"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19416"/>
            <printName language="en" preferredForLanguage="true" text="12"/>
            <code code="TID12" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Maxillary left first premolar abutment</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ArtificialDentition"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19675"/>
            <printName language="en" preferredForLanguage="true" text="12a"/>
            <code code="TID12a" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Maxillary left first premolar implant</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ArtificialDentition"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19535"/>
            <printName language="en" preferredForLanguage="true" text="12i"/>
            <code code="TID12i" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Maxillary left first premolar prosthesis</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ArtificialDentition"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19602"/>
            <printName language="en" preferredForLanguage="true" text="12p"/>
            <code code="TID12p" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Maxillary left first premolar distal prosthesis</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ArtificialDentition"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19603"/>
            <printName language="en" preferredForLanguage="true" text="12pd"/>
            <code code="TID12pd" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Maxillary left first premolar mesial prosthesis</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ArtificialDentition"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19601"/>
            <printName language="en" preferredForLanguage="true" text="12pm"/>
            <code code="TID12pm" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary maxillary left first premolar</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SupernumeraryTooth"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19461"/>
            <printName language="en" preferredForLanguage="true" text="12s"/>
            <code code="TID12s" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Maxillary left second premolar</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PermanentDentition"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19417"/>
            <printName language="en" preferredForLanguage="true" text="13"/>
            <code code="TID13" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Maxillary left second premolar abutment</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ArtificialDentition"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19676"/>
            <printName language="en" preferredForLanguage="true" text="13a"/>
            <code code="TID13a" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Maxillary left second premolar implant</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ArtificialDentition"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19536"/>
            <printName language="en" preferredForLanguage="true" text="13i"/>
            <code code="TID13i" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Maxillary left second premolar prosthesis</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ArtificialDentition"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19605"/>
            <printName language="en" preferredForLanguage="true" text="13p"/>
            <code code="TID13p" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Maxillary left second premolar distal prosthesis</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ArtificialDentition"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19606"/>
            <printName language="en" preferredForLanguage="true" text="13pd"/>
            <code code="TID13pd" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Maxillary left second premolar mesial prosthesis</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ArtificialDentition"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19604"/>
            <printName language="en" preferredForLanguage="true" text="13pm"/>
            <code code="TID13pm" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary maxillary left second premolar</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SupernumeraryTooth"/>
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            <conceptProperty name="internalId" value="19462"/>
            <printName language="en" preferredForLanguage="true" text="13s"/>
            <code code="TID13s" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Maxillary left first molar</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PermanentDentition"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19418"/>
            <printName language="en" preferredForLanguage="true" text="14"/>
            <code code="TID14" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Maxillary left first molar abutment</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ArtificialDentition"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19677"/>
            <printName language="en" preferredForLanguage="true" text="14a"/>
            <code code="TID14a" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Maxillary left first molar implant</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ArtificialDentition"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19537"/>
            <printName language="en" preferredForLanguage="true" text="14i"/>
            <code code="TID14i" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Maxillary left first molar prosthesis</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
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            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PrimaryDentition"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19512"/>
            <printName language="en" preferredForLanguage="true" text="J"/>
            <code code="TIDJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary maxillary left second primary molar</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SupernumeraryTooth"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19491"/>
            <printName language="en" preferredForLanguage="true" text="Js"/>
            <code code="TIDJs" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Mandibular left second primary molar</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PrimaryDentition"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19513"/>
            <printName language="en" preferredForLanguage="true" text="K"/>
            <code code="TIDK" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary mandibular left second primary molar</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SupernumeraryTooth"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19492"/>
            <printName language="en" preferredForLanguage="true" text="Ks"/>
            <code code="TIDKs" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Mandibular left first primary molar</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PrimaryDentition"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19514"/>
            <printName language="en" preferredForLanguage="true" text="L"/>
            <code code="TIDL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary mandibular left first primary molar</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SupernumeraryTooth"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19493"/>
            <printName language="en" preferredForLanguage="true" text="Ls"/>
            <code code="TIDLs" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Mandibular left primary canine</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PrimaryDentition"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19515"/>
            <printName language="en" preferredForLanguage="true" text="M"/>
            <code code="TIDM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary mandibular left primary canine</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SupernumeraryTooth"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19494"/>
            <printName language="en" preferredForLanguage="true" text="Ms"/>
            <code code="TIDMs" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Mandibular left lateral primary incisor</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PrimaryDentition"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19516"/>
            <printName language="en" preferredForLanguage="true" text="N"/>
            <code code="TIDN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary mandibular left lateral primary incisor</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SupernumeraryTooth"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19495"/>
            <printName language="en" preferredForLanguage="true" text="Ns"/>
            <code code="TIDNs" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Mandibular left central primary incisor</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PrimaryDentition"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19517"/>
            <printName language="en" preferredForLanguage="true" text="O"/>
            <code code="TIDO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary mandibular left central primary incisor</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SupernumeraryTooth"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19496"/>
            <printName language="en" preferredForLanguage="true" text="Os"/>
            <code code="TIDOs" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Mandibular right central primary incisor</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PrimaryDentition"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19518"/>
            <printName language="en" preferredForLanguage="true" text="P"/>
            <code code="TIDP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary mandibular right central primary incisor</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SupernumeraryTooth"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19497"/>
            <printName language="en" preferredForLanguage="true" text="Ps"/>
            <code code="TIDPs" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Mandibular right lateral primary incisor</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PrimaryDentition"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19519"/>
            <printName language="en" preferredForLanguage="true" text="Q"/>
            <code code="TIDQ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary mandibular right lateral primary incisor</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SupernumeraryTooth"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19498"/>
            <printName language="en" preferredForLanguage="true" text="Qs"/>
            <code code="TIDQs" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Mandibular right primary canine</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PrimaryDentition"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19520"/>
            <printName language="en" preferredForLanguage="true" text="R"/>
            <code code="TIDR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary mandibular right primary canine</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SupernumeraryTooth"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19499"/>
            <printName language="en" preferredForLanguage="true" text="Rs"/>
            <code code="TIDRs" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Mandibular right first primary molar</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PrimaryDentition"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19521"/>
            <printName language="en" preferredForLanguage="true" text="S"/>
            <code code="TIDS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary mandibular right first primary molar</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SupernumeraryTooth"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19500"/>
            <printName language="en" preferredForLanguage="true" text="Ss"/>
            <code code="TIDSs" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Mandibular right second primary molar</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PrimaryDentition"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19522"/>
            <printName language="en" preferredForLanguage="true" text="T"/>
            <code code="TIDT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Supernumerary mandibular right second primary molar</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SupernumeraryTooth"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19501"/>
            <printName language="en" preferredForLanguage="true" text="Ts"/>
            <code code="TIDTs" status="active"/>
         </concept>
         <concept isSelectable="false">
            <conceptProperty name="internalId" value="21296"/>
            <printName language="en" preferredForLanguage="true" text="ArtificialDentition"/>
            <code code="_ArtificialDentition" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <conceptProperty name="internalId" value="21297"/>
            <printName language="en" preferredForLanguage="true" text="Dentition"/>
            <code code="_Dentition" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <conceptProperty name="internalId" value="21298"/>
            <printName language="en" preferredForLanguage="true" text="PermanentDentition"/>
            <code code="_PermanentDentition" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <conceptProperty name="internalId" value="21299"/>
            <printName language="en" preferredForLanguage="true" text="PrimaryDentition"/>
            <code code="_PrimaryDentition" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <conceptProperty name="internalId" value="21300"/>
            <printName language="en" preferredForLanguage="true" text="SupernumeraryTooth"/>
            <code code="_SupernumeraryTooth" status="retired"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="DeviceAlertLevel" title="DeviceAlertLevel"
               codeSystemId="2.16.840.1.113883.5.31">
      <historyItem dateTime="2020-05-06" id="v3-DeviceAlertLevel-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Domain values for the Device.Alert\_levelCode</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
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                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Shut Down, Fix Problem and Re-initialize</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14070"/>
            <printName language="en" preferredForLanguage="true" text="Critical"/>
            <code code="C" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>No Corrective Action Needed</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14067"/>
            <printName language="en" preferredForLanguage="true" text="Normal"/>
            <code code="N" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Corrective Action Required</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14069"/>
            <printName language="en" preferredForLanguage="true" text="Serious"/>
            <code code="S" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Corrective Action Anticipated</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14068"/>
            <printName language="en" preferredForLanguage="true" text="Warning"/>
            <code code="W" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="DicomMDLTY" title="DICOM modality codes"
               codeSystemId="2.16.840.1.113883.6.31">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>DICOM modality codes</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Dicomqry" title="DICOM Query Label" codeSystemId="2.16.840.1.113883.6.32">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>DICOM Query Label</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="DmdICD10" title="ICD-10 German" codeSystemId="2.16.840.1.113883.6.3.3">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Internationale Klassifikation der Krankheiten 10 \[German translation of ICD10\]. Germany: Deutsches Institut fuer Medizinische Dokumentation und Information, 1998.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="DocumentCompletion" title="DocumentCompletion"
               codeSystemId="2.16.840.1.113883.5.33">
      <historyItem dateTime="2020-05-06" id="v3-DocumentCompletion-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Identifies the current completion state of a clinical document.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A completion status in which a document has been signed manually or electronically by one or more individuals who attest to its accuracy. No explicit determination is made that the assigned individual has performed the authentication. While the standard allows multiple instances of authentication, it would be typical to have a single instance of authentication, usually by the assigned individual.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10581"/>
            <printName language="en" preferredForLanguage="true" text="authenticated"/>
            <code code="AU" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A completion status in which information has been orally recorded but not yet transcribed.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10576"/>
            <printName language="en" preferredForLanguage="true" text="dictated"/>
            <code code="DI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A completion status in which document content, other than dictation, has been received but has not been translated into the final electronic format. Examples include paper documents, whether hand-written or typewritten, and intermediate electronic forms, such as voice to text.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10577"/>
            <printName language="en" preferredForLanguage="true" text="documented"/>
            <code code="DO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A completion status in which information is known to be missing from a transcribed document.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10579"/>
            <printName language="en" preferredForLanguage="true" text="incomplete"/>
            <code code="IN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A workflow status where the material has been assigned to personnel to perform the task of transcription. The document remains in this state until the document is transcribed.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10578"/>
            <printName language="en" preferredForLanguage="true" text="in progress"/>
            <code code="IP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A completion status in which a document has been signed manually or electronically by the individual who is legally responsible for that document. This is the most mature state in the workflow progression.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10582"/>
            <printName language="en" preferredForLanguage="true" text="legally authenticated"/>
            <code code="LA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A completion status in which a document was created in error or was placed in the wrong chart. The document is no longer available.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23537"/>
            <printName language="en" preferredForLanguage="true" text="nullified document"/>
            <code code="NU" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A completion status in which a document is transcribed but not authenticated.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10580"/>
            <printName language="en" preferredForLanguage="true" text="pre-authenticated"/>
            <code code="PA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A completion status where the document is complete and there is no expectation that the document will be signed.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23538"/>
            <printName language="en" preferredForLanguage="true" text="unsigned completed document"/>
            <code code="UC" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="DocumentStorage" title="DocumentStorage"
               codeSystemId="2.16.840.1.113883.5.34">
      <historyItem dateTime="2020-05-06" id="v3-DocumentStorage-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Identifies the storage status of a document.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A storage status in which a document is available on-line and is also stored off-line for long-term access.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10585"/>
            <printName language="en" preferredForLanguage="true" text="active and archived"/>
            <code code="AA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A storage status in which a document is available on-line.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10584"/>
            <printName language="en" preferredForLanguage="true" text="active"/>
            <code code="AC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A storage status in which a document has been stored off-line for long-term access.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10586"/>
            <printName language="en" preferredForLanguage="true" text="archived (not active)"/>
            <code code="AR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A storage status in which a document is no longer available in this system.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10587"/>
            <printName language="en" preferredForLanguage="true" text="purged"/>
            <code code="PU" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="E5" title="Euclides quantity codes" codeSystemId="2.16.840.1.113883.6.35">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Euclides quantity codes</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="E6" title="Euclides Lab method codes"
               codeSystemId="2.16.840.1.113883.6.36">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Euclides Lab method codes</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="E7" title="Euclides Lab equipment codes"
               codeSystemId="2.16.840.1.113883.6.37">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Euclides Lab equipment codes</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="EditStatus" title="EditStatus" codeSystemId="2.16.840.1.113883.5.35">
      <historyItem dateTime="2020-05-06" id="v3-EditStatus-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The status of an entry as it pertains to its review and incorporation into the HL7 domain specification database.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The item has been reviewed and approved and is now valid for use in HL7 standards and messages.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11042"/>
            <printName language="en" preferredForLanguage="true" text="Active"/>
            <code code="A" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A previously active item has been retired from use. The item may exist as previously stored data in a database, but no current or new HL7 standards or messges should use this item. The code for an inactive item will not be reused by HL7.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11044"/>
            <printName language="en" preferredForLanguage="true" text="Inactive"/>
            <code code="I" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A previously active item that is scheduled to be retired from use, but for practical reasons can not be immediately inactivated. It is still legal to use an obsolete item in HL7 standards or messages, but those creating new messages should make every effort to use an active concept instead.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11045"/>
            <printName language="en" preferredForLanguage="true" text="Obsolete"/>
            <code code="O" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The item has been suggested for incorporation but has not been officially approved. The item is not yet legal for use in HL7 standards and messages.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11041"/>
            <printName language="en" preferredForLanguage="true" text="Proposed"/>
            <code code="P" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The item has been reviewed and rejected. The item is not legal for use in HL7 standards and messages.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11043"/>
            <printName language="en" preferredForLanguage="true" text="Rejected"/>
            <code code="R" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="EducationLevel" title="Education Level"
               codeSystemId="2.16.840.1.113883.5.1077">
      <historyItem dateTime="2020-05-06" id="v3-EducationLevel-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Years of education that a person has completed</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Associate's or technical degree complete</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19180"/>
            <printName language="en" preferredForLanguage="true"
                       text="Associate's or technical degree complete"/>
            <code code="ASSOC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>College or baccalaureate degree complete</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19181"/>
            <printName language="en" preferredForLanguage="true"
                       text="College or baccalaureate degree complete"/>
            <code code="BD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Elementary School</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19176"/>
            <printName language="en" preferredForLanguage="true" text="Elementary School"/>
            <code code="ELEM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Graduate or professional Degree complete</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19183"/>
            <printName language="en" preferredForLanguage="true"
                       text="Graduate or professional Degree complete"/>
            <code code="GD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>High School or secondary school degree complete</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19178"/>
            <printName language="en" preferredForLanguage="true"
                       text="High School or secondary school degree complete"/>
            <code code="HS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Some post-baccalaureate education</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19182"/>
            <printName language="en" preferredForLanguage="true"
                       text="Some post-baccalaureate education"/>
            <code code="PB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Doctoral or post graduate education</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19184"/>
            <printName language="en" preferredForLanguage="true"
                       text="Doctoral or post graduate education"/>
            <code code="POSTG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Some College education</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19179"/>
            <printName language="en" preferredForLanguage="true" text="Some College education"/>
            <code code="SCOL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Some secondary or high school education</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19177"/>
            <printName language="en" preferredForLanguage="true"
                       text="Some secondary or high school education"/>
            <code code="SEC" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="EmployeeJobClass" title="EmployeeJobClass"
               codeSystemId="2.16.840.1.113883.5.1059">
      <historyItem dateTime="2020-05-06" id="v3-EmployeeJobClass-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A code qualifying the employment in various ways, such as, full-time vs. part time, etc.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired..</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Employment in which the employee is expected to work at least a standard work week (defined by the US Bureau of Labor Statistics as 35-44 hours per week)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="16037"/>
            <printName language="en" preferredForLanguage="true" text="full-time"/>
            <code code="FT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Employment in which the employee is expected to work less than a standard work week (defined by the US Bureau of Labor Statistics as 35-44 hours per week)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="16038"/>
            <printName language="en" preferredForLanguage="true" text="part-time"/>
            <code code="PT" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Industry and/or jurisdictional classification system for kind-of-work performed by an employee.</p>
                        <p>Occupation codes are intended primarily as work descriptions that are suitable for a multitude of public uses e.g., job matching, employment counseling, occupational and career guidance, and labor market information services.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21490"/>
            <printName language="en" preferredForLanguage="true" text="EmployeeOccupationCode"/>
            <code code="_EmployeeOccupationCode" status="retired"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="EncounterAdmissionSource" title="EncounterAdmissionSource"
               codeSystemId="2.16.840.1.113883.5.37">
      <historyItem dateTime="2020-05-06" id="v3-EncounterAdmissionSource-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**** MISSING DESCRIPTION ****</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <conceptProperty name="internalId" value="12235"/>
            <printName language="en" preferredForLanguage="true" text="emergency"/>
            <code code="E" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="12236"/>
            <printName language="en" preferredForLanguage="true" text="labor and delivery"/>
            <code code="LD" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="12237"/>
            <printName language="en" preferredForLanguage="true" text="newborn"/>
            <code code="NB" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="EncounterReferralSource" title="EncounterReferralSource"
               codeSystemId="2.16.840.1.113883.5.39">
      <historyItem dateTime="2020-05-06" id="v3-EncounterReferralSource-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>This domain is defined in UB92 and applies to US realm only</p>
                  <b>Deprecation Comment:</b>Deprecated as per 11/2008 Harmonization cleanup; internal and obsolete HL7 usage, no longer used. We've deprecated all of the codes.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired..</description>
         </supportedConceptProperty>
         <concept>
            <conceptProperty name="internalId" value="12225"/>
            <printName language="en" preferredForLanguage="true" text="clinical referral"/>
            <code code="CREF" status="retired"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="12230"/>
            <printName language="en" preferredForLanguage="true" text="emergency room"/>
            <code code="ER" status="retired"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="12226"/>
            <printName language="en" preferredForLanguage="true" text="HMO referral"/>
            <code code="HREF" status="retired"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="12223"/>
            <printName language="en" preferredForLanguage="true"
                       text="court/law enforcement organization"/>
            <code code="LENF" status="retired"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="12222"/>
            <printName language="en" preferredForLanguage="true" text="physician referral"/>
            <code code="PREF" status="retired"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="12227"/>
            <printName language="en" preferredForLanguage="true" text="transfer from hospital"/>
            <code code="THSP" status="retired"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="12229"/>
            <printName language="en" preferredForLanguage="true"
                       text="transfer from another healthcare facility"/>
            <code code="TOHCF" status="retired"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="12228"/>
            <printName language="en" preferredForLanguage="true"
                       text="transfer from skilled nursing facility"/>
            <code code="TSNF" status="retired"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="12224"/>
            <printName language="en" preferredForLanguage="true" text="walk-in"/>
            <code code="WI" status="retired"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="EncounterSpecialCourtesy" title="EncounterSpecialCourtesy"
               codeSystemId="2.16.840.1.113883.5.40">
      <historyItem dateTime="2020-05-06" id="v3-EncounterSpecialCourtesy-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**** MISSING DESCRIPTION ****</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <conceptProperty name="internalId" value="12244"/>
            <printName language="en" preferredForLanguage="true" text="extended courtesy"/>
            <code code="EXT" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="12243"/>
            <printName language="en" preferredForLanguage="true" text="normal courtesy"/>
            <code code="NRM" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="12245"/>
            <printName language="en" preferredForLanguage="true" text="professional courtesy"/>
            <code code="PRF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Courtesies extended to the staff of the entity providing service.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="12247"/>
            <printName language="en" preferredForLanguage="true" text="staff"/>
            <code code="STF" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="12246"/>
            <printName language="en" preferredForLanguage="true" text="very important person"/>
            <code code="VIP" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="EntityClass" title="EntityClass" codeSystemId="2.16.840.1.113883.5.41">
      <historyItem dateTime="2020-05-06" id="v3-EntityClass-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Classifies the Entity class and all of its subclasses. The terminology is hierarchical. At the top is this HL7-defined domain of high-level categories (such as represented by the Entity subclasses). Each of these terms must be harmonized and is specializable. The value sets beneath are drawn from multiple, frequently external, domains that reflect much more fine-grained typing.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="Name:Class" type="Token" isMandatoryIndicator="false">
            <description>The formal name for the class clone under this code</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="appliesTo" type="String" isMandatoryIndicator="false">
            <description>Haven't a clue!</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A living subject from the animal kingdom.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NLIV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10885"/>
            <conceptProperty name="Name:Class" value="Animal"/>
            <printName language="en" preferredForLanguage="true" text="animal"/>
            <code code="ANM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A physical artifact that stores information about the granting of authorization.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DEV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16098"/>
            <conceptProperty name="Name:Class" value="CertificateRepresentation"/>
            <printName language="en" preferredForLanguage="true" text="certificate representation"/>
            <code code="CER" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A substance that is fully defined by an organic or inorganic chemical formula, includes mixtures of other chemical substances. Refine using, e.g., IUPAC codes.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10888"/>
            <conceptProperty name="Name:Class" value="ChemicalSubstance"/>
            <printName language="en" preferredForLanguage="true" text="chemical substance"/>
            <code code="CHEM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The territory of a city, town or other municipality.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PLC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16835"/>
            <conceptProperty name="Name:Class" value="City"/>
            <printName language="en" preferredForLanguage="true" text="city or town"/>
            <code code="CITY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A container of other entities.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MMAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11622"/>
            <conceptProperty name="Name:Class" value="Container"/>
            <printName language="en" preferredForLanguage="true" text="container"/>
            <code code="CONT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The territory of a sovereign nation.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PLC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16836"/>
            <conceptProperty name="Name:Class" value="Country"/>
            <printName language="en" preferredForLanguage="true" text="country"/>
            <code code="COUNTRY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The territory of a county, parish or other division of a state or province.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PLC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16837"/>
            <conceptProperty name="Name:Class" value="Parish"/>
            <printName language="en" preferredForLanguage="true" text="county or parish"/>
            <code code="COUNTY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A subtype of ManufacturedMaterial used in an activity, without being substantially changed through that activity. The kind of device is identified by the code attribute inherited from Entity.</p>
                        <i>Usage:</i>This includes durable (reusable) medical equipment as well as disposable equipment.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MMAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11623"/>
            <conceptProperty name="Name:Class" value="Device"/>
            <printName language="en" preferredForLanguage="true" text="device"/>
            <code code="DEV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Corresponds to the Entity class</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="13922"/>
            <conceptProperty name="Name:Class" value="Entity"/>
            <printName language="en" preferredForLanguage="true" text="entity"/>
            <code code="ENT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Naturally occurring, processed or manufactured entities that are primarily used as food for humans and animals.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14027"/>
            <conceptProperty name="Name:Class" value="Food"/>
            <printName language="en" preferredForLanguage="true" text="food"/>
            <code code="FOOD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A health chart included to serve as a document receiving entity in the management of medical records.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ENT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16755"/>
            <conceptProperty name="Name:Class" value="HealthChart"/>
            <printName language="en" preferredForLanguage="true" text="health chart entity"/>
            <code code="HCE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A type of container that can hold other containers or other holders.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CONT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14029"/>
            <conceptProperty name="Name:Class" value="Holder"/>
            <printName language="en" preferredForLanguage="true" text="holder"/>
            <code code="HOLD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Anything that essentially has the property of life, independent of current state (a dead human corpse is still essentially a living subject).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ENT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10884"/>
            <conceptProperty name="Name:Class" value="LivingSubject"/>
            <printName language="en" preferredForLanguage="true" text="living subject"/>
            <code code="LIV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Any thing that has extension in space and mass, may be of living or non-living origin.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ENT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10883"/>
            <conceptProperty name="Name:Class" value="Material"/>
            <printName language="en" preferredForLanguage="true" text="material"/>
            <code code="MAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>All single celled living organisms including protozoa, bacteria, yeast, viruses, etc.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NLIV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14028"/>
            <conceptProperty name="Name:Class" value="Microorganism"/>
            <printName language="en" preferredForLanguage="true" text="microorganism"/>
            <code code="MIC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Corresponds to the ManufacturedMaterial class</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="13934"/>
            <conceptProperty name="Name:Class" value="ManufacturedMaterial"/>
            <printName language="en" preferredForLanguage="true" text="manufactured material"/>
            <code code="MMAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Class to contain unique attributes of diagnostic imaging equipment.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DEV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="13939"/>
            <conceptProperty name="Name:Class" value="ModalityDevice"/>
            <printName language="en" preferredForLanguage="true" text="imaging modality"/>
            <printName language="en" preferredForLanguage="false" text="ImagingModalityEntity"/>
            <code code="MODDV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A politically organized body of people bonded by territory and known as a nation.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="STATE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20093"/>
            <conceptProperty name="Name:Class" value="Nation"/>
            <printName language="en" preferredForLanguage="true" text="Nation"/>
            <code code="NAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A subtype of living subject that includes all living things except the species Homo Sapiens.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LIV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11621"/>
            <conceptProperty name="Name:Class" value="NonPersonLivingSubject"/>
            <printName language="en" preferredForLanguage="true" text="non-person living subject"/>
            <code code="NLIV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A social or legal structure formed by human beings.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ENT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10889"/>
            <conceptProperty name="Name:Class" value="Organization"/>
            <printName language="en" preferredForLanguage="true" text="organization"/>
            <code code="ORG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A physical place or site with its containing structure. May be natural or man-made. The geographic position of a place may or may not be constant.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ENT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10892"/>
            <conceptProperty name="Name:Class" value="Place"/>
            <printName language="en" preferredForLanguage="true" text="place"/>
            <code code="PLC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A living subject from the order of plants.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NLIV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10886"/>
            <conceptProperty name="Name:Class" value="Plant"/>
            <printName language="en" preferredForLanguage="true" text="plant"/>
            <code code="PLNT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The territory of a state, province, department or other division of a sovereign country.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PLC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16838"/>
            <conceptProperty name="Name:Class" value="Province"/>
            <printName language="en" preferredForLanguage="true" text="state or province"/>
            <code code="PROVINCE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A living subject of the species homo sapiens.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LIV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10887"/>
            <conceptProperty name="Name:Class" value="Person"/>
            <printName language="en" preferredForLanguage="true" text="person"/>
            <code code="PSN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An agency of the people of a state often assuming some authority over a certain matter. Includes government, governmental agencies, associations.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ORG"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10891"/>
            <conceptProperty name="Name:Class" value="PublicInstitution"/>
            <printName language="en" preferredForLanguage="true" text="public institution"/>
            <code code="PUB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A grouping of resources (personnel, material, or places) to be used for scheduling purposes. May be a pool of like-type resources, a team, or combination of personnel, material and places.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ENT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11630"/>
            <conceptProperty name="appliesTo" value="Determiner = determined"/>
            <conceptProperty name="Name:Class" value="Group"/>
            <printName language="en" preferredForLanguage="true" text="group"/>
            <code code="RGRP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A politically organized body of people bonded by territory, culture, or ethnicity, having sovereignty (to a certain extent) granted by other states (enclosing or neighboring states). This includes countries (nations), provinces (e.g., one of the United States of America or a French departement), counties or municipalities. Refine using, e.g., ISO country codes, FIPS-PUB state codes, etc.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ORG"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10890"/>
            <conceptProperty name="Name:Class" value="State"/>
            <printName language="en" preferredForLanguage="true" text="state"/>
            <code code="STATE" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="EntityCode" title="EntityCode" codeSystemId="2.16.840.1.113883.5.1060">
      <historyItem dateTime="2020-05-06" id="v3-EntityCode-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <i>OpenIssue:</i>Missing description.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Specializes" name="ClassifiesClassCode">
            <description>The child code is a classification of the particular class group identified by the 'classCode' in a RIM class as the parent code. Used only in RIM backbone classes to link the code and classCode values.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>A property that indicates the status of the concept. One of active, experimental, deprecated, or retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>ACD Solution A of trisodium citrate, 22.0g/L; citric acid, 8.0 g/L; and dextrose 24.5 g/L. Used in Blood banking and histocompatibilty testing</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16047"/>
            <printName language="en" preferredForLanguage="true" text="ACD Solution A"/>
            <code code="ACDA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>ACD Solution B of trisodium citrate, 13.2g/L; citric acid, 4.8 g/L; and dextrose 14.7 g/L. Used in Blood banking and histocompatibilty testing.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16048"/>
            <printName language="en" preferredForLanguage="true" text="ACD Solution B"/>
            <code code="ACDB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>50% V/V acetic acid in water. Used as a urine preservative</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16049"/>
            <printName language="en" preferredForLanguage="true" text="Acetic Acid"/>
            <code code="ACET" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Automatically injects medication.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InjectionMedicalDevice"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16192"/>
            <printName language="en" preferredForLanguage="true" text="AutoInjector"/>
            <code code="AINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Sodium Chloride 3.0g, Potassium Chloride 0.2g, Calcium Chloride 0.1g, Magnesium Chloride 0.1g, Monopotassium Phosphate 0.2g, Disodium Phosphate 1.15g, Sodium Thiogly collate 1.0g, Distilled Water 1 liter</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16050"/>
            <printName language="en" preferredForLanguage="true" text="Amies transport medium"/>
            <code code="AMIES" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A small sealed glass container that holds a measured amount of a medicinal substance.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IndividualPackageEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16177"/>
            <printName language="en" preferredForLanguage="true" text="Ampule"/>
            <code code="AMP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A device used to apply a liquid or powder to a surface.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AdministrationMedicalDevice"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16190"/>
            <printName language="en" preferredForLanguage="true" text="Applicator"/>
            <code code="APLCTR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Any medium used to maintain bacterial viability (e.g. Stuart's, Cary-Blair, Amies)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16052"/>
            <printName language="en" preferredForLanguage="true" text="Bacterial Transport medium"/>
            <code code="BACTM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A pouched or pendulous container.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NonRigidContainerEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16148"/>
            <printName language="en" preferredForLanguage="true" text="Bag"/>
            <code code="BAG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The location of a bed</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PlaceEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16101"/>
            <printName language="en" preferredForLanguage="true" text="Bed Location"/>
            <code code="BED" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Formaldehyde 4% w/v; methyl alcohol 1% w/v; phosphate buffering salts. Tissue preservative</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16055"/>
            <printName language="en" preferredForLanguage="true" text="Buffered 10% formalin"/>
            <code code="BF10" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The location of a building</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PlaceEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16104"/>
            <printName language="en" preferredForLanguage="true" text="Building Location"/>
            <code code="BLDG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A manufactured product that is produced from the raw blood oi a donor with the intention of using it in a recipient transfusion.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MaterialEntityClassType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21459"/>
            <printName language="en" preferredForLanguage="true" text="Blood Product"/>
            <code code="BLDPRD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A bubblepack. Medications sealed individually, separated into doses.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RigidContainerEntityType"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="COMPPKG"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16171"/>
            <printName language="en" preferredForLanguage="true" text="Blister Pack"/>
            <code code="BLSTRPK" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Powdered boric acid (usually 10 g) added to 24-hour urine collections as a preservative.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16053"/>
            <printName language="en" preferredForLanguage="true" text="Boric Acid"/>
            <code code="BOR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A container, typically rounded, either glass or plastic with a narrow neck and capable of storing liquid.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MultiUseContainerEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16155"/>
            <printName language="en" preferredForLanguage="true" text="Bottle"/>
            <code code="BOT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A bottle of yellow to brown color. Used to store light-sensitive materials</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="BOT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16156"/>
            <printName language="en" preferredForLanguage="true" text="Amber Bottle"/>
            <code code="BOTA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A bottle with a cap designed to release the contained liquid in droplets of a specific size.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="BOT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16157"/>
            <printName language="en" preferredForLanguage="true" text="Dropper Bottle"/>
            <code code="BOTD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A bottle made of glass</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="BOT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16158"/>
            <printName language="en" preferredForLanguage="true" text="Glass Bottle"/>
            <code code="BOTG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A bottle made of plastic</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="BOT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16159"/>
            <printName language="en" preferredForLanguage="true" text="Plastic Bottle"/>
            <code code="BOTP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A bottle made of polyethylene</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="BOTP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16160"/>
            <printName language="en" preferredForLanguage="true" text="Polyethylene Bottle"/>
            <code code="BOTPLY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Picric acid, saturated aqueous solution (750.0 ml), 37-40% formalin (250.0 ml), glacial acetic acid (50.0 ml). Tissue preservative.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16054"/>
            <printName language="en" preferredForLanguage="true" text="Bouin's solution"/>
            <code code="BOUIN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A 6-sided container commonly made from paper or cardboard used for solid forms.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MultiUseContainerEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16154"/>
            <printName language="en" preferredForLanguage="true" text="Box"/>
            <code code="BOX" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>50% skim milk in 0.01 M phosphate-buffered saline. Maintain virus viability</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16057"/>
            <printName language="en" preferredForLanguage="true" text="Buffered skim milk"/>
            <code code="BSKM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A 3.2% solution of Sodium Citrate in water. Used as a blood preservative</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16044"/>
            <printName language="en" preferredForLanguage="true" text="3.2% Citrate"/>
            <code code="C32" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A 3.8% solution of Sodium Citrate in water. Used as a blood preservative</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16045"/>
            <printName language="en" preferredForLanguage="true" text="3.8% Citrate"/>
            <code code="C38" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A metal container in which a material is hermetically sealed to enable storage over long periods.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MultiUseContainerEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16161"/>
            <printName language="en" preferredForLanguage="true" text="Can"/>
            <code code="CAN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A bubble pack card. Multiple individual/separated doses.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="BLSTRPK"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16172"/>
            <printName language="en" preferredForLanguage="true" text="Card"/>
            <code code="CARD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A modification of buffered 10% formalin used as a general tissue preservative.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16058"/>
            <printName language="en" preferredForLanguage="true" text="Carson's Modified 10% formalin"/>
            <code code="CARS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A sealed container of liquid or powder intended to be loaded into a device.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MultiUseContainerEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16163"/>
            <printName language="en" preferredForLanguage="true" text="Cartridge"/>
            <code code="CART" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Sodium Thioglycollate 1.5 g, Disodium Hydrogen Phosphate 1.1 g, Sodium Chloride 5.0 g, Calcium Chloride 0.09 g, Agar 5.0 g, per Liter of Water</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16059"/>
            <printName language="en" preferredForLanguage="true" text="Cary Blair Medium"/>
            <code code="CARY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Any of a number of non-nutritive buffered media used to maintain Chlamydia viability during transportation to the laboratory</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16060"/>
            <printName language="en" preferredForLanguage="true" text="Chlamydia transport medium"/>
            <code code="CHLTM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A pressurized metal container holding a substance released as a spray or aerosol.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MultiUseContainerEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16162"/>
            <printName language="en" preferredForLanguage="true" text="Canister"/>
            <code code="CNSTR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A container intended to contain sufficient material for more than one use, but grouped or organized to provide individual access to sufficient material for a single use. Often used to ensure that the proper type and amount of material is consumed/expended for each use.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PKG"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16170"/>
            <printName language="en" preferredForLanguage="true" text="Compliance Package"/>
            <code code="COMPPKG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Buffered tri-sodium citrate solution with theophylline, adenosine and dipyridamole</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16061"/>
            <printName language="en" preferredForLanguage="true" text="CTAD"/>
            <code code="CTAD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Rotatable dispenser. Eg. Birth control package.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="COMPPKG"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16173"/>
            <printName language="en" preferredForLanguage="true" text="Dial Pack"/>
            <code code="DIALPK" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Object that is thin, flat, and circular. Doses of medication often contained in bubbles on the disk.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="COMPPKG"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16174"/>
            <printName language="en" preferredForLanguage="true" text="Disk"/>
            <code code="DISK" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Special packaging that will help patients take their medications on a regular basis.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="COMPPKG"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16175"/>
            <printName language="en" preferredForLanguage="true" text="Dosette"/>
            <code code="DOSET" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The device used to inhale the doses of medication contained in the disk form.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16199"/>
            <printName language="en" preferredForLanguage="true" text="Diskus"/>
            <code code="DSKS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The device used to inhale the doses of medication contained in the disk form.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16198"/>
            <printName language="en" preferredForLanguage="true" text="Diskhaler"/>
            <code code="DSKUNH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Potassium EDTA 15% solution in water</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16077"/>
            <printName language="en" preferredForLanguage="true" text="Potassium/K EDTA 15%"/>
            <code code="EDTK15" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Potassium EDTA 7.5% solution in water</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16078"/>
            <printName language="en" preferredForLanguage="true" text="Potassium/K EDTA 7.5%"/>
            <code code="EDTK75" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Sodium fluoride and Disodium EDTA</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16087"/>
            <printName language="en" preferredForLanguage="true" text="Sodium/Na EDTA"/>
            <code code="EDTN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Any of a number of non-nutritive buffered media used to maintain enteric bacterial viability during transportation to the laboratory</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16062"/>
            <printName language="en" preferredForLanguage="true"
                       text="Enteric bacteria transport medium"/>
            <code code="ENT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A 10% v/v solution in water of formalin( a 37% solution of formaldehyde and water). Used for tissue preservation.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16043"/>
            <printName language="en" preferredForLanguage="true" text="10% Formalin"/>
            <code code="F10" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Thrombin plus soybean trypsin inhibitor. For use in identifying fibrn degredation products.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16091"/>
            <printName language="en" preferredForLanguage="true"
                       text="Thrombin NIH; soybean trypsin inhibitor"/>
            <code code="FDP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Sodium fluoride, 10mg added as a urine preservative.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16085"/>
            <printName language="en" preferredForLanguage="true" text="Sodium Fluoride, 10mg"/>
            <code code="FL10" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Sodium fluoride, 100mg added as a urine preservative.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16084"/>
            <printName language="en" preferredForLanguage="true" text="Sodium Fluoride, 100mg"/>
            <code code="FL100" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The location of a floor of a building</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PlaceEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16103"/>
            <printName language="en" preferredForLanguage="true" text="Floor Location"/>
            <code code="FLOOR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A solution of HCl containing 6moles of hydrogen ion/L. Used as a Urine Preservative.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16046"/>
            <printName language="en" preferredForLanguage="true" text="6N HCL"/>
            <code code="HCL6" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Ammonium heparin</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16051"/>
            <printName language="en" preferredForLanguage="true" text="Ammonium heparin"/>
            <code code="HEPA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Lithium heparin salt</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16066"/>
            <printName language="en" preferredForLanguage="true" text="Lithium/Li Heparin"/>
            <code code="HEPL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Sodium heparin salt</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16086"/>
            <printName language="en" preferredForLanguage="true" text="Sodium/Na Heparin"/>
            <code code="HEPN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The group of persons who occupy a single housing unit.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_OrganizationEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23072"/>
            <printName language="en" preferredForLanguage="true" text="household"/>
            <code code="HHOLD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>6N Nitric acid used to preserve urine for heavy metal analysis.</p>
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               <targetConcept code="_SpecimenAdditiveEntity"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A line used to administer a substance into an artery</p>
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                  </definition>
               </documentation>
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               <targetConcept code="LINE"/>
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            <conceptProperty name="internalId" value="16203"/>
            <printName language="en" preferredForLanguage="true" text="Intra-arterial Line"/>
            <code code="IALINE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A small device used for inhaling medicine in the form of a vapour or gas in order to ease a respiratory condition such as asthma or to relieve nasal congestion.</p>
                     </text>
                  </definition>
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            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AdministrationMedicalDevice"/>
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            <conceptProperty name="internalId" value="16196"/>
            <printName language="en" preferredForLanguage="true" text="Inhaler"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A line used to administer a substance into a vein</p>
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                  </definition>
               </documentation>
            </annotations>
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               <targetConcept code="LINE"/>
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            <conceptProperty name="internalId" value="16202"/>
            <printName language="en" preferredForLanguage="true" text="Intraveneous Line"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A container of glass, earthenware, plastic, etc. Top of the container has a diameter of similar size to the diameter of the container as a whole</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MultiUseContainerEntityType"/>
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            <conceptProperty name="internalId" value="16164"/>
            <printName language="en" preferredForLanguage="true" text="Jar"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A transport medium formulated to maintain Bordetella pertussis viability.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
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            <conceptProperty name="internalId" value="16063"/>
            <printName language="en" preferredForLanguage="true" text="Jones Kendrick Medium"/>
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         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A deep vessel for holding liquids, with a handle and often with a spout or lip shape for pouring.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MultiUseContainerEntityType"/>
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            <conceptProperty name="internalId" value="16165"/>
            <printName language="en" preferredForLanguage="true" text="Jug"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>5% Glutaraldehyde, 4% Formaldehyde in 0.08M buffer. Tissue preservation</p>
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            </annotations>
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               <targetConcept code="_SpecimenAdditiveEntity"/>
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            <conceptProperty name="internalId" value="16064"/>
            <printName language="en" preferredForLanguage="true" text="Karnovsky's fixative"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A container for a diverse collection of products intended to be used together for some purpose (e.g. Medicinal kits often contain a syringe, a needle and the injectable medication).</p>
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               </documentation>
            </annotations>
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               <targetConcept code="PKG"/>
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            <conceptProperty name="internalId" value="16145"/>
            <printName language="en" preferredForLanguage="true" text="Kit"/>
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         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Potassium oxalate and sodium fluoride in a 1.25:1 ratio</p>
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                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
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            <conceptProperty name="internalId" value="16076"/>
            <printName language="en" preferredForLanguage="true" text="Potassium Oxalate"/>
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         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Iodoacetate lithium salt</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
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               <targetConcept code="_SpecimenAdditiveEntity"/>
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            <conceptProperty name="internalId" value="16065"/>
            <printName language="en" preferredForLanguage="true" text="Lithium iodoacetate"/>
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         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A hollow tube used to administer a substance into a vein, artery or body cavity</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AccessMedicalDevice"/>
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            <conceptProperty name="internalId" value="16201"/>
            <printName language="en" preferredForLanguage="true" text="Line"/>
            <code code="LINE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Modified Hank's balanced salt solution supplemented with bovine serum albumin, gelatin, sucrose and glutamic acid. It is buffered to pH 7.3+ or - 0.2 with HEPES buffer. Phenol red is used to indicate pH. Vancomycin, Amphotericin B and Colistin are used to</p>
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               </documentation>
            </annotations>
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               <targetConcept code="_SpecimenAdditiveEntity"/>
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            <conceptProperty name="internalId" value="16067"/>
            <printName language="en" preferredForLanguage="true" text="M4"/>
            <code code="M4" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Modified Hank's balanced salt solution supplemented with bovine serum albumin, gelatin, sucrose and glutamic acid. It is buffered to pH 7.3+ or - 0.2 with Hepes buffer. Phenol red is used to indicate pH. Gentamicin and amphotericin B are used to inhibit c</p>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Modified Hank's balanced salt solution supplemented with protein stabilizers, sucrose and glutamic acid. It is buffered to pH 7.3+ or - 0.2 with Hepes buffer. Phenol red is used to indicate pH. Vancomycin, Amphotericin B and Colistin are used to inhibit c</p>
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            <conceptRelationship relationshipName="Specializes">
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            <conceptProperty name="internalId" value="16069"/>
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            <code code="M5" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>1M potassium citrate, pH 7.0 2.5 ml, 0.1M magnesium sulfate 5.0 ml, 0.1M N-ethyl malemide 5.0 ml, dH2O 87.5 ml, ammonium sulfate 55gm. Preserve antigens for Immunofluorescence procedures</p>
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               <targetConcept code="_SpecimenAdditiveEntity"/>
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            <conceptProperty name="internalId" value="16070"/>
            <printName language="en" preferredForLanguage="true" text="Michel's transport medium"/>
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         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Individually dosed ophthalmic solution. One time eye dropper dispenser.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IndividualPackageEntityType"/>
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            <conceptProperty name="internalId" value="16178"/>
            <printName language="en" preferredForLanguage="true" text="Minim"/>
            <code code="MINIM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A buffered medium with ammonium sulfate added to preserve antigens for Immunofluorescence procedures</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
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            <conceptProperty name="internalId" value="16071"/>
            <printName language="en" preferredForLanguage="true" text="MMD transport medium"/>
            <code code="MMDTM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Sodium fluoride</p>
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                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16083"/>
            <printName language="en" preferredForLanguage="true" text="Sodium Fluoride"/>
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         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Codes identifying nation states. Allows for finer grained specification of Entity with classcode &lt;= NAT</p>
                        <p>*Example:*ISO3166 country codes.</p>
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                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_OrganizationEntityType"/>
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            <conceptProperty name="internalId" value="21584"/>
            <printName language="en" preferredForLanguage="true" text="NationEntityType"/>
            <code code="NAT" status="active"/>
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         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NonDrugAgentEntity"/>
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            <conceptProperty name="internalId" value="21586"/>
            <printName language="en" preferredForLanguage="true" text="egg"/>
            <code code="NDA01" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NonDrugAgentEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21587"/>
            <printName language="en" preferredForLanguage="true" text="fish"/>
            <code code="NDA02" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NonDrugAgentEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21588"/>
            <printName language="en" preferredForLanguage="true" text="lactose"/>
            <code code="NDA03" status="active"/>
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         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NonDrugAgentEntity"/>
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            <conceptProperty name="internalId" value="21589"/>
            <printName language="en" preferredForLanguage="true" text="peanut"/>
            <code code="NDA04" status="active"/>
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         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NonDrugAgentEntity"/>
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            <conceptProperty name="internalId" value="21590"/>
            <printName language="en" preferredForLanguage="true" text="soy"/>
            <code code="NDA05" status="active"/>
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         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NonDrugAgentEntity"/>
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            <conceptProperty name="internalId" value="21591"/>
            <printName language="en" preferredForLanguage="true" text="sulfites"/>
            <code code="NDA06" status="active"/>
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         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NonDrugAgentEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21592"/>
            <printName language="en" preferredForLanguage="true" text="wheat or gluten"/>
            <code code="NDA07" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NonDrugAgentEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21593"/>
            <printName language="en" preferredForLanguage="true" text="isocyanates"/>
            <code code="NDA08" status="active"/>
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         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NonDrugAgentEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21594"/>
            <printName language="en" preferredForLanguage="true" text="solvents"/>
            <code code="NDA09" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NonDrugAgentEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21595"/>
            <printName language="en" preferredForLanguage="true" text="oils"/>
            <code code="NDA10" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NonDrugAgentEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21596"/>
            <printName language="en" preferredForLanguage="true" text="venoms"/>
            <code code="NDA11" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NonDrugAgentEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21597"/>
            <printName language="en" preferredForLanguage="true" text="latex"/>
            <code code="NDA12" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NonDrugAgentEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21598"/>
            <printName language="en" preferredForLanguage="true" text="shellfish"/>
            <code code="NDA13" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NonDrugAgentEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21599"/>
            <printName language="en" preferredForLanguage="true" text="strawberries"/>
            <code code="NDA14" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NonDrugAgentEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21600"/>
            <printName language="en" preferredForLanguage="true" text="tomatoes"/>
            <code code="NDA15" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NonDrugAgentEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21601"/>
            <printName language="en" preferredForLanguage="true" text="dust"/>
            <code code="NDA16" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NonDrugAgentEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21602"/>
            <printName language="en" preferredForLanguage="true" text="dust mites"/>
            <code code="NDA17" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Individually dosed inhalation solution.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IndividualPackageEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16179"/>
            <printName language="en" preferredForLanguage="true" text="Nebuamp"/>
            <code code="NEBAMP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>No additive. Specifically identifes the specimen as having no additives.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16073"/>
            <printName language="en" preferredForLanguage="true" text="None"/>
            <code code="NONE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A container either glass or plastic and a narrow neck, for storing liquid.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IndividualPackageEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16180"/>
            <printName language="en" preferredForLanguage="true" text="Ovule"/>
            <code code="OVUL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A paper</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NonRigidContainerEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16149"/>
            <printName language="en" preferredForLanguage="true" text="Packet"/>
            <code code="PACKT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>0.12 g NaCl, 0.004 g MgSO, 0.004 g, CaCl, 0.142 g Na2HPO4 and 0.136 g KH2PO4 per liter of distilled water. Maintain Acanthaoemba viability.</p>
                     </text>
                  </definition>
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            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16074"/>
            <printName language="en" preferredForLanguage="true" text="Page's Saline"/>
            <code code="PAGE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A small bag or container made of a soft material.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NonRigidContainerEntityType"/>
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            <code code="PCH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A device which can contain a cartridge for injection purposes. Eg. Insulin pen.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InjectionMedicalDevice"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16194"/>
            <printName language="en" preferredForLanguage="true" text="Pen"/>
            <code code="PEN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Phenol. Urine preservative</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16075"/>
            <printName language="en" preferredForLanguage="true" text="Phenol"/>
            <code code="PHENOL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A material intended to hold other materials for purposes of storage or transportation</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ContainerEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16144"/>
            <printName language="en" preferredForLanguage="true" text="Package"/>
            <code code="PKG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A device that is used to raise, compress, or transfer liquids or gases and is operated by a piston or similar mechanism.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AdministrationMedicalDevice"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16195"/>
            <printName language="en" preferredForLanguage="true" text="Pump"/>
            <code code="PMP" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ResourceGroupEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21439"/>
            <printName language="en" preferredForLanguage="true" text="PractitionerGroup"/>
            <code code="PRAC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Polyvinyl alcohol</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16079"/>
            <printName language="en" preferredForLanguage="true" text="Polyvinylalcohol"/>
            <code code="PVA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An organization that provides religious rites of worship.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_OrganizationEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21357"/>
            <printName language="en" preferredForLanguage="true" text="religious institution"/>
            <code code="RELIG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A transport medium formulated to maintain Bordetella pertussis viability.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16080"/>
            <printName language="en" preferredForLanguage="true" text="Reagan Lowe Medium"/>
            <code code="RLM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The location of a room</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PlaceEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16102"/>
            <printName language="en" preferredForLanguage="true" text="Room Location"/>
            <code code="ROOM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A small bag or packet containing a small portion of a substance.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NonRigidContainerEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16150"/>
            <printName language="en" preferredForLanguage="true" text="Sachet"/>
            <code code="SACH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Diatomaceous earth. For glucose determination blood samples</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
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            <conceptProperty name="internalId" value="16082"/>
            <printName language="en" preferredForLanguage="true" text="Siliceous earth"/>
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         <concept>
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               <documentation>
                  <definition>
                     <text>
                        <p>Sodium polyanethol sulfonate in saline. Anticomplementary and antiphagocytic properties. Used in blood culture collection.</p>
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            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
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            <conceptProperty name="internalId" value="16088"/>
            <printName language="en" preferredForLanguage="true"
                       text="Sodium polyanethol sulfonate 0.35% in 0.85% sodium chloride"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Polymer separator gel with clot activator</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16081"/>
            <printName language="en" preferredForLanguage="true" text="Serum Separator Tube"/>
            <code code="SST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A continuous strip of plastic sectioned into individual pouches, each one containing the quantity of 1 or more medications intended to be administered at a specific time</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="COMPPKG"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17849"/>
            <printName language="en" preferredForLanguage="true" text="Strip"/>
            <code code="STRIP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Sodium Glycerophosphate 10.0g, Calcium Chloride 0.1g, Mercaptoacetic Acid 1.0ml, Distilled Water 1 liter</p>
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                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16089"/>
            <printName language="en" preferredForLanguage="true" text="Stuart transport medium"/>
            <code code="STUTM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A barrel with a plunger.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InjectionMedicalDevice"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16193"/>
            <printName language="en" preferredForLanguage="true" text="Syringe"/>
            <code code="SYR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A kit in which the components are interconnected.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="KIT"/>
            </conceptRelationship>
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            <printName language="en" preferredForLanguage="true" text="System"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Thrombin. Accelerates clotting.</p>
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                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
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            <conceptProperty name="internalId" value="16090"/>
            <printName language="en" preferredForLanguage="true" text="Thrombin"/>
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         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>2-Isopropyl-5-methyl phenol. A preservative for 24 Hr Urine samples</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16092"/>
            <printName language="en" preferredForLanguage="true" text="Thymol"/>
            <code code="THYMOL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A nutritive medium with a reducing agent (sodium thioglycolate) which, due to a chemical reaction, removes oxygen from the broth.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
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            <conceptProperty name="internalId" value="16093"/>
            <printName language="en" preferredForLanguage="true" text="Thyoglycolate broth"/>
            <code code="THYO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A lidded container made of thin sheet metal.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MultiUseContainerEntityType"/>
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            <conceptProperty name="internalId" value="16166"/>
            <printName language="en" preferredForLanguage="true" text="Tin"/>
            <code code="TIN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Also known as Methylbenzene; Toluol; Phenylmethane. A preservative for 24 Hr Urine samples</p>
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                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
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            <conceptProperty name="internalId" value="16094"/>
            <printName language="en" preferredForLanguage="true" text="Toluene"/>
            <code code="TOLU" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Asthma medication delivery device.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INH"/>
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            <conceptProperty name="internalId" value="16197"/>
            <printName language="en" preferredForLanguage="true" text="Turbuhaler"/>
            <code code="TRBINH" status="active"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An open flat bottomed round container.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MultiUseContainerEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16167"/>
            <printName language="en" preferredForLanguage="true" text="Tub"/>
            <code code="TUB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A long hollow rigid or flexible cylinder. Material is extruded by squeezing the container.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MultiUseContainerEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16168"/>
            <printName language="en" preferredForLanguage="true" text="Tube"/>
            <code code="TUBE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A buffered salt solution with antifungal agents added for the collection and transport of Ureaplasma specimens.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16095"/>
            <printName language="en" preferredForLanguage="true" text="Ureaplasma transport medium"/>
            <code code="URETM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A Type of medicine that creates an immune protection without the recipient experiencing the disease.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MaterialEntityClassType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21458"/>
            <printName language="en" preferredForLanguage="true" text="Vaccine"/>
            <code code="VCCNE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A small cylindrical glass for holding liquid medicines.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MultiUseContainerEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16169"/>
            <printName language="en" preferredForLanguage="true" text="Vial"/>
            <code code="VIAL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Sucrose 74.6g, Potassium hydrogenphosphate 0.52g, L-glutamic acid 0.72g, Bovine serum albumin 5.0g, Gentamicin 50mg, Potassium dihydrogenphosphate 1.25g, L-15 medium 9.9L, Water to 10L. Maintain Virus viability.</p>
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                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16096"/>
            <printName language="en" preferredForLanguage="true" text="Viral Transport medium"/>
            <code code="VIRTM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>3.8% Citrate buffered to a pH of 5.5 for Westergren Sedimentation Rate</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenAdditiveEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16056"/>
            <printName language="en" preferredForLanguage="true" text="Buffered Citrate"/>
            <code code="WEST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The location of a wing of a building (e.g. East Wing). The same room number for the same floor number can be distinguished by wing number in some situations</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PlaceEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17703"/>
            <printName language="en" preferredForLanguage="true" text="Wing Location"/>
            <code code="WING" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A device used to allow access to a part of a body</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MedicalDevice"/>
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            <conceptProperty name="internalId" value="21057"/>
            <printName language="en" preferredForLanguage="true" text="AccessMedicalDevice"/>
            <code code="_AccessMedicalDevice" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Any substance which, when combined with other ingredients, delivers all or part of the therapeutic benefit associated with a medication.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ClinicalDrug"/>
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            <conceptProperty name="internalId" value="21533"/>
            <printName language="en" preferredForLanguage="true" text="ActiveIngredientDrugEntityType"/>
            <code code="_ActiveIngredientDrugEntityType" status="retired"/>
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         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A device intended to administer a substance to a subject</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MedicalDevice"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21058"/>
            <printName language="en" preferredForLanguage="true" text="AdministrationMedicalDevice"/>
            <code code="_AdministrationMedicalDevice" status="active"/>
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         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Any substance or mixture of substances manufactured, sold or represented for use in: (a) the diagnosis, treatment, mitigation or prevention of a disease, disorder, abnormal physical state, or its symptoms, in human beings or animals; (b) restoring, correcting or modifying organic functions in human beings or animals.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_DrugEntity"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21059"/>
            <printName language="en" preferredForLanguage="true" text="ClinicalDrug"/>
            <code code="_ClinicalDrug" status="retired"/>
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         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Material intended to hold another material for purpose of storage or transport.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MaterialEntityClassType"/>
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            <printName language="en" preferredForLanguage="true" text="ContainerEntityType"/>
            <code code="_ContainerEntityType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Includes the set of codes used to identify a device that may be referred to in an ICSR report. Example code set reference is the FDA Center for Devices and Radiological Health product code list.</p>
                        <p>Example product codes include: FOZ = Catheter, Intravascular, Therapeutic, short-term less than 30 days, MOP = Rotator, Prosthetic Heart Valve.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MaterialEntityClassType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21396"/>
            <printName language="en" preferredForLanguage="true" text="Device Generic Type"/>
            <code code="_DeviceGenericType" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A substance whose therapeutic effect is produced by chemical action within the body.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MaterialEntityClassType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21061"/>
            <printName language="en" preferredForLanguage="true" text="DrugEntity"/>
            <code code="_DrugEntity" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates the material to which the patient was exposed which is believed to be related to the adverse reaction</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MaterialEntityClassType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21497"/>
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            <code code="_ExposureAgentEntityType" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A code that is used to indicate the type of organization which is originating and sending the ICSR. The current code example reference is from the International Conference on Harmonisation (ICH) Expert Workgroup guideline on Clinical Safety Data Management: Data Elements for Transmission of Individual Case Safety Reports.</p>
                        <p>Example concepts are: Pharmaceutical Company, Regulatory Authority, Health Professional, Regional Pharmacovigilence Center, World Health Organization Collaborating Center for International Drug Monitoring.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_OrganizationEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21395"/>
            <printName language="en" preferredForLanguage="true"
                       text="Individual Case Safety Report Sender Type"/>
            <code code="_IndividualCaseSafetyReportSenderType" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Container intended to contain sufficient material for only one use.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RigidContainerEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21062"/>
            <printName language="en" preferredForLanguage="true" text="IndividualPackageEntityType"/>
            <code code="_IndividualPackageEntityType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A device intended to administer liquid into a subject via a</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AdministrationMedicalDevice"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21063"/>
            <printName language="en" preferredForLanguage="true" text="InjectionMedicalDevice"/>
            <code code="_InjectionMedicalDevice" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies a drug or the use of a drug as produced by a specific manufacturer</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ClinicalDrug"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21064"/>
            <printName language="en" preferredForLanguage="true" text="ManufacturedDrug"/>
            <code code="_ManufacturedDrug" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <conceptProperty name="deprecationDate" value="2009-08-20"/>
            <conceptProperty name="internalId" value="23527"/>
            <printName language="en" preferredForLanguage="true" text="_MaterialEntityAdditive"/>
            <code code="_MaterialEntityAdditive" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Types of Material for EntityClass "MAT"</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="MAT" codeSystem="2.16.840.1.113883.5.41"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21066"/>
            <printName language="en" preferredForLanguage="true" text="MaterialEntityClassType"/>
            <code code="_MaterialEntityClassType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A device with direct or indirect therapeutic purpose. Values for EntityCode when EntityClass = "DEV"</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MaterialEntityClassType"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
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            </conceptRelationship>
            <conceptProperty name="internalId" value="21067"/>
            <printName language="en" preferredForLanguage="true" text="MedicalDevice"/>
            <code code="_MedicalDevice" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A container intended to contain sufficient material for more than one use. (I.e. Material is intended to be removed from the container at more than one discrete time period.)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RigidContainerEntityType"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
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            <conceptProperty name="internalId" value="21068"/>
            <printName language="en" preferredForLanguage="true" text="MultiUseContainerEntityType"/>
            <code code="_MultiUseContainerEntityType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates types of allergy and intolerance agents which are non-drugs. (E.g. foods, latex, etc.)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22382"/>
            <printName language="en" preferredForLanguage="true" text="NonDrugAgentEntity"/>
            <code code="_NonDrugAgentEntity" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Types of NonPersonLivingSubjects for the EntityClass 'NLIV'</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22163"/>
            <printName language="en" preferredForLanguage="true"
                       text="NonPersonLivingSubjectEntityType"/>
            <code code="_NonPersonLivingSubjectEntityType" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A container having dimensions that adjust somewhat based on the amount and shape of the material placed within it.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PKG"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="CONT" codeSystem="2.16.840.1.113883.5.41"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21069"/>
            <printName language="en" preferredForLanguage="true" text="NonRigidContainerEntityType"/>
            <code code="_NonRigidContainerEntityType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Further classifies entities of classCode ORG.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="ORG" codeSystem="2.16.840.1.113883.5.41"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21356"/>
            <printName language="en" preferredForLanguage="true" text="OrganizationEntityType"/>
            <code code="_OrganizationEntityType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Types of places for EntityClass "PLC"</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="PLC" codeSystem="2.16.840.1.113883.5.41"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21070"/>
            <printName language="en" preferredForLanguage="true" text="PlaceEntityType"/>
            <code code="_PlaceEntityType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Codes to characterize a Resource Group using categories that typify its membership and/or function</p>
                        <p>.</p>
                        <i>Example:</i>PractitionerGroup</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="RGRP" codeSystem="2.16.840.1.113883.5.41"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22383"/>
            <printName language="en" preferredForLanguage="true" text="ResourceGroupEntityType"/>
            <code code="_ResourceGroupEntityType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A container having a fixed and inflexible dimensions and volume</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PKG"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="CONT" codeSystem="2.16.840.1.113883.5.41"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21071"/>
            <printName language="en" preferredForLanguage="true" text="RigidContainerEntityType"/>
            <code code="_RigidContainerEntityType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Set of codes related to specimen additives</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MaterialEntityClassType"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="MAT" codeSystem="2.16.840.1.113883.5.41"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21065"/>
            <printName language="en" preferredForLanguage="true" text="SpecimenAdditiveEntity"/>
            <code code="_SpecimenAdditiveEntity" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The billable codes selected for Clinical Product Invoices. Steward is Financial Management.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MaterialEntityClassType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22154"/>
            <printName language="en" preferredForLanguage="true" text="x_BillableProduct"/>
            <code code="_x_BillableProduct" status="retired"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="EntityDeterminer" title="EntityDeterminer"
               codeSystemId="2.16.840.1.113883.5.30">
      <historyItem dateTime="2020-05-06" id="v3-EntityDeterminer-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>EntityDeterminer in natural language grammar is the class of words that comprises articles, demonstrative pronouns, and quantifiers. In the RIM, determiner is a structural code in the Entity class to distinguish whether any given Entity object stands for some, any one, or a specific thing.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>A property that indicates the status of the concept. One of active, experimental, deprecated, or retired.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="Name:Class" type="Token" isMandatoryIndicator="false">
            <description>The formal name for the class clone under this code</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A determiner that specifies that the Entity object represents a particular collection of physical things (as opposed to a universal, kind, or class of physical thing). While the collection may resolve to having only a single individual (or even no individuals), the potential should exist for it to cover multiple individuals.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INSTANCE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23599"/>
            <printName language="en" preferredForLanguage="true" text="specific group"/>
            <code code="GROUP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A determiner that specifies that the Entity object represents a universal, kind or class of collections physical things. While the collection may resolve to having only a single individual (or even no individuals), the potential should exist for it to cover multiple individuals.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="KIND"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23600"/>
            <printName language="en" preferredForLanguage="true" text="described group"/>
            <code code="GROUPKIND" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A determiner that specifies that the Entity object represents a particular physical thing (as opposed to a universal, kind, or class of physical thing).</p>
                        <b>Discussion:</b>It does not matter whether an INSTANCE still exists as a whole at the point in time (or process) when we mention it, for example, a drug product lot is an INSTANCE even though it has been portioned out for retail purpose.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10881"/>
            <printName language="en" preferredForLanguage="true" text="specific"/>
            <code code="INSTANCE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A determiner that specifies that the Entity object represents a universal, kind or class of physical thing (as opposed to a particular thing).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10879"/>
            <conceptProperty name="Name:Class" value="Kind"/>
            <printName language="en" preferredForLanguage="true" text="described"/>
            <code code="KIND" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The described quantified determiner indicates that the given Entity is taken as a general description of a specific amount of a thing. For example, QUANTIFIED\_KIND of syringe (quantity = 3,) stands for exactly three syringes.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="KIND"/>
            </conceptRelationship>
            <conceptProperty name="deprecationDate" value="2008-11-14"/>
            <conceptProperty name="internalId" value="10880"/>
            <printName language="en" preferredForLanguage="true" text="described quantified"/>
            <code code="QUANTIFIED_KIND" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="EntityHandling" title="EntityHandling"
               codeSystemId="2.16.840.1.113883.5.42">
      <historyItem dateTime="2020-05-06" id="v3-EntityHandling-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Special handling requirements for an Entity.</p>
                  <p>*Example:*Keep at room temperature; Keep frozen below 0 C; Keep in a dry environment; Keep upright, do not turn upside down.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Keep at ambient temperature, 22 +/- 2C</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10394"/>
            <printName language="en" preferredForLanguage="true" text="Ambient Temperature"/>
            <code code="AMB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Critical to keep at body temperature 36-38C</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10395"/>
            <printName language="en" preferredForLanguage="true" text="Body Temperature"/>
            <code code="C37" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Critical ambient - must not be refrigerated or frozen.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14405"/>
            <printName language="en" preferredForLanguage="true" text="Critical Ambient temperature"/>
            <code code="CAMB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Critical. Do not expose to atmosphere. Do not uncap.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14409"/>
            <printName language="en" preferredForLanguage="true" text="Protect from Air"/>
            <code code="CATM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Critical frozen. Specimen must not be allowed to thaw until immediately prior to testing.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14407"/>
            <printName language="en" preferredForLanguage="true" text="Critical frozen"/>
            <code code="CFRZ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Critical refrigerated - must not be allowed to freeze or warm until imediately prior to testing.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14406"/>
            <printName language="en" preferredForLanguage="true"
                       text="Critical refrigerated temperature"/>
            <code code="CREF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Deep Frozen -16 to -20C.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10398"/>
            <printName language="en" preferredForLanguage="true" text="Deep Frozen"/>
            <code code="DFRZ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Keep in a dry environment</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10400"/>
            <printName language="en" preferredForLanguage="true" text="dry"/>
            <code code="DRY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Keep frozen below 0 ?C</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10397"/>
            <printName language="en" preferredForLanguage="true" text="frozen"/>
            <code code="FRZ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Container is free of heavy metals, including lead.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14410"/>
            <printName language="en" preferredForLanguage="true" text="Metal Free"/>
            <code code="MTLF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Keep in liquid nitrogen</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10399"/>
            <printName language="en" preferredForLanguage="true" text="nitrogen"/>
            <code code="NTR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Protect from light (eg. Wrap in aluminum foil).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10401"/>
            <printName language="en" preferredForLanguage="true" text="Protect from Light"/>
            <code code="PRTL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Do not shake</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10404"/>
            <printName language="en" preferredForLanguage="true" text="do not shake"/>
            <code code="PSA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Protect against shock</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10402"/>
            <printName language="en" preferredForLanguage="true" text="no shock"/>
            <code code="PSO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Keep at refrigerated temperature:4-8C Accidental warming or freezing is of little consequence.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10396"/>
            <printName language="en" preferredForLanguage="true" text="Refrigerated temperature"/>
            <code code="REF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Shake thoroughly before using</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14393"/>
            <printName language="en" preferredForLanguage="true" text="Shake before use"/>
            <code code="SBU" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Ultra cold frozen -75 to -85C. Ultra cold freezer is typically at temperature of dry ice.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14408"/>
            <printName language="en" preferredForLanguage="true" text="Ultra frozen"/>
            <code code="UFRZ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Keep upright, do not turn upside down</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10403"/>
            <printName language="en" preferredForLanguage="true" text="upright"/>
            <code code="UPR" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="EntityNamePartQualifier" title="EntityNamePartQualifier"
               codeSystemId="2.16.840.1.113883.5.43">
      <historyItem dateTime="2020-05-06" id="v3-EntityNamePartQualifier-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <i>OpenIssue:</i>Needs description</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired..</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates that a prefix like "Dr." or a suffix like "M.D." or "Ph.D." is an academic title.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_OrganizationNamePartQualifier"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PersonNamePartAffixTypes"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10668"/>
            <printName language="en" preferredForLanguage="true" text="academic"/>
            <code code="AC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The name the person was given at the time of adoption.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_OrganizationNamePartQualifier"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PersonNamePartChangeQualifier"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21320"/>
            <printName language="en" preferredForLanguage="true" text="adopted"/>
            <code code="AD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A name that a person had shortly after being born. Usually for family names but may be used to mark given names at birth that may have changed later.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_OrganizationNamePartQualifier"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PersonNamePartChangeQualifier"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10661"/>
            <printName language="en" preferredForLanguage="true" text="birth"/>
            <code code="BR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A callme name is (usually a given name) that is preferred when a person is directly addressed.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_OrganizationNamePartQualifier"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PersonNamePartMiscQualifier"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10673"/>
            <printName language="en" preferredForLanguage="true" text="callme"/>
            <code code="CL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>This refers to the container if present in the medicinal product name.<p>EXAMPLES:</p>
                        <p>* For Optaflu suspension for injection in pre-filled syringe Influenza vaccine (surface antigen, inactivated, prepared in cell culture) (2007/2008 season): pre-filled syringe</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PharmaceuticalEntityNamePartQualifiers"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22985"/>
            <printName language="en" preferredForLanguage="true" text="container name"/>
            <code code="CON" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>This refers to the qualifiers in the name for devices and is at the moment mainly applicable to insulins and inhalation products.<p>EXAMPLES:</p>
                        <p>* For the medicinal product Actrapid FlexPen 100 IU/ml Solution for injection Subcutaneous use: FlexPen.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PharmaceuticalEntityNamePartQualifiers"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22986"/>
            <printName language="en" preferredForLanguage="true" text="device name"/>
            <code code="DEV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>This refers to a flavor of the medicinal product if present in the medicinal product name.<b>Examples:</b>
                        <p>* For 'CoughCure Linctus Orange Flavor', the flavor part is "Orange" * For 'Wonderdrug Syrup Cherry Flavor', the flavor part is "Cherry"</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PharmaceuticalEntityNamePartQualifiers"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23314"/>
            <printName language="en" preferredForLanguage="true" text="FlavorName"/>
            <code code="FLAV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>This refers to the formulation of the medicinal product if present in the medicinal product name.<b>Examples:</b>
                        <p>* For 'SpecialMed Sugar Free Cough Syrup', the formulation name part is "Sugar Free" * For 'QuickCure Gluten-free Bulk Fibre', the formulation name part is "gluten-free"</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PharmaceuticalEntityNamePartQualifiers"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23312"/>
            <printName language="en" preferredForLanguage="true" text="FormulationPartName"/>
            <code code="FORMUL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>This refers to the pharmaceutical form/ if present in the medicinal product name.<p>EXAMPLES:</p>
                        <p>* For Agenerase 50 mg soft capsules: Soft Capsules * For Ludiomil 25mg-Filmtabletten: Filmtabletten * For Optaflu suspension for injection in pre-filled syringe Influenza vaccine (surface antigen, inactivated, prepared in cell culture) (2007/2008 season): suspension for injection</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PharmaceuticalEntityNamePartQualifiers"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22983"/>
            <printName language="en" preferredForLanguage="true" text="form name"/>
            <code code="FRM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates that a name part is just an initial. Initials do not imply a trailing period since this would not work with non-Latin scripts. Initials may consist of more than one letter, e.g., "Ph." could stand for "Philippe" or "Th." for "Thomas".</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_OrganizationNamePartQualifier"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PersonNamePartQualifier"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17938"/>
            <printName language="en" preferredForLanguage="true" text="initial"/>
            <code code="IN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>This refers to the product name without the trademark or the name of the marketing authorization holder or any other descriptor reflected in the product name and, if appropriate, whether it is intended e.g. for babies, children or adults.<p>EXAMPLES:</p>
                        <p>* Agenerase * Optaflu * Ludiomil</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PharmaceuticalEntityNamePartQualifiers"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22980"/>
            <printName language="en" preferredForLanguage="true" text="invented name"/>
            <code code="INV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>For organizations a suffix indicating the legal status, e.g., "Inc.", "Co.", "AG", "GmbH", "B.V." "S.A.", "Ltd." etc.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_OrganizationNamePartQualifier"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15890"/>
            <printName language="en" preferredForLanguage="true" text="Legal status"/>
            <code code="LS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>In Europe and Asia, there are still people with nobility titles (aristocrats). German "von" is generally a nobility title, not a mere voorvoegsel. Others are "Earl of" or "His Majesty King of..." etc. Rarely used nowadays, but some systems do keep track of this.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_OrganizationNamePartQualifier"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PersonNamePartAffixTypes"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10670"/>
            <printName language="en" preferredForLanguage="true" text="nobility"/>
            <code code="NB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>This refers to the target population for the medicinal product if present in the medicinal product name<b>Examples:</b>
                        <p>* For 'Broncho-Drug 3.5 mg-capsules for children', the target population part is "children" * For 'Adult Chesty Cough Syrup', the target population part is "adult"</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PharmaceuticalEntityNamePartQualifiers"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23311"/>
            <printName language="en" preferredForLanguage="true" text="TargetPopulationName"/>
            <code code="POPUL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Primarily in the British Imperial culture people tend to have an abbreviation of their professional organization as part of their credential suffices.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_OrganizationNamePartQualifier"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PersonNamePartAffixTypes"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10669"/>
            <printName language="en" preferredForLanguage="true" text="professional"/>
            <code code="PR" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Medication Name Parts are a means of specifying a range of acceptable "official" forms of the name of a product. They are used as patterns against which input name strings may be matched for automatic identification of products from input text reports. While they cover the concepts held under "doseForm" or "route" or "strength" the name parts are not the same and do not fit into a controlled vocabulary in the same way. By specifying up to 8 name parts a much larger range of possible names can be generated.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22979"/>
            <printName language="en" preferredForLanguage="true"
                       text="PharmaceuticalEntityNamePartQualifiers"/>
            <code code="PharmaceuticalEntityNamePartQualifiers" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>This refers to the product common or scientific name without the trademark or the name of the marketing authorization holder or any other descriptor reflected in the product name.<p>EXAMPLES:</p>
                        <p>* For Agenerase: N/A * For Optaflu: Influenza vaccine (surface antigen, inactivated, prepared in cell culture) (2007/2008 season) * For Ludiomil: N/A</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PharmaceuticalEntityNamePartQualifiers"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22981"/>
            <printName language="en" preferredForLanguage="true" text="scientific name"/>
            <code code="SCI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The name assumed from the partner in a marital relationship (hence the "SP"). Usually the spouse's family name. Note that no inference about gender can be made from the existence of spouse names.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_OrganizationNamePartQualifier"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PersonNamePartChangeQualifier"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10665"/>
            <printName language="en" preferredForLanguage="true" text="spouse"/>
            <code code="SP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>This refers to the strength if present in the medicinal product name. The use of decimal points should be accommodated if required.<p>EXAMPLES:</p>
                        <p>* For Agenerase 50 mg soft capsules: 50mg * For Ludiomil 25mg-Filmtabletten: 25 mg * For Optaflu suspension for injection in pre-filled syringe Influenza vaccine (surface antigen, inactivated, prepared in cell culture) (2007/2008 season): N/A</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PharmaceuticalEntityNamePartQualifiers"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22982"/>
            <printName language="en" preferredForLanguage="true" text="strength name"/>
            <code code="STR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>This refers to a time or time period that may be specified in the text of the medicinal product name<b>Example:</b>
                        <p>* For an influenza vaccine 'Drug-FLU season 2008/2009', the time/period part is "2008/2009 season"</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PharmaceuticalEntityNamePartQualifiers"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23313"/>
            <printName language="en" preferredForLanguage="true" text="TimeOrPeriodName"/>
            <code code="TIME" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates that a prefix or a suffix is a title that applies to the whole name, not just the adjacent name part.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_OrganizationNamePartQualifier"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PersonNamePartQualifier"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21462"/>
            <printName language="en" preferredForLanguage="true" text="title"/>
            <code code="TITLE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>This refers to trademark/company element if present in the medicinal product name.<p>EXAMPLES:</p>
                        <p>* for Insulin Human Winthrop Comb 15: Winthrop</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PharmaceuticalEntityNamePartQualifiers"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22987"/>
            <printName language="en" preferredForLanguage="true" text="trademark name"/>
            <code code="TMK" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>This refers to the intended use if present in the medicinal product name without the trademark or the name of the marketing authorization holder or any other descriptor reflected in the product name.<b>Examples:</b>
                        <p>* For 'Drug-BI Caplets - Heartburn Relief', the intended use part is: "Heartburn Relief" * For 'Medicine Honey Syrup for Soothing Coughs' the intended use part is "Soothing Coughs"</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PharmaceuticalEntityNamePartQualifiers"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22984"/>
            <printName language="en" preferredForLanguage="true" text="intended use name"/>
            <code code="USE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A Dutch "voorvoegsel" is something like "van" or "de" that might have indicated nobility in the past but no longer so. Similar prefixes exist in other languages such as Spanish, French or Portugese.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_OrganizationNamePartQualifier"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PersonNamePartAffixTypes"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10667"/>
            <printName language="en" preferredForLanguage="true" text="voorvoegsel"/>
            <code code="VV" status="active"/>
         </concept>
         <concept isSelectable="false">
            <conceptProperty name="internalId" value="21072"/>
            <printName language="en" preferredForLanguage="true" text="OrganizationNamePartQualifier"/>
            <code code="_OrganizationNamePartQualifier" status="active"/>
         </concept>
         <concept isSelectable="false">
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PersonNamePartQualifier"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21073"/>
            <printName language="en" preferredForLanguage="true" text="PersonNamePartAffixTypes"/>
            <code code="_PersonNamePartAffixTypes" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PersonNamePartQualifier"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21074"/>
            <printName language="en" preferredForLanguage="true" text="PersonNamePartChangeQualifier"/>
            <code code="_PersonNamePartChangeQualifier" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PersonNamePartQualifier"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21075"/>
            <printName language="en" preferredForLanguage="true" text="PersonNamePartMiscQualifier"/>
            <code code="_PersonNamePartMiscQualifier" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <conceptProperty name="internalId" value="21076"/>
            <printName language="en" preferredForLanguage="true" text="PersonNamePartQualifier"/>
            <code code="_PersonNamePartQualifier" status="retired"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="EntityNamePartQualifierR2" title="EntityNamePartQualifierR2"
               codeSystemId="2.16.840.1.113883.5.1122">
      <historyItem dateTime="2020-05-06" id="v3-EntityNamePartQualifierR2-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**The qualifier is a set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type. For example, a given name may be flagged as a nickname, a family name may be a pseudonym or a name of public records.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="synonymCode" type="Token" isMandatoryIndicator="false">
            <description>An additional concept code that was also attributed to a concept</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Indicates that a title like "Dr.", "M.D." or "Ph.D." is an academic title.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TitleStyles"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22799"/>
            <printName language="en" preferredForLanguage="true" text="academic"/>
            <code code="AC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A name part a person acquired. The name part may be acquired by adoption, or the person may have chosen to use the name part for some other reason.</p>
                        <b>Note:</b>this differs from an Other/Psuedonym/Alias in that an acquired name part is acquired on a formal basis rather than an informal one (e.g. registered as part of the official name).</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22791"/>
            <printName language="en" preferredForLanguage="true" text="acquired"/>
            <code code="AD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A name that a person was given at birth or established as a consequence of adoption.</p>
                        <b>Note:</b>This is not used for temporary names assigned at birth such as "Baby of Smith" a" which is just a name with a use code of "TEMP".</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22790"/>
            <printName language="en" preferredForLanguage="true" text="birth"/>
            <code code="BR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Used to indicate which of the various name parts is used when interacting with the person.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22794"/>
            <printName language="en" preferredForLanguage="true" text="callme"/>
            <code code="CL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>This refers to the container if present in the medicinal product name.<p>EXAMPLES:</p>
                        <p>* For Optaflu suspension for injection in pre-filled syringe Influenza vaccine (surface antigen, inactivated, prepared in cell culture) (2007/2008 season): pre-filled syringe</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PharmaceuticalEntityNamePartQualifiers"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22994"/>
            <printName language="en" preferredForLanguage="true" text="container name"/>
            <code code="CON" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>This refers to the qualifiers in the name for devices and is at the moment mainly applicable to insulins and inhalation products.<p>EXAMPLES:</p>
                        <p>* For the medicinal product Actrapid FlexPen 100 IU/ml Solution for injection Subcutaneous use: FlexPen.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PharmaceuticalEntityNamePartQualifiers"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22995"/>
            <printName language="en" preferredForLanguage="true" text="device name"/>
            <code code="DEV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>This refers to a flavor of the medicinal product if present in the medicinal product name.<b>Examples:</b>
                        <p>* For 'CoughCure Linctus Orange Flavor', the flavor part is "Orange" * For 'Wonderdrug Syrup Cherry Flavor', the flavor part is "Cherry"</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PharmaceuticalEntityNamePartQualifiers"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23318"/>
            <printName language="en" preferredForLanguage="true" text="FlavorName"/>
            <code code="FLAV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>This refers to the formulation of the medicinal product if present in the medicinal product name.<b>Examples:</b>
                        <p>* For 'SpecialMed Sugar Free Cough Syrup', the formulation name part is "Sugar Free" * For 'QuickCure Gluten-free Bulk Fibre', the formulation name part is "gluten-free"</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PharmaceuticalEntityNamePartQualifiers"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23316"/>
            <printName language="en" preferredForLanguage="true" text="FormulationPartName"/>
            <code code="FORMUL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>This refers to the pharmaceutical form/ if present in the medicinal product name.<p>EXAMPLES:</p>
                        <p>* For Agenerase 50 mg soft capsules: Soft Capsules * For Ludiomil 25mg-Filmtabletten: Filmtabletten * For Optaflu suspension for injection in pre-filled syringe Influenza vaccine (surface antigen, inactivated, prepared in cell culture) (2007/2008 season): suspension for injection</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PharmaceuticalEntityNamePartQualifiers"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22992"/>
            <printName language="en" preferredForLanguage="true" text="form name"/>
            <code code="FRM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A honorific such as "The Right Honourable" or "Weledelgeleerde Heer".</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TitleStyles"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22802"/>
            <printName language="en" preferredForLanguage="true" text="honorific"/>
            <code code="HOM" status="retired"/>
            <code code="HON" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Indicates that a name part is just an initial. Initials do not imply a trailing period since this would not work with non-Latin scripts. In some languages, initials may consist of more than one letter, e.g., "Ph" could stand for "Philippe" or "Th" For "Thomas".</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22795"/>
            <printName language="en" preferredForLanguage="true" text="initial"/>
            <code code="IN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>This refers to the product name without the trademark or the name of the marketing authorization holder or any other descriptor reflected in the product name and, if appropriate, whether it is intended e.g. for babies, children or adults.<p>EXAMPLES:</p>
                        <p>* Agenerase * Optaflu * Ludiomil</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PharmaceuticalEntityNamePartQualifiers"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22989"/>
            <printName language="en" preferredForLanguage="true" text="invented name"/>
            <code code="INV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**For organizations a suffix indicating the legal status, e.g., "Inc.", "Co.", "AG", "GmbH", "B.V." "S.A.", "Ltd." etc.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22789"/>
            <printName language="en" preferredForLanguage="true" text="legal status"/>
            <code code="LS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Indicates that the name part is a middle name.</p>
                        <b>Usage Notes:</b>In general, the english "middle name" concept is all of the given names after the first. This qualifier may be used to explicitly indicate which given names are considered to be middle names. The middle name qualifier may also be used with family names. This is a Scandinavian use case, matching the concept of "mellomnavn","mellannamn". Note that there are specific rules that indicate what names may be taken as a mellannamn in different Scandinavian countries.</text>
                  </definition>
                  <usageNotes>
                     <text>In general, the english "middle name" concept is all of the given names after the first. This qualifier may be used to explicitly indicate which given names are considered to be middle names. The middle name qualifier may also be used with family names. This is a Scandinavian use case, matching the concept of "mellomnavn","mellannamn". Note that there are specific rules that indicate what names may be taken as a mellannamn in different Scandinavian countries.</text>
                  </usageNotes>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22793"/>
            <printName language="en" preferredForLanguage="true" text="middle name"/>
            <code code="MID" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A nobility title such as Sir, Count, Grafin.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TitleStyles"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22801"/>
            <printName language="en" preferredForLanguage="true" text="nobility"/>
            <code code="NB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A prefix has a strong association to the immediately following name part. A prefix has no implicit trailing white space (it has implicit leading white space though).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22796"/>
            <printName language="en" preferredForLanguage="true" text="prefix"/>
            <code code="PFX" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>This refers to the target population for the medicinal product if present in the medicinal product name<b>Examples:</b>
                        <p>* For 'Broncho-Drug 3.5 mg-capsules for children', the target population part is "children" * For 'Adult Chesty Cough Syrup', the target population part is "adult"</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PharmaceuticalEntityNamePartQualifiers"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23315"/>
            <printName language="en" preferredForLanguage="true" text="TargetPopulationName"/>
            <code code="POPUL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Primarily in the British Imperial culture people tend to have an abbreviation of their professional organization as part of their credential titles.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TitleStyles"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22800"/>
            <printName language="en" preferredForLanguage="true" text="professional"/>
            <code code="PR" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Medication Name Parts are a means of specifying a range of acceptable "official" forms of the name of a product. They are used as patterns against which input name strings may be matched for automatic identification of products from input text reports. While they cover the concepts held under "doseForm" or "route" or "strength" the name parts are not the same and do not fit into a controlled vocabulary in the same way. By specifying up to 8 name parts a much larger range of possible names can be generated.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22988"/>
            <printName language="en" preferredForLanguage="true"
                       text="PharmaceuticalEntityNamePartQualifiers"/>
            <code code="PharmaceuticalEntityNamePartQualifiers" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>This refers to the product common or scientific name without the trademark or the name of the marketing authorization holder or any other descriptor reflected in the product name.<p>EXAMPLES:</p>
                        <p>* For Agenerase: N/A * For Optaflu: Influenza vaccine (surface antigen, inactivated, prepared in cell culture) (2007/2008 season) * For Ludiomil: N/A</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PharmaceuticalEntityNamePartQualifiers"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22990"/>
            <printName language="en" preferredForLanguage="true" text="scientific name"/>
            <code code="SCI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A suffix has a strong association to the immediately preceding name part. A suffix has no implicit leading white space (it has implicit trailing white space though).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22797"/>
            <printName language="en" preferredForLanguage="true" text="suffix"/>
            <code code="SFX" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The name assumed from the partner in a marital relationship. Usually the spouse's family name. Note that no inference about gender can be made from the existence of spouse names.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AD"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22792"/>
            <printName language="en" preferredForLanguage="true" text="spouse"/>
            <code code="SP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>This refers to the strength if present in the medicinal product name. The use of decimal points should be accommodated if required.<p>EXAMPLES:</p>
                        <p>* For Agenerase 50 mg soft capsules: 50mg * For Ludiomil 25mg-Filmtabletten: 25 mg * For Optaflu suspension for injection in pre-filled syringe Influenza vaccine (surface antigen, inactivated, prepared in cell culture) (2007/2008 season): N/A</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PharmaceuticalEntityNamePartQualifiers"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22991"/>
            <printName language="en" preferredForLanguage="true" text="strength name"/>
            <code code="STR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>This refers to a time or time period that may be specified in the text of the medicinal product name<b>Example:</b>
                        <p>* For an influenza vaccine 'Drug-FLU season 2008/2009', the time/period part is "2008/2009 season"</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PharmaceuticalEntityNamePartQualifiers"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23317"/>
            <printName language="en" preferredForLanguage="true" text="TimeOrPeriodName"/>
            <code code="TIME" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>This refers to trademark/company element if present in the medicinal product name.<p>EXAMPLES:</p>
                        <p>* for Insulin Human Winthrop Comb 15: Winthrop</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PharmaceuticalEntityNamePartQualifiers"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22996"/>
            <printName language="en" preferredForLanguage="true" text="trademark name"/>
            <code code="TMK" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Extra information about the style of a title</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22798"/>
            <printName language="en" preferredForLanguage="true" text="TitleStyles"/>
            <code code="TitleStyles" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>This refers to the intended use if present in the medicinal product name without the trademark or the name of the marketing authorization holder or any other descriptor reflected in the product name.<b>Examples:</b>
                        <p>* For 'Drug-BI Caplets - Heartburn Relief', the intended use part is: "Heartburn Relief" * For 'Medicine Honey Syrup for Soothing Coughs' the intended use part is "Soothing Coughs"</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PharmaceuticalEntityNamePartQualifiers"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22993"/>
            <printName language="en" preferredForLanguage="true" text="intended use name"/>
            <code code="USE" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="EntityNamePartType" title="EntityNamePartType"
               codeSystemId="2.16.840.1.113883.5.44">
      <historyItem dateTime="2020-05-06" id="v3-EntityNamePartType-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**** MISSING DESCRIPTION ****</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A delimiter has no meaning other than being literally printed in this name representation. A delimiter has no implicit leading and trailing white space.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10656"/>
            <printName language="en" preferredForLanguage="true" text="delimiter"/>
            <code code="DEL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Family name, this is the name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10654"/>
            <printName language="en" preferredForLanguage="true" text="family"/>
            <code code="FAM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Given name (don't call it "first name" since this given names do not always come first)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10655"/>
            <printName language="en" preferredForLanguage="true" text="given"/>
            <code code="GIV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A prefix has a strong association to the immediately following name part. A prefix has no implicit trailing white space (it has implicit leading white space though). Note that prefixes can be inverted.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10657"/>
            <printName language="en" preferredForLanguage="true" text="prefix"/>
            <code code="PFX" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A suffix has a strong association to the immediately preceding name part. A suffix has no implicit leading white space (it has implicit trailing white space though). Suffices cannot be inverted.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10658"/>
            <printName language="en" preferredForLanguage="true" text="suffix"/>
            <code code="SFX" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="EntityNamePartTypeR2" title="EntityNamePartTypeR2"
               codeSystemId="2.16.840.1.113883.5.1121">
      <historyItem dateTime="2020-05-06" id="v3-EntityNamePartTypeR2-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**Indicates whether the name part is a given name, family name, prefix, suffix, etc.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="NonDefinitionallyQualifiedBy" name="MayBeQualifiedBy">
            <description>Relationship points from a concept in EntityNamePartType to a concept in EntityNamePartQualifier and indicates that the former concept may be qualified by the latter.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A delimiter has no meaning other than being literally printed in this name representation. A delimiter has no implicit leading and trailing white space.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22786"/>
            <printName language="en" preferredForLanguage="true" text="delimiter"/>
            <code code="DEL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Family name, this is the name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="MayBeQualifiedBy">
               <targetConcept code="AD" codeSystem="2.16.840.1.113883.5.1122"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="MayBeQualifiedBy">
               <targetConcept code="BR" codeSystem="2.16.840.1.113883.5.1122"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="MayBeQualifiedBy">
               <targetConcept code="CL" codeSystem="2.16.840.1.113883.5.1122"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="MayBeQualifiedBy">
               <targetConcept code="IN" codeSystem="2.16.840.1.113883.5.1122"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="MayBeQualifiedBy">
               <targetConcept code="MID" codeSystem="2.16.840.1.113883.5.1122"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="MayBeQualifiedBy">
               <targetConcept code="PFX" codeSystem="2.16.840.1.113883.5.1122"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="MayBeQualifiedBy">
               <targetConcept code="SP" codeSystem="2.16.840.1.113883.5.1122"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22784"/>
            <printName language="en" preferredForLanguage="true" text="family"/>
            <code code="FAM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Given name. Note: don't call it "first name" since the given names do not always come first.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="MayBeQualifiedBy">
               <targetConcept code="AD" codeSystem="2.16.840.1.113883.5.1122"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="MayBeQualifiedBy">
               <targetConcept code="BR" codeSystem="2.16.840.1.113883.5.1122"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="MayBeQualifiedBy">
               <targetConcept code="CL" codeSystem="2.16.840.1.113883.5.1122"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="MayBeQualifiedBy">
               <targetConcept code="IN" codeSystem="2.16.840.1.113883.5.1122"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="MayBeQualifiedBy">
               <targetConcept code="PFX" codeSystem="2.16.840.1.113883.5.1122"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="MayBeQualifiedBy">
               <targetConcept code="SFX" codeSystem="2.16.840.1.113883.5.1122"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="MayBeQualifiedBy">
               <targetConcept code="SP" codeSystem="2.16.840.1.113883.5.1122"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22785"/>
            <printName language="en" preferredForLanguage="true" text="given"/>
            <code code="GIV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Part of the name that is acquired as a title due to academic, legal, employment or nobility status etc.</p>
                        <p>**Note:**Title name parts include name parts that come after the name such as qualifications, even if they are not always considered to be titles.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="MayBeQualifiedBy">
               <targetConcept code="AC" codeSystem="2.16.840.1.113883.5.1122"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="MayBeQualifiedBy">
               <targetConcept code="LS" codeSystem="2.16.840.1.113883.5.1122"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="MayBeQualifiedBy">
               <targetConcept code="NB" codeSystem="2.16.840.1.113883.5.1122"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="MayBeQualifiedBy">
               <targetConcept code="PFX" codeSystem="2.16.840.1.113883.5.1122"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="MayBeQualifiedBy">
               <targetConcept code="PR" codeSystem="2.16.840.1.113883.5.1122"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="MayBeQualifiedBy">
               <targetConcept code="SFX" codeSystem="2.16.840.1.113883.5.1122"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22787"/>
            <printName language="en" preferredForLanguage="true" text="title"/>
            <code code="TITLE" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="EntityNameUse" title="EntityNameUse"
               codeSystemId="2.16.840.1.113883.5.45">
      <historyItem dateTime="2020-05-06" id="v3-EntityNameUse-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**** MISSING DESCRIPTION ****</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired..</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Includes writer's pseudonym, stage name, etc</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="P"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10178"/>
            <printName language="en" preferredForLanguage="true" text="Artist/Stage"/>
            <code code="A" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Alphabetic transcription of name (Japanese: romaji)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NameRepresentationUse"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15917"/>
            <printName language="en" preferredForLanguage="true" text="Alphabetic"/>
            <code code="ABC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A name assigned to a person. Reasons some organizations assign alternate names may include not knowing the person's name, or to maintain anonymity. Some, but not necessarily all, of the name types that people call "alias" may fit into this category.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21358"/>
            <printName language="en" preferredForLanguage="true" text="assigned"/>
            <code code="ASGN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>As recorded on a license, record, certificate, etc. (only if different from legal name)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10177"/>
            <printName language="en" preferredForLanguage="true" text="License"/>
            <code code="C" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>e.g. Chief Red Cloud</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10179"/>
            <printName language="en" preferredForLanguage="true" text="Indigenous/Tribal"/>
            <code code="I" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Ideographic representation of name (e.g., Japanese kanji, Chinese characters)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NameRepresentationUse"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15919"/>
            <printName language="en" preferredForLanguage="true" text="Ideographic"/>
            <code code="IDE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Known as/conventional/the one you use</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10176"/>
            <printName language="en" preferredForLanguage="true" text="Legal"/>
            <code code="L" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**The formal name as registered in an official (government) registry, but which name might not be commonly used. Particularly used in countries with a law system based on Napoleonic law.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="L"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21637"/>
            <printName language="en" preferredForLanguage="true" text="official registry"/>
            <code code="OR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A self asserted name that the person is using or has used.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21321"/>
            <printName language="en" preferredForLanguage="true" text="pseudonym"/>
            <code code="P" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A name spelled phonetically.</p>
                        <p>There are a variety of phonetic spelling algorithms. This code value does not distinguish between these.*Discussion:*</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SRCH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21364"/>
            <printName language="en" preferredForLanguage="true" text="phonetic"/>
            <code code="PHON" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>e.g. Sister Mary Francis, Brother John</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10180"/>
            <printName language="en" preferredForLanguage="true" text="Religious"/>
            <code code="R" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A name spelled according to the SoundEx algorithm.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SRCH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21365"/>
            <printName language="en" preferredForLanguage="true" text="Soundex"/>
            <code code="SNDX" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A name intended for use in searching or matching.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21363"/>
            <printName language="en" preferredForLanguage="true" text="search"/>
            <code code="SRCH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Syllabic transcription of name (e.g., Japanese kana, Korean hangul)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NameRepresentationUse"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15918"/>
            <printName language="en" preferredForLanguage="true" text="Syllabic"/>
            <code code="SYL" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A name intended for use in searching or matching.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22618"/>
            <printName language="en" preferredForLanguage="true" text="EntityNameSearchUse"/>
            <code code="_EntityNameSearchUse" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the different representations of a name. The representation may affect how the name is used. (E.g. use of Ideographic for formal communications.)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21077"/>
            <printName language="en" preferredForLanguage="true" text="NameRepresentationUse"/>
            <code code="_NameRepresentationUse" status="active"/>
         </concept>
         <concept isSelectable="false">
            <conceptProperty name="internalId" value="21078"/>
            <printName language="en" preferredForLanguage="true" text="OrganizationNameUse"/>
            <code code="_OrganizationNameUse" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A code indicating the type of name (e.g. nickname, alias, maiden name, legal, adopted)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21079"/>
            <printName language="en" preferredForLanguage="true" text="PersonNameUse"/>
            <code code="_PersonNameUse" status="retired"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="EntityNameUseR2" title="EntityNameUseR2"
               codeSystemId="2.16.840.1.113883.5.1120">
      <historyItem dateTime="2020-05-06" id="v3-EntityNameUseR2-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**A set of codes advising a system or user which name in a set of names to select for a given purpose.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="synonymCode" type="Token" isMandatoryIndicator="false">
            <description>An additional concept code that was also attributed to a concept</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A name used in a Professional or Business context . Examples: Continuing to use a maiden name in a professional context, or using a stage performing name (some of these names are also pseudonyms)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="Assumed"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22776"/>
            <printName language="en" preferredForLanguage="true" text="business name"/>
            <code code="A" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Alphabetic transcription of name in latin alphabet (Japanese: romaji)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NameRepresentationUse"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22766"/>
            <printName language="en" preferredForLanguage="true" text="alphabetic"/>
            <code code="ABC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Anonymous assigned name (used to protect a persons identity for privacy reasons)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="Assumed"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22775"/>
            <printName language="en" preferredForLanguage="true" text="Anonymous"/>
            <code code="ANON" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A name that a person has assumed or has been assumed to them.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22772"/>
            <printName language="en" preferredForLanguage="true" text="Assumed"/>
            <code code="Assumed" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Known as/conventional/the one you normally use</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22769"/>
            <printName language="en" preferredForLanguage="true" text="customary"/>
            <code code="C" status="active"/>
            <code code="N" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**This name should no longer be used when interacting with the person (i.e . in addition to no longer being used, the name should not be even mentioned when interacting with the person)Note: applications are not required to compare names labeled "Do Not Use" and other names in order to eliminate name parts that are common between the other name and a name labeled "Do Not Use".</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OLD"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22779"/>
            <printName language="en" preferredForLanguage="true" text="do not use"/>
            <code code="DN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**e.g . Chief Red Cloud</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="Assumed"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22773"/>
            <printName language="en" preferredForLanguage="true" text="Indigenous/Tribal"/>
            <code code="I" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Ideographic representation of name (e.g., Japanese kanji, Chinese characters)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NameRepresentationUse"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22767"/>
            <printName language="en" preferredForLanguage="true" text="ideographic"/>
            <code code="IDE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A name used prior to marriage.Note that marriage naming customs vary greatly around the world. This name use is for use by applications that collect and store maiden names. Though the concept of maiden name is often gender specific, the use of this term is not gender specific. The use of this term does not imply any particular history for a person's name, nor should the maiden name be determined algorithmically</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22780"/>
            <printName language="en" preferredForLanguage="true" text="maiden name"/>
            <code code="M" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Identifies the different representations of a name . The representation may affect how the name is used . (E.g . use of Ideographic for formal communications.)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22765"/>
            <printName language="en" preferredForLanguage="true" text="NameRepresentationUse"/>
            <code code="NameRepresentationUse" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**This name is no longer in use (note: Names may also carry valid time ranges . This code is used to cover the situations where it is known that the name is no longer valid, but no particular time range for its use is known)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22778"/>
            <printName language="en" preferredForLanguage="true" text="no longer in use"/>
            <code code="OLD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The formal name as registered in an official (government) registry, but which name might not be commonly used . May correspond to the concept of legal name</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22770"/>
            <printName language="en" preferredForLanguage="true" text="official registry name"/>
            <code code="OR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A non-official name by which the person is sometimes known. (This may also be used to record informal names such as a nickname)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="Assumed"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22774"/>
            <printName language="en" preferredForLanguage="true" text="Other/Pseudonym/Alias"/>
            <code code="P" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The name as understood by the data enterer, i.e. a close approximation of a phonetic spelling of the name, not based on a phonetic algorithm.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22782"/>
            <printName language="en" preferredForLanguage="true" text="phonetic"/>
            <code code="PHON" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A name assumed as part of a religious vocation . e.g . Sister Mary Francis, Brother John</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="Assumed"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22777"/>
            <printName language="en" preferredForLanguage="true" text="religious"/>
            <code code="R" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A name intended for use in searching or matching. This is used when the name is incomplete and contains enough details for search matching, but not enough for other uses.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22781"/>
            <printName language="en" preferredForLanguage="true" text="search"/>
            <code code="SRCH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Syllabic transcription of name (e.g., Japanese kana, Korean hangul)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NameRepresentationUse"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22768"/>
            <printName language="en" preferredForLanguage="true" text="syllabic"/>
            <code code="SYL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A temporary name. Note that a name valid time can provide more detailed information. This may also be used for temporary names assigned at birth or in emergency situations.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22771"/>
            <printName language="en" preferredForLanguage="true" text="temporary"/>
            <code code="T" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="EntityRisk" title="EntityRisk" codeSystemId="2.16.840.1.113883.5.46">
      <historyItem dateTime="2020-05-06" id="v3-EntityRisk-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Kinds of risks associated with the handling of the material..</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A danger that can be associated with certain living subjects, including humans.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10415"/>
            <printName language="en" preferredForLanguage="true" text="aggressive"/>
            <code code="AGG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Material contains microorganisms that is an environmental hazard. Must be handled with special care.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10408"/>
            <printName language="en" preferredForLanguage="true" text="biohazard"/>
            <code code="BHZ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The dangers associated with normal biological materials. I.e. potential risk of unknown infections. Routine biological materials from living subjects.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14074"/>
            <printName language="en" preferredForLanguage="true" text="Biological"/>
            <code code="BIO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Material is corrosive and may cause severe injury to skin, mucous membranes and eyes. Avoid any unprotected contact.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14076"/>
            <printName language="en" preferredForLanguage="true" text="Corrosive"/>
            <code code="COR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The entity is at risk for escaping from containment or control.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14077"/>
            <printName language="en" preferredForLanguage="true" text="Escape Risk"/>
            <code code="ESC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Material is an explosive mixture. Keep away from fire, sparks, and heat.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="IFL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10413"/>
            <printName language="en" preferredForLanguage="true" text="explosive"/>
            <code code="EXP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Material is highly inflammable and in certain mixtures (with air) may lead to explosions. Keep away from fire, sparks and excessive heat.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10412"/>
            <printName language="en" preferredForLanguage="true" text="inflammable"/>
            <code code="IFL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Material known to be infectious with human pathogenic microorganisms. Those who handle this material must take precautions for their protection.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10407"/>
            <printName language="en" preferredForLanguage="true" text="infectious"/>
            <code code="INF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Material is solid and sharp (e.g., cannulas). Dispose in hard container.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10414"/>
            <printName language="en" preferredForLanguage="true" text="injury hazard"/>
            <code code="INJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Material is poisonous to humans and/or animals. Special care must be taken to avoid incorporation, even of small amounts.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10410"/>
            <printName language="en" preferredForLanguage="true" text="poison"/>
            <code code="POI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Material is a source for ionizing radiation and must be handled with special care to avoid injury of those who handle it and to avoid environmental hazards.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10409"/>
            <printName language="en" preferredForLanguage="true" text="radioactive"/>
            <code code="RAD" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="EntityStatus" title="EntityStatus"
               codeSystemId="2.16.840.1.113883.5.1061">
      <historyItem dateTime="2020-05-06" id="v3-EntityStatus-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Codes representing the defined possible states of an Entity, as defined by the Entity class state machine.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired..</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The state representing the fact that the Entity record is currently active.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="normal"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16007"/>
            <printName language="en" preferredForLanguage="true" text="active"/>
            <code code="active" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>The state representing the fact that the entity is inactive.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="normal"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22187"/>
            <printName language="en" preferredForLanguage="true" text="inactive"/>
            <code code="inactive" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The 'typical' state. Excludes "nullified" which represents the termination state of an Entity record instance that was created in error.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="16006"/>
            <printName language="en" preferredForLanguage="true" text="normal"/>
            <code code="normal" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The state representing the termination of an Entity record instance that was created in error.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="16009"/>
            <printName language="en" preferredForLanguage="true" text="nullified"/>
            <code code="nullified" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The state representing the normal termination of an Entity record.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="normal"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16008"/>
            <printName language="en" preferredForLanguage="true" text="terminated"/>
            <code code="terminated" status="retired"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="ENZC" title="Enzyme Codes" codeSystemId="2.16.840.1.113883.6.33">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Enzyme Codes</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="EpsgCa"
               title="European Petroleum Survey Group Geodetic Parameter Dataset Coordinate Axis"
               codeSystemId="2.16.840.1.113883.6.279">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**The set of values found in the Coord Axis Code column of the Coordinate Axis table as maintained in the EPSG geodetic parameter dataset. These define the axis for coordinate systems for geographic coordinates.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="EpsgCrs"
               title="European Petroleum Survey Group Geodetic Parameter Dataset Coordinate Reference System"
               codeSystemId="2.16.840.1.113883.6.278">
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>The set of values found in the Coord Axis Code column of the Coordinate Axis table as maintained in the EPSG geodetic parameter dataset. These define the axis for coordinate systems for geographic coordinates.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="EPSGGeodeticParameterDataset" title="EPSG Geodetic Parameter Dataset"
               codeSystemId="2.16.840.1.113883.6.242">
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>The EPSG (European Petroleum Survey Group) dataset represents all Datums, coordinate references (projected and 2D geographic) and coordinate systems (including Cartesian coordinate systems) used in surveying worldwide. Each record includes a 4-8 digit unique identifier. The current version is available from http://www.epsg.org/. The database contains over 4000 records covering spatial data applications worldwide.<b>Deprecation Comment:</b>This has been superceded by the two code systems EPSG-CRS and EPSG-CA</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="EquipmentAlertLevel" title="EquipmentAlertLevel"
               codeSystemId="2.16.840.1.113883.5.49">
      <historyItem dateTime="2020-05-06" id="v3-EquipmentAlertLevel-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**** MISSING DESCRIPTION ****</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Shut Down, Fix Problem and Re-init</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10900"/>
            <printName language="en" preferredForLanguage="true" text="Critical"/>
            <code code="C" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>No Corrective Action Needed</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10897"/>
            <printName language="en" preferredForLanguage="true" text="Normal"/>
            <code code="N" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Corrective Action Required</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10899"/>
            <printName language="en" preferredForLanguage="true" text="Serious"/>
            <code code="S" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Corrective Action Anticipated</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10898"/>
            <printName language="en" preferredForLanguage="true" text="Warning"/>
            <code code="W" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="Ethnicity" title="Ethnicity" codeSystemId="2.16.840.1.113883.5.50">
      <historyItem dateTime="2020-05-06" id="v3-Ethnicity-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Deprecation Information:</b>Deprecated due to UP-265. This code system in NOT the acknowledged source of truth for Ethnicity concepts and codes. It should no longer be used. https://terminology.hl7.org/CodeSystem-CDCREC.html should be used in its place. In the United States, federal standards for classifying data on ethnicity determine the categories used by federal agencies and exert a strong influence on categorization by state and local agencies and private sector organizations. The federal standards do not conceptually define ethnicity, and they recognize the absence of an anthropological or scientific basis for ethnicity classification. Instead, the federal standards acknowledge that ethnicity is a social-political construct in which an individual's own identification with a particular ethnicity is preferred to observer identification. The standards specify two minimum ethnicity categories: Hispanic or Latino, and Not Hispanic or Latino. The standards define a Hispanic or Latino as a person of "Mexican, Puerto Rican, Cuban, South or Central America, or other Spanish culture or origin, regardless of race." The standards stipulate that ethnicity data need not be limited to the two minimum categories, but any expansion must be collapsible to those categories. In addition, the standards stipulate that an individual can be Hispanic or Latino or can be Not Hispanic or Latino, but cannot be both.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2022-01-30" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <conceptProperty name="internalId" value="15837"/>
            <printName language="en" preferredForLanguage="true" text="Hispanic or Latino"/>
            <code code="2135-2" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2135-2"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15838"/>
            <printName language="en" preferredForLanguage="true" text="Spaniard"/>
            <code code="2137-8" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2137-8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15839"/>
            <printName language="en" preferredForLanguage="true" text="Andalusian"/>
            <code code="2138-6" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2137-8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15840"/>
            <printName language="en" preferredForLanguage="true" text="Asturian"/>
            <code code="2139-4" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2137-8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15841"/>
            <printName language="en" preferredForLanguage="true" text="Castillian"/>
            <code code="2140-2" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2137-8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15842"/>
            <printName language="en" preferredForLanguage="true" text="Catalonian"/>
            <code code="2141-0" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2137-8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15843"/>
            <printName language="en" preferredForLanguage="true" text="Belearic Islander"/>
            <code code="2142-8" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2137-8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15844"/>
            <printName language="en" preferredForLanguage="true" text="Gallego"/>
            <code code="2143-6" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2137-8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15845"/>
            <printName language="en" preferredForLanguage="true" text="Valencian"/>
            <code code="2144-4" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2137-8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15846"/>
            <printName language="en" preferredForLanguage="true" text="Canarian"/>
            <code code="2145-1" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2137-8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15847"/>
            <printName language="en" preferredForLanguage="true" text="Spanish Basque"/>
            <code code="2146-9" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2135-2"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15848"/>
            <printName language="en" preferredForLanguage="true" text="Mexican"/>
            <code code="2148-5" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2148-5"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15849"/>
            <printName language="en" preferredForLanguage="true" text="Mexican American"/>
            <code code="2149-3" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2148-5"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15850"/>
            <printName language="en" preferredForLanguage="true" text="Mexicano"/>
            <code code="2150-1" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2148-5"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15851"/>
            <printName language="en" preferredForLanguage="true" text="Chicano"/>
            <code code="2151-9" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2148-5"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15852"/>
            <printName language="en" preferredForLanguage="true" text="La Raza"/>
            <code code="2152-7" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2148-5"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15853"/>
            <printName language="en" preferredForLanguage="true" text="Mexican American Indian"/>
            <code code="2153-5" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2135-2"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15854"/>
            <printName language="en" preferredForLanguage="true" text="Central American"/>
            <code code="2155-0" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2155-0"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15855"/>
            <printName language="en" preferredForLanguage="true" text="Costa Rican"/>
            <code code="2156-8" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2155-0"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15856"/>
            <printName language="en" preferredForLanguage="true" text="Guatemalan"/>
            <code code="2157-6" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2155-0"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15857"/>
            <printName language="en" preferredForLanguage="true" text="Honduran"/>
            <code code="2158-4" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2155-0"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15858"/>
            <printName language="en" preferredForLanguage="true" text="Nicaraguan"/>
            <code code="2159-2" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2155-0"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15859"/>
            <printName language="en" preferredForLanguage="true" text="Panamanian"/>
            <code code="2160-0" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2155-0"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15860"/>
            <printName language="en" preferredForLanguage="true" text="Salvadoran"/>
            <code code="2161-8" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2155-0"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15861"/>
            <printName language="en" preferredForLanguage="true" text="Central American Indian"/>
            <code code="2162-6" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2155-0"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15862"/>
            <printName language="en" preferredForLanguage="true" text="Canal Zone"/>
            <code code="2163-4" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2135-2"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15863"/>
            <printName language="en" preferredForLanguage="true" text="South American"/>
            <code code="2165-9" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2165-9"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15864"/>
            <printName language="en" preferredForLanguage="true" text="Argentinean"/>
            <code code="2166-7" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2165-9"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15865"/>
            <printName language="en" preferredForLanguage="true" text="Bolivian"/>
            <code code="2167-5" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2165-9"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15866"/>
            <printName language="en" preferredForLanguage="true" text="Chilean"/>
            <code code="2168-3" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2165-9"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15867"/>
            <printName language="en" preferredForLanguage="true" text="Colombian"/>
            <code code="2169-1" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2165-9"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15868"/>
            <printName language="en" preferredForLanguage="true" text="Ecuadorian"/>
            <code code="2170-9" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2165-9"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15869"/>
            <printName language="en" preferredForLanguage="true" text="Paraguayan"/>
            <code code="2171-7" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2165-9"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15870"/>
            <printName language="en" preferredForLanguage="true" text="Peruvian"/>
            <code code="2172-5" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2165-9"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15871"/>
            <printName language="en" preferredForLanguage="true" text="Uruguayan"/>
            <code code="2173-3" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2165-9"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15872"/>
            <printName language="en" preferredForLanguage="true" text="Venezuelan"/>
            <code code="2174-1" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2165-9"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15873"/>
            <printName language="en" preferredForLanguage="true" text="South American Indian"/>
            <code code="2175-8" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2165-9"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15874"/>
            <printName language="en" preferredForLanguage="true" text="Criollo"/>
            <code code="2176-6" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2135-2"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15875"/>
            <printName language="en" preferredForLanguage="true" text="Latin American"/>
            <code code="2178-2" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2135-2"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15876"/>
            <printName language="en" preferredForLanguage="true" text="Puerto Rican"/>
            <code code="2180-8" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2135-2"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15877"/>
            <printName language="en" preferredForLanguage="true" text="Cuban"/>
            <code code="2182-4" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2135-2"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15878"/>
            <printName language="en" preferredForLanguage="true" text="Dominican"/>
            <code code="2184-0" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Note that this term remains in the table for completeness, even though within HL7, the notion of "not otherwise coded" term is deprecated.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="15879"/>
            <printName language="en" preferredForLanguage="true" text="Not Hispanic or Latino"/>
            <code code="2186-5" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="Euclides" title="EUCLIDES" codeSystemId="2.16.840.1.113883.6.34">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>EUCLIDES</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="ExposureMode" title="ExposureMode"
               codeSystemId="2.16.840.1.113883.5.1113">
      <historyItem dateTime="2020-05-06" id="v3-ExposureMode-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Code for the mechanism by which the exposure agent was exchanged or potentially exchanged by the participants involved in the exposure.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Communication of an agent from a living subject or environmental source to a living subject through indirect contact via oral or nasal inhalation.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ExposureMode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22379"/>
            <printName language="en" preferredForLanguage="true" text="airborne"/>
            <code code="AIRBORNE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Communication of an agent from a living subject or environmental source to a living subject through direct physical contact.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ExposureMode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22381"/>
            <printName language="en" preferredForLanguage="true" text="contact"/>
            <code code="CONTACT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Communication of an agent from a food source to a living subject via oral consumption.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ExposureMode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22380"/>
            <printName language="en" preferredForLanguage="true" text="foodborne"/>
            <code code="FOODBORNE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Communication of an agent to a living subject by contact and/or consumption via an aqueous medium</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ExposureMode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22378"/>
            <printName language="en" preferredForLanguage="true" text="waterborne"/>
            <code code="WATERBORNE" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Code for the mechanism by which the exposure agent was exchanged or potentially exchanged by the participants involved in the exposure.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22377"/>
            <printName language="en" preferredForLanguage="true" text="ExposureMode"/>
            <code code="_ExposureMode" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="ExternalCodeSystems" title="HL7 Registered External Coding Systems"
               codeSystemId="2.16.840.1.113883.6">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>External coding systems registered in HL7 with an HL7 OID</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="FDBHICCode" title="FDB HIC Code" codeSystemId="2.16.840.1.113883.3.84">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The FDB Hierarchical Ingredient Code is a six character identifier that represents an active ingredient and its specific therapeutic classification.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="FDDC" title="First DataBank Drug Codes"
               codeSystemId="2.16.840.1.113883.6.64">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>First DataBank Drug Codes</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="FDDX" title="First DataBank Diagnostic Codes"
               codeSystemId="2.16.840.1.113883.6.63">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>First DataBank Diagnostic Codes</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Fdk" title="FDA K10" codeSystemId="2.16.840.1.113883.6.38">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>FDA K10</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Fipspub92" title="FIPS_SOC" codeSystemId="2.16.840.1.113883.6.91">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>FIPSPUB92 - GUIDELINE FOR STANDARD OCCUPATIONAL CLASSIFICATION (SOC) CODES, version 1983 February 24. This entry is now obsolete, as FIPS92 was withdrawn from use in February 2005 by the US Government. It has been replaced by 2.16.840.1.113883.6.243; please use that OID instead.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="GCDF" title="GCDF" codeSystemId="2.16.840.1.113883.4.79">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>GCDF</p>
                  <p>Dosage Form Code (2-character)</p>
                  <p>a two-character alphanumeric column that represents a dosage form. The dosage form of a generic drug formulation describes the physical presentation of a drug, such as tablet, capsule, or liquid. It may also incorporate the delivery and release mechanism of the drug. A GCDF is associated to each GCN\_SEQNO to identify that component of the generic drug formulation.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="GCRT" title="GCRT" codeSystemId="2.16.840.1.113883.4.80">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>GCRT</p>
                  <p>Route of Administration Code (1-character)</p>
                  <p>a one-character alphanumeric column that provides the normal site or method by which a drug is administered, such as oral, injection, or topical. A GCRT is associated to each GCN\_SEQNO to identify that component of the generic drug formulation.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="GenderStatus" title="GenderStatus" codeSystemId="2.16.840.1.113883.5.51">
      <historyItem dateTime="2020-05-06" id="v3-GenderStatus-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A value representing whether the primary reproductive organs of NonPersonLivingSubject are present.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Reproductively intact</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11525"/>
            <printName language="en" preferredForLanguage="true" text="Intact"/>
            <code code="I" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Reproductively neutered</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11524"/>
            <printName language="en" preferredForLanguage="true" text="Neutered"/>
            <code code="N" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="GMDN" title="Global Medical Device Nomenclature"
               codeSystemId="2.16.840.1.113883.6.276">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>http://www.gmdnagency.com/</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="GTSAbbreviation" title="GTSAbbreviation"
               codeSystemId="2.16.840.1.113883.5.1022">
      <historyItem dateTime="2020-05-06" id="v3-GTSAbbreviation-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <i>Open Issue:</i>It appears that the printnames are suboptimal and should be improved for many of the existing codes.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="appliesTo" type="String" isMandatoryIndicator="false">
            <description>Haven't a clue!</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Every morning at institution specified times.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10721"/>
            <conceptProperty name="appliesTo" value="H0600-1200 IST"/>
            <printName language="en" preferredForLanguage="true" text="AM"/>
            <code code="AM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>At bedtime (institution specified time).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23940"/>
            <printName language="en" preferredForLanguage="true" text="at bedtime"/>
            <code code="BED" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Two times a day at institution specified time</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10703"/>
            <conceptProperty name="appliesTo" value="/(12 h) IST"/>
            <printName language="en" preferredForLanguage="true" text="BID"/>
            <code code="BID" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Regular business days (Monday to Friday excluding holidays)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10723"/>
            <conceptProperty name="appliesTo" value="J1-5 \JH"/>
            <printName language="en" preferredForLanguage="true" text="JB"/>
            <code code="JB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Regular weekends (Saturday and Sunday excluding holidays)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10724"/>
            <conceptProperty name="appliesTo" value="J6-7 \JH"/>
            <printName language="en" preferredForLanguage="true" text="JE"/>
            <code code="JE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Holidays</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10725"/>
            <printName language="en" preferredForLanguage="true" text="GTSAbbreviationHolidays"/>
            <code code="JH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Easter Sunday. The Easter date is a rather complex calculation based on Astronomical tables describing full moon dates. Details can be found at \[http://www.assa.org.au/edm.html, and http://aa.usno.navy.mil/AA/faq/docs/easter.html\]. Note that the Christian Orthodox Holidays are based on the Julian calendar.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_GTSAbbreviationHolidaysChristianRoman"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10730"/>
            <printName language="en" preferredForLanguage="true" text="JHCHREAS"/>
            <code code="JHCHREAS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Good Friday, is the Friday right before Easter Sunday.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_GTSAbbreviationHolidaysChristianRoman"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10731"/>
            <printName language="en" preferredForLanguage="true" text="JHCHRGFR"/>
            <code code="JHCHRGFR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>New Year's Day (January 1)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_GTSAbbreviationHolidaysChristianRoman"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10729"/>
            <conceptProperty name="appliesTo" value="M0101"/>
            <printName language="en" preferredForLanguage="true" text="JHCHRNEW"/>
            <code code="JHCHRNEW" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Pentecost Sunday, is seven weeks after Easter (the 50th day of Easter).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_GTSAbbreviationHolidaysChristianRoman"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10732"/>
            <printName language="en" preferredForLanguage="true" text="JHCHRPEN"/>
            <code code="JHCHRPEN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Christmas Eve (December 24)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_GTSAbbreviationHolidaysChristianRoman"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10727"/>
            <conceptProperty name="appliesTo" value="M1224"/>
            <printName language="en" preferredForLanguage="true" text="JHCHRXME"/>
            <code code="JHCHRXME" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Christmas Day (December 25)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_GTSAbbreviationHolidaysChristianRoman"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10728"/>
            <conceptProperty name="appliesTo" value="M1225"/>
            <printName language="en" preferredForLanguage="true" text="JHCHRXMS"/>
            <code code="JHCHRXMS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The Netherlands National Holidays.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="JH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22658"/>
            <printName language="en" preferredForLanguage="true"
                       text="The Netherlands National Holidays"/>
            <code code="JHNNL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Liberation day (May 5 every five years)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="JHNNL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22660"/>
            <printName language="en" preferredForLanguage="true"
                       text="Liberation day (May 5 every five years)"/>
            <code code="JHNNLLD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Queen's day (April 30)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="JHNNL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22659"/>
            <printName language="en" preferredForLanguage="true" text="Queen's day (April 30)"/>
            <code code="JHNNLQD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Sinterklaas (December 5)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="JHNNL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22661"/>
            <printName language="en" preferredForLanguage="true" text="Sinterklaas (December 5)"/>
            <code code="JHNNLSK" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>United States National Holidays (public holidays for federal employees established by U.S. Federal law 5 U.S.C. 6103).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="JH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10733"/>
            <printName language="en" preferredForLanguage="true"
                       text="GTSAbbreviationHolidaysUSNational"/>
            <code code="JHNUS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Columbus Day, the second Monday in October.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="JHNUS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10743"/>
            <conceptProperty name="appliesTo" value="M1008-14 J1"/>
            <printName language="en" preferredForLanguage="true" text="JHNUSCLM"/>
            <code code="JHNUSCLM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Independence Day (4th of July)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="JHNUS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10739"/>
            <conceptProperty name="appliesTo" value="M0704"/>
            <printName language="en" preferredForLanguage="true" text="JHNUSIND"/>
            <code code="JHNUSIND" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Alternative Monday after 4th of July Weekend \[5 U.S.C. 6103(b)\].</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="JHNUS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10741"/>
            <conceptProperty name="appliesTo" value="M0705 J1"/>
            <printName language="en" preferredForLanguage="true" text="JHNUSIND1"/>
            <code code="JHNUSIND1" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Alternative Friday before 4th of July Weekend \[5 U.S.C. 6103(b)\].</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="JHNUS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10740"/>
            <conceptProperty name="appliesTo" value="M0703 J5"/>
            <printName language="en" preferredForLanguage="true" text="JHNUSIND5"/>
            <code code="JHNUSIND5" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Labor Day, the first Monday in September.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="JHNUS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10742"/>
            <conceptProperty name="appliesTo" value="M0901-07 J1"/>
            <printName language="en" preferredForLanguage="true" text="JHNUSLBR"/>
            <code code="JHNUSLBR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Memorial Day, the last Monday in May.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="JHNUS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10736"/>
            <conceptProperty name="appliesTo" value="M0525-31 J1"/>
            <printName language="en" preferredForLanguage="true" text="JHNUSMEM"/>
            <code code="JHNUSMEM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Friday before Memorial Day Weekend</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="JHNUS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10737"/>
            <conceptProperty name="appliesTo" value="M0522-28 J5"/>
            <printName language="en" preferredForLanguage="true" text="JHNUSMEM5"/>
            <code code="JHNUSMEM5" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Saturday of Memorial Day Weekend</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="JHNUS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10738"/>
            <conceptProperty name="appliesTo" value="M0523-29 J6"/>
            <printName language="en" preferredForLanguage="true" text="JHNUSMEM6"/>
            <code code="JHNUSMEM6" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Dr. Martin Luther King, Jr. Day, the third Monday in January.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="JHNUS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10734"/>
            <conceptProperty name="appliesTo" value="M0115-21 J1"/>
            <printName language="en" preferredForLanguage="true" text="JHNUSMLK"/>
            <code code="JHNUSMLK" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Washington's Birthday (Presidential Day) the third Monday in February.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="JHNUS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10735"/>
            <conceptProperty name="appliesTo" value="M0215-21 J1"/>
            <printName language="en" preferredForLanguage="true" text="JHNUSPRE"/>
            <code code="JHNUSPRE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Thanksgiving Day, the fourth Thursday in November.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="JHNUS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10745"/>
            <conceptProperty name="appliesTo" value="M1122-28 J4"/>
            <printName language="en" preferredForLanguage="true" text="JHNUSTKS"/>
            <code code="JHNUSTKS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Friday after Thanksgiving.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="JHNUS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10746"/>
            <conceptProperty name="appliesTo" value="M1123-29 J5"/>
            <printName language="en" preferredForLanguage="true" text="JHNUSTKS5"/>
            <code code="JHNUSTKS5" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Veteran's Day, November 11.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="JHNUS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10744"/>
            <conceptProperty name="appliesTo" value="M1111"/>
            <printName language="en" preferredForLanguage="true" text="JHNUSVET"/>
            <code code="JHNUSVET" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Monthly at institution specified time.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23942"/>
            <printName language="en" preferredForLanguage="true" text="monthly"/>
            <code code="MO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Every afternoon at institution specified times.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10722"/>
            <conceptProperty name="appliesTo" value="H1200-1800 IST"/>
            <printName language="en" preferredForLanguage="true" text="PM"/>
            <code code="PM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Every hour at institution specified times.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23936"/>
            <printName language="en" preferredForLanguage="true" text="every hour"/>
            <code code="Q1H" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Every 2 hours at institution specified times.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23937"/>
            <printName language="en" preferredForLanguage="true" text="every 2 hours"/>
            <code code="Q2H" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Every 3 hours at institution specified times.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23938"/>
            <printName language="en" preferredForLanguage="true" text="every 3 hours"/>
            <code code="Q3H" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Every 4 hours at institution specified time</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23746"/>
            <conceptProperty name="appliesTo" value="4 h IST"/>
            <printName language="en" preferredForLanguage="true" text="Q4H"/>
            <code code="Q4H" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Every 6 hours at institution specified time</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23747"/>
            <conceptProperty name="appliesTo" value="6 h IST"/>
            <printName language="en" preferredForLanguage="true" text="Q6H"/>
            <code code="Q6H" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Every 8 hours at institution specified times.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23939"/>
            <printName language="en" preferredForLanguage="true" text="every 8 hours"/>
            <code code="Q8H" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Every day at institution specified times.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23744"/>
            <conceptProperty name="appliesTo" value="1 d IST"/>
            <printName language="en" preferredForLanguage="true" text="QD"/>
            <code code="QD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Four times a day at institution specified time</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10705"/>
            <conceptProperty name="appliesTo" value="/(6 h) IST"/>
            <printName language="en" preferredForLanguage="true" text="QID"/>
            <code code="QID" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Every other day at institution specified times.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23745"/>
            <conceptProperty name="appliesTo" value="2 d IST"/>
            <printName language="en" preferredForLanguage="true" text="QOD"/>
            <code code="QOD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Three times a day at institution specified time</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10704"/>
            <conceptProperty name="appliesTo" value="/(8 h) IST"/>
            <printName language="en" preferredForLanguage="true" text="TID"/>
            <code code="TID" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Weekly at institution specified time.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23941"/>
            <printName language="en" preferredForLanguage="true" text="weekly"/>
            <code code="WK" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Christian Holidays (Roman/Gregorian \[Western\] Tradition.)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="JH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21080"/>
            <printName language="en" preferredForLanguage="true"
                       text="GTSAbbreviationHolidaysChristianRoman"/>
            <code code="_GTSAbbreviationHolidaysChristianRoman" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="HcAIC" title="Active Ingredient Code"
               codeSystemId="2.16.840.1.113883.5.1103">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Foreign key for the Active Ingredient Table that relates active ingredients to specific products.</p>
                  <p>Further information about this Code System can be found at https://www.canada.ca/en/health-canada/services/drugs-health-products/drug-products/drug-product-database/read-file-drug-product-database-data-extract.html</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-03-22" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="HcAIGC" title="Active Ingredient Group Code"
               codeSystemId="2.16.840.1.113883.5.1104">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Part of the active ingredient code number starting at position 3 and ending at position 7.</p>
                  <p>Further information about this Code System can be found at https://www.canada.ca/en/health-canada/services/drugs-health-products/drug-products/drug-product-database/terminology.html</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-03-22" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="HcDIN" title="Health Canada Drug Id Number"
               codeSystemId="2.16.840.1.113883.5.1105">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A Drug Identification Number (DIN) is a computer-generated eight digit number assigned by Health Canada to a drug product prior to being marketed in Canada. It uniquely identifies all drug products sold in a dosage form in Canada and is located on the label of prescription and over-the-counter drug products that have been evaluated and authorized for sale in Canada. A DIN uniquely identifies the following product characteristics:</p>
                  <p>* manufacturer * product name * active ingredient(s) * strength(s) of active ingredient(s) * pharmaceutical form, and * route of administration.</p>
                  <p>Note: The number has a leading zero.</p>
                  <p>Further information about this Code System can be found at https://www.canada.ca/en/health-canada/services/drugs-health-products/drug-products/applications-submissions/guidance-documents/regulatory-requirements-drug-identification-numbers/document.html</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-10-04" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="HcAIGN" title="Active Ingredient Group Number"
               codeSystemId="2.16.840.1.113883.5.1106">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The AIG number is a 10 digit number that identifies products that have the same active ingredient(s) and ingredient strength(s). The AIG is comprised of three portions:</p>
                  <p>* the first portion (2 digits) identifies the number of active ingredients * the second portion(5 digits) identifies the unique groups of active ingredients(s); * the last portion (3 digits) identifies the active ingredient group strength. The strength group has a tolerance of -2% to +10%.</p>
                  <p>Further information about this Code System can be found at https://www.canada.ca/en/health-canada/services/drugs-health-products/drug-products/drug-product-database/terminology.html</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-03-22" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="HcNpn" title="Health Canada Natural Product Number"
               codeSystemId="2.16.840.1.113883.5.1107">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Natural Product Number (NPN) is an eight (8) digit numerical code assigned to each natural health product approved to be marketed under the Natural Health Products Regulations. A Homeopathic Medicine Number (DIN-HM) is an eight (8) digit numerical code assigned to each homeopathic medicine approved to be marketed under the Natural Health Products Regulations.</p>
                  <p>Further information about this Code System can be found at https://www.canada.ca/en/health-canada/services/drugs-health-products/natural-non-prescription/applications-submissions/product-licensing/licensed-natural-health-products-database.html</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-03-22" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="HGNCGenes" title="HUGO Gene Nomenclature Committee Genes"
               codeSystemId="2.16.840.1.113883.6.281">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The HGNC is responsible for approving unique symbols and names for human loci, including protein coding genes, ncRNA genes and pseudogenes, to allow unambiguous scientific communication.</p>For each known human gene we approve a gene name and symbol (short-form abbreviation). All approved symbols are stored in the HGNC database,<a>www.genenames.orghttps://www.genenames.org/tools/search</a>, a curated online repository of HGNC-approved gene nomenclature, gene groups and associated resources including links to genomic, proteomic and phenotypic information. Each symbol is unique and we ensure that each gene is only given one approved gene symbol. It is necessary to provide a unique symbol for each gene so that we and others can talk about them, and this also facilitates electronic data retrieval from publications and databases.<p>HGNC gene symbols can be used with the HL7 coded data type. For example, in the HL7 messages specified according to the HL7 V2 Clinical Genomics Fully LOINC-Qualified Genetic Variation Model Implementation Guide, HGNC gene symbols can be used to as the observation values for gene identifiers. For example, OBX|1|CWE|48018-6^Gene identifier^||BRCA1^HGNC|</p>
                  <p>Versioning Information: The version of the HGNC database is reported using the last updated date and timestamp. The last updated date and timestamp is posted on the main HGNC Search screen in the format like "Monday March 30 23:00:56 2009".</p>
                  <p>HGNC is updated daily.</p>
                  <p>HGNC is a free database for the public.</p>
                  <p>Please see https://www.genenames.org/ for more info.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2022-08-25" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Hgvs" title="Human Genome Variation Society nomenclature"
               codeSystemId="2.16.840.1.113883.6.282">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>HGVS nomenclatures are the guidelines for mutation nomenclature made by the Human Genome Variation Society.</p>
                  <p>HGVS nomenclature can be used with the HL7 coded data type (code data type that accepts expression data, or a coded expression data type). This coded data type should be able to distinguish expressions in HGVS nomenclature from coded concepts. For example, in the HL7 messages specified according to the HL7 V2 Clinical Genomics Fully LOINC-Qualified Genetic Variation Model, HGVS nomenclature can be used to as the observation values for DNA sequence variations. For example, OBX|1|CWE|48004-6^DNA Sequence Variation^LN||c.1129C&gt;T^^HGVS|</p>
                  <p>Versioning information: The HGVS nomenclature for the description of sequence variants was last modified Feb 20, 2008. The HGVS nomenclature for the description of protein sequence variants was last modified May 12, 2007. The HGVS nomenclature for the description of DNA sequence variants was last modified June 15, 2007 The HGVS nomenclature for the description of RNA sequence variants was last modified May 12, 2007</p>
                  <p>HGVS nomenclatures can be used freely by the public.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Hhcc" title="Home Health Care" codeSystemId="2.16.840.1.113883.6.17">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>HHCC - Home Health Codes</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Hi" title="Health Outcomes" codeSystemId="2.16.840.1.113883.6.39">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Health Outcomes</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="HibccHIN" title="HIBCC" codeSystemId="2.16.840.1.113883.6.40">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>HIBCC</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Hl7ApprovalStatus" title="HL7ApprovalStatus"
               codeSystemId="2.16.840.1.113883.5.1130">
      <historyItem dateTime="2020-05-06" id="v3-hl7ApprovalStatus-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>Codes for concepts describing the approval level of HL7 artifacts. This code system reflects the concepts expressed in HL7's Governance &amp; Operations Manual (GOM) past and present.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
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                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
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                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>A property that indicates the status of the concept. One of active, experimental, deprecated, or retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Content that is being presented to an international affiliate for consideration as a realm-specific draft standard for trial use.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23125"/>
            <printName language="en" preferredForLanguage="true" text="affiliate ballot - DSTU"/>
            <code code="affd" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Content that is being presented to an international affiliate for consideration as a realm-specific informative standard.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23126"/>
            <printName language="en" preferredForLanguage="true" text="affiliate ballot - informative"/>
            <code code="affi" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Content that is being presented to an international affiliate for consideration as a realm-specific normative standard.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23124"/>
            <printName language="en" preferredForLanguage="true" text="affiliate ballot - normative"/>
            <code code="affn" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Content that has passed ballot as a realm-specific draft standard for trial use.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23129"/>
            <printName language="en" preferredForLanguage="true" text="approved affiliate DSTU"/>
            <code code="appad" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Content that has passed ballot as a realm-specific informative standard.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23128"/>
            <printName language="en" preferredForLanguage="true" text="approved affiliate informative"/>
            <code code="appai" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Content that has passed ballot as a realm-specific normative standard</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23127"/>
            <printName language="en" preferredForLanguage="true" text="approved affiliate normative"/>
            <code code="appan" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Content that has passed ballot as a draft standard for trial use.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23123"/>
            <printName language="en" preferredForLanguage="true" text="approved DSTU"/>
            <code code="appd" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Content that has passed ballot as a normative standard.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23122"/>
            <printName language="en" preferredForLanguage="true" text="approved informative"/>
            <code code="appi" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Content that has passed ballot as a normative standard.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23121"/>
            <printName language="en" preferredForLanguage="true" text="approved normative"/>
            <code code="appn" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Content prepared by a committee and submitted for internal consideration as an informative standard.<b>Deprecation Comment</b>No longer supported as ballot statuses within the HL7 Governance and Operations Manual. Use normative or informative variants instead.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="deprecationDate" value="2010-11-23"/>
            <conceptProperty name="internalId" value="23117"/>
            <printName language="en" preferredForLanguage="true" text="committee ballot - informative"/>
            <code code="comi" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Content prepared by a committee and submitted for internal consideration as an informative standard.<b>Deprecation Comment</b>No longer supported as ballot statuses within the HL7 Governance and Operations Manual. Use normative or informative variants instead.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="deprecationDate" value="2010-11-23"/>
            <conceptProperty name="internalId" value="23116"/>
            <printName language="en" preferredForLanguage="true" text="committee ballot - normative"/>
            <code code="comn" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Content that is under development and is not intended to be used.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23113"/>
            <printName language="en" preferredForLanguage="true" text="draft"/>
            <code code="draft" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Content that represents an adaption of a implementable balloted material to represent the needs or capabilities of a particular installation.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23130"/>
            <printName language="en" preferredForLanguage="true" text="localized adaptation"/>
            <code code="loc" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Content prepared by a committee and submitted for membership consideration as a draft standard for trial use.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23120"/>
            <printName language="en" preferredForLanguage="true" text="membership ballot - DSTU"/>
            <code code="memd" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Content prepared by a committee and submitted for membership consideration as an informative standard.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23119"/>
            <printName language="en" preferredForLanguage="true"
                       text="membership ballot - informative"/>
            <code code="memi" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Content prepared by a committee and submitted for membership consideration as a normative standard.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23118"/>
            <printName language="en" preferredForLanguage="true" text="membership ballot - normative"/>
            <code code="memn" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Content developed independently by an organization or individual that is declared to be 'usable' but for which there is no present intention to submit through the standards submission and review process.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23114"/>
            <printName language="en" preferredForLanguage="true"
                       text="non-standard - available for use"/>
            <code code="ns" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Content submitted to a committee for consideration for future inclusion in the standard.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23115"/>
            <printName language="en" preferredForLanguage="true" text="proposal"/>
            <code code="prop" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Content intended to support other content that is subject to approval, but which is not itself subject to formal approval.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23251"/>
            <printName language="en" preferredForLanguage="true" text="reference"/>
            <code code="ref" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Content that represents an item that was at one point a normative or informative standard, but was subsequently withdrawn.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23131"/>
            <printName language="en" preferredForLanguage="true" text="withdrawn"/>
            <code code="wd" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="Hl7CMETAttribution" title="HL7CMETAttribution"
               codeSystemId="2.16.840.1.113883.5.1132">
      <historyItem dateTime="2020-05-06" id="v3-hl7CMETAttribution-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**** MISSING DEFINITIONS ****</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Provides sufficient information to allow the object identified to be contacted. This is likely to have the content of identified and confirmable plus telephone number.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23149"/>
            <printName language="en" preferredForLanguage="true" text="contact"/>
            <code code="contact" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>This variant is a proper subset of universal and is intended to provide sufficient information to identify the object(s) modeled by the CMET. This variant is only suitable for use within TIGHTLY COUPLED SYSTEMS ONLY. This variant provides ONLY the ID (and code where applicable) and Name. Other variants may not be substituted at runtime.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23153"/>
            <printName language="en" preferredForLanguage="true" text="identified"/>
            <code code="identified" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>This extends the identified variant by adding just sufficient additional information to allow the identity of object modeled to be confirmed by a number of corroborating items of data; for instance a patient's date of birth and current address. However, specific contact information, such as telephone number, are not viewed as confirming information.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23151"/>
            <printName language="en" preferredForLanguage="true" text="identified-confirmable"/>
            <code code="identified-confirmable" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Generally the same information content as "contactable" but using new "informational" CMETs as dependant CMETs. This flavor allows expression of the CMET when non-focal class information is not known.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23152"/>
            <printName language="en" preferredForLanguage="true" text="identified-informational"/>
            <code code="identified-informational" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Generally the same information content as "contactable", but with required (not mandatory) ids on entry point class. This flavor allows expression of the CMET even when mandatory information is not known.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23150"/>
            <printName language="en" preferredForLanguage="true" text="informational"/>
            <code code="informational" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Provides more than identified, but not as much as universal. There are not expected to be many of these.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23148"/>
            <printName language="en" preferredForLanguage="true" text="minimal"/>
            <code code="minimal" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>This variant includes all attributes and associations present in the R-MIM. Any of non-mandatory and non-required attributes and/or associations may be present or absent, as permitted in the cardinality constraints.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23147"/>
            <printName language="en" preferredForLanguage="true" text="universal"/>
            <code code="universal" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="HL7CommitteeIDInRIM" title="HL7CommitteeIDInRIM"
               codeSystemId="2.16.840.1.113883.5.54">
      <historyItem dateTime="2020-05-06" id="v3-HL7CommitteeIDInRIM-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Holds the codes used to identify the committees and SIGS of HL7 in RIM repository tables.</p>
                  <b>Deprecation Comment:</b>Deprecated as per 11/2008 Harmonization cleanup; internal and obsolete HL7 usage, no longer used.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Modeling and Methodology</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10035"/>
            <printName language="en" preferredForLanguage="true" text="Modeling and Methodology"/>
            <code code="C00" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Technical Steering Committee</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10036"/>
            <printName language="en" preferredForLanguage="true" text="Technical Steering Committee"/>
            <code code="C01" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Control/Query/MasterFiles</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10037"/>
            <printName language="en" preferredForLanguage="true" text="Control/Query/MasterFiles"/>
            <code code="C02" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Patient Administration</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10038"/>
            <printName language="en" preferredForLanguage="true" text="Patient Administration"/>
            <code code="C03" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Orders/Observation</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10039"/>
            <printName language="en" preferredForLanguage="true" text="Orders/Observation"/>
            <code code="C04" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Financial Management</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10040"/>
            <printName language="en" preferredForLanguage="true" text="Financial Management"/>
            <code code="C06" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Information Management (Medical Records)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10041"/>
            <printName language="en" preferredForLanguage="true" text="Medical records"/>
            <code code="C09" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Scheduling &amp; Referral</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10042"/>
            <printName language="en" preferredForLanguage="true" text="Scheduling"/>
            <code code="C10" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Patient Care</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10043"/>
            <printName language="en" preferredForLanguage="true" text="Patient Care"/>
            <code code="C12" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>PRA Technical Committee</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10044"/>
            <printName language="en" preferredForLanguage="true" text="Structured Document Committee"/>
            <code code="C20" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>PRA Technical Committee</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10757"/>
            <printName language="en" preferredForLanguage="true" text="Vocabulary Committee"/>
            <code code="C21" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="HL7ConformanceInclusion" title="HL7ConformanceInclusion"
               codeSystemId="2.16.840.1.113883.5.55">
      <historyItem dateTime="2020-05-06" id="v3-HL7ConformanceInclusion-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>These concepts represent theconformance requirments defined for including or valuing an element of an HL7 message. The concepts apply equally to conformance profiles defined for Version 2.x messgaes as defined by the Conformance SIG, and to the conformance columns for Version 3 messages as specified in the HMD.</p>
                  <b>Deprecation Comment:</b>Deprecated as per 11/2008 Harmonization cleanup; internal and obsolete HL7 usage, no longer used.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="synonymCode" type="Token" isMandatoryIndicator="false">
            <description>An additional concept code that was also attributed to a concept</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The message element must appear every time the message is communicated and its value must not be null. This condition is subject to the rules of multiplicity and conditionality. If a non-null default value is defined for the element, a null value may be communicated.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10011"/>
            <printName language="en" preferredForLanguage="true" text="Mandatory"/>
            <printName language="en" preferredForLanguage="false" text="Required - V2.x"/>
            <code code="M" status="active"/>
            <code code="R" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This message element may not appear when the message is communicated.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InclusionNotMandatory"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10014"/>
            <printName language="en" preferredForLanguage="true" text="Not permitted"/>
            <code code="NP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The message element may be populated or used by one system sponsor (or profile), but not by another. Each system sponsor or profile is required to state the ability to accept or send the message element as part of a conformance claim.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InclusionNotMandatory"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10015"/>
            <printName language="en" preferredForLanguage="true" text="Not required"/>
            <code code="NR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Pursuant to a profile or vendor conformance claim, the message element must appear every time the message is communicated, but the value may be communicated as null.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10016"/>
            <printName language="en" preferredForLanguage="true" text="Required may be empty"/>
            <code code="RE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The message element must appear every time the message is communicated, but the value may be communicated as null.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InclusionNotMandatory"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10013"/>
            <printName language="en" preferredForLanguage="true" text="Required"/>
            <code code="RQ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Pursuant to a profile or vendor conformance claim, this message element may not appear when the message is communicated.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10017"/>
            <printName language="en" preferredForLanguage="true" text="Excluded"/>
            <code code="X" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The message element is not mandatory, but its appearance may be constrained by one of the non-mandatory concepts.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21081"/>
            <printName language="en" preferredForLanguage="true" text="InclusionNotMandatory"/>
            <code code="_InclusionNotMandatory" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="HL7ContextConductionStyle" title="HL7ContextConductionStyle"
               codeSystemId="2.16.840.1.113883.5.1129">
      <historyItem dateTime="2020-05-06" id="v3-HL7ContextConductionStyle-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The styles of context conduction usable by relationships within a static model derived from tyhe HL7 Reference Information Model.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <i>Definition:</i>Context conduction is defined using the contextConductionCode and contextConductionInd attributes on ActRelationship and Participation.<i>UsageNotes:</i>This approach is deprecated as of March, 2010.</text>
                  </definition>
                  <usageNotes>
                     <text>This approach is deprecated as of March, 2010.</text>
                  </usageNotes>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23085"/>
            <printName language="en" preferredForLanguage="true" text="conduction-indicator-based"/>
            <code code="C" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <i>Definition:</i>Context conduction is not explicitly defined. The recipient of an instance must infer conduction based on the semantics of the model and what is deemed "reasonable".<i>UsageNotes:</i>Because this approach can lead to variation in instance interpretation, its use is discouraged.</text>
                  </definition>
                  <usageNotes>
                     <text>Because this approach can lead to variation in instance interpretation, its use is discouraged.</text>
                  </usageNotes>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23084"/>
            <printName language="en" preferredForLanguage="true" text="inferred"/>
            <code code="I" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <i>Definition:</i>Context conduction is defined using the ActRelationship.blockedContextActRelationshipType and blockedContextParticipationType attributes and the "conductible" property on the ActRelationshipType and ParticipationType code systems.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23086"/>
            <printName language="en" preferredForLanguage="true" text="vocabulary-based"/>
            <code code="V" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="HL7DefinedRoseProperty" title="HL7DefinedRoseProperty"
               codeSystemId="2.16.840.1.113883.5.56">
      <historyItem dateTime="2020-05-06" id="v3-HL7DefinedRoseProperty-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The property Ids that HL7 has defined for customizing Rational Rose.</p>
                  <b>Deprecation Comment:</b>Deprecated as per 11/2008 Harmonization cleanup; internal and obsolete HL7 usage, no longer used.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Holds the unique identifier of an Application Role (stereotype of class).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10085"/>
            <printName language="en" preferredForLanguage="true" text="Application Role"/>
            <code code="ApplicationRoleI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Records the constraints on the cardinality of attributes as documented in the RIM and in MIMs.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10086"/>
            <printName language="en" preferredForLanguage="true" text="Attribute Cardinality"/>
            <code code="Cardinality" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Holds the symbol for a defined data type (stereotype of class).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10096"/>
            <printName language="en" preferredForLanguage="true" text="Data type symbol"/>
            <code code="DTsymbol" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Used in constructing a Message Information Model to indicate which attributes to omit from the MIM.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10087"/>
            <printName language="en" preferredForLanguage="true" text="MIM Delete"/>
            <code code="DeleteFromMIM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Holds the id of the HL7 committee developing the model like "C00."</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10103"/>
            <printName language="en" preferredForLanguage="true" text="Developing committee"/>
            <code code="DevelopingCommit" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The HL7 MDF says that leaf level use cases should be connected to a state transition of the subject class. The use case diagram provides the link to the subject class. The modeler must use three properties to identify the state transition -- this property and the two following ones named StartState and StateTransition. The first two are, as their names imply, the names of the starting state and ending state of the transition, and the third is the name of the transition.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10112"/>
            <printName language="en" preferredForLanguage="true" text="End state"/>
            <code code="EndState" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The identifier of the HMD from which the message structure for the message transferred by an interaction is drawn.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10100"/>
            <printName language="en" preferredForLanguage="true" text="HMD identifier"/>
            <code code="HMD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Holds the unique identifier of use cases, interactions and storyboards.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10115"/>
            <printName language="en" preferredForLanguage="true" text="Identifier"/>
            <code code="ID" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Holds the data type assigned to the generic type parameter when an instantiation of generic type is recorded.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10097"/>
            <printName language="en" preferredForLanguage="true" text="Data type instantiated"/>
            <code code="InstancedDTsymbo" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates that a data type definition is for a primitive data type (stereotype of class).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10098"/>
            <printName language="en" preferredForLanguage="true" text="Primitive data type"/>
            <code code="IsPrimitiveDT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates that the type for a data type component (attribute of a data type stereotype of class) is found by reference.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10099"/>
            <printName language="en" preferredForLanguage="true" text="Reference data type"/>
            <code code="IsReferenceDT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Set true for classes that are subject classes.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10094"/>
            <printName language="en" preferredForLanguage="true" text="Subject class"/>
            <code code="IsSubjectClass" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Used in a subject area category that holds a MIM. It provides the unique identifier for the MIM. The first portion of this identifier should be the ModelID of the RIM from which the MIM is derived.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10110"/>
            <printName language="en" preferredForLanguage="true" text="MIM Identifier"/>
            <code code="MIM_id" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates with a value of "True" whether the inclusion of an attribute in an HMD and in the messages derived from that HMD is mandatory. The default is not mandatory, and use of mandatory inclusion in the RIM is deprecated.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10088"/>
            <printName language="en" preferredForLanguage="true" text="Mandatory"/>
            <code code="MandatoryInclusi" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates with values of "True" or "False" whether an attribute may repeat in an HMD. The default is non-repeating.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10089"/>
            <printName language="en" preferredForLanguage="true" text="Attribute may repeat"/>
            <code code="MayRepeat" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A text version of the last modified date formatted like "19970606"</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10104"/>
            <printName language="en" preferredForLanguage="true" text="Model date"/>
            <code code="ModelDate" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Contains the textual description of the model.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10105"/>
            <printName language="en" preferredForLanguage="true" text="Model description"/>
            <code code="ModelDescription" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Holds the unique identifier assigned to this model.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10106"/>
            <printName language="en" preferredForLanguage="true" text="Model identifier"/>
            <code code="ModelID" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Holds the formal name for the model</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10107"/>
            <printName language="en" preferredForLanguage="true" text="Model name"/>
            <code code="ModelName" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A text version of the version number like "V 30-08"</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10108"/>
            <printName language="en" preferredForLanguage="true" text="Model version"/>
            <code code="ModelVersion" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The identifier of the message structure within the HMD (above) that defines the message transferred by an interaction.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10101"/>
            <printName language="en" preferredForLanguage="true" text="Message type identifier"/>
            <code code="MsgID" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This is the organization defining the model, "Health\_Level\_Seven"</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10109"/>
            <printName language="en" preferredForLanguage="true" text="Developing organization"/>
            <code code="Organization" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This property holds the identifier of the follow-on interaction, when the receiving application role for an interaction has the responsibility to initiate a follow-on interaction.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10102"/>
            <printName language="en" preferredForLanguage="true" text="Receiver responsibility"/>
            <code code="RcvResp" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Captures the identifier of the responsible committee for all subject areas and categories.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10111"/>
            <printName language="en" preferredForLanguage="true" text="Responsible committee ID"/>
            <code code="RespComm_id" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>(See description of EndState above).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10113"/>
            <printName language="en" preferredForLanguage="true" text="Start state"/>
            <code code="StartState" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>For classes that are subject classes, this component provides the name of the state attribute for the class. Only one state attribute component may appear for a given class.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10095"/>
            <printName language="en" preferredForLanguage="true" text="State attribute"/>
            <code code="StateAttribute" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>(See description of EndState above.)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10114"/>
            <printName language="en" preferredForLanguage="true" text="State transition"/>
            <code code="StateTransition" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This component can document the Version 2.3 datatype for an attribute that is related to or derived from data fields in HL7 Version 2.3.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10092"/>
            <printName language="en" preferredForLanguage="true" text="Version 2 data type"/>
            <code code="V23_Datatype" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This component provides a reference to the source Version 2.x field for an attribute that is related to or derived from data fields in HL7 Version 2.3 standard. Concatenate multiple values with commas, if multiple references to Version 2.x exist for an attribute.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10093"/>
            <printName language="en" preferredForLanguage="true" text="Version 2 Field reference"/>
            <code code="V23_Fields" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Captures the identifier (name) of the vocabulary domain that constrains the values of coded attributes. This property is captured both for RIM attributes and in MIMs.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10090"/>
            <printName language="en" preferredForLanguage="true" text="Vocabulary domain"/>
            <code code="Vocab_domain" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Captures the strength of encoding for the elements of a coded attribute. This property is captured both for RIM attributes and in MIMs.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10091"/>
            <printName language="en" preferredForLanguage="true" text="Vocabulary strength"/>
            <code code="Vocab_strength" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This component tracks the version history of each element of the model. It contains the unique element identifier assigned to each model element. The repository assigns values for this element. Modelers should not change these values or assign new ones, but they may copy them to indicate an element's historic predecessor.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10084"/>
            <printName language="en" preferredForLanguage="true" text="History identifier"/>
            <code code="zhxID" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="Hl7ITSType" title="HL7ITSType" codeSystemId="2.16.840.1.113883.5.1135">
      <historyItem dateTime="2020-05-06" id="v3-hl7ITSType-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>Codes identifying types of HL7 Implementation Technology Specifications</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>ITS based on the Universal Modeling Language.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23213"/>
            <printName language="en" preferredForLanguage="true" text="universal modeling language"/>
            <code code="UML" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>ITS based on the Extensible Markup Language.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23212"/>
            <printName language="en" preferredForLanguage="true" text="extensible markup language"/>
            <code code="XML" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="Hl7ITSVersionCode" title="HL7 ITS Version Code"
               codeSystemId="2.16.840.1.113883.5.1092">
      <historyItem dateTime="2020-05-06" id="v3-hl7ITSVersionCode-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>HL7 implementation technology specification versions. These codes will document the ITS type and version for message encoding. The code will appear in the instances based upon rules expressed in the ITS, and do not appear in the abstract message, either as it is presented to received from the ITS.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>XML ITS version 1 pre-release 1.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="20091"/>
            <printName language="en" preferredForLanguage="true" text="XMLV1PR1"/>
            <code code="XMLV1PR1" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="Hl7PublishingDomain" title="HL7PublishingDomain"
               codeSystemId="2.16.840.1.113883.5.1136">
      <historyItem dateTime="2020-05-06" id="v3-hl7PublishingDomain-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>Codes for HL7 publishing domains (specific content area)</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Other" name="OwningSubSection">
            <description>Identifies the sub-section (target concept) of which this domain (source concept) is a part. ConceptRelationshipProperites: [isNavigable: false; functionalism: functional; reflexivity: irreflexive; symmetry: antisymetric; connected: false; transitivity: antitransitive; allowedForTargets: all codes from the hl7PublishingSubSection code system; requiredForSources: all codes from hl7PublishingDomain code system;]</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 content "domain" that supports accounting and billing functions - and "provides support for the creation and management of patient billing accounts and the post of financial transactions against patient billing accounts for the purpose of aggregating financial transactions that will be submitted as claims or invoices for reimbursemen"<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSubSection">
               <targetConcept code="FI" codeSystem="2.16.840.1.113883.5.1134"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23172"/>
            <printName language="en" preferredForLanguage="true" text="accounting &amp; billing"/>
            <code code="AB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 content "domain" that supports trigger event control act infrastructure - and "covers the alternate structures of the message Trigger Event Control Acts in the HL7 Composite Message."<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSubSection">
               <targetConcept code="MC" codeSystem="2.16.840.1.113883.5.1134"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23173"/>
            <printName language="en" preferredForLanguage="true"
                       text="trigger event control act infrastructure"/>
            <code code="AI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 content "domain" that was defined as an "artificial listing" domain to support publication testing.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSubSection">
               <targetConcept code="RE" codeSystem="2.16.840.1.113883.5.1134"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23174"/>
            <printName language="en" preferredForLanguage="true"
                       text="artificial listing for test purposes - faux Domain for testing"/>
            <code code="AL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 content "domain" that supports blood tissue and organ domain - and "comprises the models, messages, and other artIfacts that are needed to support messaging related to the process of blood, tissue, and organ banking operations such as donations, eligibility, storage, dispense, administration/transfusion, explantation, and implantation. "<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSubSection">
               <targetConcept code="PO" codeSystem="2.16.840.1.113883.5.1134"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23175"/>
            <printName language="en" preferredForLanguage="true" text="blood tissue and organ"/>
            <code code="BB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 content "domain" that supports the clinical document architecture.<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSubSection">
               <targetConcept code="PO" codeSystem="2.16.840.1.113883.5.1134"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23176"/>
            <printName language="en" preferredForLanguage="true" text="clinical document architecture"/>
            <code code="CD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 content "domain" that supports clinical genomics - and includes " standards to enable the exchange of interrelated clinical and personalized genomic data between interested parties."<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSubSection">
               <targetConcept code="PO" codeSystem="2.16.840.1.113883.5.1134"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23178"/>
            <printName language="en" preferredForLanguage="true" text="clinical genomics"/>
            <code code="CG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 content "domain" that supports transmission infrastructure - and " is primarily concerned with the data content of exchanges between healthcare applications, the sequence or interrelationships in the flow of messages and the communication of significant application level exceptions or error conditions."<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSubSection">
               <targetConcept code="MC" codeSystem="2.16.840.1.113883.5.1134"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23177"/>
            <printName language="en" preferredForLanguage="true" text="transmission infrastructure"/>
            <code code="CI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 content "domain" that supports Coverage - and provides support for managing health care coverage in the reimbursement system(s).<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSubSection">
               <targetConcept code="FI" codeSystem="2.16.840.1.113883.5.1134"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23260"/>
            <printName language="en" preferredForLanguage="true" text="coverage"/>
            <code code="CO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 content "domain" that supports the common product model - which "is used to improve the alignment between the different representations of products used within the body of HL7 Version 3 models."<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSubSection">
               <targetConcept code="PO" codeSystem="2.16.840.1.113883.5.1134"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23179"/>
            <printName language="en" preferredForLanguage="true" text="common product model"/>
            <code code="CP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 content "domain" that supports Claims and Reimbursement - and "provides support for Generic, Pharmacy, Preferred Accommodation, Physician, Oral Health Vision Care and Hospital claims for eligibility, authorization, coverage extension, pre-determination, invoice adjudication, payment advice and Statement of Financial Activity (SOFA) Release 3 of this document adds claims messaging support for Physician, Oral Health Vision Care and Hospital claims."<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSubSection">
               <targetConcept code="FI" codeSystem="2.16.840.1.113883.5.1134"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23180"/>
            <printName language="en" preferredForLanguage="true" text="claims and reimbursement"/>
            <code code="CR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 content "domain" that supports a common clinical statement pattern - and "is a 'pattern' designed to be used within multiple HL7 Version 3 domain models. This pattern is intended to facilitate the consistent design of communications that convey clinical information to meet specific use cases."<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSubSection">
               <targetConcept code="CO" codeSystem="2.16.840.1.113883.5.1134"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23181"/>
            <printName language="en" preferredForLanguage="true" text="clinical statement"/>
            <code code="CS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 content "domain" that supports common model types - and "are a work product produced by a particular committee for expressing a common, useful and reusable concept."<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSubSection">
               <targetConcept code="CO" codeSystem="2.16.840.1.113883.5.1134"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23182"/>
            <printName language="en" preferredForLanguage="true" text="common types"/>
            <code code="CT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 content "domain" that was created to support testing and initial set-up functions.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSubSection">
               <targetConcept code="UU" codeSystem="2.16.840.1.113883.5.1134"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23171"/>
            <printName language="en" preferredForLanguage="true" text="dummy domain"/>
            <code code="DD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>This domain has been retired in favor of "imaging integration" (II).</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSubSection">
               <targetConcept code="PO" codeSystem="2.16.840.1.113883.5.1134"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23183"/>
            <printName language="en" preferredForLanguage="true" text="diagnostic imaging"/>
            <code code="DI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 content "domain" that provides decision support.<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSubSection">
               <targetConcept code="RE" codeSystem="2.16.840.1.113883.5.1134"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23184"/>
            <printName language="en" preferredForLanguage="true" text="decision support"/>
            <code code="DS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 content "domain" that supports Emergency Medical Services.<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSubSection">
               <targetConcept code="PO" codeSystem="2.16.840.1.113883.5.1134"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23261"/>
            <printName language="en" preferredForLanguage="true" text="emergency medical services"/>
            <code code="EM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 content "domain" that supports imaging integration - and is "comprises the models, implementation guides, sample documents and images that are needed to illustrate the transformation of DICOM structured reports to CDA Release 2 as well as the creation of CDA diagnostic imaging reports."<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSubSection">
               <targetConcept code="PO" codeSystem="2.16.840.1.113883.5.1134"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23185"/>
            <printName language="en" preferredForLanguage="true" text="imaging integration"/>
            <code code="II" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 content "domain" that supports immunization - and "describes communication of information about immunization: the administration of vaccines (and/or antisera) to individuals to prevent infectious disease."<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSubSection">
               <targetConcept code="PO" codeSystem="2.16.840.1.113883.5.1134"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23186"/>
            <printName language="en" preferredForLanguage="true" text="immunization"/>
            <code code="IZ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 content "domain" that supports clinical laboratory functions - and is "comprises the models, messages, and other artifacts that are needed to support messaging related to laboratory tests or observations. "<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSubSection">
               <targetConcept code="PO" codeSystem="2.16.840.1.113883.5.1134"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23187"/>
            <printName language="en" preferredForLanguage="true" text="laboratory"/>
            <code code="LB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 content "domain" that supports medication - and "deals with the description of a medicine for the purposes of messaging information about medicines" and the applications of these descriptions.<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSubSection">
               <targetConcept code="PO" codeSystem="2.16.840.1.113883.5.1134"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23188"/>
            <printName language="en" preferredForLanguage="true" text="medication"/>
            <code code="ME" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 content "domain" that supports master file infrastructure - and is "comprises the classes and attributes needed to support Master Files and Registries."<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSubSection">
               <targetConcept code="MF" codeSystem="2.16.840.1.113883.5.1134"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23189"/>
            <printName language="en" preferredForLanguage="true" text="masterfile infrastructure"/>
            <code code="MI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 content "domain" that supports Materials Management - and is "supports the simple scenario of a Materials Management application sending requests, notifications and queries to an auxiliary application. The intent is to establish a standard for the minimum functionality that is useful and comprehensive enough to explore the important concepts relative to inventory management."<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSubSection">
               <targetConcept code="PR" codeSystem="2.16.840.1.113883.5.1134"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23190"/>
            <printName language="en" preferredForLanguage="true" text="materials management"/>
            <code code="MM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 content "domain" that supports medical records - and is "supports clinical document management, and document querying."<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSubSection">
               <targetConcept code="RC" codeSystem="2.16.840.1.113883.5.1134"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23191"/>
            <printName language="en" preferredForLanguage="true" text="medical records"/>
            <code code="MR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 content "domain" that supports shared messages - and "are a work product produced for expressing common, useful and reusable message types."<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSubSection">
               <targetConcept code="CO" codeSystem="2.16.840.1.113883.5.1134"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23192"/>
            <printName language="en" preferredForLanguage="true" text="shared messages"/>
            <code code="MT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 content "domain" that supports observations - and is "comprises the models, messages, and other artifacts that are needed to support messaging related to resulting basic healthcare diagnostic services. "<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSubSection">
               <targetConcept code="PO" codeSystem="2.16.840.1.113883.5.1134"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23193"/>
            <printName language="en" preferredForLanguage="true" text="observations"/>
            <code code="OB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 content "domain" that supports orders and observations - and will provide over-arching support information for the "Orders" (OR) and "Observations" (OB) domains.<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSubSection">
               <targetConcept code="PO" codeSystem="2.16.840.1.113883.5.1134"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23194"/>
            <printName language="en" preferredForLanguage="true" text="orders &amp; observations"/>
            <code code="OO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 content "domain" that supports orders - and "comprises the models, messages, and other artifacts that are needed to support messaging related to ordering basic healthcare services."<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSubSection">
               <targetConcept code="PO" codeSystem="2.16.840.1.113883.5.1134"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23195"/>
            <printName language="en" preferredForLanguage="true" text="orders"/>
            <code code="OR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 content "domain" that supports Patient Administration - and "defines person and patient demographics and visit information about patients"<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSubSection">
               <targetConcept code="PR" codeSystem="2.16.840.1.113883.5.1134"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23196"/>
            <printName language="en" preferredForLanguage="true" text="patient administration"/>
            <code code="PA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 content "domain" that supports Care Provision - and "addresses the information that is needed for the ongoing care of individuals, populations, and other targets of care."<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSubSection">
               <targetConcept code="RE" codeSystem="2.16.840.1.113883.5.1134"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23197"/>
            <printName language="en" preferredForLanguage="true" text="care provision"/>
            <code code="PC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 content "domain" that supports public health - and is "the source of a number of Common Model Element Types (CMET) designed to meet the needs of public health data exchange."<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSubSection">
               <targetConcept code="PO" codeSystem="2.16.840.1.113883.5.1134"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23198"/>
            <printName language="en" preferredForLanguage="true" text="public health"/>
            <code code="PH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 content "domain" that supports Personnel Management - and "spans a variety of clinical-administrative information functions associated with the organizations, individuals, animals and devices involved in the delivery and support of healthcare services."<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSubSection">
               <targetConcept code="PR" codeSystem="2.16.840.1.113883.5.1134"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23199"/>
            <printName language="en" preferredForLanguage="true" text="personnel management"/>
            <code code="PM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 content "domain" that supports query infrastructure - and "specifies the formation of information queries and the responses to these queries to meet the needs of healthcare applications using the HL7 version 3 messaging standard."<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSubSection">
               <targetConcept code="QU" codeSystem="2.16.840.1.113883.5.1134"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23200"/>
            <printName language="en" preferredForLanguage="true" text="query infrastructure"/>
            <code code="QI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 content "domain" that supports Quality Measures - and "is a standard for representing a health quality measure as an electronic document."<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSubSection">
               <targetConcept code="PO" codeSystem="2.16.840.1.113883.5.1134"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23201"/>
            <printName language="en" preferredForLanguage="true" text="quality measures"/>
            <code code="QM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 content "domain" that supports Registries - and "collects HL7 artifacts for administrative registries."<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSubSection">
               <targetConcept code="PR" codeSystem="2.16.840.1.113883.5.1134"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23202"/>
            <printName language="en" preferredForLanguage="true" text="registries"/>
            <code code="RG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 content "domain" that supports Informative Public Health.<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSubSection">
               <targetConcept code="PO" codeSystem="2.16.840.1.113883.5.1134"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23203"/>
            <printName language="en" preferredForLanguage="true" text="informative public health"/>
            <code code="RI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 content "domain" that supports Regulated Products - and "includes standards developed as part of the family of messages targeted for the exchange of information about regulated products and the exchange of the data needed to provide approval for such products."<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSubSection">
               <targetConcept code="PO" codeSystem="2.16.840.1.113883.5.1134"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23204"/>
            <printName language="en" preferredForLanguage="true" text="regulated products"/>
            <code code="RP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 content "domain" that supports Public Health Reporting - and "includes messages and documents that are specifically designed to support managment, reporting and investigation in the public health context."<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSubSection">
               <targetConcept code="PO" codeSystem="2.16.840.1.113883.5.1134"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23205"/>
            <printName language="en" preferredForLanguage="true" text="public health reporting"/>
            <code code="RR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 content "domain" that supports Regulated Studies - and is "includes standards developed as part of the family of messages targeted for the exchange of information about the conduct of regulated studies, and the exchange of the data collected during those studies."<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSubSection">
               <targetConcept code="PO" codeSystem="2.16.840.1.113883.5.1134"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23206"/>
            <printName language="en" preferredForLanguage="true" text="regulated studies"/>
            <code code="RT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 content "domain" that supports pharmacy - and is a "model used to derive message patterns to describe and communicate processes related to medication."<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSubSection">
               <targetConcept code="PO" codeSystem="2.16.840.1.113883.5.1134"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23207"/>
            <printName language="en" preferredForLanguage="true" text="pharmacy"/>
            <code code="RX" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 content "domain" that supports Scheduling - and "offers a generic set of messages and behavior to implement any number of Scheduling scenarios."<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSubSection">
               <targetConcept code="PR" codeSystem="2.16.840.1.113883.5.1134"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23208"/>
            <printName language="en" preferredForLanguage="true" text="scheduling"/>
            <code code="SC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 content "domain" that supports Specimen - and "comprises the models and artifacts that are needed to support the creation of messaging related to specimen."<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSubSection">
               <targetConcept code="PO" codeSystem="2.16.840.1.113883.5.1134"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23209"/>
            <printName language="en" preferredForLanguage="true" text="specimen"/>
            <code code="SP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 content "domain" that supports Therapeutic Devices - and is "comprises the models, messages, and other artifacts that are needed to support messaging related to therapy delivery and observations made by a medical device. "<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSubSection">
               <targetConcept code="PO" codeSystem="2.16.840.1.113883.5.1134"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23210"/>
            <printName language="en" preferredForLanguage="true" text="therapeutic devices"/>
            <code code="TD" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="Hl7PublishingSection" title="HL7PublishingSection"
               codeSystemId="2.16.840.1.113883.5.1133">
      <historyItem dateTime="2020-05-06" id="v3-hl7PublishingSection-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>Codes for HL7 publishing sections (major business categories)</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 V3 publishing section that deals with the administration and management of health care activities and organizations.<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.<p>For publishing purposes, these domains are aggregated into sub-sections of related health care areas and these sub-sections are further aggregated into three major sets.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23156"/>
            <printName language="en" preferredForLanguage="true" text="administrative management"/>
            <code code="AM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 V3 publishing section that deals with the health care provision and clinical management.<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.<p>For publishing purposes, these domains are aggregated into sub-sections of related health care areas and these sub-sections are further aggregated into three major sets.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23155"/>
            <printName language="en" preferredForLanguage="true" text="health and clinical management"/>
            <code code="HM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 V3 publishing section that deals with the definition and management of the computing and communication infrastructure necessary to support health care.<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.<p>For publishing purposes, these domains are aggregated into sub-sections of related health care areas and these sub-sections are further aggregated into three major sets.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23157"/>
            <printName language="en" preferredForLanguage="true" text="infrastructure management"/>
            <code code="IM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 V3 publishing section that holds specifications that are unassigned - that have not yet been assigned to one of the formal publishing sections.<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.<p>For publishing purposes, these domains are aggregated into sub-sections of related health care areas and these sub-sections are further aggregated into three major sets.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23158"/>
            <printName language="en" preferredForLanguage="true" text="unknown"/>
            <code code="UU" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="Hl7PublishingSubSection" title="HL7PublishingSubSection"
               codeSystemId="2.16.840.1.113883.5.1134">
      <historyItem dateTime="2020-05-06" id="v3-hl7PublishingSubSection-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>Codes for HL7 publishing sub-sections (business sub-categories)</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Other" name="OwningSection">
            <description>Identifies the section (target concept) of which this subsection (source concept) is a part. ConceptRelationshipProperites: [isNavigable: false; functionalism: functional; reflexivity: irreflexive; symmetry: antisymetric; connected: false; transitivity: antitransitive; allowedForTargets: all codes from the hl7PublishingSection code system; requiredForSources: all codes from hl7PublishingSubSection code system;]</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 V3 publishing sub-section that holds common or shared specifications within the Infrastructure Management (IM) section.<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.<p>For publishing purposes, these domains are aggregated into sub-sections of related health care areas and these sub-sections are further aggregated into three major sets.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSection">
               <targetConcept code="IM" codeSystem="2.16.840.1.113883.5.1133"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23160"/>
            <printName language="en" preferredForLanguage="true" text="common"/>
            <code code="CO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 V3 publishing sub-section that holds specifications related to the management of financial information within the Administrative Management (AM) section.<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.<p>For publishing purposes, these domains are aggregated into sub-sections of related health care areas and these sub-sections are further aggregated into three major sets.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSection">
               <targetConcept code="AM" codeSystem="2.16.840.1.113883.5.1133"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23161"/>
            <printName language="en" preferredForLanguage="true" text="financial information"/>
            <code code="FI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 V3 publishing sub-section that holds specifications related to the definition and control of interoperability messages within the Infrastructure Management (IM) section.<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.<p>For publishing purposes, these domains are aggregated into sub-sections of related health care areas and these sub-sections are further aggregated into three major sets.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSection">
               <targetConcept code="IM" codeSystem="2.16.840.1.113883.5.1133"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23162"/>
            <printName language="en" preferredForLanguage="true" text="message control"/>
            <code code="MC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 V3 publishing sub-section that holds specifications related to master file and registry management activities within the Infrastructure Management (IM) section.<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.<p>For publishing purposes, these domains are aggregated into sub-sections of related health care areas and these sub-sections are further aggregated into three major sets.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSection">
               <targetConcept code="IM" codeSystem="2.16.840.1.113883.5.1133"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23163"/>
            <printName language="en" preferredForLanguage="true" text="master file"/>
            <code code="MF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 V3 publishing sub-section that holds specifications related to managing clinical operations within the Health and Clinical Management (HM) section.<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.<p>For publishing purposes, these domains are aggregated into sub-sections of related health care areas and these sub-sections are further aggregated into three major sets.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSection">
               <targetConcept code="HM" codeSystem="2.16.840.1.113883.5.1133"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23164"/>
            <printName language="en" preferredForLanguage="true" text="operations"/>
            <code code="PO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 V3 publishing sub-section that holds specifications related to the management of practice settings within the Administrative Management (AM) section.<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.<p>For publishing purposes, these domains are aggregated into sub-sections of related health care areas and these sub-sections are further aggregated into three major sets.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSection">
               <targetConcept code="AM" codeSystem="2.16.840.1.113883.5.1133"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23165"/>
            <printName language="en" preferredForLanguage="true" text="practice"/>
            <code code="PR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 V3 publishing sub-section that holds specifications related to query/response activities within the Infrastructure Management (IM) section.<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.<p>For publishing purposes, these domains are aggregated into sub-sections of related health care areas and these sub-sections are further aggregated into three major sets.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSection">
               <targetConcept code="IM" codeSystem="2.16.840.1.113883.5.1133"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23166"/>
            <printName language="en" preferredForLanguage="true" text="query"/>
            <code code="QU" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 V3 publishing sub-section that holds specifications related to the definition and communication of records of clinical care within the Health and Clinical Management (HM) section.<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.<p>For publishing purposes, these domains are aggregated into sub-sections of related health care areas and these sub-sections are further aggregated into three major sets.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSection">
               <targetConcept code="HM" codeSystem="2.16.840.1.113883.5.1133"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23167"/>
            <printName language="en" preferredForLanguage="true" text="records"/>
            <code code="RC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 V3 publishing sub-section that holds specifications related to the definition and communication of reasoning (knowledge) within the Health and Clinical Management (HM) section.<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.<p>For publishing purposes, these domains are aggregated into sub-sections of related health care areas and these sub-sections are further aggregated into three major sets.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSection">
               <targetConcept code="HM" codeSystem="2.16.840.1.113883.5.1133"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23168"/>
            <printName language="en" preferredForLanguage="true" text="reasoning"/>
            <code code="RE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Represents the HL7 V3 publishing sub-section that holds specifications that are unassigned - that have not yet been assigned to one of the formal publishing sections.<i>UsageNote:</i>V3 Specifications are published in a set of "domains", which contain interactions and related specifications for a single area of health care within which can be supported by a single, coherent set of interoperability specifications.<p>For publishing purposes, these domains are aggregated into sub-sections of related health care areas and these sub-sections are further aggregated into three major sets.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="OwningSection">
               <targetConcept code="UU" codeSystem="2.16.840.1.113883.5.1133"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23169"/>
            <printName language="en" preferredForLanguage="true" text="unknown"/>
            <code code="UU" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="Hl7Realm" title="HL7Realm" codeSystemId="2.16.840.1.113883.5.1124">
      <historyItem dateTime="2020-05-06" id="v3-hl7Realm-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>Coded concepts representing Binding Realms (used for Context Binding of terminology in HL7 models) and/or Namespace Realms (used to help ensure unique identification of HL7 artifacts). This code system is partitioned into three sections: Affiliate realms, Binding realms and Namespace realms. All affiliate realm codes may automatically be used as both binding realms and namespace realms. Furthermore, affiliate realms are the only realms that have authority over the creation of binding realms. (Note that 'affiliate' includes the idea of both international affiliates and the HL7 International organization.) All other codes must be associated with an owning affiliate realm and must appear as a specialization of \_BindingRealm or \_NamespaceRealm. For affiliates whose concepts align with nations, the country codes from ISO 3166-1 2-character alpha are used for the code when possible so these codes should not be used for other realm types. It is recommended that binding realm and namespace codes submitted by affiliates use the realm code as a prefix to avoid possible collisions with ISO codes. However, tooling does not currently support namepace realm codes greater than 2 characters.<i>Open Issue:</i>The name of the concept property "owningAffiliate" should be changed to better reflect that the property value is the human readable name of the organizational entity that manages the Realm identified by the Realm Code.<i>Open Issue:</i>In spite of the inability of tooling to process codes longer than 2 characters, there is at least one realm codes ('SOA') that was added that is 3 characters in length.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Other" name="OwningAffiliate">
            <description>Identifies the affiliate responsible for a binding realm or namespace realm code. Must be specified for all codes that are not specializations of AffiliateRealms. ConceptRelationshipProperties: [relationshipKind: other; isNavigable: false; functionalism: functional; reflexivity: irreflexive; symmetry: antisymetric; connected: false; transitivity: antitransitive; allowedForTargets: all codes from the hl7PublishingSection code system; requiredForSources: all codes which are not equal to ZZ and are not specializations of the abstract code AffiliateRealms; allowedForTargets: all codes which are specializations of the abstract code AffiliateRealms;]</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired..</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Realm code for use of Argentina</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AffiliateRealms"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22942"/>
            <printName language="en" preferredForLanguage="true" text="Argentina"/>
            <code code="AR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Realm code for use of Austria</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AffiliateRealms"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22943"/>
            <printName language="en" preferredForLanguage="true" text="Austria"/>
            <code code="AT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Realm code for use of Australia</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AffiliateRealms"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22944"/>
            <printName language="en" preferredForLanguage="true" text="Australia"/>
            <code code="AU" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Realm codes for official HL7 organizational bodies. This includes both the HL7 International organization as well as all recognized international affiliates (past and present). These groups have the ability to bind vocabulary and develop artifacts. As well, they have the ability to have "ownership" over other binding realms and namespace realms via the owningAffiliate property of those other realm codes.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="BindingRealms"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NamespaceRealms"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22941"/>
            <printName language="en" preferredForLanguage="true" text="Affiliate Realms"/>
            <code code="AffiliateRealms" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Realm code for use of Brazil</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AffiliateRealms"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22945"/>
            <printName language="en" preferredForLanguage="true" text="Brazil"/>
            <code code="BR" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Concepts that can be used as Binding Realms when creating Binding Statements. These codes are permitted to appear in the InfrastructureRoot.realmCode attribute.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23214"/>
            <printName language="en" preferredForLanguage="true" text="binding realms"/>
            <code code="BindingRealms" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Realm code for use of Unclassified Realm</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="BindingRealms"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="OwningAffiliate">
               <targetConcept code="UV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22937"/>
            <printName language="en" preferredForLanguage="true" text="Unclassified Realm"/>
            <code code="C1" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Realm code for use of Canada</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AffiliateRealms"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22946"/>
            <printName language="en" preferredForLanguage="true" text="Canada"/>
            <code code="CA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Realm code for use of Switzerland</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AffiliateRealms"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22947"/>
            <printName language="en" preferredForLanguage="true" text="Switzerland"/>
            <code code="CH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Realm code for use of Chile</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AffiliateRealms"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22948"/>
            <printName language="en" preferredForLanguage="true" text="Chile"/>
            <code code="CL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Realm code for use of China</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AffiliateRealms"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22949"/>
            <printName language="en" preferredForLanguage="true" text="China"/>
            <code code="CN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Realm code for use of Localized Version</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AffiliateRealms"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22977"/>
            <printName language="en" preferredForLanguage="true" text="Columbia"/>
            <code code="CO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Realm code for use of Czech Republic</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AffiliateRealms"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22950"/>
            <printName language="en" preferredForLanguage="true" text="Czech Republic"/>
            <code code="CZ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Realm code for use of Germany</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AffiliateRealms"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22951"/>
            <printName language="en" preferredForLanguage="true" text="Germany"/>
            <code code="DE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Realm code for use of Denmark</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AffiliateRealms"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22952"/>
            <printName language="en" preferredForLanguage="true" text="Denmark"/>
            <code code="DK" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Realm code for use of Spain</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AffiliateRealms"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22953"/>
            <printName language="en" preferredForLanguage="true" text="Spain"/>
            <code code="ES" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Realm code for use of Finland</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AffiliateRealms"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22954"/>
            <printName language="en" preferredForLanguage="true" text="Finland"/>
            <code code="FI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Realm code for use of France</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AffiliateRealms"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22955"/>
            <printName language="en" preferredForLanguage="true" text="France"/>
            <code code="FR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Realm code for use of Great Britain</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="BindingRealms"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NamespaceRealms"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="OwningAffiliate">
               <targetConcept code="UK"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22974"/>
            <printName language="en" preferredForLanguage="true" text="Great Britain"/>
            <code code="GB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Realm code for use of Greece</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AffiliateRealms"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22956"/>
            <printName language="en" preferredForLanguage="true" text="Greece"/>
            <code code="GR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Realm code for use of Croatia</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AffiliateRealms"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22957"/>
            <printName language="en" preferredForLanguage="true" text="Croatia"/>
            <code code="HR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Realm code for use of Ireland</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AffiliateRealms"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22958"/>
            <printName language="en" preferredForLanguage="true" text="Ireland"/>
            <code code="IE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Realm code for use of India</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AffiliateRealms"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22959"/>
            <printName language="en" preferredForLanguage="true" text="India"/>
            <code code="IN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Realm code for use of Italy</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AffiliateRealms"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22960"/>
            <printName language="en" preferredForLanguage="true" text="Italy"/>
            <code code="IT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Realm code for use of Japan</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AffiliateRealms"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22961"/>
            <printName language="en" preferredForLanguage="true" text="Japan"/>
            <code code="JP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Realm code for use of Korea</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AffiliateRealms"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22962"/>
            <printName language="en" preferredForLanguage="true" text="Korea"/>
            <code code="KR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Realm code for use of Lithuania</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AffiliateRealms"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22963"/>
            <printName language="en" preferredForLanguage="true" text="Lithuania"/>
            <code code="LT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Realm code for use of Mexico</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AffiliateRealms"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22964"/>
            <printName language="en" preferredForLanguage="true" text="Mexico"/>
            <code code="MX" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Realm code for use of The Netherlands</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AffiliateRealms"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22965"/>
            <printName language="en" preferredForLanguage="true" text="The Netherlands"/>
            <code code="NL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Realm code for use of New Zealand</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AffiliateRealms"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22966"/>
            <printName language="en" preferredForLanguage="true" text="New Zealand"/>
            <code code="NZ" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Codes that can be used in the "realm" portion of HL7 v3 artifact identifiers.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23215"/>
            <printName language="en" preferredForLanguage="true" text="namespace realms"/>
            <code code="NamespaceRealms" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Realm code for use of Representative Realm</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="BindingRealms"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="OwningAffiliate">
               <targetConcept code="UV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22938"/>
            <printName language="en" preferredForLanguage="true" text="Representative Realm"/>
            <code code="R1" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Realm code for use of Romania</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AffiliateRealms"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22967"/>
            <printName language="en" preferredForLanguage="true" text="Romania"/>
            <code code="RO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Realm code for use of Russian Federation</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AffiliateRealms"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22968"/>
            <printName language="en" preferredForLanguage="true" text="Russian Federation"/>
            <code code="RU" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Realm code for use of Sweden</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AffiliateRealms"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22969"/>
            <printName language="en" preferredForLanguage="true" text="Sweden"/>
            <code code="SE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Realm code for use of Localized Version</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AffiliateRealms"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22978"/>
            <printName language="en" preferredForLanguage="true" text="Singapore"/>
            <code code="SG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Realm code for use of Southern Africa</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AffiliateRealms"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22970"/>
            <printName language="en" preferredForLanguage="true" text="Southern Africa"/>
            <code code="SOA" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Realm code for use of Special Realms</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22936"/>
            <printName language="en" preferredForLanguage="true" text="Special Realms"/>
            <code code="SpecialRealms" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Realm code for use of Turkey</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AffiliateRealms"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22971"/>
            <printName language="en" preferredForLanguage="true" text="Turkey"/>
            <code code="TR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Realm code for use of Taiwan</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AffiliateRealms"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22972"/>
            <printName language="en" preferredForLanguage="true" text="Taiwan"/>
            <code code="TW" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Realm code for use of United Kingdom</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AffiliateRealms"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22973"/>
            <printName language="en" preferredForLanguage="true" text="United Kingdom"/>
            <code code="UK" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Realm code for use of United States of America</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AffiliateRealms"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22975"/>
            <printName language="en" preferredForLanguage="true" text="United States of America"/>
            <code code="US" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Realm code for use of Universal realm or context, used in every instance</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AffiliateRealms"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22939"/>
            <printName language="en" preferredForLanguage="true" text="Universal"/>
            <code code="UV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Realm code for use of Uruguay</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
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               <documentation>
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                        <p>The complete set of normative, DSTU, proposed (under ballot) and draft artifacts as published in the ballot whose ballot cycle ended in September 2008.</p>
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               <documentation>
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                        <p>The complete set of normative, DSTU, proposed (under ballot) and draft artifacts as published in the ballot whose ballot cycle ended in January 2009.</p>
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                        <p>The complete set of normative, DSTU, proposed (under ballot) and draft artifacts as published in the ballot whose ballot cycle ended in May 2009.</p>
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               <documentation>
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                        <b>Definition:</b>The consistent set of normative and DSTU messaging artifacts as published or contained in repositories in December of 2007, based on the latest version of any V3 models or artifacts (RIM, Data Types, CMETS, Common Messages, Vocabularies) published under the title of Normative Edition 2008. Note: This version code does not cover the version of the XML ITS.</text>
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               <documentation>
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                        <b>Description:</b>The consistent set of normative and DSTU messaging artifacts as published or contained in repositories in December of 2008, based on the latest version of any V3 models or artifacts (RIM, Data Types, CMETS, Common Messages, Vocabularies) published under the title of Normative Edition 2009. Note: This version code does not cover the version of the XML ITS.</text>
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               <documentation>
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                        <b>Definition:</b>The consistent set of normative and DSTU messaging artifacts as published or contained in repositories in December of 2009, based on the latest version of any V3 models or artifacts (RIM, Data Types, CMETS, Common Messages, Vocabularies) published under the title of Normative Edition 2010. Note: This version code does not cover the version of the XML ITS.</text>
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               <documentation>
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                        <b>Definition:</b>The consistent set of normative and DSTU messaging artifacts as published or contained in repositories in December of 2010, based on the latest version of any V3 models or artifacts (RIM, Data Types, CMETS, Common Messages, Vocabularies) published under the title of Normative Edition 2011. Note: This version code does not cover the version of the XML ITS.</text>
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               <documentation>
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                        <b>Definition:</b>The consistent set of normative and DSTU messaging artifacts as published or contained in repositories in December of 2011, based on the latest version of any V3 models or artifacts (RIM, Data Types, CMETS, Common Messages, Vocabularies) published under the title of Normative Edition 2012. Note: This version code does not cover the version of the XML ITS.</text>
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                     <text>
                        <p>**Description:**Description:&lt;/b&gt;It is not specified whether or what kind of change has occurred to the item, or whether the item is present as a reference or identifying property.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22622"/>
            <printName language="en" preferredForLanguage="true" text="Unknown"/>
            <code code="U" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Verify - this message element must match a value already in the receiving systems database in order to process the message.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10023"/>
            <printName language="en" preferredForLanguage="true" text="Verify"/>
            <code code="V" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>These concepts apply when the element and/or message is updating a set of items.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21082"/>
            <printName language="en" preferredForLanguage="true" text="SetUpdateMode"/>
            <code code="_SetUpdateMode" status="retired"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="Hl7V3Conformance" title="HL7V3Conformance"
               codeSystemId="2.16.840.1.113883.5.1125">
      <historyItem dateTime="2020-05-06" id="v3-hl7V3Conformance-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>Identifies allowed codes for HL7aTMs v3 conformance property.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Implementers receiving this property must not raise an error if the data is received, but will not perform any useful function with the data. This conformance level is not used in profiles or other artifacts that are specific to the "sender" or "initiator" of a communication.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23001"/>
            <printName language="en" preferredForLanguage="true" text="ignored"/>
            <code code="I" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>All implementers are prohibited from transmitting this content, and may raise an error if they receive it.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23000"/>
            <printName language="en" preferredForLanguage="true" text="not permitted"/>
            <code code="NP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>All implementers must support this property. I.e. they must be able to transmit, or to receive and usefully handle the concept.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22999"/>
            <printName language="en" preferredForLanguage="true" text="required"/>
            <code code="R" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The element is considered "required" (i.e. must be supported) from the perspective of systems that consume instances, but is "undetermined" for systems that generate instances. Used only as part of specifications that define both initiator and consumer expectations.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23003"/>
            <printName language="en" preferredForLanguage="true" text="required for consumer"/>
            <code code="RC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The element is considered "required" (i.e. must be supported) from the perspective of systems that generate instances, but is "undetermined" for systems that consume instances. Used only as part of specifications that define both initiator and consumer expectations.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23002"/>
            <printName language="en" preferredForLanguage="true" text="required for initiator"/>
            <code code="RI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The conformance expectations for this element have not yet been determined.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22998"/>
            <printName language="en" preferredForLanguage="true" text="undetermined"/>
            <code code="U" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="Hl7VoteResolution" title="HL7VoteResolution"
               codeSystemId="2.16.840.1.113883.5.1131">
      <historyItem dateTime="2020-05-06" id="v3-hl7VoteResolution-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>Based on concepts for resolutions from HL7 ballot spreadsheet according to HL7's Governance &amp; Operations Manual (GOM).</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The recommended change has been deferred to consideration for a future release.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="affirmativeResolution"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23136"/>
            <printName language="en" preferredForLanguage="true" text="affirmative-deferred"/>
            <code code="affdef" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The recommended change has been incorporated or identified issue has been answered.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="affirmativeResolution"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23134"/>
            <printName language="en" preferredForLanguage="true" text="affirmative-incorporated"/>
            <code code="affi" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>An abstract concept grouping resolutions that can be applied to affirmative ballot comments.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23133"/>
            <printName language="en" preferredForLanguage="true" text="affirmative resolution"/>
            <code code="affirmativeResolution" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The recommended change has been refused and is not expected to be incorporated.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="affirmativeResolution"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23135"/>
            <printName language="en" preferredForLanguage="true" text="affirmative-rejected"/>
            <code code="affr" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>An abstract concept grouping resolutions that can be applied to negative ballot comments.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23137"/>
            <printName language="en" preferredForLanguage="true" text="negative resolution"/>
            <code code="negativeResolution" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Responsible group has recommended that the negative vote be considered non-substantive. (Issue raised does not provide sufficiently convincing reason to make changes to the item under ballot, or otherwise impede its adoption.)</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="negativeResolution"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23139"/>
            <printName language="en" preferredForLanguage="true" text="non-substantive proposed"/>
            <code code="nonsubp" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Ballot group has voted and declared the negative vote non-substantive.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="negativeResolution"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23140"/>
            <printName language="en" preferredForLanguage="true" text="non-substantive voted"/>
            <code code="nonsubv" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Responsible group has recommended that the negative vote be considered not-related. (Issue raised is not related to the current scope of the item under ballot, or does not prevent the item under ballot for being used for its defined intent. Recommended changes may be considered as part of future versions.) (Perhaps after further reading or explanation).</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="negativeResolution"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23141"/>
            <printName language="en" preferredForLanguage="true" text="not related proposed"/>
            <code code="notrelp" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Ballot group has voted and declared the negative vote non-related.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="negativeResolution"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23142"/>
            <printName language="en" preferredForLanguage="true" text="not related voted"/>
            <code code="notrelv" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Committee identifies that the same issue has been raised as part of a previous ballot on the same element version and was found by the ballot group to be non-substantive or not related.)</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="negativeResolution"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23143"/>
            <printName language="en" preferredForLanguage="true" text="previously considered"/>
            <code code="prevcons" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Voter has formally withdrawn their vote or comment as having been in error. (Perhaps after further reading or explanation).</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="negativeResolution"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23144"/>
            <printName language="en" preferredForLanguage="true" text="retracted"/>
            <code code="retract" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Vote has not yet gone through resolution.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="negativeResolution"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23138"/>
            <printName language="en" preferredForLanguage="true" text="unresolved"/>
            <code code="unresolved" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Voter has formally withdrawn their vote or comment on the basis of agreed changes or proposed future changes.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="negativeResolution"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23145"/>
            <printName language="en" preferredForLanguage="true" text="withdrawn"/>
            <code code="withdraw" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="HSLOC" title="NHSN Healthcare Facility Patient Care Location"
               codeSystemId="2.16.840.1.113883.6.259">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A classification of patient care locations within healthcare facilities for public health purposes.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-02-21" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="HtmlLinkType" title="HtmlLinkType" codeSystemId="2.16.840.1.113883.5.58">
      <historyItem dateTime="2020-05-06" id="v3-HtmlLinkType-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>HtmlLinkType values are drawn from HTML 4.0 and describe the relationship between the current document and the anchor that is the target of the link</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Designates substitute versions for the document in which the link occurs. When used together with the lang attribute, it implies a translated version of the document. When used together with the media attribute, it implies a version designed for a different medium (or media).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11018"/>
            <printName language="en" preferredForLanguage="true" text="alternate"/>
            <code code="alternate" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Refers to a document serving as an appendix in a collection of documents.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11030"/>
            <printName language="en" preferredForLanguage="true" text="appendix"/>
            <code code="appendix" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Refers to a bookmark. A bookmark is a link to a key entry point within an extended document. The title attribute may be used, for example, to label the bookmark. Note that several bookmarks may be defined in each document.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11032"/>
            <printName language="en" preferredForLanguage="true" text="bookmark"/>
            <code code="bookmark" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Refers to a document serving as a chapter in a collection of documents.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11027"/>
            <printName language="en" preferredForLanguage="true" text="chapter"/>
            <code code="chapter" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Refers to a document serving as a table of contents. Some user agents also support the synonym ToC (from "Table of Contents").</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11023"/>
            <printName language="en" preferredForLanguage="true" text="contents"/>
            <code code="contents" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Refers to a copyright statement for the current document.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11026"/>
            <printName language="en" preferredForLanguage="true" text="copyright"/>
            <code code="copyright" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Refers to a document providing a glossary of terms that pertain to the current document.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11025"/>
            <printName language="en" preferredForLanguage="true" text="glossary"/>
            <code code="glossary" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Refers to a document offering help (more information, links to other sources of information, etc.).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11031"/>
            <printName language="en" preferredForLanguage="true" text="help"/>
            <code code="help" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Refers to a document providing an index for the current document.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11024"/>
            <printName language="en" preferredForLanguage="true" text="index"/>
            <code code="index" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Refers to the next document in a linear sequence of documents. User agents may choose to preload the "next" document, to reduce the perceived load time.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11021"/>
            <printName language="en" preferredForLanguage="true" text="next"/>
            <code code="next" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Refers to the previous document in an ordered series of documents. Some user agents also support the synonym "Previous".</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11022"/>
            <printName language="en" preferredForLanguage="true" text="prev"/>
            <code code="prev" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Refers to a document serving as a section in a collection of documents.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11028"/>
            <printName language="en" preferredForLanguage="true" text="section"/>
            <code code="section" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Refers to the first document in a collection of documents. This link type tells search engines which document is considered by the author to be the starting point of the collection.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11020"/>
            <printName language="en" preferredForLanguage="true" text="start"/>
            <code code="start" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Refers to an external style sheet. See the section on external style sheets for details. This is used together with the link type "Alternate" for user-selectable alternate style sheets.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11019"/>
            <printName language="en" preferredForLanguage="true" text="stylesheet"/>
            <code code="stylesheet" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Refers to a document serving as a subsection in a collection of documents.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11029"/>
            <printName language="en" preferredForLanguage="true" text="subsection"/>
            <code code="subsection" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="Ib" title="ISBT" codeSystemId="2.16.840.1.113883.6.18">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>ISBT 128 is a coding system for blood components, hematopoietic progenitor cells and other tissues. It is comprised of an overall Application Specification, and labeling and coding documents for the separate sections: blood components, hematopoietic progenitor cells (draft), source plasma (draft) and tissues (draft). The documentation is supported by databases: Country/Collection Facility, Product Code (blood components), Product Code (hematopoietic progenitor sells), Product Code (source plasma), Product Code (tissues) and Special Testing. ISBT 128 is designed as a series of data structures that are designed to be technology-independent and can be used for bar coding, radio frequency tag encoding and electronic data interchange. The HL7 Blood Bank SIG is currently designing example messages that incorporate ISBT 128 coding. No changes of any kind will be needed to use ISBT 128 in HL7 messages.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="IC2" title="ICHPPC-2" codeSystemId="2.16.840.1.113883.6.44">
      <annotations>
         <documentation>
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                  <p>An ICD-10 dual code expression SHALL consist of two ICD-10 codes separated by space. This code system SHALL NOT be used for single ICD-10 codes; the normal ICD-10 code system oid which is 2.16.840.1.113883.6.3 should be used in this case.</p>
                  <p>Dual code expressions SHALL only be used per the rules described in the ICD-10 instruction manual.</p>
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                  <p>ICD Procedure Coding System (ICD 10 PCS)</p>
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      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
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                  <p>ICD-9 Dual Coding Expression Syntax", description: ICD-9 allows dual coding. Refer to Section ?? of the ICD-9 Instruction Manual (ref?).</p>
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                  <p>An ICD-9 dual code expression SHALL consist of two ICD-9 codes separated by space. This code system SHALL NOT be used for single ICD-9 codes; the normal ICD-9 code system oid which is 2.16.840.1.113883.6.3 should be used in this case. DisplayName SHALL not be used.</p>
                  <p>Dual code expressions SHALL only be used per the rules described in the ICD-9 instruction manual.</p>
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         <documentation>
            <description>
               <text>
                  <p>International Classification of Diseases for Oncology)</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="IcdO3"
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      <annotations>
         <documentation>
            <description>
               <text>
                  <p>International Classification of Diseases for Oncology, version 3. For more information see http://www.who.int/classifications/icd/adaptations/oncology/en/.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="false"
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   </codeSystem>
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         <documentation>
            <description>
               <text>
                  <p>ICNP(r) is a combinatorial terminology, using a multi-axial structure. ICNP(r) provides standardized terms and codes for terms in two classifications that can be used to compose or create pre-coordinated concepts to represent observations and procedures, specifically, patient problems/nursing diagnoses, nursing interventions including those focused on assessment and actual or expected (goal) outcomes. The ICNP(r) Classification for Nursing Phenomena is used to compose concepts or statements to represent observations (nursing diagnoses, patient problems, patient status, patient outcomes). The ICNP(r) Nursing Actions Classification is used to compose concepts or statements to represent procedures (nursing interventions)</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
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      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The International Classification of Primary Care (ICPC). Denmark: World Organisation of Family Doctors, 1993. Various language translations are identified beneath this OID.</p>
               </text>
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      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="false"
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         <documentation>
            <description>
               <text>
                  <p>Hirs, W., H.W. Becker, C. van Boven, S.K. Oskam, I.M. Okkes, H. Lamberts. International Classification of Primary Care 2E: 2nd ed. electronic. Dutch Translation. Amsterdam: Department of General Practice, Academic Medical Center/University of Amsterdam, D</p>
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      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
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         <documentation>
            <description>
               <text>
                  <p>International Classification of Primary Care / prepared by the Classification Committee of the World Organization of National Colleges, Academies and Academic Associations of General Practitioners/Family Physicians (WONCA), known more briefly as the World</p>
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         <documentation>
            <description>
               <text>
                  <p>International Classification of Primary Care, Version 2-Plus. Produced by NLM. Bethesda (MD): National Library of Medicine, UMLS project. This node has the various modifications and translations produced under it.</p>
               </text>
            </description>
         </documentation>
      </annotations>
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         <documentation>
            <description>
               <text>
                  <p>International Classification of Primary Care, Version 2-Plus, Australian Modification. Americanized English Equivalents, January, 2000. Produced by NLM. Bethesda (MD): National Library of Medicine, UMLS project</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
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                       hl7ApprovedIndicator="true"/>
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      <annotations>
         <documentation>
            <description>
               <text>
                  <p>International Classification of Primary Care, Version 2-Plus, Australian Modification. January, 2000</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
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   </codeSystem>
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      <annotations>
         <documentation>
            <description>
               <text>
                  <p>International Classification of Primary Care / prepared by the Classification Committee of the World Organization of National Colleges, Academies and Academic Associations of General Practitioners/Family Physicians (WONCA), known more briefly as the World</p>
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      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
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         <documentation>
            <description>
               <text>
                  <p>Becker, H.W., C. van Boven, S.K. Oskam, I.M. Okkes, W. Hirs, H. Lamberts. ICPC2 - ICD10 Thesaurus, Version March, 2004. Amsterdam: Project "Adaptation ICPC, integration and implementation of ICPC2 and ICD10(-CM)." Department of General Practice, Academic</p>
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      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
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   <codeSystem name="Icpc2Icd10THSRS" title="ICPC2-ICD10 Thesaurus"
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      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A diagnostic Terminology for semi-automatic Double Coding in Electronic Patient Records</p>
                  <p>The thesaurus is a part of the CD Rom: "ICPC in the Amsterdam Transition Project. Extended Version. IM Okkes, SK Oskam, H. Lamberts. Amsterdam: Academic Medical Center/University of Amsterdam. Department of Family Medicine", see also the web site http://www.transitieproject.nl for this application of the thesaurus.</p>
                  <p>This bilingual (English/Dutch) ICPC2-ICD10 thesaurus is derived from an extended version of the CD-Rom ICPC in the Amsterdam Transition Project, that was published as a companion to ICPC-2-R by Oxford University Press (2005). As was the case with the former thesaurus (published in Dutch in 2003), the content of this new thesaurus may be copied for academic purposes, and be used for teaching and research under the usual referencing conditions. Any other and/or commercial use requires prior permission from the authors, represented by Dr. Inge Okkes (see below).</p>
                  <p>It is strongly recommended that you first go through the ICPC Tutorial, the Manual and the Glossary, and consider printing them.</p>
                  <p>Becker, H.W., C. van Boven, S.K. Oskam, I.M. Okkes, W. Hirs, H. Lamberts. ICPC2 - ICD10 Thesaurus, Version March, 2004. Amsterdam: Project "Adaptation ICPC, integration and implementation of ICPC2 and ICD10(-CM)." Department of General Practice, Academic</p>
               </text>
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      </annotations>
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                       hl7MaintainedIndicator="true"
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   </codeSystem>
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      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The International Classification of Primary Care (ICPC). Basque Translation. Denmark: World Organisation of Family Doctors, 1993.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
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   </codeSystem>
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      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The International Classification of Primary Care (ICPC). Danish Translation. Denmark: World Organisation of Family Doctors, 1993.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
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   </codeSystem>
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      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The International Classification of Primary Care (ICPC). Dutch Translation. Denmark: World Organisation of Family Doctors, 1993.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="IcpcENG"
               title="International Classification of Primary Care 1993 (English)"
               codeSystemId="2.16.840.1.113883.6.138.14">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The International Classification of Primary Care (ICPC). Swedish Translation. Denmark: World Organisation of Family Doctors, 1993.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="IcpcFIN"
               title="International Classification of Primary Care 1993 Finnish"
               codeSystemId="2.16.840.1.113883.6.138.4">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The International Classification of Primary Care (ICPC). Finnish Translation. Denmark: World Organisation of Family Doctors, 1993.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="IcpcFRE" title="International Classification of Primary Care 1993 French"
               codeSystemId="2.16.840.1.113883.6.138.5">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The International Classification of Primary Care (ICPC). French Translation. Denmark: World Organisation of Family Doctors, 1993.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="IcpcGER" title="International Classification of Primary Care 1993 German"
               codeSystemId="2.16.840.1.113883.6.138.6">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The International Classification of Primary Care (ICPC). German Translation. Denmark: World Organisation of Family Doctors, 1993.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="IcpcHEB" title="International Classification of Primary Care 1993 Hebrew"
               codeSystemId="2.16.840.1.113883.6.138.7">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The International Classification of Primary Care (ICPC). Hebrew Translation, Denmark: World Organisation of Family Doctors, 1993</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
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   </codeSystem>
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               codeSystemId="2.16.840.1.113883.6.138.8">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The International Classification of Primary Care (ICPC). Hungarian Translation. Denmark: World Organisation of Family Doctors, 1993.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
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               title="International Classification of Primary Care 1993 Italian"
               codeSystemId="2.16.840.1.113883.6.138.9">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The International Classification of Primary Care (ICPC). Italian Translation. Denmark: World Organisation of Family Doctors, 1993.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
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               title="International Classification of Primary Care 1993 Norwegian"
               codeSystemId="2.16.840.1.113883.6.138.10">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The International Classification of Primary Care (ICPC). Norwegian Translation. Denmark: World Organisation of Family Doctors, 1993.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="IcpcPOR"
               title="International Classification of Primary Care 1993 Portuguese"
               codeSystemId="2.16.840.1.113883.6.138.11">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The International Classification of Primary Care (ICPC). Portuguese Translation. Denmark: World Organisation of Family Doctors, 1993.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="IcpcSPA"
               title="International Classification of Primary Care 1993 Spanish"
               codeSystemId="2.16.840.1.113883.6.138.12">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The International Classification of Primary Care (ICPC). Spanish Translation. Denmark: World Organisation of Family Doctors, 1993.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="IcpcSWE"
               title="International Classification of Primary Care 1993 Swedish"
               codeSystemId="2.16.840.1.113883.6.138.13">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The International Classification of Primary Care (ICPC). Swedish Translation. Denmark: World Organisation of Family Doctors, 1993.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Ics" title="ICCS" codeSystemId="2.16.840.1.113883.6.41">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>ICCS</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="ICSD" title="International Classification of Sleep Disorders"
               codeSystemId="2.16.840.1.113883.6.45">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>International Classification of Sleep Disorders</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="IdentifierReliability" title="IdentifierReliability"
               codeSystemId="2.16.840.1.113883.5.1117">
      <historyItem dateTime="2020-05-06" id="v3-IdentifierReliability-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Specifies the reliability with which the identifier is known. This attribute MAY be used to assist with identifier matching algorithms.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="synonymCode" type="Token" isMandatoryIndicator="false">
            <description>An additional concept code that was also attributed to a concept</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The identifier was issued by the system responsible for constructing the instance.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22614"/>
            <printName language="en" preferredForLanguage="true" text="Issued by System"/>
            <code code="ISS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The identifier was provided to the system that constructed the instance, but has not been verified. e.g. a Drivers license entered manually into a system by a user.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22653"/>
            <printName language="en" preferredForLanguage="true" text="Unverified by system"/>
            <code code="UNV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The identifier was not issued by the system responsible for constructing the instance, but the system that captured the id has verified the identifier with the issuing authority, or with another system that has verified the identifier.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22652"/>
            <printName language="en" preferredForLanguage="true" text="Verified by system"/>
            <code code="VER" status="retired"/>
            <code code="VRF" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="IdentifierScope" title="IdentifierScope"
               codeSystemId="2.16.840.1.113883.5.1116">
      <historyItem dateTime="2020-05-06" id="v3-IdentifierScope-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>Codes to specify the scope in which the identifier applies to the object with which it is associated, and used in the datatype property II.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>An identifier whose scope is defined by the business practices associated with the object. In contrast to the other scope identifiers, the scope of the use of the id is not necessarily restricted to a single object, but may be reused for other objects closely associated with the object due to business practice.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22609"/>
            <printName language="en" preferredForLanguage="true" text="Business Identifier"/>
            <code code="BUSN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The identifier associated with a particular object. It remains consistent as the object undergoes state transitions.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22610"/>
            <printName language="en" preferredForLanguage="true" text="Object Identifier"/>
            <code code="OBJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>An identifier that references a particular object as it existed at a given point in time. The identifier<b>SHALL</b>change with each state transition on the object. I.e. The version identifier of an object prior to a 'suspend' state transition is distinct from the identifier of the object after the state transition. Each version identifier can be tied to exactly one ControlAct event which brought that version into being (though the control act may never be instantiated).<b>NOTE:</b>Applications that do not support versioning of objects must ignore and not persist these ids to avoid confusion resulting from leaving the same identifier on an object that undergoes changes.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22611"/>
            <printName language="en" preferredForLanguage="true" text="Version Identifier"/>
            <code code="VER" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>An identifier that references a particular object as it existed at a given point in time. The identifier<b>SHALL</b>change with each state transition on the object.<b>Example</b>The version identifier of an object prior to a 'suspend' state transition is distinct from the identifier of the object after the state transition. Each version identifier can be tied to exactly one ControlAct event which brought that version into being (though the control act may never be instantiated).<b>NOTE:</b>Applications that do not support versioning of objects must ignore and not persist these ids to avoid confusion resulting from leaving the same identifier on an object that undergoes changes.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22612"/>
            <printName language="en" preferredForLanguage="true" text="View Specific Identifier"/>
            <code code="VW" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="IETF1766" title="IETF RFC 1766" codeSystemId="2.16.840.1.113883.6.84">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Codes representing languages for which a person has some level of proficiency for written or spoken communication.</p>
                  <i>Examples:</i>Spanish, Italian, German, English, American Sign, etc.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Ietf3066" title="Tags for the Identification of Languages"
               codeSystemId="2.16.840.1.113883.6.121">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Older value from OID registry. Superceded; see recommendations in BCP-47.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="IntegrityCheckAlgorithm" title="IntegrityCheckAlgorithm"
               codeSystemId="2.16.840.1.113883.5.1010">
      <historyItem dateTime="2020-05-06" id="v3-IntegrityCheckAlgorithm-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**** MISSING DESCRIPTION ****</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This algorithm is defined in FIPS PUB 180-1: Secure Hash Standard. As of April 17, 1995.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="17386"/>
            <printName language="en" preferredForLanguage="true" text="secure hash algorithm - 1"/>
            <code code="SHA-1" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This algorithm is defined in FIPS PUB 180-2: Secure Hash Standard.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="17387"/>
            <printName language="en" preferredForLanguage="true" text="secure hash algorithm - 256"/>
            <code code="SHA-256" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="Iso2100062004ERDD" title="ISO/IEC 21000-6:2004(E) Rights Data Dictionary"
               codeSystemId="1.0.21000.6">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>ISO/IEC 21000-6:2004 describes a Rights Data Dictionary which comprises a set of clear, consistent, structured, integrated and uniquely identified terms to support the MPEG-21 Rights Expression Language (REL), ISO/IEC 21000-5. Annex A specifies the methodology for and structure of the RDD Dictionary, and specifies how further Terms may be defined under the governance of a Registration Authority, requirements for which are described in Annex C.</p>
                  <p>Taken together, these specifications and the RDD Dictionary and Database make up the RDD System. Use of the RDD System will facilitate the accurate exchange and processing of information between interested parties involved in the administration of rights in, and use of, Digital Items, and in particular it is intended to support ISO/IEC 21000-5 (REL). Clause 6 describes how ISO/IEC 21000-6:2004 relates to ISO/IEC 21000-5.</p>
                  <p>As well as providing definitions of terms for use in ISO/IEC 21000-5, the RDD System is designed to support the mapping of terms from different namespaces. Such mapping will enable the transformation of metadata from the terminology of one namespace (or Authority) into that of another namespace. Mapping, to ensure minimum ambiguity or loss of semantic integrity, will be the responsibility of the Registration Authority. Provision of automated trm look-up is also a requirement.</p>
                  <p>The RDD Dictionary is a prescriptive dctionary, in the sense that it defines a single meaning for a trm represented by a particular RddAuthorized TermName, but it is also inclusive in that it can recognize the prescription of other Headwords and definitions by other Authorities and incorporates them through mappings. The RDD Dictionary also supports the circumstance that the same name may have different meanings under different Authorities. ISO/IEC 21000-6:2004describes audit provisions so that additions, amendments and deletions to Terms and their attributes can be tracked.</p>
                  <p>ISO/IEC 21000-6:2004 recognizes legal definitions as and only as Terms from other Authorities that can be mapped into the RDD Dictionary. Therefore Terms that are directly authorized by the RDD Registration Authority neither define nor prescribe intellectual property rights or other legal entities.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Iso31661edition2" title="ISO 3166 Part 1 Country Codes, 2nd Edition"
               codeSystemId="1.0.3166.1.2">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>This OID identifies the coding system published in the ISO 3166-1 Standard for Country codes. It contains 3 sets of synonyms for the country codes: 2-character alphabetic, 3-character alphabetic, and numeric. Note that this is the 2nd edition of the standard.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2022-08-23" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Iso31661edition2alpha2"
               title="ISO 3166 Part 1 Country Codes, 2nd Edition, Alpha-2"
               codeSystemId="1.0.3166.1.2.2">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Identifies the coding system published in the ISO 3166-1 Standard for Country codes, 2nd edition, 2-character alphabetic codes.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2022-08-23" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Iso31661edition2alpha3"
               title="ISO 3166 Part 1 Country Codes, 2nd Edition, Alpha-3"
               codeSystemId="1.0.3166.1.2.3">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Identifies the coding system published in the ISO 3166-1 Standard for Country codes, 2nd edition, 3-character alphabetic codes.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2022-08-23" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Iso31661edition2numeric"
               title="ISO 3166 Part 1 Country Codes, 2nd Edition, Numeric"
               codeSystemId="1.0.3166.1.2.1">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Identifies the coding system published in the ISO 3166-1 Standard for Country codes, 2nd edition, numeric codes.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Iso3166_2" title="ISO 3166 Part 2 Country Subdivision Codes"
               codeSystemId="1.0.3166.2">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Identifies the coding system published in the ISO 3166-2 Standard for Country Subdivision codes. This standard is released periodically, and a new OID will be assigned by ISO for new editions.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2022-08-23" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Iso4217" title="ISO 4217 Currency Codes" codeSystemId="1.0.4217">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>ISO 4217 currency codes.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Iso6391"
               title="ISO 639-1: Codes for the representation of names of languages -- Part 1: Alpha-2 code"
               codeSystemId="1.0.639.1">
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>Codes for the Representation of Names of Languages Part 1: Alpha-2 Code. Used as part of the IETF 3066 specification for languages throughout the HL7 specification.<p>This part of ISO 639 provides a code consisting of language code elements comprising two-letter language identifiers for the representation of names of languages. The language identifiers according to this part of ISO 639 were devised originally for use in terminology, lexicography and linguistics, but may be adopted for any application requiring the expression of language in two- letter coded form, especially in computerized systems. The alpha-2 code was devised for practical use for most of the major languages of the world that are not only most frequently represented in the total body of the world's literature, but which also comprise a considerable volume of specialized languages and terminologies. Additional language identifiers are created when it becomes apparent that a significant body of documentation written in specialized languages and terminologies exists. Languages designed exclusively for machine use, such as computer-programming languages, are not included in this code.</p>
                  <p>The code set is available from http://www.iso.org/iso/iso\_catalogue/catalogue\_ics/catalogue\_detail\_ics.htm? csnumber=22109&amp;ICS1=1&amp;ICS2=140&amp;ICS3=20</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Iso6391ret" title="ISO 639-1 Alpha-2 Language Codes"
               codeSystemId="2.16.840.1.113883.6.99">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Codes for the Representation of Names of Languages Part 1: Alpha-2 Code. Used as part of the IETF 3066 specification for languages throughout the HL7 specification.</p>
                  <i>DeprecationComment:</i>This code system is being deprecated, as the OID identifying it has been replaced with the correct ISO OID of 1.0.639.1</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Iso6392"
               title="ISO 639-2: Codes for the representation of names of languages -- Part 2: Alpha-3 code"
               codeSystemId="1.0.639.2">
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>Codes for the representation of names of languages, 3 character alphabetic codes. This has been superceded by ISO 639-3 for many purposes. ISO 639-2 was released in 1998.<p>The code set is available from http://www.iso.org/iso/iso\_catalogue/catalogue\_tc/catalogue\_detail.htm?csnumber=4767</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Iso6392ret" title="ISO 639-2 Alpha-3 Language Codes"
               codeSystemId="2.16.840.1.113883.6.100">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Codes for the Representation of Names of Languages Part 2: Alpha-3 Code. Used as part of the IETF 3066 specification for languages throughout the HL7 specification.</p>
                  <i>DeprecationComment:</i>This code system is being deprecated, as the OID identifying it has been replaced with the correct ISO OID of 1.0.639.2</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Iso6393" title="ISO 639-3 Language Codes Alpha 3"
               codeSystemId="1.0.639.3">
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>ISO 639-3 is a code that aims to define three-letter identifiers for all known human languages. At the core of ISO 639-3 are the individual languages already accounted for in ISO 639-2. The large number of living languages in the initial inventory of ISO 639-3 beyond those already included in ISO 639-2 was derived primarily from Ethnologue (15th edition). Additional extinct, ancient, historic, and constructed languages have been obtained from Linguist List.<p>SIL International has been designated as the ISO 639-3/RA for the purpose of processing requests for alpha-3 language codes comprising the International Standard, Codes for the representation of names of languages - Part 3: Alpha-3 code for comprehensive coverage of languages. The ISO 639-3/RA receives and reviews applications for requesting new language codes and for the change of existing ones according to criteria indicated in the standard. It maintains an accurate list of information associated with registered language codes which can be viewed on or downloaded from this website, and processes updates of registered language codes. Notification of pending and adopted updates are also distributed on a regular basis to subscribers and other parties.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="IUPC" title="IUPAC/IFCC Component Codes"
               codeSystemId="2.16.840.1.113883.6.47">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>IUPAC/IFCC Component Codes</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="IUPP" title="IUPAC/IFCC Property Codes"
               codeSystemId="2.16.840.1.113883.6.46">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>IUPAC/IFCC Property Codes</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="JC8" title="Japanese Chemistry" codeSystemId="2.16.840.1.113883.6.48">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Japanese Chemistry</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="LanguageAbilityMode" title="LanguageAbilityMode"
               codeSystemId="2.16.840.1.113883.5.60">
      <historyItem dateTime="2020-05-06" id="v3-LanguageAbilityMode-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A value representing the method of expression of the language.</p>
                  <p>*Example:*Expressed spoken, expressed written, expressed signed, received spoken, received written, received signed.</p>
                  <i>OpenIssue:</i>Description copied from Concept Domain of same name. Must be verified.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <conceptProperty name="internalId" value="12252"/>
            <printName language="en" preferredForLanguage="true" text="Expressed signed"/>
            <code code="ESGN" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="12250"/>
            <printName language="en" preferredForLanguage="true" text="Expressed spoken"/>
            <code code="ESP" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="12251"/>
            <printName language="en" preferredForLanguage="true" text="Expressed written"/>
            <code code="EWR" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="16139"/>
            <printName language="en" preferredForLanguage="true" text="Received signed"/>
            <code code="RSGN" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="12253"/>
            <printName language="en" preferredForLanguage="true" text="Received spoken"/>
            <code code="RSP" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="12254"/>
            <printName language="en" preferredForLanguage="true" text="Received written"/>
            <code code="RWR" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="LanguageAbilityProficiency" title="LanguageAbilityProficiency"
               codeSystemId="2.16.840.1.113883.5.61">
      <historyItem dateTime="2020-05-06" id="v3-LanguageAbilityProficiency-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A value representing the level of proficiency in a language.</p>
                  <p>*Example:*Excellent, good, fair, poor.</p>
                  <i>OpenIssue:</i>Description copied from Concept Domain of same name. Must be verified.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <conceptProperty name="internalId" value="12200"/>
            <printName language="en" preferredForLanguage="true" text="Excellent"/>
            <code code="E" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="12202"/>
            <printName language="en" preferredForLanguage="true" text="Fair"/>
            <code code="F" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="12201"/>
            <printName language="en" preferredForLanguage="true" text="Good"/>
            <code code="G" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="12203"/>
            <printName language="en" preferredForLanguage="true" text="Poor"/>
            <code code="P" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="LivingArrangement" title="LivingArrangement"
               codeSystemId="2.16.840.1.113883.5.63">
      <historyItem dateTime="2020-05-06" id="v3-LivingArrangement-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A code depicting the living arrangements of a person</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A group living arrangement specifically for the care of those in need of temporary and crisis housing assistance. Examples include domestic violence shelters, shelters for displaced or homeless individuals, Salvation Army, Jesus House, etc. Community based services may be provided.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="I"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22192"/>
            <printName language="en" preferredForLanguage="true" text="community shelter"/>
            <code code="CS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Group Home</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="I"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10193"/>
            <printName language="en" preferredForLanguage="true" text="Group Home"/>
            <code code="G" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Independent Household</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10188"/>
            <printName language="en" preferredForLanguage="true" text="Independent Household"/>
            <code code="H" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Living arrangements lacking a permanent residence.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22193"/>
            <printName language="en" preferredForLanguage="true" text="homeless"/>
            <code code="HL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Institution</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10189"/>
            <printName language="en" preferredForLanguage="true" text="Institution"/>
            <code code="I" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Nomadic</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10195"/>
            <printName language="en" preferredForLanguage="true" text="Nomadic"/>
            <code code="M" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Nursing Home</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="I"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10190"/>
            <printName language="en" preferredForLanguage="true" text="Nursing Home"/>
            <code code="N" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A living arrangement within a private residence for single family.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22190"/>
            <printName language="en" preferredForLanguage="true" text="private residence"/>
            <code code="PR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Retirement Community</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10192"/>
            <printName language="en" preferredForLanguage="true" text="Retirement Community"/>
            <code code="R" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Assisted living in a single family residence for persons with physical, behavioral, or functional health, or socio-economic challenges. There may or may not be on-site supervision but the housing is designed to assist the client with developing independent living skills. Community based services may be provided.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22191"/>
            <printName language="en" preferredForLanguage="true" text="supported living"/>
            <code code="SL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Transient</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10194"/>
            <printName language="en" preferredForLanguage="true" text="Transient"/>
            <code code="T" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Extended care facility</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="I"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10191"/>
            <printName language="en" preferredForLanguage="true" text="Extended care facility"/>
            <code code="X" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="LocalMarkupIgnore" title="LocalMarkupIgnore"
               codeSystemId="2.16.840.1.113883.5.65">
      <historyItem dateTime="2020-05-06" id="v3-LocalMarkupIgnore-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Tells a receiver to ignore just the local markup tags (local\_markup, local\_header, local\_attr) when value="markup", or to ignore the local markup tags and all contained content when value="all"</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <conceptProperty name="internalId" value="10976"/>
            <printName language="en" preferredForLanguage="true" text="all"/>
            <code code="all" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="10977"/>
            <printName language="en" preferredForLanguage="true" text="markup"/>
            <code code="markup" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="LocalRemoteControlState" title="LocalRemoteControlState"
               codeSystemId="2.16.840.1.113883.5.66">
      <historyItem dateTime="2020-05-06" id="v3-LocalRemoteControlState-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A value representing the current state of control associated with the device.</p>
                  <i>Examples:</i>A device can either work autonomously (localRemoteControlStateCode="Local") or it can be controlled by another system (localRemoteControlStateCode="Remote").<i>Rationale:</i>The control status of a device must be communicated between devices prior to remote commands being transmitted. If the device is not in "Remote" status then external commands will be ignored.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An equipment can either work autonomously ('Local' control state).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10894"/>
            <printName language="en" preferredForLanguage="true" text="Local"/>
            <code code="L" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An equipment can be controlled by another system, e.g., LAS computer ('Remote' control state).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10895"/>
            <printName language="en" preferredForLanguage="true" text="Remote"/>
            <code code="R" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="Lrg" title="Locus Reference Genomic Sequences (LRG)"
               codeSystemId="2.16.840.1.113883.6.283">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>In collaboration with NCBI, the European Bioinformatics Institute (EBI) is developing the Locus Reference Genomic Sequences (LRG) database, which is a database of reference sequences.</p>
                  <p>LRG is a system for providing a genomic DNA sequence representation of a single gene that is idealized, has a permanent ID (with no versioning), and core content that never changes. LRG is not a nomenclature system. More than one LRG could be created for a region of interest, should that need arise. Additional annotations will be present that may change with time (each item carrying its own date stamp), so that the latest ancillary knowledge about a gene is directly available. In other words, an LRG sequence and its core annotation are not meant to represent current biology knowledge, but to provide a standard for reporting variation in a stable coordinate system. The combination of the LRG plus the updatable-annotation layer will be used to support the biological interpretation of variants.</p>
                  <p>LRG identifiers can be used with the HL7 coded data type (code data type that accepts expression data, or a coded expression data type). This coded data type will be gene symbols can be used with the HL7 coded data type. For example, in the HL7 messages specified according to the HL7 V2 Clinical Genomics Fully LOINC-Qualified Genetic Variation Model, LRG identifiers can be used to as the observation values for Genomic Reference Sequence Identifier (LOINC code: 48013-7).</p>
                  <p>LRG is a database that can be used freely by the public.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="ManagedParticipationStatus" title="ManagedParticipationStatus"
               codeSystemId="2.16.840.1.113883.5.1062">
      <historyItem dateTime="2020-05-06" id="v3-ManagedParticipationStatus-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Codes representing the defined possible states of a Managed Participation, as defined by the Managed Participation class state machine.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The state representing the fact that the Participation is in progress.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="normal"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15996"/>
            <printName language="en" preferredForLanguage="true" text="active"/>
            <code code="active" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The terminal state resulting from cancellation of the Participation prior to activation.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="normal"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15995"/>
            <printName language="en" preferredForLanguage="true" text="cancelled"/>
            <code code="cancelled" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The terminal state representing the successful completion of the Participation.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="normal"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15997"/>
            <printName language="en" preferredForLanguage="true" text="completed"/>
            <code code="completed" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The 'typical' state. Excludes "nullified" which represents the termination state of a participation instance that was created in error.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="15993"/>
            <printName language="en" preferredForLanguage="true" text="normal"/>
            <code code="normal" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The state representing the termination of a Participation instance that was created in error.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="15998"/>
            <printName language="en" preferredForLanguage="true" text="nullified"/>
            <code code="nullified" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The state representing that fact that the Participation has not yet become active.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="normal"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15994"/>
            <printName language="en" preferredForLanguage="true" text="pending"/>
            <code code="pending" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="MapRelationship" title="MapRelationship"
               codeSystemId="2.16.840.1.113883.5.67">
      <historyItem dateTime="2020-05-06" id="v3-MapRelationship-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The closeness or quality of the mapping between the HL7 concept (as represented by the HL7 concept identifier) and the source coding system. The values are patterned after the similar relationships used in the UMLS Metathesaurus. Because the HL7 coding sy</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The first concept is at a more abstract level than the second concept. For example, Hepatitis is broader than Hepatitis A, and endocrine disease is broader than Diabetes Mellitus. Broader than is the opposite of the narrower than relationship.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11054"/>
            <printName language="en" preferredForLanguage="true" text="Broader Than"/>
            <code code="BT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The two concepts have identical meaning.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11053"/>
            <printName language="en" preferredForLanguage="true" text="Exact"/>
            <code code="E" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The first concept is at a more detailed level than the second concept. For example, Pennicillin G is narrower than Pennicillin, and vellus hair is narrower than hair. Narrower than is the opposite of broader than.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11055"/>
            <printName language="en" preferredForLanguage="true" text="Narrower Than"/>
            <code code="NT" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="MaritalStatus" title="MaritalStatus" codeSystemId="2.16.840.1.113883.5.2">
      <historyItem dateTime="2020-05-06" id="v3-MaritalStatus-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>\* \* \* No description supplied \* \* \*</p>
                  <i>Open Issue:</i>The specific meanings of these codes can vary somewhat by jurisdiction and implementation so caution should be used when determining equivalency.<i>Open Issue:</i>fixing and completion of the hierarchy and proper good definitions of all the concepts is badly needed.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Marriage contract has been declared null and to not have existed</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="12213"/>
            <printName language="en" preferredForLanguage="true" text="Annulled"/>
            <code code="A" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>a marriage recognized in some jurisdictions and based on the parties' agreement to consider themselves married and can also be based on documentation of cohabitation.</p>
                        <p>This definition was based on https://www.merriam-webster.com/dictionary/common-law%20marriage.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="M"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24122"/>
            <printName language="en" preferredForLanguage="true" text="Common Law"/>
            <code code="C" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Marriage contract has been declared dissolved and inactive</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="12214"/>
            <printName language="en" preferredForLanguage="true" text="Divorced"/>
            <code code="D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Subject to an Interlocutory Decree.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="12215"/>
            <printName language="en" preferredForLanguage="true" text="Interlocutory"/>
            <code code="I" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="12216"/>
            <printName language="en" preferredForLanguage="true" text="Legally Separated"/>
            <code code="L" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A current marriage contract is active</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="12217"/>
            <printName language="en" preferredForLanguage="true" text="Married"/>
            <code code="M" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>More than 1 current spouse</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="12220"/>
            <printName language="en" preferredForLanguage="true" text="Polygamous"/>
            <code code="P" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>No marriage contract has ever been entered</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="U"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12218"/>
            <printName language="en" preferredForLanguage="true" text="Never Married"/>
            <code code="S" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Person declares that a domestic partner relationship exists.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="15981"/>
            <printName language="en" preferredForLanguage="true" text="Domestic partner"/>
            <code code="T" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Currently not in a marriage contract.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23624"/>
            <printName language="en" preferredForLanguage="true" text="unmarried"/>
            <code code="U" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The spouse has died</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="12219"/>
            <printName language="en" preferredForLanguage="true" text="Widowed"/>
            <code code="W" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="Mdc" title="ISO 11073-10101 Health informatics - Point-of-care"
               codeSystemId="2.16.840.1.113883.6.24">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The nomenclature relates primarily to vital signs monitoring, but also includes semantics of other medical devices that are commonly used in acute care settings. There are multiple coding partitions each of which has a systematic name consisting of a set of base concepts and differentiating criteria.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Mddid" title="MDDID" codeSystemId="2.16.840.1.113883.6.253">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Medispan Drug Descriptor ID</p>
                  <p>Entry autogenerated to support Sources from the UMLS. Full metadata set still incomplete.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="MDDX" title="Medispan Diagnostic Codes"
               codeSystemId="2.16.840.1.113883.6.65">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Medispan Diagnostic Codes</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="MDFAttributeType" title="MDFAttributeType"
               codeSystemId="2.16.840.1.113883.5.74">
      <historyItem dateTime="2020-05-06" id="v3-MDFAttributeType-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Deprecation Comment:</b>Deprecated as per 11/2008 Harmonization cleanup; internal and obsolete HL7 usage, no longer used.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>For attributes representing the location at which an organization, person, or item may be found or reached.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10046"/>
            <printName language="en" preferredForLanguage="true" text="Address"/>
            <code code="ADDR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>For attributes representing some concept. Note that names of individual things are not considered concepts.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10047"/>
            <printName language="en" preferredForLanguage="true" text="Code"/>
            <code code="CD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>For attributes representing communication addresses, such as telephones, fax, pagers, e-mail, Web-sites and other devices and their respective protocols. See also PHON.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10048"/>
            <printName language="en" preferredForLanguage="true" text="Communication Address"/>
            <code code="COM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>For attributes representing a statement used to describe something.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10049"/>
            <printName language="en" preferredForLanguage="true" text="Description"/>
            <code code="DESC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>For attributes representing a point in time at which an event happened or will happen. Levels of precision and variation are part of this concept and should usually not be specified in separate attributes.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10050"/>
            <printName language="en" preferredForLanguage="true" text="Date and Time"/>
            <code code="DTTM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>For attributes representing formalized text that is to be evaluated primarily by computes. An attribute named "constraint\_text" is most likely such a formal expression and should be renamed to "constraint\_expr".</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10051"/>
            <printName language="en" preferredForLanguage="true" text="Formal Expression"/>
            <code code="EXPR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>For attributes that represent a fraction or proportion. The former attribute type PCT for "percentage" is superceded by FRC and is no longer permitted. See also QTY.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10052"/>
            <printName language="en" preferredForLanguage="true" text="Fraction"/>
            <code code="FRC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>For attributes that serve to identify some instance of an information model class. Note that real world Identifiers (e.g., SSN) exist not as attributes but as an association to a special information model class. The attribute type "id" without a prefix is reserved to be the main instance identifier of the class.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10053"/>
            <printName language="en" preferredForLanguage="true" text="Identifier"/>
            <code code="ID" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>For attributes representing a specific condition as true or false.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10054"/>
            <printName language="en" preferredForLanguage="true" text="Indicator"/>
            <code code="IND" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>For attributes representing dimensionless numbers. Note that there is a big conceptual difference between integer numbers and floating point numbers. See also QTY.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10055"/>
            <printName language="en" preferredForLanguage="true" text="Number"/>
            <code code="NBR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>For attributes that represent a name by which an instance of the class is known.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10056"/>
            <printName language="en" preferredForLanguage="true" text="Name"/>
            <code code="NM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>For attributes representing telephone number of a telecommunication device. See also COM.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10057"/>
            <printName language="en" preferredForLanguage="true" text="Phone"/>
            <code code="PHON" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>For attributes representing a quantity. The nature of the quantity must be further specified through the choice of data type and through additional constraints. For physical quantities (including elapsed time) the PQ data type must be used. For monetary amounts the MO data type must be used. Parallel unit attributes are not permitted in these cases. Counted objects are not physical quantities and the count nouns are not units of measure.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10058"/>
            <printName language="en" preferredForLanguage="true" text="Quantity"/>
            <code code="QTY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A range of time between a start and an end time having a duration. The range may be infinite or undefined on either side.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10060"/>
            <printName language="en" preferredForLanguage="true" text="General Timing"/>
            <code code="TIME" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A range of time between a start and an end time having a duration. The range may be infinite or undefined on either side.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10059"/>
            <printName language="en" preferredForLanguage="true" text="Time Range"/>
            <code code="TMR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>For attributes representing non-descriptive, non-naming text not targeted to human interpretation. Formal expressions evaluated by computers should use the EXPR attribute type instead.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10061"/>
            <printName language="en" preferredForLanguage="true" text="Text"/>
            <code code="TXT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>For an attribute (e.g., Observation.value) that represents a value whose data type is determined dynamically and is not predefined by the static class diagram.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10062"/>
            <printName language="en" preferredForLanguage="true" text="Value"/>
            <code code="VALUE" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="MdfHmdMetSourceType" title="MdfHmdMetSourceType"
               codeSystemId="2.16.840.1.113883.5.75">
      <historyItem dateTime="2020-05-06" id="v3-MdfHmdMetSourceType-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Code to identify the source of a Message Element Type represented in the 'of MET' column of an HMD.</p>
                  <b>Deprecation Comment:</b>Deprecated as per 11/2008 Harmonization cleanup; internal and obsolete HL7 usage, no longer used.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This message element type is an HL7 common message element type.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10079"/>
            <printName language="en" preferredForLanguage="true" text="Common MET"/>
            <code code="C" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This message element type is an HL7 data type.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10078"/>
            <printName language="en" preferredForLanguage="true" text="Data type"/>
            <code code="D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This row represents a reference to a previously defined type. Such a reference means that, in a given message, the message element instance for the current row is identical to the message element instance that instantiates the referred row.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10082"/>
            <printName language="en" preferredForLanguage="true" text="Reference"/>
            <code code="I" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>New type. This row starts the definition of a new message element type. The subordinate rows beneath it compose the definition of the type. Each of these subordinate rows has the name of the message element type being defined in the In Message Element Type column. That name will be the same one that is in the Of Message Element Type of this row.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10077"/>
            <printName language="en" preferredForLanguage="true" text="New type"/>
            <code code="N" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This row represents the recursive reuse of the message element type within which is appears. See 10.3.3.3.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10081"/>
            <printName language="en" preferredForLanguage="true" text="Recursive"/>
            <code code="R" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This message element type was previously defined in this HMD and is being reused</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10080"/>
            <printName language="en" preferredForLanguage="true" text="Re-used MET"/>
            <code code="U" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="MdfHmdRowType" title="MdfHmdRowType"
               codeSystemId="2.16.840.1.113883.5.76">
      <historyItem dateTime="2020-05-06" id="v3-MdfHmdRowType-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The row type codes for the tabular representation of a Hierarchical Message Description.</p>
                  <b>Deprecation Comment:</b>Deprecated as per 11/2008 Harmonization cleanup; internal and obsolete HL7 usage, no longer used.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies an association leading from the "class" (or association) that is most directly above this row</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10072"/>
            <printName language="en" preferredForLanguage="true" text="Association Row"/>
            <code code="assoc" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies an attribute of the "class" (or association) that is most directly above this row.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10073"/>
            <printName language="en" preferredForLanguage="true" text="Attribute Row"/>
            <code code="attr" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies "class" in the HMD. There is only one class entry in a Hierarchical Message Definition. This is the root class for the message.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10071"/>
            <printName language="en" preferredForLanguage="true" text="HMD root class"/>
            <code code="class" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Always the first row of the table, identifies the particular Hierarchical Message Definition in the nomenclature of the HL7 Repository.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10070"/>
            <printName language="en" preferredForLanguage="true" text="HMD identifier"/>
            <code code="hmd" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies a message element that represents one of whatever is repeated in a collection</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10074"/>
            <printName language="en" preferredForLanguage="true" text="Collection Item Row"/>
            <code code="item" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This row corresponds to a subcomponent of the row above; it would not normally be included in an HMD, but it is included in order to be able to state a constraint on the subtype. This is explained in 10.2.2.4.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10075"/>
            <printName language="en" preferredForLanguage="true" text="Subtype constraint"/>
            <code code="stc" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="MdfRmimRowType" title="MdfRmimRowType"
               codeSystemId="2.16.840.1.113883.5.77">
      <historyItem dateTime="2020-05-06" id="v3-MdfRmimRowType-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The row types for the tabular representation of an R-MIM.</p>
                  <b>Deprecation Comment:</b>Deprecated as per 11/2008 Harmonization cleanup; internal and obsolete HL7 usage, no longer used.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies an association leading from the class that is most directly above this row</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10067"/>
            <printName language="en" preferredForLanguage="true" text="Association row"/>
            <code code="assoc" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies an attribute of the "class" that is most directly above this row</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10066"/>
            <printName language="en" preferredForLanguage="true" text="Attribute row"/>
            <code code="attr" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies a "class" in the Refined Message Information Model</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10065"/>
            <printName language="en" preferredForLanguage="true" text="Class row"/>
            <code code="class" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Always the first row of the table, identifies the particular Refined Message Information Model in the nomenclature of the HL7 Repository</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10064"/>
            <printName language="en" preferredForLanguage="true" text="RMIM identifier"/>
            <code code="rmim" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This row corresponds to a subcomponent of the row above; it would not normally be included in an Refined Message Information Model, but it is included in order to be able to state a constraint on the subtype. This is explained in 10.2.2.4.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10068"/>
            <printName language="en" preferredForLanguage="true" text="Subtype constraint"/>
            <code code="stc" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="MDFSubjectAreaPrefix" title="MDFSubjectAreaPrefix"
               codeSystemId="2.16.840.1.113883.5.78">
      <historyItem dateTime="2020-05-06" id="v3-MDFSubjectAreaPrefix-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The standard prefixes used in Rose for RIM subject areas that determine the role or function of each subject area.</p>
                  <b>Deprecation Comment:</b>Deprecated as per 11/2008 Harmonization cleanup; internal and obsolete HL7 usage, no longer used.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Holds classes that are of interest to the committee identified by the rest of the Subject Area Name.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10031"/>
            <printName language="en" preferredForLanguage="true" text="Class of Interest"/>
            <code code="COI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Holds a sub-set of the RIM that is the domain information model for the committee identified by the rest of the Subject Area name.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10032"/>
            <printName language="en" preferredForLanguage="true" text="Domain model"/>
            <code code="DIM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Is one of a set of subject areas that hold the classes defined in the Reference Information Model (RIM).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10033"/>
            <printName language="en" preferredForLanguage="true" text="RIM content"/>
            <code code="RIM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Holds classes whose steward is the committee identified by the remaining portions of the Subject Area Name.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10030"/>
            <printName language="en" preferredForLanguage="true" text="Stewardship"/>
            <code code="STW" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="MedDRA" title="Medical Dictionary for Regulatory Activities"
               codeSystemId="2.16.840.1.113883.6.163">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>MedDRA is a multilingual standardised international medical terminology which can be used for regulatory communication and evaluation of data pertaining to medicinal products for human use. MedDRA is designed for use in the registration, documentation and safety monitoring of medicinal products through all phases of the development cycle (i.e., from clinical trials to post-marketing surveillance).#13;</p>
                  <p>MedDRA is structured as a five level hierarchy. System Organ Classes (SOCs) are the broadest terms (e.g., Cardiac disorders, Investigations). The lowest level of the terminology is the Lowest Level Term (LLT) level.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2023-06-14" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="MDRAE" title="MedDRA Am Engl" codeSystemId="2.16.840.1.113883.6.163.1">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Medical Dictionary for Regulatory Activities Terminology (MedDRA), American English Equivalents, Version 7.0. Bethesda, MD: National Library of Medicine, March 1, 2004 This is the English language version as encapsulated in the UMLS..</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="MDRDUT" title="MedDRA Dutch" codeSystemId="2.16.840.1.113883.6.163.2">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Medical Dictionary for Regulatory Activities Terminology (MedDRA) Version 7.0, Dutch Edition. International conference on Harmonization of Technical Requirements for Registration of Pharmaceuticals for Human Use (ICH). Reston, VA: MedDRA MSSO, March 1, 2004 This is the Dutch language version as encapsulated in the UMLS..</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="MDREA" title="MedDRA Am Engl expanded"
               codeSystemId="2.16.840.1.113883.6.164.1">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Medical Dictionary for Regulatory Activities Terminology (MedDRA), American English Equivalents with expanded abbreviations, Version 7.0. Bethesda, MD: National Library of Medicine, March 1, 2004.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="MDREX" title="MedDRA expanded" codeSystemId="2.16.840.1.113883.6.164">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Medical Dictionary for Regulatory Activities Terminology (MedDRA), with expanded abbreviations, Version 7.0. Bethesda, MD: National Library of Medicine, March 1, 2004.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="MDRFRE" title="MedDRA French" codeSystemId="2.16.840.1.113883.6.163.3">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Medical Dictionary for Regulatory Activities Terminology (MedDRA) Version 7.0, French Edition. International conference on Harmonization of Technical Requirements for Registration of Pharmaceuticals for Human Use (ICH). Reston, VA: MedDRA MSSO, March 1, 2004 This is the French language version as encapsulated in the UMLS..</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="MDRGER" title="MedDRA German" codeSystemId="2.16.840.1.113883.6.163.4">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Medical Dictionary for Regulatory Activities Terminology (MedDRA) Version 7.0, German Edition. International conference on Harmonization of Technical Requirements for Registration of Pharmaceuticals for Human Use (ICH). Reston, VA: MedDRA MSSO, March 1, 2004 This is the German language version as encapsulated in the UMLS..</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="MDRPOR" title="MedDRA Portuguese"
               codeSystemId="2.16.840.1.113883.6.163.5">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Medical Dictionary for Regulatory Activities Terminology (MedDRA) Version 7.0, Portuguese Edition. International conference on Harmonization of Technical Requirements for Registration of Pharmaceuticals for Human Use (ICH). Reston, VA: MedDRA MSSO, March 1, 2004. This is the Portuguese language version as encapsulated in the UMLS..</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="MDRSPA" title="MedDRA Spanish" codeSystemId="2.16.840.1.113883.6.163.6">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Medical Dictionary for Regulatory Activities Terminology (MedDRA) Version 7.0, Spanish Edition. International conference on Harmonization of Technical Requirements for Registration of Pharmaceuticals for Human Use (ICH). Reston, VA: MedDRA MSSO, March 1, 2004. This is the Spanish language version as encapsulated in the UMLS..</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="MEDC" title="Medical Economics Drug Codes"
               codeSystemId="2.16.840.1.113883.6.67">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Medical Economics Drug Codes</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Medcin" title="MEDCIN" codeSystemId="2.16.840.1.113883.6.26">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>MEDCIN contains more than 175,000 clinical data elements arranged in a hierarchy, with each item having weighted links to relevant diagnoses. The clinical data elements are organized into six basic termtypes designed to accommodate information relevant to a clinical encounter. The basic termtypes in MEDCIN's terminological hierarchy are as follows:</p>
                  <p>Symptoms History Physical Examination Tests Diagnoses Therapy</p>
                  <p>Within this basic structure, MEDCIN terms are further organized in a ten level terminological hierarchy, supplemented by an optional, multi-hierarchical diagnostic index. For example, the symptom of "difficulty breathing" is placed in the terminological hierarchy as a subsidiary (or "child") finding of "pulmonary symptoms," although the presence (or absence) of difficulty breathing can related to conditions as diverse as myocardial infarction, bronchitis, pharyngeal foreign bodies, asthma, pulmonary embolism, etc. MEDCIN's diagnostic index provides more than 800 such links for difficulty breathing.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="MediaType" title="Media Type" codeSystemId="2.16.840.1.113883.5.79">
      <historyItem dateTime="2020-05-06" id="v3-mediaTypes-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Internet Assigned Numbers Authority (IANA) Mime Media Types. Identifies the type of the encapsulated data and identifies a method to interpret or render the data. The IANA defined domain of media types is established by the Internet standard RFC 2045 \[http://www.ietf.org/rfc/rfc2045.txt\] and 2046 \[http://www.ietf.org/rfc/rfc2046.txt\]. RFC 2046 defines the media type to consist of two parts:</p>
                  <ul>
                     <li>
                        <p>top level media type, and</p>
                     </li>
                     <li>
                        <p>media subtype</p>
                     </li>
                  </ul>
                  <p>However, this HL7 datatypes specification treats the entire media type as one atomic code symbol in the form defined by IANA, i.e., top level type followed by a slash "/" followed by media subtype. Currently defined media types are registered in a database \[http://www.iana.org/assignments/media-types/index.html\] maintained by IANA. Currently several hundred different MIME media types are defined, with the list growing rapidly. In general, all those types defined by the IANA MAY be used.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="synonymCode" type="Token" isMandatoryIndicator="false">
            <description>An additional concept code that was also attributed to a concept</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Application specific media type.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21083"/>
            <printName language="en" preferredForLanguage="true" text="ApplicationMediaType"/>
            <code code="application" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Digital Imaging and Communications in Medicine (DICOM) MIME type defined in RFC3240 \[http://ietf.org/rfc/rfc3240.txt\].</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="application"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21460"/>
            <printName language="en" preferredForLanguage="true" text="DICOM"/>
            <code code="application/dicom" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This format is very prone to compatibility problems. If sharing of edit-able text is required, text/plain, text/html or text/rtf should be used instead.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="application"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14834"/>
            <printName language="en" preferredForLanguage="true" text="MSWORD"/>
            <code code="application/msword" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The Portable Document Format is recommended for written text that is completely laid out and read-only. PDF is a platform independent, widely deployed, and open specification with freely available creation and rendering tools.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="application"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14833"/>
            <printName language="en" preferredForLanguage="true" text="PDF"/>
            <code code="application/pdf" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Audio media type.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21084"/>
            <printName language="en" preferredForLanguage="true" text="AudioMediaType"/>
            <code code="audio" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This is a format for single channel audio, encoded using 8bit ISDN mu-law \[PCM\] at a sample rate of 8000 Hz. This format is standardized by: CCITT, Fascicle III.4 -Recommendation G.711. Pulse Code Modulation (PCM) of Voice Frequencies. Geneva, 1972.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="audio"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14836"/>
            <printName language="en" preferredForLanguage="true" text="Basic Audio"/>
            <code code="audio/basic" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>ADPCM allows compressing audio data. It is defined in the Internet specification RFC 2421 \[ftp://ftp.isi.edu/in-notes/rfc2421.txt\]. Its implementation base is unclear.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="audio"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14838"/>
            <printName language="en" preferredForLanguage="true" text="K32ADPCM Audio"/>
            <code code="audio/k32adpcm" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>MPEG-1 Audio layer-3 is an audio compression algorithm and file format defined in ISO 11172-3 and ISO 13818-3. MP3 has an adjustable sampling frequency for highly compressed telephone to CD quality audio.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="audio"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14837"/>
            <printName language="en" preferredForLanguage="true" text="MPEG audio layer 3"/>
            <printName language="en" preferredForLanguage="false" text="MP3 Audio"/>
            <code code="audio/mpeg" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Image media type.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21085"/>
            <printName language="en" preferredForLanguage="true" text="ImageMediaType"/>
            <code code="image" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This is recommended only for fax applications.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="image"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14843"/>
            <printName language="en" preferredForLanguage="true" text="G3Fax Image"/>
            <code code="image/g3fax" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>GIF is a popular format that is universally well supported. However GIF is patent encumbered and should therefore be used with caution.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="image"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14841"/>
            <printName language="en" preferredForLanguage="true" text="GIF Image"/>
            <code code="image/gif" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This format is required for high compression of high color photographs. It is a "lossy" compression, but the difference to lossless compression is almost unnoticeable to the human vision.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="image"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14842"/>
            <printName language="en" preferredForLanguage="true" text="JPEG Image"/>
            <code code="image/jpeg" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Portable Network Graphics (PNG) \[http://www.cdrom.com/pub/png\] is a widely supported lossless image compression standard with open source code available.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="image"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14840"/>
            <printName language="en" preferredForLanguage="true" text="PNG Image"/>
            <code code="image/png" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Although TIFF (Tag Image File Format) is an international standard it has many interoperability problems in practice. Too many different versions that are not handled by all software alike.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="image"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14844"/>
            <printName language="en" preferredForLanguage="true" text="TIFF Image"/>
            <code code="image/tiff" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Model media type.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21086"/>
            <printName language="en" preferredForLanguage="true" text="ModelMediaType"/>
            <code code="model" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This is an openly standardized format for 3D models that can be useful for virtual reality applications such as anatomy or biochemical research (visualization of the steric structure of macromolecules)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="model"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14849"/>
            <printName language="en" preferredForLanguage="true" text="VRML Model"/>
            <code code="model/vrml" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Multipart Media Type</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21087"/>
            <printName language="en" preferredForLanguage="true" text="MultipartMediaType"/>
            <code code="multipart" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The HL7 clinical document Architecture, Level 1 MIME package.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="multipart"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14851"/>
            <printName language="en" preferredForLanguage="true" text="CDA Level 1 Multipart"/>
            <code code="multipart/x-hl7-cda-level-one" status="active"/>
            <code code="multipart/x-hl7-cda-level1" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>For any text</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21088"/>
            <printName language="en" preferredForLanguage="true" text="TextMediaType"/>
            <code code="text" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>For marked-up text according to the Hypertext Mark-up Language. HTML markup is sufficient for typographically marking-up most written-text documents. HTML is platform independent and widely deployed.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="text"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14828"/>
            <printName language="en" preferredForLanguage="true" text="HTML Text"/>
            <code code="text/html" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**For any plain text. This is the default and is used for a character string (ST) data type.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="text"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14826"/>
            <printName language="en" preferredForLanguage="true" text="Plain Text"/>
            <code code="text/plain" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The Rich Text Format is widely used to share word-processor documents. However, RTF does have compatibility problems, as it is quite dependent on the word processor. May be useful if word processor edit-able text should be shared.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="text"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14831"/>
            <printName language="en" preferredForLanguage="true" text="RTF Text"/>
            <code code="text/rtf" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>For structured character based data. There is a risk that general SGML/XML is too powerful to allow a sharing of general SGML/XML documents between different applications.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="text"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14829"/>
            <printName language="en" preferredForLanguage="true" text="SGML Text"/>
            <code code="text/sgml" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>For compatibility, this represents the HL7 v2.x FT data type. Its use is recommended only for backward compatibility with HL7 v2.x systems.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="text"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14827"/>
            <printName language="en" preferredForLanguage="true" text="HL7 Text"/>
            <code code="text/x-hl7-ft" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The content described by the CDA Narrative Block (not just used by CDA).</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="text"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22607"/>
            <printName language="en" preferredForLanguage="true" text="HL7 Structured Narrative"/>
            <code code="text/x-hl7-text+xml" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>For structured character based data. There is a risk that general SGML/XML is too powerful to allow a sharing of general SGML/XML documents between different applications.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="text"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14830"/>
            <printName language="en" preferredForLanguage="true" text="XML Text"/>
            <code code="text/xml" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Video media type.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21089"/>
            <printName language="en" preferredForLanguage="true" text="VideoMediaType"/>
            <code code="video" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Video format by the Motion Picture Experts Group under ISO/IEC 14496</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="video"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24125"/>
            <printName language="en" preferredForLanguage="true" text="MP4 Video"/>
            <code code="video/mp4" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>MPEG is an international standard, widely deployed, highly efficient for high color video; open source code exists; highly interoperable.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="video"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14846"/>
            <printName language="en" preferredForLanguage="true" text="MPEG Video"/>
            <code code="video/mpeg" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proprietary video format from Apple, Inc.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="video"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24127"/>
            <printName language="en" preferredForLanguage="true" text="QuickTime Video"/>
            <code code="video/quicktime" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A royalty-free audiovisual media file format.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="video"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24128"/>
            <printName language="en" preferredForLanguage="true" text="WebM Video"/>
            <code code="video/webm" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The AVI file format is just a wrapper for many different codecs; it is a source of many interoperability problems.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="video"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14847"/>
            <printName language="en" preferredForLanguage="true" text="X-AVI Video"/>
            <code code="video/x-avi" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Proprietary video format from Microsoft, Inc.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="video"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24126"/>
            <printName language="en" preferredForLanguage="true" text="Windows Media Video"/>
            <code code="video/x-ms-wmv" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="MEDX" title="Medical Economics Diagnostic Codes"
               codeSystemId="2.16.840.1.113883.6.66">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Medical Economics Diagnostic Codes</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="MessageCondition" title="MessageCondition"
               codeSystemId="2.16.840.1.113883.5.80">
      <historyItem dateTime="2020-05-06" id="v3-MessageCondition-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Deprecation Comment:</b>Deprecated as per 11/2008 Harmonization cleanup; internal and obsolete HL7 usage, no longer used.This isn't referenced in the RIM and is a copy of old v2 codes. It's superseded by AcknowledgementDetailCode</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Success. Optional, as in version 2.x the AA conveys success. Used for systems that must always return a status code.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10131"/>
            <printName language="en" preferredForLanguage="true" text="Message accepted"/>
            <code code="0" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The message elements were not in the proper order, or required elements are missing.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10132"/>
            <printName language="en" preferredForLanguage="true" text="Sequence error"/>
            <code code="100" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A required message element is missing.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10133"/>
            <printName language="en" preferredForLanguage="true" text="Missing required element."/>
            <code code="101" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An element is represented by a data type that is not compatible with that which is allowable.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10134"/>
            <printName language="en" preferredForLanguage="true" text="Data type error"/>
            <code code="102" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The value received for a common HL7 or user defined table was not found to match allowable table values.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10135"/>
            <printName language="en" preferredForLanguage="true" text="Table value not found"/>
            <code code="103" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The message type is not supported.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10136"/>
            <printName language="en" preferredForLanguage="true" text="Unsupported message type"/>
            <code code="200" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The identified interaction is not supported.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10137"/>
            <printName language="en" preferredForLanguage="true" text="Unsupported interaction"/>
            <code code="201" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The ProcessingID is not supported.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10138"/>
            <printName language="en" preferredForLanguage="true" text="Unsupported ProcessingID"/>
            <code code="202" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The VersionID is not supported.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
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            <printName language="en" preferredForLanguage="true" text="Unsupported VersionID"/>
            <code code="203" status="active"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The identifier for a patient, order, etc. was not found. Occurs for transactions other than additions.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10140"/>
            <printName language="en" preferredForLanguage="true" text="Unknown key identifier"/>
            <code code="204" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The identifier for a patient, order, etc. already exists. Occurs in response to addition transactions (e.g. new Admit, new Order, etc.).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10141"/>
            <printName language="en" preferredForLanguage="true" text="Duplicate key identifier"/>
            <code code="205" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The transaction could not be performed at the application storage level, e.g. database locked.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10142"/>
            <printName language="en" preferredForLanguage="true" text="Application record locked"/>
            <code code="206" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A catchall for internal errors not explicitly covered by other error codes.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10143"/>
            <printName language="en" preferredForLanguage="true" text="Application internal error"/>
            <code code="207" status="active"/>
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   </codeSystem>
   <codeSystem name="MessageWaitingPriority" title="MessageWaitingPriority"
               codeSystemId="2.16.840.1.113883.5.1083">
      <historyItem dateTime="2020-05-06" id="v3-MessageWaitingPriority-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Indicates that the receiver has messages for the sender</p>
                  <i>OpenIssue:</i>Description does not make sense relative to name of coding system. Must be reviewed and improved.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="LessThan" name="SmallerThan">
            <description>The source concept code is "less than" the target concept in a strictly ordinal sense.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>High priority messages are available</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19790"/>
            <printName language="en" preferredForLanguage="true" text="High"/>
            <code code="H" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Low priority messages are available</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="SmallerThan">
               <targetConcept code="M"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19792"/>
            <printName language="en" preferredForLanguage="true" text="Low"/>
            <code code="L" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Medium priority messages are available</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19791"/>
            <printName language="en" preferredForLanguage="true" text="Medium"/>
            <code code="M" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="MetabolicSyndrome" title="METABOLIC SYNDROME"
               codeSystemId="2.16.840.1.113883.6.249">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A collection of metabolic risk factors in one individual. The root causes of metabolic syndrome are overweight / obesity, physical inactivity, and genetic factors. Various risk factors have been included in metabolic syndrome. Factors generally accepted as being characteristic of this syndrome include abdominal obesity, atherogenic dyslipidemia, raised blood pressure, insulin resistence with or without glucose intolerance, prothrombotic state, and proinflammatory state.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="MGPI" title="Medispan GPI" codeSystemId="2.16.840.1.113883.6.68">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Medispan GPI</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="ModifyIndicator" title="ModifyIndicator"
               codeSystemId="2.16.840.1.113883.5.81">
      <historyItem dateTime="2020-05-06" id="v3-ModifyIndicator-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Indicates whether the subscription to a query is new or is being modified.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Modified subscription to a query server.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10149"/>
            <printName language="en" preferredForLanguage="true" text="Modified subscription"/>
            <code code="M" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>New subscription to a query server.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10148"/>
            <printName language="en" preferredForLanguage="true" text="New subscription"/>
            <code code="N" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="MeSH" title="Medical Subject Headings"
               codeSystemId="2.16.840.1.113883.6.177">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The Medical Subject Headings (MeSH) thesaurus is a controlled and hierarchically-organized vocabulary produced by the National Library of Medicine. It is used for indexing, cataloging, and searching of biomedical and health-related information. MeSH includes the subject headings appearing in MEDLINE/PubMed, the NLM Catalog, and other NLM databases.</p>
                  <p>MeSH can be downloaded from https://www.nlm.nih.gov/databases/download/mesh.html</p>
                  <p>MeSH can be browsed here: https://meshb.nlm.nih.gov/search</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-06-29" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Mthicpc2EAE" title="ICPC2E Am Engl (Metathesaurus)"
               codeSystemId="2.16.840.1.113883.6.139.3">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Henk Lamberts and Inge Hofmans-Okkes. International Classification of Primary Care 2nd Edition, Electronic, 2E, American English Equivalents. Amsterdam: International Classification of Primary Care / prepared by the Classification Committee of the World Health Organization. Entry derived from the UMLS Metathesaurus.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="MthIcpc2Icd107B" title="ICPC2-ICD10 Thesaurus, 7-bit"
               codeSystemId="2.16.840.1.113883.6.142.2">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>International Classification of Primary Care / prepared by the Classification Committee of the World Organization of National Colleges, Academies and Academic Associations of General Practitioners/Family Physicians (WONCA), known more briefly as the World</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="MthIcpc2Icd10AE" title="ICPC2-ICD10 Thesaurus, Am Engl"
               codeSystemId="2.16.840.1.113883.6.142.3">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>International Classification of Primary Care / prepared by the Classification Committee of the World Organization of National Colleges, Academies and Academic Associations of General Practitioners/Family Physicians (WONCA), known more briefly as the World</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="MTHMDRSPA" title="MTH MedDRA Spanish"
               codeSystemId="2.16.840.1.113883.6.165">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Metathesaurus Forms of Medical Dictionary for Regulatory Activities Terminology (MedDRA) Version 7.0, Spanish Edition. Bethesda, MD: National Library of Medicine, March 2004.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Multum" title="Multum Lexicon" codeSystemId="2.16.840.1.113883.6.27">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Broadly, the fields and values in the Multum Lexicon and the VantageRx Database are intended to be available for use in any HL7 message that includes a reference to non-veterinary drug products or active ingredients that are either approved for sale by the FDA or readily available in the United States. The following inter-related definitions recently circulated by us to the HL7 Vocabulary Technical Committee explain the scope of what we mean by "drug product" and "active ingredient". (A definition for "drug ingredient" is also provided here because the definition of "active ingredient" is reliant on this term.)</p>
                  <p>Drug Product A drug product is a manufactured or extemporaneously-compounded physiologically-active material intended by the preparer to achieve therapeutic, diagnostic, or preventative effects via biochemical mechanisms when applied to an epithelial surface or placed in an internal body space of a targeted organism.</p>
                  <p>Drug Ingredient A drug ingredient is a chemical compound or biologic agent that occurs in a drug product.</p>
                  <p>Active Ingredient An active ingredient is a drug ingredient that mediates one or more of the intended therapeutic, diagnostic, or preventative effects of a drug product and is present in sufficient quantities to achieve such effects according to the allopathic tradition of healthcare practice.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="MVX" title="Manufacturers of Vaccines (MVX)"
               codeSystemId="2.16.840.1.113883.12.227">
      <annotations>
         <documentation>
            <description>
               <text>"The CDC's National Center for Immunization and Respiratory Diseases (<a>NCIRDhttps://www.cdc.gov/ncird/)) developed and maintains HL7 Table 0227, Manufacturers of Vaccines (MVX). It includes both active and inactive manufacturers of vaccines in the US. Inactive MVX codes allow transmission of historical immunization records. When MVX code is paired with a CVX (vaccine administered) code, the specific trade named vaccine may be indicated. MVX is the underlying Master Code System for V2 table 0227 (Manufacturers Of Vaccines (code=MVX)</a>. The machine readable name for MVX in PHIN VADS is PH_VaccinesAdministeredCVX_CDC_NIP.<p>Status indicates if the manufacturer is currently making vaccine for distribution in the United States.</p>
                  <p>Last Updated indicates the last time this particular manufacturer code was updated in this table.</p>Questions regarding MVX should be directed to the<a>IIS Technical Assistance Teammailto:iisinfo@cdc.gov)(or use https://www2.cdc.gov/vaccines/iis/iisstandards/vaccines.asp?rpt=mvx#addr</a>."For more information, please see<a>herehttps://www2.cdc.gov/vaccines/iis/iisstandards/vaccines.asp?rpt=mvx</a>.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2023-06-12" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="NaaccrCodes" title="NAACCR" codeSystemId="2.16.840.1.113883.6.7">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>NAACCR Cancer Registry</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Naics" title="North American Industry Classification System"
               codeSystemId="2.16.840.1.113883.6.85">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>North American Industry Classification System(NAICS) for the United States, a new economic classification system that replaces the 1987 Standard Industrial Classification (SIC) for statistical purposes. NAICS is a system for classifying establishments by type of economic activity. Its purposes are: (1) to facilitate the collection, tabulation, presentation, and analysis of data relating to establishments, and (2) to promote uniformity and comparability in the presentation of statistical data describing the economy. NAICS will be used by Federal statistical agencies that collect or publish data by industry.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Nanda_I" title="NANDA International"
               codeSystemId="2.16.840.1.113883.6.20">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The NANDA-I classification is a set of nursing diagnoses developed by the NANDA International. This purpose of the terminology is to provide nursing diagnoses used to describe patients’ responses to actual or potential health problems and life processes responses to diseases rather than classifying the conditions of diseases and disorders.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="NciThesaurus" title="NCI Thesaurus"
               codeSystemId="2.16.840.1.113883.3.26.1.1">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>NCI Thesaurus NCI Thesaurus is a biomedical thesaurus created specifically to meet the needs of the cancer research community, especially those engaged in translational research NCI Thesaurus is produced by the NCI Enterprise Vocabulary Services project. The NCI Thesaurus is provided under an open content license.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2022-10-13" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="NciVersionOfNDFRT" title="NCI Version of NDF-RT"
               codeSystemId="2.16.840.1.113883.3.26.1.5">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The National Drug File RT (NDF-RT) is published by the US Veterans' Administration (VA). NDF-RT covers clinical drugs used at the VA. The NCI version of NDF-RT is used by NCI to provide automated terminology access to the Food and Drug Administration (FDA) Structured Product Label (SPL) initiative. NCI makes its version of NDF-RT available publicly thru the Web, download via FTP and via open APIs for Java, SOAP and HTTP.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Ndc" title="National drug codes" codeSystemId="2.16.840.1.113883.6.69">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>National drug codes</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Nddf" title="National Drug Data File"
               codeSystemId="2.16.840.1.113883.6.208">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>National Drug Data File Plus Source Vocabulary 2004. San Bruno, CA: First DataBank, March 11, 2004.</p>
                  <p>This entry was generated to support the Sources in the UMLS. Additional metadata is still missing.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="NHSNBSIRiskFactors" title="NHSN BSI Risk Factors"
               codeSystemId="2.16.840.1.113883.6.266">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>NHSN Blood Stream Infection Risk Factors</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="NHSNHipReplacement" title="NHSN Hip Replacement"
               codeSystemId="2.16.840.1.113883.6.263">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>NHSN Hip Replacement</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="NHSNInfectionType" title="NHSN Infection Type"
               codeSystemId="2.16.840.1.113883.6.268">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>NHSN Infection Type</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="NHSNKneeReplacement" title="NHSN KneeR eplacement"
               codeSystemId="2.16.840.1.113883.6.264">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>NHSN Knee Replacement</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="NHSNLCBIPathways" title="NHSN LCBI Pathways"
               codeSystemId="2.16.840.1.113883.6.267">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>NHSN Laboratory Confirmed Bloodstream Infection Pathways</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="NHSNOccasionOfDetection" title="NHSN Occasion Of Detection"
               codeSystemId="2.16.840.1.113883.6.273">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>NHSN Occasion Of Detection</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="NHSNProcedureCategory" title="NHSN Procedure Category"
               codeSystemId="2.16.840.1.113883.6.271">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>NHSN Procedure Category</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="NHSNSpinalFusionApproach" title="NHSN Spinal Fusion Approach"
               codeSystemId="2.16.840.1.113883.6.262">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>NHSN Spinal Fusion Approach</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="NHSNSpinalFusionLevel" title="NHSN Spinal Fusion Level"
               codeSystemId="2.16.840.1.113883.6.269">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>NHSN Spinal Fusion Level</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="NHSNSSIAnatomicSite" title="NHSN SSI Anatomic Site"
               codeSystemId="2.16.840.1.113883.6.272">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>NHSN Surgical Site Infection Anatomic Site</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="NHSNSSILocationType" title="NHSN SSI Location Type"
               codeSystemId="2.16.840.1.113883.6.265">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>NHSN SSI LocationType</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="NHSNSummaryData" title="NHSN Summary Data"
               codeSystemId="2.16.840.1.113883.6.270">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>NHSN Summary Data</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="NHSNVocabulary" title="NHSN HAI Vocabulary"
               codeSystemId="2.16.840.1.113883.6.274">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>NHSN HAI Vocabulary used for Single Value bindingsto Observation Identifier</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Nic" title="Nursing Intervention Classification"
               codeSystemId="2.16.840.1.113883.6.15">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>NIC provides names and values for procedures/orders/service intent related to the treatment activities of nurses and other providers who may perform the same treatment activities. Names, definitions, and associated codes are attached for 486 interventions. Defining activities (anywhere from ten to several dozen) are listed for each of the interventions in the NIC classification book but are not attached to this document.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Nmds" title="Nursing Minimum Data Set"
               codeSystemId="2.16.840.1.113883.6.87">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The NMDS is the minimum set of items of information with uniform definitions and categories concerning the specific dimension of the context of patient care delivery. It represents the minimum data used to support the management and administration of patient/nursing care delivery across all types of settings.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Nmmds" title="Nursing Management Minimum Data Set"
               codeSystemId="2.16.840.1.113883.6.23">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The NMMDS is the minimum set of items of information with uniform definitions and categories concerning the specific dimension of the context of patient care delivery. It represents the minimum data used to support the management and administration of patient/nursing care delivery across all types of settings. The NMMDS is composed of seventeen (17) data elements organized into three categories: environment, nurse resources, and financial resources. See Tables 1-3 for the elements and related definitions organized by each categories. The NMMDS most appropriately focuses at the first level of accountability for patient/client/family/community nursing care: this may be the delivery unit, service, or center of excellence level. The NMMDS supports numerous constructed variables as well as aggregation of data at the unit, institution, network, and system, etc levels. This minimum data set provides the structure for the collection of uniform information that influences quality of patient care, directly and indirectly.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Noc" title="NOC" codeSystemId="2.16.840.1.113883.6.16">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>NOC - Nursing Outcome Codes</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="NubcUB92" title="National Uniform Billing Council, UB 92"
               codeSystemId="2.16.840.1.113883.6.21">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>National Uniform Billing Council, UB 92</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="NuccProviderCodes" title="NUCC Health Care Provider Taxonomy"
               codeSystemId="2.16.840.1.113883.6.101">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The Provider Taxonomy Code List is published (released) twice a year on July 1st and January 1st. The July publication is effective for use on October 1st and the January publication is effective for use on April 1st. The time between the publication release and the effective date is considered an implementation period to allow providers, payers and vendors an opportunity to incorporate any changes into their systems. This listing includes Active codes approved for use effective April 1st, 2003, version 3.0; and codes that are New and approved for use effective October 1st, 2003, version 3.1.</p>
                  <p>It was identified that there is an IP licensure issue with the republishing of the content for this code system by HL7, so the content was removed as of the July 2016 Harmonization cycle release. This external code system content may be accessed from the web page located at http://www.nucc.org/index.php/code-sets-mainmenu-41/provider-taxonomy-mainmenu-40. Multiple formats and means of accessing the content are available from this page. Note this code system stub has been retired; it is missing the copyright information, and has been superceded.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="NullFlavor" title="NullFlavor" codeSystemId="2.16.840.1.113883.5.1008">
      <historyItem dateTime="2020-05-06" id="v3-NullFlavor-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A collection of codes specifying why a valid value is not present.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired..</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Information was sought but not found (e.g., patient was asked but didn't know)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="UNK"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10614"/>
            <printName language="en" preferredForLanguage="true" text="asked but unknown"/>
            <code code="ASKU" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**An actual value may exist, but it must be derived from the provided information (usually an EXPR generic data type extension will be used to convey the derivation expressionexpression .</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22657"/>
            <printName language="en" preferredForLanguage="true" text="derived"/>
            <code code="DER" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The value as represented in the instance is not a member of the set of permitted data values in the constrained value domain of a variable.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NI"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22656"/>
            <printName language="en" preferredForLanguage="true" text="invalid"/>
            <code code="INV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>There is information on this item available but it has not been provided by the sender due to security, privacy or other reasons. There may be an alternate mechanism for gaining access to this information.</p>
                        <p>Note: using this null flavor does provide information that may be a breach of confidentiality, even though no detail data is provided. Its primary purpose is for those circumstances where it is necessary to inform the receiver that the information does exist without providing any detail.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NI"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17932"/>
            <printName language="en" preferredForLanguage="true" text="masked"/>
            <code code="MSK" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Known to have no proper value (e.g., last menstrual period for a male).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NI"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10611"/>
            <printName language="en" preferredForLanguage="true" text="not applicable"/>
            <code code="NA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This information has not been sought (e.g., patient was not asked)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="UNK"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10613"/>
            <printName language="en" preferredForLanguage="true" text="not asked"/>
            <code code="NASK" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Information is not available at this time but it is expected that it will be available later.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ASKU"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NAVU"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10615"/>
            <printName language="en" preferredForLanguage="true" text="temporarily unavailable"/>
            <code code="NAV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Information is not available at this time (with no expectation regarding whether it will or will not be available in the future).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="UNK"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23731"/>
            <printName language="en" preferredForLanguage="true" text="Not available"/>
            <code code="NAVU" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The value is exceptional (missing, omitted, incomplete, improper). No information as to the reason for being an exceptional value is provided. This is the most general exceptional value. It is also the default exceptional value.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10610"/>
            <printName language="en" preferredForLanguage="true" text="NoInformation"/>
            <code code="NI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Negative infinity of numbers.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OTH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10618"/>
            <printName language="en" preferredForLanguage="true" text="negative infinity"/>
            <code code="NINF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Value is not present in a message. This is only defined in messages, never in application data! All values not present in the message must be replaced by the applicable default, or no-information (NI) as the default of all defaults.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10619"/>
            <printName language="en" preferredForLanguage="true" text="not present"/>
            <code code="NP" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The actual value is not a member of the set of permitted data values in the constrained value domain of a variable. (e.g., concept not provided by required code system).</p>
                        <p>**Usage Notes**: This flavor and its specializations are most commonly used with the CD datatype and its flavors. However, it may apply to \*any\* datatype where the constraints of the type are tighter than can be conveyed. For example, a PQ that is for a true measured amount whose units are not supported in UCUM, a need to convey a REAL when the type has been constrained to INT, etc.</p>
                        <p>With coded datatypes, this null flavor may only be used if the vocabulary binding has a coding strength of CNE. By definition, all local codes and original text are part of the value set if the coding strength is CWE.</p>
                     </text>
                  </definition>
                  <usageNotes>
                     <text>This flavor and its specializations are most commonly used with the CD datatype and its flavors.  However, it may apply to *any* datatype where the constraints of the type are tighter than can be conveyed.  For example, a PQ that is for a true measured amount whose units are not supported in UCUM, a need to convey a REAL when the type has been constrained to INT, etc. With coded datatypes, this null flavor may only be used if the vocabulary binding has a coding strength of CNE.  By definition, all local codes and original text are part of the value set if the coding strength is CWE.</text>
                  </usageNotes>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10616"/>
            <printName language="en" preferredForLanguage="true" text="other"/>
            <code code="OTH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Positive infinity of numbers.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OTH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10617"/>
            <printName language="en" preferredForLanguage="true" text="positive infinity"/>
            <code code="PINF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The specific quantity is not known, but is known to be non-zero and is not specified because it makes up the bulk of the material. e.g. 'Add 10mg of ingredient X, 50mg of ingredient Y, and sufficient quantity of water to 100mL.' The null flavor would be used to express the quantity of water.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="UNK"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21436"/>
            <printName language="en" preferredForLanguage="true" text="Sufficient Quantity"/>
            <code code="QS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The content is greater than zero, but too small to be quantified.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="UNK"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21386"/>
            <printName language="en" preferredForLanguage="true" text="trace"/>
            <code code="TRC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The actual value has not yet been encoded within the approved value domain.<p>**Example**: Original text or a local code has been specified but translation or encoding to the approved value set has not yet occurred due to limitations of the sending system. Original text has been captured for a PQ, but not attempt has been made to split the value and unit or to encode the unit in UCUM.</p>
                        <p>**Usage Notes**: If it is known that it is not possible to encode the concept, OTH should be used instead. However, use of UNC does not necessarily guarantee the concept will be encodable, only that encoding has not been attempted.</p>
                        <p>Data type properties such as original text and translations may be present when this null flavor is included.</p>
                     </text>
                  </definition>
                  <usageNotes>
                     <text>If it is known that it is not possible to encode the concept, OTH should be used instead.  However, use of UNC does not necessarily guarantee the concept will be encodable, only that encoding has not been attempted. Data type properties such as original text and translations may be present when this null flavor is included.</text>
                  </usageNotes>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22185"/>
            <printName language="en" preferredForLanguage="true" text="un-encoded"/>
            <code code="UNC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A proper value is applicable, but not known.</p>
                        <p>**Usage Notes**: This means the actual value is not known. If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used. No properties should be included for a datatype with this property unless:</p>
                        <ul>
                           <li>
                              <p>Those properties themselves directly translate to a semantic of "unknown". (E.g. a local code sent as a translation that conveys 'unknown')</p>
                           </li>
                           <li>
                              <p>Those properties further qualify the nature of what is unknown. (E.g. specifying a use code of "H" and a URL prefix of "tel:" to convey that it is the home phone number that is unknown.)</p>
                           </li>
                        </ul>
                     </text>
                  </definition>
                  <usageNotes>
                     <text>This means the actual value is not known.  If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used.  No properties should be included for a datatype with this property unless:  Those properties themselves directly translate to a semantic of "unknown".  (E.g. a local code sent as a translation that conveys 'unknown') Those properties further qualify the nature of what is unknown.  (E.g. specifying a use code of "H" and a URL prefix of "tel:" to convey that it is the home phone number that is unknown.)</text>
                  </usageNotes>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NI"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10612"/>
            <printName language="en" preferredForLanguage="true" text="unknown"/>
            <code code="UNK" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="ObservationCategory" title="ObservationCategory"
               codeSystemId="2.16.840.1.113883.4.642.1.222">
      <historyItem dateTime="2020-05-06" id="v3-ObservationCategory-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>High level observation categories for the general type of observation being made.</p>
                  <p>URL: http://hl7-fhir.github.io/valueset-observation-category.html</p>
                  <p>This is an inline code system http://hl7.org/fhir/observation-category.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Observations generated by physical exam findings including direct observations made by a clinician and use of simple instruments and the result of simple maneuvers performed directly on the patient's body.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23740"/>
            <printName language="en" preferredForLanguage="true" text="Exam"/>
            <code code="exam" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Observations generated by imaging. The scope includes observations, plain x-ray, ultrasound, CT, MRI, angiography, echocardiography, nuclear medicine.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23736"/>
            <printName language="en" preferredForLanguage="true" text="Imaging"/>
            <code code="imaging" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The results of observations generated by laboratories. Laboratory results are typically generated by laboratories providing analytic services in areas such as chemistry, hematology, serology, histology, cytology, anatomic pathology, microbiology, and/or virology. These observations are based on analysis of specimens obtained from the patient and submitted to the laboratory.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23737"/>
            <printName language="en" preferredForLanguage="true" text="Laboratory"/>
            <code code="laboratory" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Observations generated by other procedures. This category includes observations resulting from interventional and non-interventional procedures excluding lab and imaging (e.g. cardiology catheterization, endoscopy, electrodiagnostics, etc.). Procedure results are typically generated by a clinician to provide more granular information about component observations made during a procedure, such as where a gastroenterologist reports the size of a polyp observed during a colonoscopy.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23738"/>
            <printName language="en" preferredForLanguage="true" text="Procedure"/>
            <code code="procedure" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The Social History Observations define the patient's occupational, personal (e.g. lifestyle), social, and environmental history and health risk factors, as well as administrative data such as marital status, race, ethnicity and religious affiliation.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23734"/>
            <printName language="en" preferredForLanguage="true" text="Social History"/>
            <code code="social-history" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Assessment tool/survey instrument observations (e.g. Apgar Scores, Montreal Cognitive Assessment (MoCA))</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23739"/>
            <printName language="en" preferredForLanguage="true" text="Survey"/>
            <code code="survey" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Observations generated by non-interventional treatment protocols (e.g. occupational, physical, radiation, nutritional and medication therapy)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23741"/>
            <printName language="en" preferredForLanguage="true" text="Therapy"/>
            <code code="therapy" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Clinical observations measure the body's basic functions such as such as blood pressure, heart rate, respiratory rate, height, weight, body mass index, head circumference, pulse oximetry, temperature, and body surface area.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23735"/>
            <printName language="en" preferredForLanguage="true" text="Vital Signs"/>
            <code code="vital-signs" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="ObservationInterpretation" title="ObservationInterpretation"
               codeSystemId="2.16.840.1.113883.5.83">
      <historyItem dateTime="2020-05-06" id="v3-ObservationInterpretation-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>One or more codes providing a rough qualitative interpretation of the observation, such as "normal" / "abnormal", "low" / "high", "better" / "worse", "resistant" / "susceptible", "expected" / "not expected". The value set is intended to be for ANY use where coded representation of an interpretation is needed.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>A property that indicates the status of the concept. One of active, experimental, deprecated, or retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The result is below the minimum detection limit (the test procedure or equipment is the limiting factor).</p>
                        <p>Synonyms: Below analytical limit, low off scale.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationInterpretationExceptions"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10226"/>
            <printName language="en" preferredForLanguage="true" text="Off scale low"/>
            <code code="&lt;" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The result is above the maximum quantifiable limit (the test procedure or equipment is the limiting factor).</p>
                        <p>Synonyms: Above analytical limit, high off scale.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationInterpretationExceptions"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10227"/>
            <printName language="en" preferredForLanguage="true" text="Off scale high"/>
            <code code="&gt;" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The result or observation value is outside the reference range or expected norm (as defined for the respective test procedure).</p>
                        <p>\[Note: Typically applies to non-numeric results.\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationInterpretationNormality"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10208"/>
            <printName language="en" preferredForLanguage="true" text="Abnormal"/>
            <code code="A" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The result or observation value is outside a reference range or expected norm at a level at which immediate action should be considered for patient safety (as defined for the respective test procedure).</p>
                        <p>\[Note: Typically applies to non-numeric results. Analogous to critical/panic limits for numeric results.\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="A"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10211"/>
            <printName language="en" preferredForLanguage="true" text="Critical abnormal"/>
            <code code="AA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A valid result cannot be obtained for the specified component / analyte due to the presence of anti-complementary substances in the sample.</p>
                        <b>Deprecation Comment:</b>This code is being deprecated to match the status in V2 Table 0078 "Interpretation Codes.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationInterpretationExceptions"/>
            </conceptRelationship>
            <conceptProperty name="deprecationDate" value="2016-11-10"/>
            <conceptProperty name="internalId" value="23564"/>
            <printName language="en" preferredForLanguage="true"
                       text="Anti-complementary substances present"/>
            <code code="AC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The current result or observation value has improved compared to the previous result or observation value (the change is significant as defined in the respective test procedure).</p>
                        <p>\[Note: This can be applied to quantitative or qualitative observations.\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationInterpretationChange"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10215"/>
            <printName language="en" preferredForLanguage="true" text="Better"/>
            <code code="B" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The patient is considered as carrier based on the testing results. A carrier is an individual who carries an altered form of a gene which can lead to having a child or offspring in future generations with a genetic disorder.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_GeneticObservationInterpretation"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23559"/>
            <printName language="en" preferredForLanguage="true" text="Carrier"/>
            <code code="CAR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The patient is considered as carrier based on the testing results. A carrier is an individual who carries an altered form of a gene which can lead to having a child or offspring in future generations with a genetic disorder.</p>
                        <b>Deprecation Comment:</b>This code is currently the same string as the print name for this concept and is inconsistent with the conventions being used for the other codes in the coding system, as it is a full word with initial capitalization, rather than an all upper case mnemonic. The recommendation from OO is to deprecate the code "Carrier" and to add "CAR" as the new active code representation for this concept.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_GeneticObservationInterpretation"/>
            </conceptRelationship>
            <conceptProperty name="deprecationDate" value="2013-07-28"/>
            <conceptProperty name="internalId" value="22647"/>
            <printName language="en" preferredForLanguage="true" text="Carrier"/>
            <code code="Carrier" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The current result has decreased from the previous result for a quantitative observation (the change is significant as defined in the respective test procedure).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationInterpretationChange"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10218"/>
            <printName language="en" preferredForLanguage="true" text="Significant change down"/>
            <code code="D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The measurement of the specified component / analyte, organism or clinical sign above the limit of detection of the performed test or procedure.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="POS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23562"/>
            <printName language="en" preferredForLanguage="true" text="Detected"/>
            <code code="DET" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The test or procedure was successfully performed, but the results are borderline and can neither be declared positive / negative nor detected / not detected according to the current established criteria.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="IND"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23732"/>
            <printName language="en" preferredForLanguage="true" text="Equivocal"/>
            <code code="E" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The observation/test result is interpreted as being outside the inclusion range for a particular protocol within which the result is being reported.</p>
                        <b>Example:</b>A positive result on a Hepatitis screening test.<i>Open Issue:</i>EX, HX, LX: These three concepts do not seem to meet a clear need in the vocabulary, and their use in observation interpretation appears likely to be covered by other existing concepts (e.g., A, H, L). The only apparent significant difference is their reference to use in protocols for exclusion of study subjects. These concepts/codes were proposed by RCRIM for use in the CTLaboratory message. They were submitted and approved in the November 2005 Harmonization cycle in proposal "030103C\_VOCAB\_RCRIM\_l\_quade\_RCRIM Obs Interp\_20051028154455". However, this proposal was not fully implemented in the vocabulary. The proposal recommended creation of the x\_ClinicalResearchExclusion domain in ObservationInterpretation with a value set including those three concepts/codes, but there is no subdomain of that name or equivalent with a binding to either of the value sets that contain these concepts/codes. Members of the OO WG have recently attempted to contact members of RCRIM regarding these concepts, both by email and at the recent WGM in Atlanta, without response. It is felt by OO that the best course of action to take at this time is to add this comprehensive Open Issue rather than deprecate these three concepts at this time, until further discussion is held.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21634"/>
            <printName language="en" preferredForLanguage="true" text="outside threshold"/>
            <code code="EX" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This result has been evaluated in light of known contraindicators. Once those contraindicators have been taken into account the result is determined to be "Expected" (e.g., presence of drugs in a patient that is taking prescription medication for pain management).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ObservationInterpretationExpectation"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23724"/>
            <printName language="en" preferredForLanguage="true" text="Expected"/>
            <code code="EXP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The result for a quantitative observation is above the upper limit of the reference range (as defined for the respective test procedure).</p>
                        <p>Synonym: Above high normal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="A"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10210"/>
            <printName language="en" preferredForLanguage="true" text="High"/>
            <code code="H" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A test result that is significantly higher than the reference (normal) or therapeutic interval, but has not reached the critically high value and might need special attention, as defined by the laboratory or the clinician.</p>
                        <p>\[Note: This level is situated between 'H' and 'HH'.\]</p>
                        <i>Deprecation Comment:</i>The code 'H&gt;' is being deprecated in order to align with the use of the code 'HU' for "Very high" in V2 Table 0078 "Interpretation Codes".<p>\[Note: The use of code 'H&gt;' is non-preferred, as this code is deprecated and on track to be retired; use code 'HU' instead.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="H"/>
            </conceptRelationship>
            <conceptProperty name="deprecationDate" value="2015-03-23"/>
            <conceptProperty name="internalId" value="23560"/>
            <printName language="en" preferredForLanguage="true" text="Significantly high"/>
            <code code="H&gt;" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The result for a quantitative observation is above a reference level at which immediate action should be considered for patient safety (as defined for the respective test procedure).</p>
                        <p>Synonym: Above upper panic limits.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AA"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="H&gt;"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HU"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10213"/>
            <printName language="en" preferredForLanguage="true" text="Critical high"/>
            <code code="HH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Hold for Medical Review</p>
                        <i>Usage Note:</i>This code is not intended for use in V3 artifacts. It is included in the code system to maintain alignment with the V2 Table 0078 "Interpretation Codes."</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="deprecationDate" value="2016-11-10"/>
            <conceptProperty name="internalId" value="23790"/>
            <printName language="en" preferredForLanguage="true" text="Hold for Medical Review"/>
            <code code="HM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A test result that is significantly higher than the reference (normal) or therapeutic interval, but has not reached the critically high value and might need special attention, as defined by the laboratory or the clinician.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="H"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23742"/>
            <printName language="en" preferredForLanguage="true" text="Significantly high"/>
            <code code="HU" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The observation/test result is interpreted as being outside the inclusion range for a particular protocol within which the result is being reported.</p>
                        <b>Example:</b>A positive result on a Hepatitis screening test.<i>Open Issue:</i>EX, HX, LX: These three concepts do not seem to meet a clear need in the vocabulary, and their use in observation interpretation appears likely to be covered by other existing concepts (e.g., A, H, L). The only apparent significant difference is their reference to use in protocols for exclusion of study subjects. These concepts/codes were proposed by RCRIM for use in the CTLaboratory message. They were submitted and approved in the November 2005 Harmonization cycle in proposal "030103C\_VOCAB\_RCRIM\_l\_quade\_RCRIM Obs Interp\_20051028154455". However, this proposal was not fully implemented in the vocabulary. The proposal recommended creation of the x\_ClinicalResearchExclusion domain in ObservationInterpretation with a value set including those three concepts/codes, but there is no subdomain of that name or equivalent with a binding to either of the value sets that contain these concepts/codes. Members of the OO WG have recently attempted to contact members of RCRIM regarding these concepts, both by email and at the recent WGM in Atlanta, without response. It is felt by OO that the best course of action to take at this time is to add this comprehensive Open Issue rather than deprecate these three concepts at this time, until further discussion is held.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="EX"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21636"/>
            <printName language="en" preferredForLanguage="true" text="above high threshold"/>
            <code code="HX" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Bacterial strain inhibited in vitro by a concentration of an antimicrobial agent that is associated with uncertain therapeutic effect. Reference: CLSI (http://www.clsi.org/Content/NavigationMenu/Resources/HarmonizedTerminologyDatabase/Harmonized\_Terminolo.htm) Projects: ISO 20776-1, ISO 20776-2</p>
                        <p>\[Note 1: Bacterial strains are categorized as intermediate by applying the appropriate breakpoints in a defined phenotypic test system.\]</p>
                        <p>\[Note 2: This class of susceptibility implies that an infection due to the isolate can be appropriately treated in body sites where the drugs are physiologically concentrated or when a high dosage of drug can be used.\]</p>
                        <p>\[Note 3: This class also indicates a "buffer zone," to prevent small, uncontrolled, technical factors from causing major discrepancies in interpretations.\]</p>
                        <p>\[Note 4: These breakpoints can be altered due to changes in circumstances (e.g., changes in commonly used drug dosages, emergence of new resistance mechanisms).\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationInterpretationSusceptibility"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10221"/>
            <printName language="en" preferredForLanguage="true" text="Intermediate"/>
            <code code="I" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>There is insufficient evidence that the species in question is a good target for therapy with the drug. A categorical interpretation is not possible.</p>
                        <p>\[Note: A MIC with "IE" and/or a comment may be reported (without an accompanying S, I or R-categorization).\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationInterpretationExceptions"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationInterpretationSusceptibility"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23567"/>
            <printName language="en" preferredForLanguage="true" text="Insufficient evidence"/>
            <code code="IE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The specified component / analyte, organism or clinical sign could neither be declared positive / negative nor detected / not detected by the performed test or procedure.</p>
                        <i>Usage Note:</i>For example, if the specimen was degraded, poorly processed, or was missing the required anatomic structures, then "indeterminate" (i.e. "cannot be determined") is the appropriate response, not "equivocal".</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ObservationInterpretationDetection"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22807"/>
            <printName language="en" preferredForLanguage="true" text="Indeterminate"/>
            <code code="IND" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The result for a quantitative observation is below the lower limit of the reference range (as defined for the respective test procedure).</p>
                        <p>Synonym: Below low normal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="A"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10209"/>
            <printName language="en" preferredForLanguage="true" text="Low"/>
            <code code="L" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A test result that is significantly lower than the reference (normal) or therapeutic interval, but has not reached the critically low value and might need special attention, as defined by the laboratory or the clinician.</p>
                        <p>\[Note: This level is situated between 'L' and 'LL'.\]</p>
                        <i>Deprecation Comment:</i>The code 'L&lt;' is being deprecated in order to align with the use of the code 'LU' for "Very low" in V2 Table 0078 "Interpretation Codes".<p>\[Note: The use of code 'L&lt;' is non-preferred, as this code is deprecated and on track to be retired; use code 'LU' instead.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="L"/>
            </conceptRelationship>
            <conceptProperty name="deprecationDate" value="2015-03-23"/>
            <conceptProperty name="internalId" value="23561"/>
            <printName language="en" preferredForLanguage="true" text="Significantly low"/>
            <code code="L&lt;" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The result for a quantitative observation is below a reference level at which immediate action should be considered for patient safety (as defined for the respective test procedure).</p>
                        <p>Synonym: Below lower panic limits.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AA"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="L&lt;"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LU"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10212"/>
            <printName language="en" preferredForLanguage="true" text="Critical low"/>
            <code code="LL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A test result that is significantly lower than the reference (normal) or therapeutic interval, but has not reached the critically low value and might need special attention, as defined by the laboratory or the clinician.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="L"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23743"/>
            <printName language="en" preferredForLanguage="true" text="Significantly low"/>
            <code code="LU" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The numeric observation/test result is interpreted as being below the low threshold value for a particular protocol within which the result is being reported.</p>
                        <b>Example:</b>A Total White Blood Cell Count falling below a protocol-defined threshold value of 3000/mm^3<i>Open Issue:</i>EX, HX, LX: These three concepts do not seem to meet a clear need in the vocabulary, and their use in observation interpretation appears likely to be covered by other existing concepts (e.g., A, H, L). The only apparent significant difference is their reference to use in protocols for exclusion of study subjects. These concepts/codes were proposed by RCRIM for use in the CTLaboratory message. They were submitted and approved in the November 2005 Harmonization cycle in proposal "030103C\_VOCAB\_RCRIM\_l\_quade\_RCRIM Obs Interp\_20051028154455". However, this proposal was not fully implemented in the vocabulary. The proposal recommended creation of the x\_ClinicalResearchExclusion domain in ObservationInterpretation with a value set including those three concepts/codes, but there is no subdomain of that name or equivalent with a binding to either of the value sets that contain these concepts/codes. Members of the OO WG have recently attempted to contact members of RCRIM regarding these concepts, both by email and at the recent WGM in Atlanta, without response. It is felt by OO that the best course of action to take at this time is to add this comprehensive Open Issue rather than deprecate these three concepts at this time, until further discussion is held.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="EX"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21635"/>
            <printName language="en" preferredForLanguage="true" text="below low threshold"/>
            <code code="LX" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The patient is considered as carrier based on the testing results. A carrier is an individual who carries an altered form of a gene which can lead to having a child or offspring in future generations with a genetic disorder.</p>
                        <b>Deprecation Comment:</b>This antimicrobial susceptibility test interpretation concept is recommended by OO to be deprecated as it is no longer recommended for use in susceptibility testing by CLSI (reference CLSI document M100-S22; Vol. 32 No.3; CLSI Performance Standards for Antimicrobial Susceptibility Testing; Twenty-Second Informational Supplement. Jan 2012).</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationInterpretationSusceptibility"/>
            </conceptRelationship>
            <conceptProperty name="deprecationDate" value="2013-07-28"/>
            <conceptProperty name="internalId" value="10222"/>
            <printName language="en" preferredForLanguage="true" text="moderately susceptible"/>
            <code code="MS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The result or observation value is within the reference range or expected norm (as defined for the respective test procedure).</p>
                        <p>\[Note: Applies to numeric or non-numeric results.\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationInterpretationNormality"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10207"/>
            <printName language="en" preferredForLanguage="true" text="Normal"/>
            <code code="N" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Use when not enough clinical trial data published by the Clinical and Laboratory Standards Institutes (CLSI) is available to establish the breakpoints for susceptible / intermediate and resistant.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationInterpretationSusceptibility"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23886"/>
            <printName language="en" preferredForLanguage="true" text="No CLSI defined breakpoint"/>
            <code code="NCL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The presence of the specified component / analyte, organism or clinical sign could not be determined within the limit of detection of the performed test or procedure.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NEG"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23563"/>
            <printName language="en" preferredForLanguage="true" text="Not detected"/>
            <code code="ND" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An absence finding of the specified component / analyte, organism or clinical sign based on the established threshold of the performed test or procedure.</p>
                        <p>\[Note: Negative does not necessarily imply the complete absence of the specified item.\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ObservationInterpretationDetection"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22808"/>
            <printName language="en" preferredForLanguage="true" text="Negative"/>
            <code code="NEG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An absence finding used to indicate that the specified component / analyte did not react measurably with the reagent.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ReactivityObservationInterpretation"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23569"/>
            <printName language="en" preferredForLanguage="true" text="Non-reactive"/>
            <code code="NR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A category used for isolates for which only a susceptible interpretive criterion has been designated because of the absence or rare occurrence of resistant strains. Isolates that have MICs above or zone diameters below the value indicated for the susceptible breakpoint should be reported as non-susceptible.</p>
                        <p>NOTE 1: An isolate that is interpreted as non-susceptible does not necessarily mean that the isolate has a resistance mechanism. It is possible that isolates with MICs above the susceptible breakpoint that lack resistance mechanisms may be encountered within the wild-type distribution subsequent to the time the susceptible-only breakpoint is set.</p>
                        <p>NOTE 2: For strains yielding results in the "nonsusceptible" category, organism identification and antimicrobial susceptibility test results should be confirmed.</p>
                        <p>Synonym: decreased susceptibility.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationInterpretationSusceptibility"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23557"/>
            <printName language="en" preferredForLanguage="true" text="Non-susceptible"/>
            <code code="NS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Interpretation qualifiers in separate OBX segments</p>
                        <i>Usage Note:</i>This code is not intended for use in V3 artifacts. It is included in the code system to maintain alignment with the V2 Table 0078 "Interpretation Codes."</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="deprecationDate" value="2016-11-10"/>
            <conceptProperty name="internalId" value="23789"/>
            <printName language="en" preferredForLanguage="true"
                       text="Interpretation qualifiers in separate OBX segments"/>
            <code code="OBX" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Interpretations of the presence or absence of a component / analyte or organism in a test or of a sign in a clinical observation. In keeping with laboratory data processing practice, these concepts provide a categorical interpretation of the "meaning" of the quantitative value for the same observation.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22805"/>
            <printName language="en" preferredForLanguage="true"
                       text="ObservationInterpretationDetection"/>
            <code code="ObservationInterpretationDetection" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Interpretation of the observed result taking into account additional information (contraindicators) about the patient's situation. Concepts in this category are mutually exclusive, i.e., at most one is allowed.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23723"/>
            <printName language="en" preferredForLanguage="true"
                       text="ObservationInterpretationExpectation"/>
            <code code="ObservationInterpretationExpectation" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A presence finding of the specified component / analyte, organism or clinical sign based on the established threshold of the performed test or procedure.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ObservationInterpretationDetection"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22806"/>
            <printName language="en" preferredForLanguage="true" text="Positive"/>
            <code code="POS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A result cannot be considered valid for the specified component / analyte or organism due to failure in the quality control testing component.</p>
                        <b>Deprecation Comment:</b>This code is being deprecated to match the status in V2 Table 0078 "Interpretation Codes.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationInterpretationExceptions"/>
            </conceptRelationship>
            <conceptProperty name="deprecationDate" value="2016-11-10"/>
            <conceptProperty name="internalId" value="23565"/>
            <printName language="en" preferredForLanguage="true" text="Quality control failure"/>
            <code code="QCF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Bacterial strain inhibited in vitro by a concentration of an antimicrobial agent that is associated with a high likelihood of therapeutic failure. Reference: CLSI (http://www.clsi.org/Content/NavigationMenu/Resources/HarmonizedTerminologyDatabase/Harmonized\_Terminolo.htm) Projects: ISO 20776-1, ISO 20776-2</p>
                        <p>\[Note 1: Bacterial strains are categorized as resistant by applying the appropriate breakpoints in a defined phenotypic test system.\]</p>
                        <p>\[Note 2: This breakpoint can be altered due to changes in circumstances (e.g., changes in commonly used drug dosages, emergence of new resistance mechanisms).\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationInterpretationSusceptibility"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10220"/>
            <printName language="en" preferredForLanguage="true" text="Resistant"/>
            <code code="R" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A presence finding used to indicate that the specified component / analyte reacted with the reagent above the reliably measurable limit of the performed test.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ReactivityObservationInterpretation"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23570"/>
            <printName language="en" preferredForLanguage="true" text="Reactive"/>
            <code code="RR" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Interpretations of the presence and level of reactivity of the specified component / analyte with the reagent in the performed laboratory test.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23568"/>
            <printName language="en" preferredForLanguage="true"
                       text="ReactivityObservationInterpretation"/>
            <code code="ReactivityObservationInterpretation" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Bacterial strain inhibited by in vitro concentration of an antimicrobial agent that is associated with a high likelihood of therapeutic success. Reference: CLSI (http://www.clsi.org/Content/NavigationMenu/Resources/HarmonizedTerminologyDatabase/Harmonized\_Terminolo.htm) Synonym (earlier term): Sensitive Projects: ISO 20776-1, ISO 20776-2</p>
                        <p>\[Note 1: Bacterial strains are categorized as susceptible by applying the appropriate breakpoints in a defined phenotypic system.\]</p>
                        <p>\[Note 2: This breakpoint can be altered due to changes in circumstances (e.g., changes in commonly used drug dosages, emergence of new resistance mechanisms).\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationInterpretationSusceptibility"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10223"/>
            <printName language="en" preferredForLanguage="true" text="Susceptible"/>
            <code code="S" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A category that includes isolates with antimicrobial agent minimum inhibitory concentrations (MICs) that approach usually attainable blood and tissue levels and for which response rates may be lower than for susceptible isolates.</p>
                        <p>Reference: CLSI document M44-A2 2009 "Method for antifungal disk diffusion susceptibility testing of yeasts; approved guideline - second edition" - page 2.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="S"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23558"/>
            <printName language="en" preferredForLanguage="true" text="Susceptible-dose dependent"/>
            <code code="SDD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A category for isolates where the bacteria (e.g. enterococci) are not susceptible in vitro to a combination therapy (e.g., high-level aminoglycoside and cell wall active agent). This is predictive that this combination therapy will not be effective.</p>
                        <i>Usage Note:</i>Since the use of penicillin or ampicillin alone often results in treatment failure of serious enterococcal or other bacterial infections, combination therapy is usually indicated to enhance bactericidal activity. The synergy between a cell wall active agent (such as penicillin, ampicillin, or vancomycin) and an aminoglycoside (such as gentamicin, kanamycin or streptomycin) is best predicted by screening for high-level bacterial resistance to the aminoglycoside.<i>Open Issue:</i>The print name of the code is very general and the description is very specific to a pair of classes of agents, which may lead to confusion of these concepts in the future should other synergies be found.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="R"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23621"/>
            <printName language="en" preferredForLanguage="true" text="Synergy - resistant"/>
            <code code="SYN-R" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A category for isolates where the bacteria (e.g. enterococci) are susceptible in vitro to a combination therapy (e.g., high-level aminoglycoside and cell wall active agent). This is predictive that this combination therapy will be effective.</p>
                        <i>Usage Note:</i>Since the use of penicillin or ampicillin alone often results in treatment failure of serious enterococcal or other bacterial infections, combination therapy is usually indicated to enhance bactericidal activity. The synergy between a cell wall active agent (such as penicillin, ampicillin, or vancomycin) and an aminoglycoside (such as gentamicin, kanamycin or streptomycin) is best predicted by screening for high-level bacterial resistance to the aminoglycoside.<i>Open Issue:</i>The print name of the code is very general and the description is very specific to a pair of classes of agents, which may lead to confusion of these concepts in the future should other synergies be found.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="S"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23620"/>
            <printName language="en" preferredForLanguage="true" text="Synergy - susceptible"/>
            <code code="SYN-S" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A valid result cannot be obtained for the specified organism or cell line due to the presence of cytotoxic substances in the sample or culture.</p>
                        <b>Deprecation Comment:</b>This code is being deprecated to match the status in V2 Table 0078 "Interpretation Codes.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationInterpretationExceptions"/>
            </conceptRelationship>
            <conceptProperty name="deprecationDate" value="2016-11-10"/>
            <conceptProperty name="internalId" value="23566"/>
            <printName language="en" preferredForLanguage="true" text="Cytotoxic substance present"/>
            <code code="TOX" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The current result has increased from the previous result for a quantitative observation (the change is significant as defined in the respective test procedure).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationInterpretationChange"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10217"/>
            <printName language="en" preferredForLanguage="true" text="Significant change up"/>
            <code code="U" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This result has been evaluated in light of known contraindicators. Once those contraindicators have been taken into account the result is determined to be "Unexpected" (e.g., presence of non-prescribed drugs in a patient that is taking prescription medication for pain management).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ObservationInterpretationExpectation"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23725"/>
            <printName language="en" preferredForLanguage="true" text="Unexpected"/>
            <code code="UNE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The patient is considered as carrier based on the testing results. A carrier is an individual who carries an altered form of a gene which can lead to having a child or offspring in future generations with a genetic disorder.</p>
                        <b>Deprecation Comment:</b>This antimicrobial susceptibility test interpretation concept is recommended by OO to be deprecated as it is no longer recommended for use in susceptibility testing by CLSI (reference CLSI document M100-S22; Vol. 32 No.3; CLSI Performance Standards for Antimicrobial Susceptibility Testing; Twenty-Second Informational Supplement. Jan 2012).</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationInterpretationSusceptibility"/>
            </conceptRelationship>
            <conceptProperty name="deprecationDate" value="2013-07-28"/>
            <conceptProperty name="internalId" value="10224"/>
            <printName language="en" preferredForLanguage="true" text="very susceptible"/>
            <code code="VS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The current result or observation value has degraded compared to the previous result or observation value (the change is significant as defined in the respective test procedure).</p>
                        <p>\[Note: This can be applied to quantitative or qualitative observations.\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationInterpretationChange"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10216"/>
            <printName language="en" preferredForLanguage="true" text="Worse"/>
            <code code="W" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A weighted presence finding used to indicate that the specified component / analyte reacted with the reagent, but below the reliably measurable limit of the performed test.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23571"/>
            <printName language="en" preferredForLanguage="true" text="Weakly reactive"/>
            <code code="WR" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Codes that specify interpretation of genetic analysis, such as "positive", "negative", "carrier", "responsive", etc.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22646"/>
            <printName language="en" preferredForLanguage="true"
                       text="GeneticObservationInterpretation"/>
            <code code="_GeneticObservationInterpretation" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Interpretations of change of quantity and/or severity. At most one of B or W and one of U or D allowed.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21090"/>
            <printName language="en" preferredForLanguage="true"
                       text="ObservationInterpretationChange"/>
            <code code="_ObservationInterpretationChange" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Technical exceptions resulting in the inability to provide an interpretation. At most one allowed. Does not imply normality or severity.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21091"/>
            <printName language="en" preferredForLanguage="true"
                       text="ObservationInterpretationExceptions"/>
            <code code="_ObservationInterpretationExceptions" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Interpretation of normality or degree of abnormality (including critical or "alert" level). Concepts in this category are mutually exclusive, i.e., at most one is allowed.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21092"/>
            <printName language="en" preferredForLanguage="true"
                       text="ObservationInterpretationNormality"/>
            <code code="_ObservationInterpretationNormality" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Interpretations of anti-microbial susceptibility testing results (microbiology). At most one allowed.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21093"/>
            <printName language="en" preferredForLanguage="true"
                       text="ObservationInterpretationSusceptibility"/>
            <code code="_ObservationInterpretationSusceptibility" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="ObservationMethod" title="ObservationMethod"
               codeSystemId="2.16.840.1.113883.5.84">
      <historyItem dateTime="2020-05-06" id="v3-ObservationMethod-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A code that provides additional detail about the means or technique used to ascertain the observation.</p>
                  <i>Examples:</i>Blood pressure measurement method: arterial puncture vs. sphygmomanometer (Riva-Rocci), sitting vs. supine position, etc.<i>OpenIssue:</i>Description copied from Concept Domain of same name. Must be verified. Note that the Domain has a full discussion about use of the attribute and constraining that is not appropriate for the code system description. Needs to be improved.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired..</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="howApplies" type="String" isMandatoryIndicator="false">
            <description>Haven't a clue!</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Complement fixation</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14080"/>
            <printName language="en" preferredForLanguage="true" text="Complement fixation"/>
            <code code="0001" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Computed axial tomography</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14081"/>
            <printName language="en" preferredForLanguage="true" text="Computed axial tomography"/>
            <code code="0002" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Susceptibility, High Level Aminoglycoside Resistance agar test</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14082"/>
            <printName language="en" preferredForLanguage="true" text="HLAR agar test"/>
            <code code="0003" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Visual, Macroscopic observation</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14083"/>
            <printName language="en" preferredForLanguage="true" text="Macroscopic observation"/>
            <code code="0004" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Computed, Magnetic resonance</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14084"/>
            <printName language="en" preferredForLanguage="true" text="Magnetic resonance"/>
            <code code="0005" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Computed, Morphometry</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14085"/>
            <printName language="en" preferredForLanguage="true" text="Morphometry"/>
            <code code="0006" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Computed, Positron emission tomography</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14086"/>
            <printName language="en" preferredForLanguage="true" text="Positron emission tomography"/>
            <code code="0007" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>SAMHSA drug assay confirmation</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14087"/>
            <printName language="en" preferredForLanguage="true" text="SAMHSA confirmation"/>
            <code code="0008" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>SAMHSA drug assay screening</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14088"/>
            <printName language="en" preferredForLanguage="true" text="SAMHSA screening"/>
            <code code="0009" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Serum Neutralization</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14089"/>
            <printName language="en" preferredForLanguage="true" text="Serum Neutralization"/>
            <code code="0010" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Titration</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14090"/>
            <printName language="en" preferredForLanguage="true" text="Titration"/>
            <code code="0011" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Ultrasound</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14091"/>
            <printName language="en" preferredForLanguage="true" text="Ultrasound"/>
            <code code="0012" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>X-ray crystallography</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14092"/>
            <printName language="en" preferredForLanguage="true" text="X-ray crystallography"/>
            <code code="0013" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Agglutination</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14093"/>
            <printName language="en" preferredForLanguage="true" text="Agglutination"/>
            <code code="0014" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Agglutination, Buffered acidified plate</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14094"/>
            <printName language="en" preferredForLanguage="true"
                       text="Buffered acidified plate agglutination"/>
            <code code="0015" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Agglutination, Card</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14095"/>
            <printName language="en" preferredForLanguage="true" text="Card agglutination"/>
            <code code="0016" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Agglutination, Hemagglutination</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14096"/>
            <printName language="en" preferredForLanguage="true" text="Hemagglutination"/>
            <code code="0017" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Agglutination, Hemagglutination inhibition</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14097"/>
            <printName language="en" preferredForLanguage="true" text="Hemagglutination inhibition"/>
            <code code="0018" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Agglutination, Latex</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14098"/>
            <printName language="en" preferredForLanguage="true" text="Latex agglutination"/>
            <code code="0019" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Agglutination, Plate</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14099"/>
            <printName language="en" preferredForLanguage="true" text="Plate agglutination"/>
            <code code="0020" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Agglutination, Rapid Plate</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14100"/>
            <printName language="en" preferredForLanguage="true" text="Rapid agglutination"/>
            <code code="0021" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Agglutination, RBC</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14101"/>
            <printName language="en" preferredForLanguage="true" text="RBC agglutination"/>
            <code code="0022" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Agglutination, Rivanol</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14102"/>
            <printName language="en" preferredForLanguage="true" text="Rivanol agglutination"/>
            <code code="0023" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Agglutination, Tube</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14103"/>
            <printName language="en" preferredForLanguage="true" text="Tube agglutination"/>
            <code code="0024" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Bioassay</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14104"/>
            <printName language="en" preferredForLanguage="true" text="Bioassay"/>
            <code code="0025" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Bioassay, Animal Inoculation</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14105"/>
            <printName language="en" preferredForLanguage="true" text="Animal Inoculation"/>
            <code code="0026" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Bioassay, Cytotoxicity</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14106"/>
            <printName language="en" preferredForLanguage="true" text="Cytotoxicity"/>
            <code code="0027" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Bioassay, Embryo Infective Dose 50</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14107"/>
            <printName language="en" preferredForLanguage="true" text="Embryo infective dose 50"/>
            <code code="0028" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Bioassay, Embryo Lethal Dose 50</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14108"/>
            <printName language="en" preferredForLanguage="true" text="Embryo lethal dose 50"/>
            <code code="0029" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Bioassay, Mouse intercerebral inoculation</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14109"/>
            <printName language="en" preferredForLanguage="true"
                       text="Mouse intercerebral inoculation"/>
            <code code="0030" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Bioassay, qualitative</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14110"/>
            <printName language="en" preferredForLanguage="true" text="Bioassay, qualitative"/>
            <code code="0031" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Bioassay, quantitative</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14111"/>
            <printName language="en" preferredForLanguage="true" text="Bioassay, quantitative"/>
            <code code="0032" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Chemical</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14112"/>
            <printName language="en" preferredForLanguage="true" text="Chemical method"/>
            <code code="0033" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Chemical, Differential light absorption</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14113"/>
            <printName language="en" preferredForLanguage="true"
                       text="Differential light absorption chemical test"/>
            <code code="0034" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Chemical, Dipstick</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14114"/>
            <printName language="en" preferredForLanguage="true" text="Dipstick"/>
            <code code="0035" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Chemical, Dipstick colorimetric laboratory test</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14115"/>
            <printName language="en" preferredForLanguage="true"
                       text="Dipstick colorimetric laboratory test"/>
            <code code="0036" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Chemical, Test strip</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14116"/>
            <printName language="en" preferredForLanguage="true" text="Test strip"/>
            <code code="0037" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Chromatography</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14117"/>
            <printName language="en" preferredForLanguage="true" text="Chromatography"/>
            <code code="0038" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Chromatography, Affinity</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14118"/>
            <printName language="en" preferredForLanguage="true" text="Affinity chromatography"/>
            <code code="0039" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Chromatography, Gas liquid</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14119"/>
            <printName language="en" preferredForLanguage="true" text="Gas liquid chromatography"/>
            <code code="0040" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Chromatography, High performance liquid</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14120"/>
            <printName language="en" preferredForLanguage="true"
                       text="High performance liquid chromatography"/>
            <code code="0041" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Chromatography, Liquid</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14121"/>
            <printName language="en" preferredForLanguage="true" text="Liquid Chromatography"/>
            <code code="0042" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Chromatography, Protein A affinity</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14122"/>
            <printName language="en" preferredForLanguage="true"
                       text="Protein A affinity chromatography"/>
            <code code="0043" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Coagulation</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14123"/>
            <printName language="en" preferredForLanguage="true" text="Coagulation"/>
            <code code="0044" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Coagulation, Tilt tube</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14124"/>
            <printName language="en" preferredForLanguage="true" text="Tilt tube coagulation time"/>
            <code code="0045" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Coagulation, Tilt tube reptilase induced</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14125"/>
            <printName language="en" preferredForLanguage="true"
                       text="Tilt tube reptilase induced coagulation"/>
            <code code="0046" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Count, Automated</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14126"/>
            <printName language="en" preferredForLanguage="true" text="Automated count"/>
            <code code="0047" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Count, Manual</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14127"/>
            <printName language="en" preferredForLanguage="true" text="Manual cell count"/>
            <code code="0048" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Count, Platelet, Rees-Ecker</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14128"/>
            <printName language="en" preferredForLanguage="true" text="Platelet count, Rees-Ecker"/>
            <code code="0049" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Culture, Aerobic</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14129"/>
            <printName language="en" preferredForLanguage="true" text="Aerobic Culture"/>
            <code code="0050" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Culture, Anaerobic</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14130"/>
            <printName language="en" preferredForLanguage="true" text="Anaerobic Culture"/>
            <code code="0051" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Culture, Chicken Embryo</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14131"/>
            <printName language="en" preferredForLanguage="true" text="Chicken embryo culture"/>
            <code code="0052" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Culture, Delayed secondary enrichment</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14132"/>
            <printName language="en" preferredForLanguage="true" text="Delayed secondary enrichment"/>
            <code code="0053" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Culture, Microaerophilic</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14133"/>
            <printName language="en" preferredForLanguage="true" text="Microaerophilic Culture"/>
            <code code="0054" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Culture, Quantitative microbial, cup</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14134"/>
            <printName language="en" preferredForLanguage="true"
                       text="Quantitative microbial culture, cup"/>
            <code code="0055" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Culture, Quantitative microbial, droplet</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14135"/>
            <printName language="en" preferredForLanguage="true"
                       text="Quantitative microbial culture, droplet"/>
            <code code="0056" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Culture, Quantitative microbial, filter paper</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14136"/>
            <printName language="en" preferredForLanguage="true"
                       text="Quantitative microbial culture, filter paper"/>
            <code code="0057" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Culture, Quantitative microbial, pad</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14137"/>
            <printName language="en" preferredForLanguage="true"
                       text="Quantitative microbial culture, pad culture"/>
            <code code="0058" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Culture, Quantitative microbial, pour plate</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14138"/>
            <printName language="en" preferredForLanguage="true"
                       text="Quantitative microbial culture, pour plate"/>
            <code code="0059" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Culture, Quantitative microbial, surface streak</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14139"/>
            <printName language="en" preferredForLanguage="true"
                       text="Quantitative microbial culture, surface streak"/>
            <code code="0060" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Culture, Somatic Cell</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14140"/>
            <printName language="en" preferredForLanguage="true" text="Somatic Cell culture"/>
            <code code="0061" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Diffusion, Agar</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14141"/>
            <printName language="en" preferredForLanguage="true" text="Agar diffusion"/>
            <code code="0062" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Diffusion, Agar Gel Immunodiffusion</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14142"/>
            <printName language="en" preferredForLanguage="true" text="Agar Gel Immunodiffusion"/>
            <code code="0063" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Electrophoresis</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14143"/>
            <printName language="en" preferredForLanguage="true" text="Electrophoresis"/>
            <code code="0064" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Electrophoresis, Agaorse gel</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14144"/>
            <printName language="en" preferredForLanguage="true" text="Agaorse gel electrophoresis"/>
            <code code="0065" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Electrophoresis, citrate agar</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14145"/>
            <printName language="en" preferredForLanguage="true" text="Electrophoresis, citrate agar"/>
            <code code="0066" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Electrophoresis, Immuno</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14146"/>
            <printName language="en" preferredForLanguage="true" text="Immunoelectrophoresis"/>
            <code code="0067" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Electrophoresis, Polyacrylamide gel</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14147"/>
            <printName language="en" preferredForLanguage="true"
                       text="Polyacrylamide gel electrophoresis"/>
            <code code="0068" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Electrophoresis, Starch gel</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14148"/>
            <printName language="en" preferredForLanguage="true" text="Starch gel electrophoresis"/>
            <code code="0069" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>ELISA</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14149"/>
            <printName language="en" preferredForLanguage="true" text="ELISA"/>
            <code code="0070" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>ELISA, antigen capture</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14150"/>
            <printName language="en" preferredForLanguage="true" text="ELISA, antigen capture"/>
            <code code="0071" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>ELISA, avidin biotin peroxidase complex</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14151"/>
            <printName language="en" preferredForLanguage="true"
                       text="ELISA, avidin biotin peroxidase complex"/>
            <code code="0072" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>ELISA, Kinetic</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14152"/>
            <printName language="en" preferredForLanguage="true" text="Kinetic ELISA"/>
            <code code="0073" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>ELISA, peroxidase-antiperoxidase</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14153"/>
            <printName language="en" preferredForLanguage="true"
                       text="ELISA, peroxidase-antiperoxidase"/>
            <code code="0074" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identification, API 20 Strep</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14154"/>
            <conceptProperty name="howApplies" value="bioMerieux - streptococcis and enterococci"/>
            <printName language="en" preferredForLanguage="true" text="API 20 Strep"/>
            <code code="0075" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identification, API 20A</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14155"/>
            <conceptProperty name="howApplies" value="bioMerieux - 24hr anaerobic ID"/>
            <printName language="en" preferredForLanguage="true" text="API 20A"/>
            <code code="0076" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identification, API 20C AUX</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14156"/>
            <conceptProperty name="howApplies" value="bioMerieux - identification of yeast"/>
            <printName language="en" preferredForLanguage="true" text="API 20C AUX"/>
            <code code="0077" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identification, API 20E</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14157"/>
            <conceptProperty name="howApplies"
                             value="bioMerieux -identification of Enterobacteriacae; non-fermenting GNB"/>
            <printName language="en" preferredForLanguage="true" text="API 20E"/>
            <code code="0078" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identification, API 20NE</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14158"/>
            <conceptProperty name="howApplies" value="bioMerieux - gram negative non-Enterobacteriaeciae"/>
            <printName language="en" preferredForLanguage="true" text="API 20NE"/>
            <code code="0079" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identification, API 50 CH</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14159"/>
            <conceptProperty name="howApplies" value="bioMerieux"/>
            <printName language="en" preferredForLanguage="true" text="API 50 CH"/>
            <code code="0080" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identification, API An-IDENT</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14160"/>
            <conceptProperty name="howApplies" value="bioMerieux"/>
            <printName language="en" preferredForLanguage="true" text="API An-IDENT"/>
            <code code="0081" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identification, API Coryne</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14161"/>
            <conceptProperty name="howApplies" value="bioMerieux"/>
            <printName language="en" preferredForLanguage="true" text="API Coryne"/>
            <code code="0082" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identification, API Rapid 20E</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14162"/>
            <conceptProperty name="howApplies"
                             value="bioMerieux - 4 hour identification of Enterobacteriaciae"/>
            <printName language="en" preferredForLanguage="true" text="API Rapid 20E"/>
            <code code="0083" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identification, API Staph</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14163"/>
            <conceptProperty name="howApplies" value="bioMerieux"/>
            <printName language="en" preferredForLanguage="true" text="API Staph"/>
            <code code="0084" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identification, API ZYM</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14164"/>
            <conceptProperty name="howApplies" value="bioMerieux"/>
            <printName language="en" preferredForLanguage="true" text="API ZYM"/>
            <code code="0085" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identification, Bacterial</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14165"/>
            <printName language="en" preferredForLanguage="true" text="Bacterial identification"/>
            <code code="0086" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identification, mini VIDAS</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14166"/>
            <conceptProperty name="howApplies" value="bioMerieux"/>
            <printName language="en" preferredForLanguage="true" text="mini VIDAS"/>
            <code code="0087" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identification, Phage susceptibility typing</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14167"/>
            <printName language="en" preferredForLanguage="true" text="Phage susceptibility typing"/>
            <code code="0088" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identification, Quad-FERM+</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14168"/>
            <conceptProperty name="howApplies" value="bioMerieux - 2-hour identification of Neisseria"/>
            <printName language="en" preferredForLanguage="true" text="Quad-FERM+"/>
            <code code="0089" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identification, RAPIDEC Staph</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14169"/>
            <conceptProperty name="howApplies" value="bioMerieux"/>
            <printName language="en" preferredForLanguage="true" text="RAPIDEC Staph"/>
            <code code="0090" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identification, Staphaurex</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14170"/>
            <printName language="en" preferredForLanguage="true" text="Staphaurex"/>
            <code code="0091" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identification, VIDAS</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14171"/>
            <conceptProperty name="howApplies" value="bioMerieux"/>
            <printName language="en" preferredForLanguage="true" text="VIDAS"/>
            <code code="0092" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identification, Vitek</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14172"/>
            <conceptProperty name="howApplies" value="bioMerieux"/>
            <printName language="en" preferredForLanguage="true" text="Vitek"/>
            <code code="0093" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identification, VITEK 2</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14173"/>
            <conceptProperty name="howApplies" value="bioMerieux"/>
            <printName language="en" preferredForLanguage="true" text="VITEK 2"/>
            <code code="0094" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Immune stain</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14174"/>
            <printName language="en" preferredForLanguage="true" text="Immune stain"/>
            <code code="0095" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Immune stain, Immunofluorescent antibody, direct</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14175"/>
            <printName language="en" preferredForLanguage="true"
                       text="Immunofluorescent antibody, direct"/>
            <code code="0096" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Immune stain, Immunofluorescent antibody, indirect</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14176"/>
            <printName language="en" preferredForLanguage="true"
                       text="Immunofluorescent antibody, indirect"/>
            <code code="0097" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Immune stain, Immunoperoxidase, Avidin-Biotin Complex</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14177"/>
            <printName language="en" preferredForLanguage="true"
                       text="Immunoperoxidase, Avidin-Biotin Complex"/>
            <code code="0098" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Immune stain, Immunoperoxidase, Peroxidase anti-peroxidase complex</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14178"/>
            <printName language="en" preferredForLanguage="true"
                       text="Immunoperoxidase, Peroxidase anti-peroxidase complex"/>
            <code code="0099" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Immune stain, Immunoperoxidase, Protein A-peroxidase complex</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14179"/>
            <printName language="en" preferredForLanguage="true"
                       text="Immunoperoxidase, Protein A-peroxidase complex"/>
            <code code="0100" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Immunoassay</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14180"/>
            <printName language="en" preferredForLanguage="true" text="Immunoassay"/>
            <code code="0101" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Immunoassay, qualitative, multiple step</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14181"/>
            <printName language="en" preferredForLanguage="true"
                       text="Immunoassay, qualitative, multiple step"/>
            <code code="0102" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Immunoassay, qualitative, single step</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14182"/>
            <printName language="en" preferredForLanguage="true"
                       text="Immunoassay, qualitative, single step"/>
            <code code="0103" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Immunoassay, Radioimmunoassay</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14183"/>
            <printName language="en" preferredForLanguage="true" text="Radioimmunoassay"/>
            <code code="0104" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Immunoassay, semi-quantitative, multiple step</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14184"/>
            <printName language="en" preferredForLanguage="true"
                       text="Immunoassay, semi-quantitative, multiple step"/>
            <code code="0105" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Immunoassay, semi-quantitative, single step</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14185"/>
            <printName language="en" preferredForLanguage="true"
                       text="Immunoassay, semi-quantitative, single step"/>
            <code code="0106" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Microscopy</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14186"/>
            <printName language="en" preferredForLanguage="true" text="Microscopy"/>
            <code code="0107" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Microscopy, Darkfield</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14187"/>
            <printName language="en" preferredForLanguage="true" text="Darkfield microscopy"/>
            <code code="0108" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Microscopy, Electron</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14188"/>
            <printName language="en" preferredForLanguage="true" text="Electron microscopy"/>
            <code code="0109" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Microscopy, Electron microscopy tomography</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14189"/>
            <printName language="en" preferredForLanguage="true" text="Electron microscopy tomography"/>
            <code code="0110" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Microscopy, Electron, negative stain</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14190"/>
            <printName language="en" preferredForLanguage="true"
                       text="Electron microscopy, negative stain"/>
            <code code="0111" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Microscopy, Electron, thick section transmission</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14191"/>
            <printName language="en" preferredForLanguage="true"
                       text="Electron microscopy, thick section"/>
            <code code="0112" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Microscopy, Electron, thin section transmission</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14192"/>
            <printName language="en" preferredForLanguage="true"
                       text="Electron microscopy, thin section"/>
            <code code="0113" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Microscopy, Light</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14193"/>
            <printName language="en" preferredForLanguage="true" text="Microscopy, Light"/>
            <code code="0114" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Microscopy, Polarized light</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14194"/>
            <printName language="en" preferredForLanguage="true" text="Polarizing light microscopy"/>
            <code code="0115" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Microscopy, Scanning electron</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14195"/>
            <printName language="en" preferredForLanguage="true" text="Scanning electron microscopy"/>
            <code code="0116" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Microscopy, Transmission electron</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14196"/>
            <printName language="en" preferredForLanguage="true"
                       text="Transmission electron microscopy"/>
            <code code="0117" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Microscopy, Transparent tape direct examination</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14197"/>
            <printName language="en" preferredForLanguage="true"
                       text="Transparent tape direct examination"/>
            <code code="0118" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Molecular, 3 Self-Sustaining Sequence Replication</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14198"/>
            <printName language="en" preferredForLanguage="true"
                       text="3 Self-Sustaining Sequence Replication"/>
            <code code="0119" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Molecular, Branched Chain DNA</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14199"/>
            <printName language="en" preferredForLanguage="true" text="Branched Chain DNA"/>
            <code code="0120" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Molecular, Hybridization Protection Assay</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14200"/>
            <printName language="en" preferredForLanguage="true" text="Hybridization Protection Assay"/>
            <code code="0121" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Molecular, Immune blot</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14201"/>
            <printName language="en" preferredForLanguage="true" text="Immune blot"/>
            <code code="0122" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Molecular, In-situ hybridization</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14202"/>
            <printName language="en" preferredForLanguage="true" text="In-situ hybridization"/>
            <code code="0123" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Molecular, Ligase Chain Reaction</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14203"/>
            <printName language="en" preferredForLanguage="true" text="Ligase Chain Reaction"/>
            <code code="0124" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Molecular, Ligation Activated Transcription</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14204"/>
            <printName language="en" preferredForLanguage="true"
                       text="Ligation Activated Transcription"/>
            <code code="0125" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Molecular, Nucleic Acid Probe</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14205"/>
            <printName language="en" preferredForLanguage="true" text="Nucleic Acid Probe"/>
            <code code="0126" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Molecular, Nucleic acid probe</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14206"/>
            <printName language="en" preferredForLanguage="true" text="Nucleic acid probe"/>
            <code code="0127" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Molecular, Nucleic acid probe with amplification</p>
                        <i>Rationale:</i>Duplicate of code 0126. Use code 0126 instead.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14207"/>
            <printName language="en" preferredForLanguage="true"
                       text="Nucleic acid probe with amplification"/>
            <code code="0128" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Molecular, Nucleic acid probe with target amplification</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14208"/>
            <printName language="en" preferredForLanguage="true"
                       text="Nucleic acid probe with target amplification"/>
            <code code="0129" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Molecular, Nucleic acid reverse transcription</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14209"/>
            <printName language="en" preferredForLanguage="true"
                       text="Nucleic acid reverse transcription"/>
            <code code="0130" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Molecular, Nucleic Acid Sequence Based Analysis</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14210"/>
            <printName language="en" preferredForLanguage="true"
                       text="Nucleic Acid Sequence Based Analysis"/>
            <code code="0131" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Molecular, Polymerase chain reaction</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14211"/>
            <printName language="en" preferredForLanguage="true" text="Polymerase chain reaction"/>
            <code code="0132" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Molecular, Q-Beta Replicase or probe amplification category method</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14212"/>
            <printName language="en" preferredForLanguage="true"
                       text="Q-Beta Replicase or probe amplification category method"/>
            <code code="0133" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Molecular, Restriction Fragment Length Polymorphism</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14213"/>
            <printName language="en" preferredForLanguage="true"
                       text="Restriction Fragment Length Polymorphism"/>
            <code code="0134" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Molecular, Southern Blot</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14214"/>
            <printName language="en" preferredForLanguage="true" text="Southern Blot"/>
            <code code="0135" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Molecular, Strand Displacement Amplification</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14215"/>
            <printName language="en" preferredForLanguage="true"
                       text="Strand Displacement Amplification"/>
            <code code="0136" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Molecular, Transcription Mediated Amplification</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14216"/>
            <printName language="en" preferredForLanguage="true"
                       text="Transcription Mediated Amplification"/>
            <code code="0137" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Molecular, Western Blot</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14217"/>
            <printName language="en" preferredForLanguage="true" text="Western Blot"/>
            <code code="0138" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Precipitation, Flocculation</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14218"/>
            <printName language="en" preferredForLanguage="true" text="Flocculation"/>
            <code code="0139" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Precipitation, Immune precipitation</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14219"/>
            <printName language="en" preferredForLanguage="true" text="Immune precipitation"/>
            <code code="0140" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Precipitation, Milk ring test</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14220"/>
            <printName language="en" preferredForLanguage="true" text="Milk ring test"/>
            <code code="0141" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Precipitation, Precipitin</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14221"/>
            <printName language="en" preferredForLanguage="true" text="Precipitin"/>
            <code code="0142" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Acid fast</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14222"/>
            <printName language="en" preferredForLanguage="true" text="Acid fast stain"/>
            <code code="0143" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Acid fast, fluorochrome</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14223"/>
            <printName language="en" preferredForLanguage="true" text="Acid fast stain, fluorochrome"/>
            <code code="0144" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Acid fast, Kinyoun's cold carbolfuchsin</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14224"/>
            <printName language="en" preferredForLanguage="true"
                       text="Acid fast stain, Kinyoun's cold carbolfuchsin"/>
            <code code="0145" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Acid fast, Ziehl-Neelsen</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14225"/>
            <printName language="en" preferredForLanguage="true" text="Acid fast stain, Ziehl-Neelsen"/>
            <code code="0146" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Acid phosphatase</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14226"/>
            <printName language="en" preferredForLanguage="true" text="Acid phosphatase stain"/>
            <code code="0147" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Acridine orange</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14227"/>
            <printName language="en" preferredForLanguage="true" text="Acridine orange stain"/>
            <code code="0148" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Active brilliant orange KH</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14228"/>
            <printName language="en" preferredForLanguage="true"
                       text="Active brilliant orange KH stain"/>
            <code code="0149" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Alazarin red S</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14229"/>
            <printName language="en" preferredForLanguage="true" text="Alazarin red S stain"/>
            <code code="0150" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Alcian blue</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14230"/>
            <printName language="en" preferredForLanguage="true" text="Alcian blue stain"/>
            <code code="0151" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Alcian blue with Periodic acid Schiff</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14231"/>
            <printName language="en" preferredForLanguage="true"
                       text="Alcian blue with Periodic acid Schiff stain"/>
            <code code="0152" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Argentaffin</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14232"/>
            <printName language="en" preferredForLanguage="true" text="Argentaffin stain"/>
            <code code="0153" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Argentaffin silver</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14233"/>
            <printName language="en" preferredForLanguage="true" text="Argentaffin silver stain"/>
            <code code="0154" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Azure-eosin</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14234"/>
            <printName language="en" preferredForLanguage="true" text="Azure-eosin stain"/>
            <code code="0155" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Basic Fuschin</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14235"/>
            <printName language="en" preferredForLanguage="true" text="Basic Fuschin stain"/>
            <code code="0156" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Bennhold</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14236"/>
            <printName language="en" preferredForLanguage="true" text="Bennhold stain"/>
            <code code="0157" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Bennhold's Congo red</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14237"/>
            <printName language="en" preferredForLanguage="true" text="Bennhold's Congo red stain"/>
            <code code="0158" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Bielschowsky</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14238"/>
            <printName language="en" preferredForLanguage="true" text="Bielschowsky stain"/>
            <code code="0159" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Bielschowsky's silver</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14239"/>
            <printName language="en" preferredForLanguage="true" text="Bielschowsky's silver stain"/>
            <code code="0160" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Bleach</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14240"/>
            <printName language="en" preferredForLanguage="true" text="Bleach stain"/>
            <code code="0161" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Bodian</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14241"/>
            <printName language="en" preferredForLanguage="true" text="Bodian stain"/>
            <code code="0162" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Brown-Brenn</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14242"/>
            <printName language="en" preferredForLanguage="true" text="Brown-Brenn stain"/>
            <code code="0163" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Butyrate-esterase</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14243"/>
            <printName language="en" preferredForLanguage="true" text="Butyrate-esterase stain"/>
            <code code="0164" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Calcofluor white fluorescent</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14244"/>
            <printName language="en" preferredForLanguage="true"
                       text="Calcofluor white fluorescent stain"/>
            <code code="0165" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Carbol-fuchsin</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14245"/>
            <printName language="en" preferredForLanguage="true" text="Carbol-fuchsin stain"/>
            <code code="0166" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Carmine</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14246"/>
            <printName language="en" preferredForLanguage="true" text="Carmine stain"/>
            <code code="0167" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Churukian-Schenk</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14247"/>
            <printName language="en" preferredForLanguage="true" text="Churukian-Schenk stain"/>
            <code code="0168" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Congo red</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14248"/>
            <printName language="en" preferredForLanguage="true" text="Congo red stain"/>
            <code code="0169" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Cresyl echt violet</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14249"/>
            <printName language="en" preferredForLanguage="true" text="Cresyl echt violet stain"/>
            <code code="0170" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Crystal violet</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14250"/>
            <printName language="en" preferredForLanguage="true" text="Crystal violet stain"/>
            <code code="0171" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, De Galantha</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14251"/>
            <printName language="en" preferredForLanguage="true" text="De Galantha stain"/>
            <code code="0172" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Dieterle silver impregnation</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14252"/>
            <printName language="en" preferredForLanguage="true"
                       text="Dieterle silver impregnation stain"/>
            <code code="0173" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Fite-Farco</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14253"/>
            <printName language="en" preferredForLanguage="true" text="Fite-Farco stain"/>
            <code code="0174" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Fontana-Masson silver</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14254"/>
            <printName language="en" preferredForLanguage="true" text="Fontana-Masson silver stain"/>
            <code code="0175" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Fouchet</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14255"/>
            <printName language="en" preferredForLanguage="true" text="Fouchet stain"/>
            <code code="0176" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Gomori</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14256"/>
            <printName language="en" preferredForLanguage="true" text="Gomori stain"/>
            <code code="0177" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Gomori methenamine silver</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14257"/>
            <printName language="en" preferredForLanguage="true"
                       text="Gomori methenamine silver stain"/>
            <code code="0178" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Gomori-Wheatly trichrome</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14258"/>
            <printName language="en" preferredForLanguage="true" text="Gomori-Wheatly trichrome stain"/>
            <code code="0179" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Gridley</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14259"/>
            <printName language="en" preferredForLanguage="true" text="Gridley stain"/>
            <code code="0180" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Grimelius silver</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14260"/>
            <printName language="en" preferredForLanguage="true" text="Grimelius silver stain"/>
            <code code="0181" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Grocott</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14261"/>
            <printName language="en" preferredForLanguage="true" text="Grocott stain"/>
            <code code="0182" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Grocott methenamine silver</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14262"/>
            <printName language="en" preferredForLanguage="true"
                       text="Grocott methenamine silver stain"/>
            <code code="0183" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Hale's colloidal ferric oxide</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14263"/>
            <printName language="en" preferredForLanguage="true"
                       text="Hale's colloidal ferric oxide stain"/>
            <code code="0184" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Hale's colloidal iron</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14264"/>
            <printName language="en" preferredForLanguage="true" text="Hale's colloidal iron stain"/>
            <code code="0185" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Hansel</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14265"/>
            <printName language="en" preferredForLanguage="true" text="Hansel stain"/>
            <code code="0186" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Harris regressive hematoxylin and eosin</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14266"/>
            <printName language="en" preferredForLanguage="true"
                       text="Harris regressive hematoxylin and eosin stain"/>
            <code code="0187" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Hematoxylin and eosin</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14267"/>
            <printName language="en" preferredForLanguage="true" text="Hematoxylin and eosin stain"/>
            <code code="0188" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Highman</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14268"/>
            <printName language="en" preferredForLanguage="true" text="Highman stain"/>
            <code code="0189" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Holzer</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14269"/>
            <printName language="en" preferredForLanguage="true" text="Holzer stain"/>
            <code code="0190" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Iron hematoxylin</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14270"/>
            <printName language="en" preferredForLanguage="true" text="Iron hematoxylin stain"/>
            <code code="0191" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Jones</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14271"/>
            <printName language="en" preferredForLanguage="true" text="Jones stain"/>
            <code code="0192" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Jones methenamine silver</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14272"/>
            <printName language="en" preferredForLanguage="true" text="Jones methenamine silver stain"/>
            <code code="0193" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Kossa</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14273"/>
            <printName language="en" preferredForLanguage="true" text="Kossa stain"/>
            <code code="0194" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Lawson-Van Gieson</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14274"/>
            <printName language="en" preferredForLanguage="true" text="Lawson-Van Gieson stain"/>
            <code code="0195" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Loeffler methylene blue</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14275"/>
            <printName language="en" preferredForLanguage="true" text="Loeffler methylene blue stain"/>
            <code code="0196" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Luxol fast blue with cresyl violet</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14276"/>
            <printName language="en" preferredForLanguage="true"
                       text="Luxol fast blue with cresyl violet stain"/>
            <code code="0197" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Luxol fast blue with Periodic acid-Schiff</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14277"/>
            <printName language="en" preferredForLanguage="true"
                       text="Luxol fast blue with Periodic acid-Schiff stain"/>
            <code code="0198" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, MacNeal's tetrachrome blood</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14278"/>
            <printName language="en" preferredForLanguage="true"
                       text="MacNeal's tetrachrome blood stain"/>
            <code code="0199" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Mallory-Heidenhain</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14279"/>
            <printName language="en" preferredForLanguage="true" text="Mallory-Heidenhain stain"/>
            <code code="0200" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Masson trichrome</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14280"/>
            <printName language="en" preferredForLanguage="true" text="Masson trichrome stain"/>
            <code code="0201" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Mayer mucicarmine</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14281"/>
            <printName language="en" preferredForLanguage="true" text="Mayer mucicarmine stain"/>
            <code code="0202" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Mayers progressive hematoxylin and eosin</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14282"/>
            <printName language="en" preferredForLanguage="true"
                       text="Mayers progressive hematoxylin and eosin stain"/>
            <code code="0203" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, May-Grunwald Giemsa</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14283"/>
            <printName language="en" preferredForLanguage="true" text="May-Grunwald Giemsa stain"/>
            <code code="0204" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Methyl green</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14284"/>
            <printName language="en" preferredForLanguage="true" text="Methyl green stain"/>
            <code code="0205" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Methyl green pyronin</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14285"/>
            <printName language="en" preferredForLanguage="true" text="Methyl green pyronin stain"/>
            <code code="0206" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Modified Gomori-Wheatly trichrome</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14286"/>
            <printName language="en" preferredForLanguage="true"
                       text="Modified Gomori-Wheatly trichrome stain"/>
            <code code="0207" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Modified Masson trichrome</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14287"/>
            <printName language="en" preferredForLanguage="true"
                       text="Modified Masson trichrome stain"/>
            <code code="0208" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Modified trichrome</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14288"/>
            <printName language="en" preferredForLanguage="true" text="Modified trichrome stain"/>
            <code code="0209" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Movat pentachrome</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14289"/>
            <printName language="en" preferredForLanguage="true" text="Movat pentachrome stain"/>
            <code code="0210" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Mucicarmine</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14290"/>
            <printName language="en" preferredForLanguage="true" text="Mucicarmine stain"/>
            <code code="0211" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Neutral red</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14291"/>
            <printName language="en" preferredForLanguage="true" text="Neutral red stain"/>
            <code code="0212" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Night blue</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14292"/>
            <printName language="en" preferredForLanguage="true" text="Night blue stain"/>
            <code code="0213" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Non-specific esterase</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14293"/>
            <printName language="en" preferredForLanguage="true" text="Non-specific esterase stain"/>
            <code code="0214" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Oil red-O</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14294"/>
            <printName language="en" preferredForLanguage="true" text="Oil red-O stain"/>
            <code code="0215" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Orcein</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14295"/>
            <printName language="en" preferredForLanguage="true" text="Orcein stain"/>
            <code code="0216" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Perls'</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14296"/>
            <printName language="en" preferredForLanguage="true" text="Perls' stain"/>
            <code code="0217" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Phosphotungstic acid-hematoxylin</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14297"/>
            <printName language="en" preferredForLanguage="true"
                       text="Phosphotungstic acid-hematoxylin stain"/>
            <code code="0218" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Potassium ferrocyanide</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14298"/>
            <printName language="en" preferredForLanguage="true" text="Potassium ferrocyanide stain"/>
            <code code="0219" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Prussian blue</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14299"/>
            <printName language="en" preferredForLanguage="true" text="Prussian blue stain"/>
            <code code="0220" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Putchler modified Bennhold</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14300"/>
            <printName language="en" preferredForLanguage="true"
                       text="Putchler modified Bennhold stain"/>
            <code code="0221" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Quinacrine fluorescent</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14301"/>
            <printName language="en" preferredForLanguage="true" text="Quinacrine fluorescent stain"/>
            <code code="0222" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Reticulin</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14302"/>
            <printName language="en" preferredForLanguage="true" text="Reticulin stain"/>
            <code code="0223" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Rhodamine</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14303"/>
            <printName language="en" preferredForLanguage="true" text="Rhodamine stain"/>
            <code code="0224" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Safranin</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14304"/>
            <printName language="en" preferredForLanguage="true" text="Safranin stain"/>
            <code code="0225" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Schmorl</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14305"/>
            <printName language="en" preferredForLanguage="true" text="Schmorl stain"/>
            <code code="0226" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Seiver-Munger</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14306"/>
            <printName language="en" preferredForLanguage="true" text="Seiver-Munger stain"/>
            <code code="0227" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Silver</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14307"/>
            <printName language="en" preferredForLanguage="true" text="Silver stain"/>
            <code code="0228" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Specific esterase</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14308"/>
            <printName language="en" preferredForLanguage="true" text="Specific esterase stain"/>
            <code code="0229" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Steiner silver</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14309"/>
            <printName language="en" preferredForLanguage="true" text="Steiner silver stain"/>
            <code code="0230" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Sudan III</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14310"/>
            <printName language="en" preferredForLanguage="true" text="Sudan III stain"/>
            <code code="0231" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Sudan IVI</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14311"/>
            <printName language="en" preferredForLanguage="true" text="Sudan IVI stain"/>
            <code code="0232" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Sulfated alcian blue</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14312"/>
            <printName language="en" preferredForLanguage="true" text="Sulfated alcian blue stain"/>
            <code code="0233" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Supravital</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14313"/>
            <printName language="en" preferredForLanguage="true" text="Supravital stain"/>
            <code code="0234" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Thioflavine-S</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14314"/>
            <printName language="en" preferredForLanguage="true" text="Thioflavine-S stain"/>
            <code code="0235" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Three micron Giemsa</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14315"/>
            <printName language="en" preferredForLanguage="true" text="Three micron Giemsa stain"/>
            <code code="0236" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Vassar-Culling</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14316"/>
            <printName language="en" preferredForLanguage="true" text="Vassar-Culling stain"/>
            <code code="0237" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, Vital</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14317"/>
            <printName language="en" preferredForLanguage="true" text="Vital Stain"/>
            <code code="0238" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Stain, von Kossa</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14318"/>
            <printName language="en" preferredForLanguage="true" text="von Kossa stain"/>
            <code code="0239" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Susceptibility, Antibiotic sensitivity, disk</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="0280"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14319"/>
            <printName language="en" preferredForLanguage="true" text="Antibiotic sensitivity, disk"/>
            <code code="0240" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Susceptibility, BACTEC susceptibility test</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="0280"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14320"/>
            <printName language="en" preferredForLanguage="true" text="BACTEC susceptibility test"/>
            <code code="0241" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Susceptibility, Disk dilution</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="0280"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14321"/>
            <printName language="en" preferredForLanguage="true" text="Disk dilution"/>
            <code code="0242" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Susceptibility, Minimum bactericidal concentration, macrodilution</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14322"/>
            <printName language="en" preferredForLanguage="true"
                       text="Minimum bactericidal concentration test, macrodilution"/>
            <code code="0243" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Susceptibility, Minimum bactericidal concentration, microdilution</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14323"/>
            <printName language="en" preferredForLanguage="true"
                       text="Minimum bactericidal concentration test, microdilution"/>
            <code code="0244" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Susceptibility, Minimum Inhibitory concentration, macrodilution</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="0272"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14324"/>
            <printName language="en" preferredForLanguage="true"
                       text="Minimum Inhibitory Concentration, macrodilution"/>
            <code code="0245" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Susceptibility, Minimum Inhibitory concentration, microdilution</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="0272"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14325"/>
            <printName language="en" preferredForLanguage="true"
                       text="Minimum Inhibitory Concentration, microdilution"/>
            <code code="0246" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Turbidometric</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14326"/>
            <printName language="en" preferredForLanguage="true" text="Turbidometric"/>
            <code code="0247" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Turbidometric, Refractometric</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14327"/>
            <printName language="en" preferredForLanguage="true" text="Refractometric"/>
            <code code="0248" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Chromatography, Thin Layer</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14328"/>
            <printName language="en" preferredForLanguage="true"
                       text="Thin layer chromatography (TLC)"/>
            <code code="0249" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Immunoassay, enzyme-multiplied technique (EMIT)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14329"/>
            <printName language="en" preferredForLanguage="true" text="EMIT"/>
            <code code="0250" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Flow Cytometry</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14330"/>
            <printName language="en" preferredForLanguage="true" text="Flow cytometry (FC)"/>
            <code code="0251" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Radial Immunodiffusion</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14331"/>
            <printName language="en" preferredForLanguage="true" text="Radial immunodiffusion (RID)"/>
            <code code="0252" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Immunoassay, Fluorescence Polarization</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14332"/>
            <printName language="en" preferredForLanguage="true"
                       text="Fluorescence polarization immunoassay (FPIA)"/>
            <code code="0253" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Electrophoresis, Immunofixation</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14333"/>
            <printName language="en" preferredForLanguage="true"
                       text="Immunofixation electrophoresis (IFE)"/>
            <code code="0254" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Dialysis, Direct Equilibrium</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14334"/>
            <printName language="en" preferredForLanguage="true" text="Equilibrium dialysis"/>
            <code code="0255" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Acid Elution, Kleihauer-Betke Method</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14335"/>
            <printName language="en" preferredForLanguage="true" text="Kleihauer-Betke acid elution"/>
            <code code="0256" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Immunofluorescence, Anti-Complement</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14336"/>
            <printName language="en" preferredForLanguage="true"
                       text="Anti-complement immunofluorescence (ACIF)"/>
            <code code="0257" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Gas Chromatography/Mass Spectroscopy</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14337"/>
            <printName language="en" preferredForLanguage="true" text="GC/MS"/>
            <code code="0258" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Light Scatter, Nephelometry</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14338"/>
            <printName language="en" preferredForLanguage="true" text="Nephelometry"/>
            <code code="0259" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Immunoassay, IgE Antibody Test</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14339"/>
            <printName language="en" preferredForLanguage="true" text="IgE immunoassay antibody"/>
            <code code="0260" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Lymphocyte Microcytotoxicity Assay</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14340"/>
            <printName language="en" preferredForLanguage="true"
                       text="Lymphocyte Microcytotoxicity Assay"/>
            <code code="0261" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Spectrophotometry</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14341"/>
            <printName language="en" preferredForLanguage="true" text="Spectrophotometry"/>
            <code code="0262" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Spectrophotometry, Atomic Absorption</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14342"/>
            <printName language="en" preferredForLanguage="true"
                       text="Atomic absorption spectrophotometry (AAS)"/>
            <code code="0263" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Electrochemical, Ion Selective Electrode</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14343"/>
            <printName language="en" preferredForLanguage="true" text="Ion selective electrode (ISE)"/>
            <code code="0264" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Chromatography, Gas</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14344"/>
            <printName language="en" preferredForLanguage="true" text="Gas chromatography (GC)"/>
            <code code="0265" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Isoelectric Focusing</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14345"/>
            <printName language="en" preferredForLanguage="true" text="Isoelectric focusing (IEF)"/>
            <code code="0266" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Immunoassay, Chemiluminescent</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14346"/>
            <printName language="en" preferredForLanguage="true" text="Immunochemiluminescence"/>
            <code code="0267" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Immunoassay, Microparticle Enzyme</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14347"/>
            <printName language="en" preferredForLanguage="true"
                       text="Microparticle enzyme immunoassay (MEIA)"/>
            <code code="0268" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Inductively-Coupled Plasma/Mass Spectrometry</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14348"/>
            <printName language="en" preferredForLanguage="true" text="ICP/MS"/>
            <code code="0269" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Immunoassay, Immunoradiometric Assay</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14349"/>
            <printName language="en" preferredForLanguage="true" text="Immunoradiometric assay (IRMA)"/>
            <code code="0270" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Coagulation, Photo Optical Clot Detection</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14350"/>
            <printName language="en" preferredForLanguage="true" text="Photo optical clot detection"/>
            <code code="0271" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Testing to measure the minimum concentration of the antibacterial agent in a given culture medium below which bacterial growth is not inhibited.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="0280"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21445"/>
            <printName language="en" preferredForLanguage="true"
                       text="Minimum Inhibitory Concentration"/>
            <code code="0272" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="0280"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21446"/>
            <printName language="en" preferredForLanguage="true" text="Viral Genotype Susceptibility"/>
            <code code="0273" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="0280"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21447"/>
            <printName language="en" preferredForLanguage="true" text="Viral Phenotype Susceptibility"/>
            <code code="0274" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="0280"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21448"/>
            <printName language="en" preferredForLanguage="true" text="Gradient Strip"/>
            <code code="0275" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="0280"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21449"/>
            <printName language="en" preferredForLanguage="true"
                       text="Minimum Lethal Concentration (MLC)"/>
            <code code="0275a" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Testing to measure the minimum concentration of the antibacterial agent in a given culture medium below which bacterial growth is not inhibited.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="0280"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21450"/>
            <printName language="en" preferredForLanguage="true"
                       text="Slow Mycobacteria Susceptibility"/>
            <code code="0276" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="0280"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21451"/>
            <printName language="en" preferredForLanguage="true" text="Serum bactericidal titer"/>
            <code code="0277" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="0280"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21452"/>
            <printName language="en" preferredForLanguage="true" text="Agar screen"/>
            <code code="0278" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="0280"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21453"/>
            <printName language="en" preferredForLanguage="true" text="Disk induction"/>
            <code code="0279" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Test methods designed to determine a microorganismaTMs susceptibility to being killed by an antibiotic.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21454"/>
            <printName language="en" preferredForLanguage="true" text="Susceptibility Testing"/>
            <code code="0280" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Reaching a decision through the application of an algorithm designed to weigh the different factors involved.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_DecisionObservationMethod"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19992"/>
            <printName language="en" preferredForLanguage="true" text="algorithm"/>
            <code code="ALGM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Average of non-null values in the referenced set of values</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationMethodAggregate"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23447"/>
            <printName language="en" preferredForLanguage="true" text="average"/>
            <code code="AVERAGE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Reaching a decision through the use of Bayesian statistical analysis.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ALGM"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19993"/>
            <printName language="en" preferredForLanguage="true" text="bayesian calculation"/>
            <code code="BYCL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Count of non-null values in the referenced set of values</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationMethodAggregate"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23445"/>
            <printName language="en" preferredForLanguage="true" text="count"/>
            <code code="COUNT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Reaching a decision by consideration of the totality of factors involved in order to reach a judgement.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_DecisionObservationMethod"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19991"/>
            <printName language="en" preferredForLanguage="true" text="global introspection"/>
            <code code="GINT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Largest of all non-null values in the referenced set of values.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationMethodAggregate"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23453"/>
            <printName language="en" preferredForLanguage="true" text="maxima"/>
            <code code="MAX" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The median of all non-null values in the referenced set of values.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationMethodAggregate"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23454"/>
            <printName language="en" preferredForLanguage="true" text="median"/>
            <code code="MEDIAN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Smallest of all non-null values in the referenced set of values.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationMethodAggregate"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23452"/>
            <printName language="en" preferredForLanguage="true" text="minima"/>
            <code code="MIN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The most common value of all non-null values in the referenced set of values.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationMethodAggregate"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23455"/>
            <printName language="en" preferredForLanguage="true" text="mode"/>
            <code code="MODE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Polymerase Chain Reaction</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_GeneticObservationMethod"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22645"/>
            <printName language="en" preferredForLanguage="true" text="PCR"/>
            <code code="PCR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Standard Deviation of the values in the referenced set of values, computed over the population.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationMethodAggregate"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23450"/>
            <printName language="en" preferredForLanguage="true" text="population standard deviation"/>
            <code code="STDEV.P" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Standard Deviation of the values in the referenced set of values, computed over a sample of the population.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationMethodAggregate"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23448"/>
            <printName language="en" preferredForLanguage="true" text="sample standard deviation"/>
            <code code="STDEV.S" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Sum of non-null values in the referenced set of values</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationMethodAggregate"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23446"/>
            <printName language="en" preferredForLanguage="true" text="sum"/>
            <code code="SUM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Variance of the values in the referenced set of values, computed over the population.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationMethodAggregate"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23451"/>
            <printName language="en" preferredForLanguage="true" text="population variance"/>
            <code code="VARIANCE.P" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Variance of the values in the referenced set of values, computed over a sample of the population.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationMethodAggregate"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23449"/>
            <printName language="en" preferredForLanguage="true" text="sample variance"/>
            <code code="VARIANCE.S" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Verification by means of document.</p>
                        <i>Example:</i>Fax, letter, attachment to e-mail.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_VerificationMethod"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21515"/>
            <printName language="en" preferredForLanguage="true" text="document verification"/>
            <code code="VDOC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>verification by means of a response to an electronic query</p>
                        <i>Example:</i>query message to a Covered Party registry application or Coverage Administrator.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_VerificationMethod"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21514"/>
            <printName language="en" preferredForLanguage="true" text="registry verification"/>
            <code code="VREG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Verification by means of electronic token.</p>
                        <i>Example:</i>smartcard, magnetic swipe card, RFID device.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_VerificationMethod"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21513"/>
            <printName language="en" preferredForLanguage="true" text="electronic token verification"/>
            <code code="VTOKEN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Verification by means of voice.</p>
                        <i>Example:</i>By speaking with or calling the Coverage Administrator or Covered Party</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_VerificationMethod"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21516"/>
            <printName language="en" preferredForLanguage="true" text="voice-based verification"/>
            <code code="VVOICE" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Provides additional methodology information not present in the associated AllergyTestCode term.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21943"/>
            <printName language="en" preferredForLanguage="true" text="allergy test observation"/>
            <code code="_AllergyTestObservationMethod" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Used in a patient care message to value simple clinical (non-lab) observation methods, such as found in SOAP (subjective, objective, assessment, plan) progress notes: subjective section (used for history from patient and other informants); objective section (used for physical exam, lab, and other common results), and assessment section (used for the clinicians assessment of the implications of subjective and objective sections).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21944"/>
            <printName language="en" preferredForLanguage="true" text="common clinical observation"/>
            <code code="_CommonClinicalObservationMethod" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Provides codes for decision methods, initially for assessing the causality of events.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21094"/>
            <printName language="en" preferredForLanguage="true" text="DecisionObservationMethod"/>
            <code code="_DecisionObservationMethod" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A code that provides additional detail about the means or technique used to ascertain the genetic analysis. Example, PCR, Micro Array</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22644"/>
            <printName language="en" preferredForLanguage="true" text="GeneticObservationMethod"/>
            <code code="_GeneticObservationMethod" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Provides additional detail about the aggregation methods used to compute the aggregated values for an observation. This is an abstract code.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23444"/>
            <printName language="en" preferredForLanguage="true" text="observation method aggregate"/>
            <code code="_ObservationMethodAggregate" status="active"/>
         </concept>
         <concept isSelectable="false">
            <conceptProperty name="internalId" value="21512"/>
            <printName language="en" preferredForLanguage="true" text="VerificationMethod"/>
            <code code="_VerificationMethod" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="ObservationValue" title="ObservationValue"
               codeSystemId="2.16.840.1.113883.5.1063">
      <historyItem dateTime="2020-05-06" id="v3-ObservationValue-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>This code system covers all concepts of HL7-defined values for the Observation value element, when it has a coded datatype.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2020-12-10" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>A property that indicates the status of the concept. One of active, experimental, deprecated, or retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Patient exhibits no reaction to the challenge agent.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AllergyTestValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22816"/>
            <printName language="en" preferredForLanguage="true" text="no reaction"/>
            <code code="A0" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Patient exhibits a minimal reaction to the challenge agent.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AllergyTestValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22817"/>
            <printName language="en" preferredForLanguage="true" text="minimal reaction"/>
            <code code="A1" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Patient exhibits a mild reaction to the challenge agent.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AllergyTestValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22818"/>
            <printName language="en" preferredForLanguage="true" text="mild reaction"/>
            <code code="A2" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Patient exhibits moderate reaction to the challenge agent.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AllergyTestValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22819"/>
            <printName language="en" preferredForLanguage="true" text="moderate reaction"/>
            <code code="A3" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Patient exhibits a severe reaction to the challenge agent.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AllergyTestValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22820"/>
            <printName language="en" preferredForLanguage="true" text="severe reaction"/>
            <code code="A4" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Security metadata observation values used to indicate the use of a more abstract version of the content, e.g., replacing exact value of an age or date field with a range, or remove the left digits of a credit card number or SSN.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SECALTINTOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23498"/>
            <printName language="en" preferredForLanguage="true" text="abstracted"/>
            <code code="ABSTRED" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indication of abuse victim.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SOECSTAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22275"/>
            <printName language="en" preferredForLanguage="true" text="abuse victim"/>
            <code code="ABUSE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Coverage is in effect for healthcare service(s) and/or product(s).</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_VerificationOutcomeValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22213"/>
            <printName language="en" preferredForLanguage="true" text="active coverage"/>
            <code code="ACT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Coverage is in effect for healthcare service(s) and/or product(s) - Pending Investigation</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_VerificationOutcomeValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22214"/>
            <printName language="en" preferredForLanguage="true" text="active - pending investigation"/>
            <code code="ACTPEND" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Child over an age as specified by coverage policy or program, e.g., student, differently abled, and income dependent.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoverageLevelObservationValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22631"/>
            <printName language="en" preferredForLanguage="true" text="adult child"/>
            <code code="ADC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of adoption.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ELSTAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22304"/>
            <printName language="en" preferredForLanguage="true" text="adoption document"/>
            <code code="ADOPT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Security metadata observation values used to indicate the use of an algorithmic combination of actual values with the result of an aggregate function, e.g., average, sum, or count in order to limit disclosure of an IT resource (data, information object, service, or system capability) to the minimum necessary.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SECALTINTOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23499"/>
            <printName language="en" preferredForLanguage="true" text="aggregated"/>
            <code code="AGGRED" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Code specifying that the measure uses all-or-nothing scoring. All-or-nothing scoring places an individual in the numerator of the composite measure if and only if they are in the numerator of all component measures in which they are in the denominator.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CompositeMeasureScoring"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23784"/>
            <printName language="en" preferredForLanguage="true" text="All-or-nothing Scoring"/>
            <code code="ALLORNONESCR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Living alone. Maps to PD1-2 Living arrangement (IS) 00742 \[A\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LIVSIT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22281"/>
            <printName language="en" preferredForLanguage="true" text="alone"/>
            <code code="ALONE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of annuity ownership or status as beneficiary.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ASSET"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22320"/>
            <printName language="en" preferredForLanguage="true" text="annuity"/>
            <code code="ANNUITY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) by used to indicate the mechanism by which software systems can strip portions of the resource that could allow the identification of the source of the information or the information subject. No key to relink the data is retained.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SECALTINTOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23500"/>
            <printName language="en" preferredForLanguage="true" text="anonymized"/>
            <code code="ANONYED" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A measure that assesses the use of one or more processes where the expected health benefit exceeds the expected negative consequences.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PROCESS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23863"/>
            <printName language="en" preferredForLanguage="true"
                       text="appropriate use process measure"/>
            <code code="APPROPRIATE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Codes specifying asset indicators used to assess or establish eligibility for coverage under a policy or program.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActFinancialStatusObservationValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22316"/>
            <printName language="en" preferredForLanguage="true" text="asset"/>
            <code code="ASSET" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of birth.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ELSTAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22303"/>
            <printName language="en" preferredForLanguage="true" text="birth certificate"/>
            <code code="BTHCERT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of creditable coverage.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ELSTAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22299"/>
            <printName language="en" preferredForLanguage="true" text="creditable coverage document"/>
            <code code="CCOC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Dependent biological, adopted, foster child as specified by coverage policy or program.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoverageLevelObservationValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22632"/>
            <printName language="en" preferredForLanguage="true" text="child"/>
            <code code="CHD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of child support payments received or provided.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INCOME"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22311"/>
            <printName language="en" preferredForLanguage="true" text="child support"/>
            <code code="CHILD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a clinician.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SECINTPRVABOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23519"/>
            <printName language="en" preferredForLanguage="true" text="clinician asserted"/>
            <code code="CLINAST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a clinician.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SECINTPRVRBOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23510"/>
            <printName language="en" preferredForLanguage="true" text="clinician reported"/>
            <code code="CLINRPT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of clothing expenses.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LIVEXP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22327"/>
            <printName language="en" preferredForLanguage="true" text="clothing expense"/>
            <code code="CLOTH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A measure in which either short-term cross-section or long-term longitudinal analysis is performed over a group of subjects defined by a set of common properties or defining characteristics (e.g., Male smokers between the ages of 40 and 50 years, exposure to treatment, exposure duration).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationMeasureScoring"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23553"/>
            <printName language="en" preferredForLanguage="true" text="cohort measure scoring"/>
            <code code="COHORT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A measure that is composed from one or more other measures and indicates an overall summary of those measures.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationMeasureType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23650"/>
            <printName language="en" preferredForLanguage="true" text="composite measure type"/>
            <code code="COMPOSITE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A measure score in which each individual value for the measure can fall anywhere along a continuous scale (e.g., mean time to thrombolytics which aggregates the time in minutes from a case presenting with chest pain to the time of administration of thrombolytics).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationMeasureScoring"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23038"/>
            <printName language="en" preferredForLanguage="true"
                       text="continuous variable measure scoring"/>
            <code code="CONTVAR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Worst case result of a future exposure is assessed to be life-threatening or having high potential for organ system failure.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CriticalityObservationValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23727"/>
            <printName language="en" preferredForLanguage="true" text="high criticality"/>
            <code code="CRITH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Worst case result of a future exposure is not assessed to be life-threatening or having high potential for organ system failure.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CriticalityObservationValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23728"/>
            <printName language="en" preferredForLanguage="true" text="low criticality"/>
            <code code="CRITL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Unable to assess the worst case result of a future exposure.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CriticalityObservationValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23729"/>
            <printName language="en" preferredForLanguage="true" text="unable to assess criticality"/>
            <code code="CRITU" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Security metadata observation value used to indicate the mechanism by which software systems can establish that data was not modified in transit.</p>
                        <i>Rationale:</i>This definition is intended to align with the ISO 22600-2 3.3.19 definition of cryptographic checkvalue: Information which is derived by performing a cryptographic transformation (see cryptography) on the data unit. The derivation of the checkvalue may be performed in one or more steps and is a result of a mathematical function of the key and a data unit. It is usually used to check the integrity of a data unit.<b>Examples:</b>
                        <p>* SHA-1 * SHA-2 (Secure Hash Algorithm)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SECDATINTOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23495"/>
            <printName language="en" preferredForLanguage="true" text="cryptographic hash function"/>
            <code code="CRYTOHASH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Patients who should be removed from the eMeasure population and denominator before determining if numerator criteria are met. Denominator exclusions are used in proportion and ratio measures to help narrow the denominator.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationPopulationInclusion"/>
            </conceptRelationship>
            <conceptProperty name="deprecationDate" value="2013-07-26"/>
            <conceptProperty name="internalId" value="23442"/>
            <printName language="en" preferredForLanguage="true" text="denominator exclusions"/>
            <code code="DENEX" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Denominator exceptions are those conditions that should remove a patient, procedure or unit of measurement from the denominator only if the numerator criteria are not met. Denominator exceptions allow for adjustment of the calculated score for those providers with higher risk populations. Denominator exceptions are used only in proportion eMeasures. They are not appropriate for ratio or continuous variable eMeasures. Denominator exceptions allow for the exercise of clinical judgment and should be specifically defined where capturing the information in a structured manner fits the clinical workflow. Generic denominator exception reasons used in proportion eMeasures fall into three general categories:</p>
                        <p>* Medical reasons * Patient reasons * System reasons</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationPopulationInclusion"/>
            </conceptRelationship>
            <conceptProperty name="deprecationDate" value="2013-07-26"/>
            <conceptProperty name="internalId" value="23046"/>
            <printName language="en" preferredForLanguage="true" text="denominator exceptions"/>
            <code code="DENEXCEP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>It can be the same as the initial patient population or a subset of the initial patient population to further constrain the population for the purpose of the eMeasure. Different measures within an eMeasure set may have different Denominators. Continuous Variable eMeasures do not have a Denominator, but instead define a Measure Population.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationPopulationInclusion"/>
            </conceptRelationship>
            <conceptProperty name="deprecationDate" value="2013-07-26"/>
            <conceptProperty name="internalId" value="23045"/>
            <printName language="en" preferredForLanguage="true" text="denominator"/>
            <code code="DENOM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Person requiring functional and/or financial assistance from another person as specified by coverage policy or program.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoverageLevelObservationValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22633"/>
            <printName language="en" preferredForLanguage="true" text="dependent"/>
            <code code="DEP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Living with one or more dependent children requiring moderate supervision.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LIVSIT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22278"/>
            <printName language="en" preferredForLanguage="true" text="dependent children"/>
            <code code="DEPCHD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Living with disabled spouse requiring functional and health care assistance</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LIVSIT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22280"/>
            <printName language="en" preferredForLanguage="true" text="dependent spouse"/>
            <code code="DEPSPS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Living with one or more dependent children requiring intensive supervision</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LIVSIT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22279"/>
            <printName language="en" preferredForLanguage="true" text="dependent young children"/>
            <code code="DEPYGCHD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a device.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SECINTPRVABOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23523"/>
            <printName language="en" preferredForLanguage="true" text="device asserted"/>
            <code code="DEVAST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a device.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SECINTPRVRBOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23514"/>
            <printName language="en" preferredForLanguage="true" text="device reported"/>
            <code code="DEVRPT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Security metadata observation value used to indicate the mechanism by which software systems use digital signature to establish that data has not been modified.</p>
                        <i>Rationale:</i>This definition is intended to align with the ISO 22600-2 3.3.26 definition of digital signature: Data appended to, or a cryptographic transformation (see cryptography) of, a data unit that allows a recipient of the data unit to prove the source and integrity of the data unit and protect against forgery e.g., by the recipient.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SECDATINTOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23496"/>
            <printName language="en" preferredForLanguage="true" text="digital signature"/>
            <code code="DIGSIG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of disability income replacement payment.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INCOME"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22314"/>
            <printName language="en" preferredForLanguage="true" text="disability pay"/>
            <code code="DISABL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indication of disability.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HLSTAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22293"/>
            <printName language="en" preferredForLanguage="true" text="disabled"/>
            <code code="DISABLE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Persons registered as a family unit in a domestic partner registry as specified by law and by coverage policy or program.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoverageLevelObservationValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22634"/>
            <printName language="en" preferredForLanguage="true" text="domestic partner"/>
            <code code="DP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of driving status.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ELSTAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22301"/>
            <printName language="en" preferredForLanguage="true" text="driver license"/>
            <code code="DRLIC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indication of drug use.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HLSTAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22294"/>
            <printName language="en" preferredForLanguage="true" text="drug use"/>
            <code code="DRUG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person who is scheduled for work during daytime hours (for example between 6am and 6pm) on a regular basis.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_WorkSchedule"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23908"/>
            <printName language="en" preferredForLanguage="true" text="daytime shift"/>
            <code code="DS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Improvement is indicated as a decrease in the score or measurement (e.g. Lower score indicates better quality)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MeasurementImprovementNotation"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24044"/>
            <printName language="en" preferredForLanguage="true"
                       text="Decreased score indicates improvement"/>
            <code code="DecrIsImp" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**An individual employed by an employer who receive remuneration in wages, salary, commission, tips, piece-rates, or pay-in-kind through the employeraTMs payment system (i.e., not a contractor) as specified by coverage policy or program.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoverageLevelObservationValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22635"/>
            <printName language="en" preferredForLanguage="true" text="employee"/>
            <code code="ECH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A measure related to the efficiency of medical treatment.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationMeasureType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23652"/>
            <printName language="en" preferredForLanguage="true" text="efficiency measure type"/>
            <code code="EFFICIENCY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Coverage is in effect for healthcare service(s) and/or product(s).</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_VerificationOutcomeValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22211"/>
            <printName language="en" preferredForLanguage="true" text="eligible"/>
            <code code="ELG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Code specifying eligibility indicators used to assess or establish eligibility for coverage under a policy or program eligibility status, e.g., certificates of creditable coverage; student enrollment; adoption, marriage or birth certificate.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCoverageAssessmentObservationValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22295"/>
            <printName language="en" preferredForLanguage="true" text="eligibility indicator"/>
            <code code="ELSTAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Consistent Early morning schedule of 13 hours or less per shift (between 2 am and 2 pm)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_WorkSchedule"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23911"/>
            <printName language="en" preferredForLanguage="true" text="early morning shift"/>
            <code code="EMS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person who is scheduled for work during evening hours (for example between 2pm and midnight) on a regular basis.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_WorkSchedule"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23909"/>
            <printName language="en" preferredForLanguage="true" text="evening shift"/>
            <code code="ES" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A measure related to the level of patient engagement or patient experience of care.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationMeasureType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23653"/>
            <printName language="en" preferredForLanguage="true" text="experience measure type"/>
            <code code="EXPERIENCE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Individuals who, during the last week: a) did any work for at least 1 hour as paid or unpaid employees of a business or government organization; worked in their own businesses, professions, or on their own farms; or b) were not working, but who have a job or business from which the individual was temporarily absent because of vacation, illness, bad weather, childcare problems, maternity or paternity leave, labor-management dispute, job training, or other family or personal reasons, regardless of whether or not they were paid for the time off or were seeking other jobs.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_EmploymentStatus"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23920"/>
            <printName language="en" preferredForLanguage="true" text="Employed"/>
            <code code="Employed" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Living with family. Maps to PD1-2 Living arrangement (IS) 00742 \[F\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LIVSIT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22284"/>
            <printName language="en" preferredForLanguage="true" text="live with family"/>
            <code code="FAM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**As specified by coverage policy or program.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoverageLevelObservationValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22636"/>
            <printName language="en" preferredForLanguage="true" text="family coverage"/>
            <code code="FLY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of transportation expenses.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LIVEXP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22329"/>
            <printName language="en" preferredForLanguage="true" text="food expense"/>
            <code code="FOOD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of foster child status.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ELSTAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22305"/>
            <printName language="en" preferredForLanguage="true" text="foster child document"/>
            <code code="FOSTER" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Value for Act.partialCompletionCode attribute that implies 81-99% completion</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PartialCompletionScale"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18126"/>
            <printName language="en" preferredForLanguage="true" text="Great extent"/>
            <code code="G" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates the condition may be life-threatening or has the potential to cause permanent injury.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SeverityObservation"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16644"/>
            <printName language="en" preferredForLanguage="true" text="High"/>
            <code code="H" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a healthcare professional.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SECINTPRVABOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23520"/>
            <printName language="en" preferredForLanguage="true"
                       text="healthcare professional asserted"/>
            <code code="HCPAST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a healthcare professional.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SECINTPRVRBOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23511"/>
            <printName language="en" preferredForLanguage="true"
                       text="healthcare professional reported"/>
            <code code="HCPRPT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of health expenses; including medication costs, health service costs, financial participations, and health coverage premiums.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LIVEXP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22326"/>
            <printName language="en" preferredForLanguage="true" text="health expense"/>
            <code code="HEALTH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Code specifying non-clinical indicators related to health status used to assess or establish eligibility for coverage under a policy or program, e.g., pregnancy, disability, drug use, mental health issues.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCoverageAssessmentObservationValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22290"/>
            <printName language="en" preferredForLanguage="true" text="health status"/>
            <code code="HLSTAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indication of status as homeless.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SOECSTAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22270"/>
            <printName language="en" preferredForLanguage="true" text="homeless"/>
            <code code="HMLESS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of housing expense, e.g., household appliances, fixtures, furnishings, and maintenance and repairs.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LIVEXP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22324"/>
            <printName language="en" preferredForLanguage="true" text="household expense"/>
            <code code="HOUSE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be very high.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SECINTCONOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23490"/>
            <printName language="en" preferredForLanguage="true" text="highly reliable"/>
            <code code="HRELIABLE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>An individual having different alleles at one or more loci regarding a specific character</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_GeneticObservationValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22649"/>
            <printName language="en" preferredForLanguage="true" text="HOMO"/>
            <code code="Homozygote" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indication of status as illegal immigrant.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SOECSTAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22271"/>
            <printName language="en" preferredForLanguage="true" text="illegal immigrant"/>
            <code code="ILGIM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Coverage is not in effect for healthcare service(s) and/or product(s).</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_VerificationOutcomeValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22215"/>
            <printName language="en" preferredForLanguage="true" text="inactive"/>
            <code code="INACT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indication of status as incarcerated.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SOECSTAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22272"/>
            <printName language="en" preferredForLanguage="true" text="incarcerated"/>
            <code code="INCAR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Code specifying income indicators used to assess or establish eligibility for coverage under a policy or program; e.g., pay or pension check, child support payments received or provided, and taxes paid.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActFinancialStatusObservationValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22307"/>
            <printName language="en" preferredForLanguage="true" text="income"/>
            <code code="INCOME" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Person as specified by coverage policy or program.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoverageLevelObservationValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22637"/>
            <printName language="en" preferredForLanguage="true" text="individual"/>
            <code code="IND" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Coverage is not in effect for healthcare service(s) and/or product(s) - Pending Investigation.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_VerificationOutcomeValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22217"/>
            <printName language="en" preferredForLanguage="true"
                       text="inactive - pending investigation"/>
            <code code="INPNDINV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Coverage is not in effect for healthcare service(s) and/or product(s) - Pending Eligibility Update.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_VerificationOutcomeValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22216"/>
            <printName language="en" preferredForLanguage="true"
                       text="inactive - pending eligibility update"/>
            <code code="INPNDUPD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A measure that evaluates the change over time of a physiologic state observable that is associated with a specific long-term health outcome.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OUTCOME"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23862"/>
            <printName language="en" preferredForLanguage="true"
                       text="intermediate clinical outcome measure"/>
            <code code="INTERM-OM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of investment income, e.g., dividend check, annuity payment; real estate rent, investment divestiture proceeds; trust or endowment check.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INCOME"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22310"/>
            <printName language="en" preferredForLanguage="true" text="investment income"/>
            <code code="INVEST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The initial population refers to all entities to be evaluated by a specific quality measure who share a common set of specified characteristics within a specific measurement set to which a given measure belongs.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationPopulationInclusion"/>
            </conceptRelationship>
            <conceptProperty name="deprecationDate" value="2013-07-26"/>
            <conceptProperty name="internalId" value="23528"/>
            <printName language="en" preferredForLanguage="true" text="initial population"/>
            <code code="IP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The initial patient population refers to all patients to be evaluated by a specific quality measure who share a common set of specified characteristics within a specific measurement set to which a given measure belongs. Details often include information based upon specific age groups, diagnoses, diagnostic and procedure codes, and enrollment periods.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="IP"/>
            </conceptRelationship>
            <conceptProperty name="deprecationDate" value="2013-07-26"/>
            <conceptProperty name="internalId" value="23047"/>
            <printName language="en" preferredForLanguage="true" text="initial patient population"/>
            <code code="IPP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indication of IV drug use .</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HLSTAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22292"/>
            <printName language="en" preferredForLanguage="true" text="IV drug use"/>
            <code code="IVDRG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Improvement is indicated as an increase in the score or measurement (e.g. Higher score indicates better quality)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MeasurementImprovementNotation"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24043"/>
            <printName language="en" preferredForLanguage="true"
                       text="Increased score indicates improvement"/>
            <code code="IncrIsImp" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates the condition may result in some adverse consequences but is unlikely to substantially affect the situation of the subject.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SeverityObservation"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16646"/>
            <printName language="en" preferredForLanguage="true" text="Low"/>
            <code code="L" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Value for Act.partialCompletionCode attribute that implies 61-80% completion</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PartialCompletionScale"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18125"/>
            <printName language="en" preferredForLanguage="true" text="Large extent"/>
            <code code="LE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of legal expenses.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LIVEXP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22328"/>
            <printName language="en" preferredForLanguage="true" text="legal expense"/>
            <code code="LEGAL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Code specifying that the measure uses linear scoring. Linear scoring computes the fraction of component measures in which the individual appears in the numerator, giving equal weight to each component measure.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CompositeMeasureScoring"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23785"/>
            <printName language="en" preferredForLanguage="true" text="Linear Scoring"/>
            <code code="LINEARSCR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Code specifying observations related to living dependency, such as dependent upon spouse for activities of daily living.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCoverageAssessmentObservationValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22286"/>
            <printName language="en" preferredForLanguage="true" text="living dependency"/>
            <code code="LIVDEP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Codes specifying living expense indicators used to assess or establish eligibility for coverage under a policy or program.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActFinancialStatusObservationValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22321"/>
            <printName language="en" preferredForLanguage="true" text="living expense"/>
            <code code="LIVEXP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Code specifying observations related to living situation for a person in a private residence.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCoverageAssessmentObservationValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22277"/>
            <printName language="en" preferredForLanguage="true" text="living situation"/>
            <code code="LIVSIT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Lying on the left side.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SubjectBodyPosition"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22918"/>
            <printName language="en" preferredForLanguage="true" text="left lateral decubitus"/>
            <code code="LLD" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The value assigned as the indicator of the digital quality or reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \[Based on ISO 7498-2\]</p>
                        <p>For example, the degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \[OMB M-04-04 E-Authentication Guidance for Federal Agencies\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TRSTLOAOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23677"/>
            <printName language="en" preferredForLanguage="true"
                       text="authentication level of assurance value"/>
            <code code="LOAAN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of low digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \[Based on ISO 7498-2\]</p>
                        <p>The degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \[OMB M-04-04 E-Authentication Guidance for Federal Agencies\]</p>
                        <p>Low authentication level of assurance indicates that the relying party may have little or no confidence in the asserted identity's validity. Level 1 requires little or no confidence in the asserted identity. No identity proofing is required at this level, but the authentication mechanism should provide some assurance that the same claimant is accessing the protected transaction or data. A wide range of available authentication technologies can be employed and any of the token methods of Levels 2, 3, or 4, including Personal Identification Numbers (PINs), may be used. To be authenticated, the claimant must prove control of the token through a secure authentication protocol. At Level 1, long-term shared authentication secrets may be revealed to verifiers. Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol. \[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LOAAN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23678"/>
            <printName language="en" preferredForLanguage="true"
                       text="low authentication level of assurance"/>
            <code code="LOAAN1" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of basic digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \[Based on ISO 7498-2\]</p>
                        <p>The degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \[OMB M-04-04 E-Authentication Guidance for Federal Agencies\]</p>
                        <p>Basic authentication level of assurance indicates that the relying party may have some confidence in the asserted identity's validity. Level 2 requires confidence that the asserted identity is accurate. Level 2 provides for single-factor remote network authentication, including identity-proofing requirements for presentation of identifying materials or information. A wide range of available authentication technologies can be employed, including any of the token methods of Levels 3 or 4, as well as passwords. Successful authentication requires that the claimant prove through a secure authentication protocol that the claimant controls the token. Eavesdropper, replay, and online guessing attacks are prevented. Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Approved cryptographic techniques are required. Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol. \[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LOAAN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23679"/>
            <printName language="en" preferredForLanguage="true"
                       text="basic authentication level of assurance"/>
            <code code="LOAAN2" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of medium digital quality or reliability of the digital reliability of verification and validation of the process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \[Based on ISO 7498-2\]</p>
                        <p>The degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \[OMB M-04-04 E-Authentication Guidance for Federal Agencies\]</p>
                        <p>Medium authentication level of assurance indicates that the relying party may have high confidence in the asserted identity's validity. Level 3 is appropriate for transactions that need high confidence in the accuracy of the asserted identity. Level 3 provides multifactor remote network authentication. At this level, identity-proofing procedures require verification of identifying materials and information. Authentication is based on proof of possession of a key or password through a cryptographic protocol. Cryptographic strength mechanisms should protect the primary authentication token (a cryptographic key) against compromise by the protocol threats, including eavesdropper, replay, online guessing, verifier impersonation, and man-in-the-middle attacks. A minimum of two authentication factors is required. Three kinds of tokens may be used:</p>
                        <p>* "soft" cryptographic token, which has the key stored on a general-purpose computer, * "hard" cryptographic token, which has the key stored on a special hardware device, and * "one-time password" device token, which has symmetric key stored on a personal hardware device that is a cryptographic module validated at FIPS 140-2 Level 1 or higher. Validation testing of cryptographic modules and algorithms for conformance to Federal Information Processing Standard (FIPS) 140-2, Security Requirements for Cryptographic Modules, is managed by NIST.</p>
                        <p>Authentication requires that the claimant prove control of the token through a secure authentication protocol. The token must be unlocked with a password or biometric representation, or a password must be used in a secure authentication protocol, to establish two-factor authentication. Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Approved cryptographic techniques are used for all operations. Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol. \[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LOAAN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23680"/>
            <printName language="en" preferredForLanguage="true"
                       text="medium authentication level of assurance"/>
            <code code="LOAAN3" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of high digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \[Based on ISO 7498-2\]</p>
                        <p>The degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \[OMB M-04-04 E-Authentication Guidance for Federal Agencies\]</p>
                        <p>High authentication level of assurance indicates that the relying party may have very high confidence in the asserted identity's validity. Level 4 is for transactions that need very high confidence in the accuracy of the asserted identity. Level 4 provides the highest practical assurance of remote network authentication. Authentication is based on proof of possession of a key through a cryptographic protocol. This level is similar to Level 3 except that only “hard� cryptographic tokens are allowed, cryptographic module validation requirements are strengthened, and subsequent critical data transfers must be authenticated via a key that is bound to the authentication process. The token should be a hardware cryptographic module validated at FIPS 140-2 Level 2 or higher overall with at least FIPS 140-2 Level 3 physical security. This level requires a physical token, which cannot readily be copied, and operator authentication at Level 2 and higher, and ensures good, two-factor remote authentication.</p>
                        <p>Level 4 requires strong cryptographic authentication of all parties and all sensitive data transfers between the parties. Either public key or symmetric key technology may be used. Authentication requires that the claimant prove through a secure authentication protocol that the claimant controls the token. Eavesdropper, replay, online guessing, verifier impersonation, and man-in-the-middle attacks are prevented. Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Strong approved cryptographic techniques are used for all operations. All sensitive data transfers are cryptographically authenticated using keys bound to the authentication process. \[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LOAAN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23681"/>
            <printName language="en" preferredForLanguage="true"
                       text="high authentication level of assurance"/>
            <code code="LOAAN4" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The value assigned as the indicator of the digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \[Based on NIST SP 800-63-2\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TRSTLOAOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23682"/>
            <printName language="en" preferredForLanguage="true"
                       text="authentication process level of assurance value"/>
            <code code="LOAAP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of the low digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \[Based on NIST SP 800-63-2\]</p>
                        <p>Low authentication process level of assurance indicates that (1) long-term shared authentication secrets may be revealed to verifiers; and (2) assertions and assertion references require protection from manufacture/modification and reuse attacks. \[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LOAAP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23683"/>
            <printName language="en" preferredForLanguage="true"
                       text="low authentication process level of assurance"/>
            <code code="LOAAP1" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of the basic digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \[Based on NIST SP 800-63-2\]</p>
                        <p>Basic authentication process level of assurance indicates that long-term shared authentication secrets are never revealed to any other party except Credential Service Provider (CSP). Sessions (temporary) shared secrets may be provided to independent verifiers by CSP. Long-term shared authentication secrets, if used, are never revealed to any other party except Verifiers operated by the Credential Service Provider (CSP); however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. In addition to Level 1 requirements, assertions are resistant to disclosure, redirection, capture and substitution attacks. Approved cryptographic techniques are required. \[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LOAAP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23684"/>
            <printName language="en" preferredForLanguage="true"
                       text="basic authentication process level of assurance"/>
            <code code="LOAAP2" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of the medium digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \[Based on NIST SP 800-63-2\]</p>
                        <p>Medium authentication process level of assurance indicates that the token can be unlocked with password, biometric, or uses a secure multi-token authentication protocol to establish two-factor authentication. Long-term shared authentication secrets are never revealed to any party except the Claimant and Credential Service Provider (CSP).</p>
                        <p>Authentication requires that the Claimant prove, through a secure authentication protocol, that he or she controls the token. The Claimant unlocks the token with a password or biometric, or uses a secure multi-token authentication protocol to establish two-factor authentication (through proof of possession of a physical or software token in combination with some memorized secret knowledge). Long-term shared authentication secrets, if used, are never revealed to any party except the Claimant and Verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. In addition to Level 2 requirements, assertions are protected against repudiation by the Verifier.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LOAAP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23685"/>
            <printName language="en" preferredForLanguage="true"
                       text="medium authentication process level of assurance"/>
            <code code="LOAAP3" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of the high digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \[Based on NIST SP 800-63-2\]</p>
                        <p>High authentication process level of assurance indicates all sensitive data transfer are cryptographically authenticated using keys bound to the authentication process. Level 4 requires strong cryptographic authentication of all communicating parties and all sensitive data transfers between the parties. Either public key or symmetric key technology may be used. Authentication requires that the Claimant prove through a secure authentication protocol that he or she controls the token. All protocol threats at Level 3 are required to be prevented at Level 4. Protocols shall also be strongly resistant to man-in-the-middle attacks. Long-term shared authentication secrets, if used, are never revealed to any party except the Claimant and Verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. Approved cryptographic techniques are used for all operations. All sensitive data transfers are cryptographically authenticated using keys bound to the authentication process. \[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LOAAP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23686"/>
            <printName language="en" preferredForLanguage="true"
                       text="high authentication process level of assurance"/>
            <code code="LOAAP4" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The value assigned as the indicator of the high quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TRSTLOAOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23687"/>
            <printName language="en" preferredForLanguage="true"
                       text="assertion level of assurance value"/>
            <code code="LOAAS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of the low quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.</p>
                        <p>Assertions and assertion references require protection from modification and reuse attacks. \[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LOAAS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23688"/>
            <printName language="en" preferredForLanguage="true"
                       text="low assertion level of assurance"/>
            <code code="LOAAS1" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of the basic quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.</p>
                        <p>Assertions are resistant to disclosure, redirection, capture and substitution attacks. Approved cryptographic techniques are required for all assertion protocols. \[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LOAAS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23689"/>
            <printName language="en" preferredForLanguage="true"
                       text="basic assertion level of assurance"/>
            <code code="LOAAS2" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of the medium quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.</p>
                        <p>Assertions are protected against repudiation by the verifier. \[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LOAAS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23690"/>
            <printName language="en" preferredForLanguage="true"
                       text="medium assertion level of assurance"/>
            <code code="LOAAS3" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of the high quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.</p>
                        <p>Strongly resistant to man-in-the-middle attacks. "Bearer" assertions are not used. "Holder-of-key" assertions may be used. RP maintains records of the assertions. \[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LOAAS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23691"/>
            <printName language="en" preferredForLanguage="true"
                       text="high assertion level of assurance"/>
            <code code="LOAAS4" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of the digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. \[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TRSTLOAOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23712"/>
            <printName language="en" preferredForLanguage="true"
                       text="token and credential management level of assurance value)"/>
            <code code="LOACM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of the low digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. Little or no confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include weak identity binding to tokens and plaintext passwords or secrets not transmitted across a network. \[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LOACM"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23713"/>
            <printName language="en" preferredForLanguage="true"
                       text="low token and credential management level of assurance"/>
            <code code="LOACM1" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of the basic digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. Some confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Verification must prove claimant controls the token; token resists online guessing, replay, session hijacking, and eavesdropping attacks; and token is at least weakly resistant to man-in-the middle attacks. \[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LOACM"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23714"/>
            <printName language="en" preferredForLanguage="true"
                       text="basic token and credential management level of assurance"/>
            <code code="LOACM2" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of the medium digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and it's binding to an identity. High confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Ownership of token verifiable through security authentication protocol and credential management protects against verifier impersonation attacks. \[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LOACM"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23715"/>
            <printName language="en" preferredForLanguage="true"
                       text="medium token and credential management level of assurance"/>
            <code code="LOACM3" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of the high digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and it's binding to an identity. Very high confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Verifier can prove control of token through a secure protocol; credential management supports strong cryptographic authentication of all communication parties. \[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LOACM"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23716"/>
            <printName language="en" preferredForLanguage="true"
                       text="high token and credential management level of assurance"/>
            <code code="LOACM4" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of the quality or reliability in the process of ascertaining that an individual is who he or she claims to be.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TRSTLOAOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23692"/>
            <printName language="en" preferredForLanguage="true"
                       text="identity proofing level of assurance"/>
            <code code="LOAID" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of low digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be. Requires that a continuity of identity be maintained but does not require identity proofing. \[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LOAID"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23693"/>
            <printName language="en" preferredForLanguage="true"
                       text="low identity proofing level of assurance"/>
            <code code="LOAID1" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of some digital quality or reliability in the process of ascertaining that that an individual is who he or she claims to be. Requires identity proofing via presentation of identifying material or information. \[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LOAID"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23694"/>
            <printName language="en" preferredForLanguage="true"
                       text="basic identity proofing level of assurance"/>
            <code code="LOAID2" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of high digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be. Requires identity proofing procedures for verification of identifying materials and information. \[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LOAID"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23695"/>
            <printName language="en" preferredForLanguage="true"
                       text="medium identity proofing level of assurance"/>
            <code code="LOAID3" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of high digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be. Requires identity proofing procedures for verification of identifying materials and information. \[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LOAID"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23696"/>
            <printName language="en" preferredForLanguage="true"
                       text="high identity proofing level of assurance"/>
            <code code="LOAID4" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of the digital quality or reliability in the process of establishing proof of delivery and proof of origin. \[Based on ISO 7498-2\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TRSTLOAOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23697"/>
            <printName language="en" preferredForLanguage="true"
                       text="non-repudiation level of assurance value"/>
            <code code="LOANR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of low digital quality or reliability in the process of establishing proof of delivery and proof of origin. \[Based on ISO 7498-2\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LOANR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23698"/>
            <printName language="en" preferredForLanguage="true"
                       text="low non-repudiation level of assurance"/>
            <code code="LOANR1" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of basic digital quality or reliability in the process of establishing proof of delivery and proof of origin. \[Based on ISO 7498-2\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LOANR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23699"/>
            <printName language="en" preferredForLanguage="true"
                       text="basic non-repudiation level of assurance"/>
            <code code="LOANR2" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of medium digital quality or reliability in the process of establishing proof of delivery and proof of origin. \[Based on ISO 7498-2\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LOANR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23700"/>
            <printName language="en" preferredForLanguage="true"
                       text="medium non-repudiation level of assurance"/>
            <code code="LOANR3" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of high digital quality or reliability in the process of establishing proof of delivery and proof of origin. \[Based on ISO 7498-2\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LOANR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23701"/>
            <printName language="en" preferredForLanguage="true"
                       text="high non-repudiation level of assurance"/>
            <code code="LOANR4" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of the digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \[Based on NIST SP 800-63-2\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TRSTLOAOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23702"/>
            <printName language="en" preferredForLanguage="true"
                       text="remote access level of assurance value"/>
            <code code="LOARA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of low digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \[Based on NIST SP 800-63-2\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LOARA"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23703"/>
            <printName language="en" preferredForLanguage="true"
                       text="low remote access level of assurance"/>
            <code code="LOARA1" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of basic digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \[Based on NIST SP 800-63-2\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LOARA"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23704"/>
            <printName language="en" preferredForLanguage="true"
                       text="basic remote access level of assurance"/>
            <code code="LOARA2" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of medium digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \[Based on NIST SP 800-63-2\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LOARA"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23705"/>
            <printName language="en" preferredForLanguage="true"
                       text="medium remote access level of assurance"/>
            <code code="LOARA3" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of high digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \[Based on NIST SP 800-63-2\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LOARA"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23706"/>
            <printName language="en" preferredForLanguage="true"
                       text="high remote access level of assurance"/>
            <code code="LOARA4" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of the digital quality or reliability of single and multi-token authentication. \[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TRSTLOAOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23707"/>
            <printName language="en" preferredForLanguage="true" text="token level of assurance value"/>
            <code code="LOATK" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of the low digital quality or reliability of single and multi-token authentication. Permits the use of any of the token methods of Levels 2, 3, or 4. \[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LOATK"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23708"/>
            <printName language="en" preferredForLanguage="true" text="low token level of assurance"/>
            <code code="LOATK1" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of the basic digital quality or reliability of single and multi-token authentication. Requires single factor authentication using memorized secret tokens, pre-registered knowledge tokens, look-up secret tokens, out of band tokens, or single factor one-time password devices. \[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LOATK"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23709"/>
            <printName language="en" preferredForLanguage="true" text="basic token level of assurance"/>
            <code code="LOATK2" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of the medium digital quality or reliability of single and multi-token authentication. Requires two authentication factors. Provides multi-factor remote network authentication. Permits multi-factor software cryptographic token. \[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LOATK"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23710"/>
            <printName language="en" preferredForLanguage="true"
                       text="medium token level of assurance"/>
            <code code="LOATK3" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of the high digital quality or reliability of single and multi-token authentication. Requires token that is a hardware cryptographic module validated at validated at Federal Information Processing Standard (FIPS) 140-2 Level 2 or higher overall with at least FIPS 140-2 Level 3 physical security. Level 4 token requirements can be met by using the PIV authentication key of a FIPS 201 compliant Personal Identity Verification (PIV) Card. \[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LOATK"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23711"/>
            <printName language="en" preferredForLanguage="true" text="high token level of assurance"/>
            <code code="LOATK4" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates the condition may result in noticable adverse adverse consequences but is unlikely to be life-threatening or cause permanent injury.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SeverityObservation"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16645"/>
            <printName language="en" preferredForLanguage="true" text="Moderate"/>
            <code code="M" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Security metadata observation value used to indicate that the IT resource semantic content has been transformed from one encoding to another.</p>
                        <i>Usage Note:</i>"MAP" code does not indicate the semantic fidelity of the transformed content.<p>To indicate semantic fidelity for maps of HL7 to other code systems, this security alteration integrity observation may be further specified using an Act valued with Value Set: MapRelationship (2.16.840.1.113883.1.11.11052).</p>
                        <p>Semantic fidelity of the mapped IT Resource may also be indicated using a SecurityIntegrityConfidenceObservation.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SECALTINTOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23501"/>
            <printName language="en" preferredForLanguage="true" text="mapped"/>
            <code code="MAPPED" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) by indicating the mechanism by which software systems can make data unintelligible (that is, as unreadable and unusable by algorithmically transforming plaintext into ciphertext) such that it can only be accessed or used by authorized users. An authorized user may be provided a key to decrypt per license or "shared secret".</p>
                        <i>Usage Note:</i>"MASKED" may be used, per applicable policy, as a flag to indicate to a user or receiver that some portion of an IT resource has been further encrypted, and may be accessed only by an authorized user or receiver to which a decryption key is provided.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SECALTINTOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23502"/>
            <printName language="en" preferredForLanguage="true" text="masked"/>
            <code code="MASKED" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Value for Act.partialCompletionCode attribute that implies 41-60% completion</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PartialCompletionScale"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18124"/>
            <printName language="en" preferredForLanguage="true" text="Medium extent"/>
            <code code="ME" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of status as covered member under a policy or program, e.g., member id card or coverage document.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ELSTAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22296"/>
            <printName language="en" preferredForLanguage="true" text="program or policy member"/>
            <code code="MEMBER" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Value for Act.partialCompletionCode attribute that implies 1-20% completion</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PartialCompletionScale"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18122"/>
            <printName language="en" preferredForLanguage="true" text="Minimal extent"/>
            <code code="MI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of military status.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ELSTAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22302"/>
            <printName language="en" preferredForLanguage="true" text="military identification"/>
            <code code="MIL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of mortgage amount, interest, and payments.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LIVEXP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22323"/>
            <printName language="en" preferredForLanguage="true" text="mortgage"/>
            <code code="MORTG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of marriage status.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ELSTAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22300"/>
            <printName language="en" preferredForLanguage="true" text="marriage certificate"/>
            <code code="MRGCERT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Measure population is used only in continuous variable eMeasures. It is a narrative description of the eMeasure population. (e.g., all patients seen in the Emergency Department during the measurement period).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationPopulationInclusion"/>
            </conceptRelationship>
            <conceptProperty name="deprecationDate" value="2013-07-26"/>
            <conceptProperty name="internalId" value="23048"/>
            <printName language="en" preferredForLanguage="true" text="measure population"/>
            <code code="MSRPOPL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Value for Act.partialCompletionCode attribute that implies 0% completion</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PartialCompletionScale"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18121"/>
            <printName language="en" preferredForLanguage="true" text="None"/>
            <code code="N" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Coverage is not in effect for healthcare service(s) and/or product(s). May optionally include reasons for the ineligibility.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_VerificationOutcomeValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22212"/>
            <printName language="en" preferredForLanguage="true" text="not eligible"/>
            <code code="NELG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Scheduled for work during nighttime hours (for example between 9pm and 8am) on a regular basis.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_WorkSchedule"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23910"/>
            <printName language="en" preferredForLanguage="true" text="night shift"/>
            <code code="NS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Numerators are used in proportion and ratio eMeasures. In proportion measures the numerator criteria are the processes or outcomes expected for each patient, procedure, or other unit of measurement defined in the denominator. In ratio measures the numerator is related, but not directly derived from the denominator (e.g., a numerator listing the number of central line blood stream infections and a denominator indicating the days per thousand of central line usage in a specific time period).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationPopulationInclusion"/>
            </conceptRelationship>
            <conceptProperty name="deprecationDate" value="2013-07-26"/>
            <conceptProperty name="internalId" value="23049"/>
            <printName language="en" preferredForLanguage="true" text="numerator"/>
            <code code="NUMER" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Numerator Exclusions are used only in ratio eMeasures to define instances that should not be included in the numerator data. (e.g., if the number of central line blood stream infections per 1000 catheter days were to exclude infections with a specific bacterium, that bacterium would be listed as a numerator exclusion.)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationPopulationInclusion"/>
            </conceptRelationship>
            <conceptProperty name="deprecationDate" value="2013-07-26"/>
            <conceptProperty name="internalId" value="23443"/>
            <printName language="en" preferredForLanguage="true" text="numerator exclusions"/>
            <code code="NUMEX" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Persons not classified as employed or unemployed, meaning those who have no job and are not looking for one.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_EmploymentStatus"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23922"/>
            <printName language="en" preferredForLanguage="true" text="Not In Labor Force"/>
            <code code="NotInLaborForce" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Code specifying that the measure uses opportunity-based scoring. In opportunity-based scoring the measure score is determined by combining the denominator and numerator of each component measure to determine an overall composite score.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CompositeMeasureScoring"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23786"/>
            <printName language="en" preferredForLanguage="true" text="Opportunity Scoring"/>
            <code code="OPPORSCR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A measure that indicates the result of the performance (or non-performance) of a function or process.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationMeasureType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23042"/>
            <printName language="en" preferredForLanguage="true" text="outcome measure type"/>
            <code code="OUTCOME" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a patient acquaintance.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SECINTPRVABOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23526"/>
            <printName language="en" preferredForLanguage="true" text="patient acquaintance asserted"/>
            <code code="PACQAST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a patient acquaintance.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SECINTPRVRBOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23517"/>
            <printName language="en" preferredForLanguage="true" text="patient acquaintance reported"/>
            <code code="PACQRPT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of citizenship.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ELSTAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22297"/>
            <printName language="en" preferredForLanguage="true" text="passport"/>
            <code code="PASSPORT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SECINTPRVABOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23524"/>
            <printName language="en" preferredForLanguage="true" text="patient asserted"/>
            <code code="PATAST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SECINTPRVRBOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23515"/>
            <printName language="en" preferredForLanguage="true" text="patient reported"/>
            <code code="PATRPT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of paid employment, e.g., letter of hire, contract, employer letter; copy of pay check or pay stub.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INCOME"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22308"/>
            <printName language="en" preferredForLanguage="true" text="paid employment"/>
            <code code="PAY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a payer.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SECINTPRVABOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23522"/>
            <printName language="en" preferredForLanguage="true" text="payer asserted"/>
            <code code="PAYAST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a payer.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SECINTPRVRBOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23513"/>
            <printName language="en" preferredForLanguage="true" text="payer reported"/>
            <code code="PAYRPT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Non-clinical report of pregnancy.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HLSTAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22291"/>
            <printName language="en" preferredForLanguage="true" text="pregnant"/>
            <code code="PGNT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Lying with the front or ventral surface downward; lying face down.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SubjectBodyPosition"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22919"/>
            <printName language="en" preferredForLanguage="true" text="prone"/>
            <code code="PRN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A measure that is a comparison of patient reported outcomes for a single or multiple patients collected via an instrument specifically designed to obtain input directly from patients.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OUTCOME"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23861"/>
            <printName language="en" preferredForLanguage="true"
                       text="patient reported outcome performance measure"/>
            <code code="PRO-PM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a professional.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SECINTPRVABOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23521"/>
            <printName language="en" preferredForLanguage="true" text="professional asserted"/>
            <code code="PROAST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indication of probation status.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SOECSTAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22273"/>
            <printName language="en" preferredForLanguage="true" text="probation"/>
            <code code="PROB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A measure which focuses on a process which leads to a certain outcome, meaning that a scientific basis exists for believing that the process, when executed well, will increase the probability of achieving a desired outcome.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationMeasureType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23043"/>
            <printName language="en" preferredForLanguage="true" text="process measure type"/>
            <code code="PROCESS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of real property ownership, e.g., deed or real estate contract.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ASSET"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22317"/>
            <printName language="en" preferredForLanguage="true" text="real property"/>
            <code code="PROP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A score derived by dividing the number of cases that meet a criterion for quality (the numerator) by the number of eligible cases within a given time frame (the denominator) where the numerator cases are a subset of the denominator cases (e.g., percentage of eligible women with a mammogram performed in the last year).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationMeasureScoring"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23039"/>
            <printName language="en" preferredForLanguage="true" text="proportion measure scoring"/>
            <code code="PROPOR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a professional.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SECINTPRVRBOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23512"/>
            <printName language="en" preferredForLanguage="true" text="professional reported"/>
            <code code="PRORPT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability), by indicating the mechanism by which software systems can strip portions of the resource that could allow the identification of the source of the information or the information subject. Custodian may retain a key to relink data necessary to reidentify the information subject.</p>
                        <i>Rationale:</i>Personal data which has been processed to make it impossible to know whose data it is. Used particularly for secondary use of health data. In some cases, it may be possible for authorized individuals to restore the identity of the individual, e.g.,for public health case management. Based on ISO/TS 25237:2008 Health informatics-Pseudonymization</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SECALTINTOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23503"/>
            <printName language="en" preferredForLanguage="true" text="pseudonymized"/>
            <code code="PSEUDED" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A score that may have a value of zero or greater that is derived by dividing a count of one type of data by a count of another type of data (e.g., the number of patients with central lines who develop infection divided by the number of central line days).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationMeasureScoring"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23040"/>
            <printName language="en" preferredForLanguage="true" text="ratio measure scoring"/>
            <code code="RATIO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Security metadata observation value used to indicate the mechanism by which software systems can filter an IT resource (data, information object, service, or system capability) to remove any portion of the resource that is not authorized to be access, used, or disclosed.</p>
                        <i>Usage Note:</i>"REDACTED" may be used, per applicable policy, as a flag to indicate to a user or receiver that some portion of an IT resource has filtered and not included in the content accessed or received.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SECALTINTOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23504"/>
            <printName language="en" preferredForLanguage="true" text="redacted"/>
            <code code="REDACTED" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indication of refugee status.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SOECSTAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22276"/>
            <printName language="en" preferredForLanguage="true" text="refugee"/>
            <code code="REFUG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Living with one or more relatives. Maps to PD1-2 Living arrangement (IS) 00742 \[R\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LIVSIT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22283"/>
            <printName language="en" preferredForLanguage="true" text="relative"/>
            <code code="RELAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Continued living in private residence requires functional and health care assistance from one or more relatives.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LIVDEP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22288"/>
            <printName language="en" preferredForLanguage="true" text="relative dependent"/>
            <code code="RELDEP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be adequate.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SECINTCONOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23491"/>
            <printName language="en" preferredForLanguage="true" text="reliable"/>
            <code code="RELIABLE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of rental or lease payments.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LIVEXP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22322"/>
            <printName language="en" preferredForLanguage="true" text="rent"/>
            <code code="RENT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A measure related to the extent of use of clinical resources or cost of care.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationMeasureType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23651"/>
            <printName language="en" preferredForLanguage="true" text="resource use measure type"/>
            <code code="RESOURCE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of retirement investment account ownership.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ASSET"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22318"/>
            <printName language="en" preferredForLanguage="true" text="retirement investment account"/>
            <code code="RETACCT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of retirement payment, e.g., pension check.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INCOME"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22309"/>
            <printName language="en" preferredForLanguage="true" text="retirement pay"/>
            <code code="RETIRE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Lying on the right side.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SubjectBodyPosition"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22920"/>
            <printName language="en" preferredForLanguage="true" text="right lateral decubitus"/>
            <code code="RLD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Scheduled for work times that change periodically between days, and/or evenings, and includes some night shifts.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_WorkSchedule"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23912"/>
            <printName language="en" preferredForLanguage="true" text="rotating shift with nights"/>
            <code code="RSWN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Scheduled for work days/times that change periodically between days, but does not include night or evening work.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_WorkSchedule"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23913"/>
            <printName language="en" preferredForLanguage="true" text="rotating shift without nights"/>
            <code code="RSWON" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Lying on the back, on an inclined plane, typically about 30-45 degrees with head raised and feet lowered.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SUP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22925"/>
            <printName language="en" preferredForLanguage="true" text="reverse trendelenburg"/>
            <code code="RTRD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Value for Act.partialCompletionCode attribute that implies 21-40% completion</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PartialCompletionScale"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18123"/>
            <printName language="en" preferredForLanguage="true" text="Some extent"/>
            <code code="S" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a substitute decision maker.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SECINTPRVABOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23525"/>
            <printName language="en" preferredForLanguage="true"
                       text="substitute decision maker asserted"/>
            <code code="SDMAST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a substitute decision maker.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SECINTPRVRBOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23516"/>
            <printName language="en" preferredForLanguage="true"
                       text="substitute decision maker reported"/>
            <code code="SDMRPT" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Observation value used to indicate aspects of trust applicable to an IT resource (data, information object, service, or system capability).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SecurityObservationValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23672"/>
            <printName language="en" preferredForLanguage="true" text="security trust observation"/>
            <code code="SECTRSTOBV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A semi-sitting position in bed with the head of the bed elevated approximately 45 degrees.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SubjectBodyPosition"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22921"/>
            <printName language="en" preferredForLanguage="true" text="Semi-Fowler's"/>
            <code code="SFWL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Resting the body on the buttocks, typically with upper torso erect or semi erect.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SubjectBodyPosition"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22922"/>
            <printName language="en" preferredForLanguage="true" text="sitting"/>
            <code code="SIT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Code specifying observations or indicators related to socio-economic status used to assess to assess for services, e.g., discharge planning, or to establish eligibility for coverage under a policy or program.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCoverageAssessmentObservationValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22269"/>
            <printName language="en" preferredForLanguage="true" text="socio economic status"/>
            <code code="SOECSTAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of spousal or partner support payments received or provided; e.g., alimony payment; support stipulations in a divorce settlement.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INCOME"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22312"/>
            <printName language="en" preferredForLanguage="true" text="spousal or partner support"/>
            <code code="SPOUSAL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Living only with spouse or life partner. Maps to PD1-2 Living arrangement (IS) 00742 \[S\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LIVSIT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22282"/>
            <printName language="en" preferredForLanguage="true" text="spouse only"/>
            <code code="SPS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Continued living in private residence requires functional and health care assistance from spouse or life partner.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LIVDEP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22287"/>
            <printName language="en" preferredForLanguage="true" text="spouse dependent"/>
            <code code="SPSDEP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Shift consisting of two distinct work periods each day that are separated by a break of a few hours (for example 2 to 4 hours)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_WorkSchedule"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23914"/>
            <printName language="en" preferredForLanguage="true" text="split shift"/>
            <code code="SS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A pair of people of the same gender who live together as a family as specified by coverage policy or program, e.g., Naomi and Ruth from the Book of Ruth; Socrates and Alcibiades</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoverageLevelObservationValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22638"/>
            <printName language="en" preferredForLanguage="true" text="same sex partner"/>
            <code code="SSP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>To be stationary, upright, vertical, on one's legs.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SubjectBodyPosition"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22923"/>
            <printName language="en" preferredForLanguage="true" text="standing"/>
            <code code="STN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A measure related to the structure of patient care.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ObservationMeasureType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23654"/>
            <printName language="en" preferredForLanguage="true" text="structure measure type"/>
            <code code="STRUCTURE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of student status.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ELSTAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22298"/>
            <printName language="en" preferredForLanguage="true" text="student enrollment"/>
            <code code="STUDENRL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Metadata observation used to indicate that some information has been removed from the source object when the view this object contains was constructed because of configuration options when the view was created. The content may not be suitable for use as the basis of a record update</p>
                        <i>Usage Note:</i>This is not suitable to be used when information is removed for security reasons - see the code REDACTED for this use.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SECALTINTOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23730"/>
            <printName language="en" preferredForLanguage="true" text="subsetted"/>
            <code code="SUBSETTED" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of transportation expenses.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LIVEXP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22330"/>
            <printName language="en" preferredForLanguage="true" text="sundry expense"/>
            <code code="SUNDRY" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SubjectBodyPosition"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22924"/>
            <printName language="en" preferredForLanguage="true" text="supine"/>
            <code code="SUP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of income supplement, e.g., gifting, parental income support; stipend, or grant.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INCOME"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22313"/>
            <printName language="en" preferredForLanguage="true" text="income supplement"/>
            <code code="SUPPLE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Security metadata observation value used to indicate that the IT resource syntax has been transformed from one syntactical representation to another.</p>
                        <i>Usage Note:</i>"SYNTAC" code does not indicate the syntactical correctness of the syntactically transformed IT resource.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SECALTINTOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23505"/>
            <printName language="en" preferredForLanguage="true" text="syntactic transform"/>
            <code code="SYNTAC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of tax obligation or payment, e.g., statement of taxable income.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INCOME"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22315"/>
            <printName language="en" preferredForLanguage="true" text="tax obligation"/>
            <code code="TAX" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of transportation expenses, e.g., vehicle payments, vehicle insurance, vehicle fuel, and vehicle maintenance and repairs.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LIVEXP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22325"/>
            <printName language="en" preferredForLanguage="true" text="transportation expense"/>
            <code code="TRANS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Lying on the back, on an inclined plane, typically about 30-45 degrees, with head lowered and feet raised.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SUP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22926"/>
            <printName language="en" preferredForLanguage="true" text="trendelenburg"/>
            <code code="TRD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Security metadata observation value used to indicate that the IT resource has been translated from one human language to another.</p>
                        <i>Usage Note:</i>"TRSLT" does not indicate the fidelity of the translation or the languages translated.<p>The fidelity of the IT Resource translation may be indicated using a SecurityIntegrityConfidenceObservation.</p>
                        <p>To indicate languages, use the Value Set:HumanLanguage (2.16.840.1.113883.1.11.11526)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SECALTINTOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23506"/>
            <printName language="en" preferredForLanguage="true" text="translated"/>
            <code code="TRSLT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Values for security trust accreditation metadata observation made about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SECTRSTOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23673"/>
            <printName language="en" preferredForLanguage="true"
                       text="trust accreditation observation"/>
            <code code="TRSTACCRDOBV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Values for security trust agreement metadata observation made about privacy and security requirements with which a security domain must comply. \[ISO IEC 10181-1\] \[ISO IEC 10181-1\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SECTRSTOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23674"/>
            <printName language="en" preferredForLanguage="true" text="trust agreement observation"/>
            <code code="TRSTAGREOBV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Values for security trust certificate metadata observation made about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability). \[Based on ISO IEC 10181-1\]</p>
                        <p>For example, a Certificate Policy (CP), which is a named set of rules that indicates the applicability of a certificate to a particular community and/or class of application with common security requirements. A particular Certificate Policy might indicate the applicability of a type of certificate to the authentication of electronic data interchange transactions for the trading of goods within a given price range. Another example is Cross Certification with Federal Bridge.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SECTRSTOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23675"/>
            <printName language="en" preferredForLanguage="true" text="trust certificate observation"/>
            <code code="TRSTCERTOBV" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Values for security trust framework metadata observation made about a complete set of contracts, regulations or commitments that enable participating actors to rely on certain assertions by other actors to fulfill their information security requirements. \[Kantara Initiative\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SECTRSTOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23717"/>
            <printName language="en" preferredForLanguage="true" text="none supplied 5"/>
            <code code="TRSTFWKOBV" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Values for security trust assurance metadata observation made about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SECTRSTOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23676"/>
            <printName language="en" preferredForLanguage="true" text="trust assurance observation"/>
            <code code="TRSTLOAOBV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Values for security trust mechanism metadata observation made about a security architecture system component that supports enforcement of security policies.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SECTRSTOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23718"/>
            <printName language="en" preferredForLanguage="true" text="none supplied 6"/>
            <code code="TRSTMECOBV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of status as trust beneficiary.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ASSET"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22319"/>
            <printName language="en" preferredForLanguage="true" text="trust"/>
            <code code="TRUST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be uncertain.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SECINTCONOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23492"/>
            <printName language="en" preferredForLanguage="true" text="uncertain reliability"/>
            <code code="UNCERTREL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indication of unemployed status.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SOECSTAT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22274"/>
            <printName language="en" preferredForLanguage="true" text="unemployed"/>
            <code code="UNEMPL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Living with one or more unrelated persons.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LIVSIT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22285"/>
            <printName language="en" preferredForLanguage="true" text="unrelated person"/>
            <code code="UNREL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be inadequate.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SECINTCONOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23493"/>
            <printName language="en" preferredForLanguage="true" text="unreliable"/>
            <code code="UNRELIABLE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Continued living in private residence requires functional and health care assistance from one or more unrelated persons.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LIVDEP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22289"/>
            <printName language="en" preferredForLanguage="true" text="unrelated person dependent"/>
            <code code="URELDEP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicator of transportation expenses.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LIVEXP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22331"/>
            <printName language="en" preferredForLanguage="true" text="utility expense"/>
            <code code="UTIL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Persons who currently have no employment, but are available for work and have made specific efforts to find employment.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_EmploymentStatus"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23921"/>
            <printName language="en" preferredForLanguage="true" text="Unemployed"/>
            <code code="Unemployed" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) which indicates that the resource only retains versions of an IT resource for access and use per applicable policy</p>
                        <i>Usage Note:</i>When this code is used, expectation is that the system has removed historical versions of the data that falls outside the time period deemed to be the effective time of the applicable version.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SECALTINTOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23507"/>
            <printName language="en" preferredForLanguage="true" text="versioned"/>
            <code code="VERSIONED" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Shifts of 17 or more hours.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_WorkSchedule"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23915"/>
            <printName language="en" preferredForLanguage="true" text="very long shift"/>
            <code code="VLS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Irregular, unpredictable hours scheduled on a short notice (for example, less than 2 day notice): inconsistent schedule, on-call, as needed, as available.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_WorkSchedule"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23916"/>
            <printName language="en" preferredForLanguage="true" text="variable shift"/>
            <code code="VS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Code specifying that the measure uses weighted scoring. Weighted scoring assigns a factor to each component measure to weight that measure's contribution to the overall score.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CompositeMeasureScoring"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23787"/>
            <printName language="en" preferredForLanguage="true" text="Weighted Scoring"/>
            <code code="WEIGHTSCR" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Codes specify the category of observation, evidence, or document used to assess for services, e.g., discharge planning, or to establish eligibility for coverage under a policy or program. The type of evidence is coded as observation values.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22268"/>
            <printName language="en" preferredForLanguage="true"
                       text="ActCoverageAssessmentObservationValue"/>
            <code code="_ActCoverageAssessmentObservationValue" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Code specifying financial indicators used to assess or establish eligibility for coverage under a policy or program; e.g., pay stub; tax or income document; asset document; living expenses.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ActCoverageAssessmentObservationValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22306"/>
            <printName language="en" preferredForLanguage="true"
                       text="ActFinancialStatusObservationValue"/>
            <code code="_ActFinancialStatusObservationValue" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates the result of a particular allergy test. E.g. Negative, Mild, Moderate, Severe</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21496"/>
            <printName language="en" preferredForLanguage="true" text="AllergyTestValue"/>
            <code code="_AllergyTestValue" status="active"/>
         </concept>
         <concept isSelectable="false">
            <conceptProperty name="internalId" value="21095"/>
            <printName language="en" preferredForLanguage="true" text="AnnotationValue"/>
            <code code="_AnnotationValue" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A code that provides information on the overall effect or outcome of the adverse reaction/adverse event reported in the ICSR. Note the criterion applies to the case as a whole and not to an individual reaction.</p>
                        <p>Example concepts are: death, disability, hospitalization, congenital anomaly/ birth defect, and other medically important condition.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IndividualCaseSafetyReportValueDomains"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21398"/>
            <printName language="en" preferredForLanguage="true" text="CaseSeriousnessCriteria"/>
            <code code="_CaseSeriousnessCriteria" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>The non-laboratory, non-DI (diagnostic imaging) coded observation if no value is also required to convey the full meaning of the observation. This may be a single concept code or a complex expression.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CommonClinicalObservationValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22262"/>
            <printName language="en" preferredForLanguage="true"
                       text="CommonClinicalObservationAssertionValue"/>
            <code code="_CommonClinicalObservationAssertionValue" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>The non-laboratory, non-diagnostic imaging coded result of the coded observable or "question" represented by the paired concept from the the NonLabDICodedObservationType domain.<p>\]</p>
                        <p>**Examples:**An APGAR result, a functional assessment, etc. The value must not require a specific unit of measure.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CommonClinicalObservationValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22263"/>
            <printName language="en" preferredForLanguage="true"
                       text="CommonClinicalObservationResultValue"/>
            <code code="_CommonClinicalObservationResultValue" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Used in a patient care message to value simple clinical (non-lab) observations.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21945"/>
            <printName language="en" preferredForLanguage="true" text="common clinical observation"/>
            <code code="_CommonClinicalObservationValue" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Observation values that communicate the method used in a quality measure to combine the component measure results included in an composite measure.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23783"/>
            <printName language="en" preferredForLanguage="true" text="CompositeMeasureScoring"/>
            <code code="_CompositeMeasureScoring" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>The category of addiction used for coverage purposes that may refer to a substance, the consumption of which may result in physical or emotional harm.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22242"/>
            <printName language="en" preferredForLanguage="true"
                       text="CoverageChemicalDependencyValue"/>
            <code code="_CoverageChemicalDependencyValue" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Coded observation values for types or instances of items for which coverage is provided under a policy or program, e.g., a type of vehicle or a named work of art.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoverageLimitObservationValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22629"/>
            <printName language="en" preferredForLanguage="true"
                       text="CoverageItemLimitObservationValue"/>
            <code code="_CoverageItemLimitObservationValue" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Coded observation values for types of covered parties under a policy or program based on their personal relationships or employment status.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoverageLimitObservationValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22630"/>
            <printName language="en" preferredForLanguage="true" text="CoverageLevelObservationValue"/>
            <code code="_CoverageLevelObservationValue" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Coded observation values for coverage limitations, for e.g., types of claims or types of parties covered under a policy or program.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22627"/>
            <printName language="en" preferredForLanguage="true" text="CoverageLimitObservationValue"/>
            <code code="_CoverageLimitObservationValue" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Coded observation values for types or instances of locations for which coverage is provided under a policy or program, e.g., in the covered party home, in state or in the country.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoverageLimitObservationValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22628"/>
            <printName language="en" preferredForLanguage="true"
                       text="CoverageLocationLimitObservationValue"/>
            <code code="_CoverageLocationLimitObservationValue" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A clinical judgment as to the worst case result of a future exposure (including substance administration). When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23726"/>
            <printName language="en" preferredForLanguage="true" text="CriticalityObservationValue"/>
            <code code="_CriticalityObservationValue" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A code set that includes codes that are used to characterize the outcome of the device evaluation process. The code defines the manufacturer's conclusions following the evaluation.</p>
                        <p>Examples include: inadequate alarms, device maintenance contributed to event, device failed just prior to use, user error caused event</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IndividualCaseSafetyReportValueDomains"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21405"/>
            <printName language="en" preferredForLanguage="true"
                       text="DeviceManufacturerEvaluationInterpretation"/>
            <code code="_DeviceManufacturerEvaluationInterpretation" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Code assigned to indicate a relevant fact within the context of the evaluation of a reported product. There are a number of concept types including the status of the evaluation, the type of evaluation findings, and the type of activity carried out as part of the evaluation process.</p>
                        <p>Examples include: Actual device involved in incident was evaluated, electrical tests performed, visual examination.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IndividualCaseSafetyReportValueDomains"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21406"/>
            <printName language="en" preferredForLanguage="true"
                       text="DeviceManufacturerEvaluationMethod"/>
            <code code="_DeviceManufacturerEvaluationMethod" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Code assigned to indicate an outcome of the manufacturer's investigation of a product for which a defect has been reported.</p>
                        <p>Examples include:.component/subassembly failure: air cleaner, computer-, imaging system-, microprocessor-controlled device problem: cache memory, design -- not fail safe.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IndividualCaseSafetyReportValueDomains"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21404"/>
            <printName language="en" preferredForLanguage="true"
                       text="DeviceManufacturerEvaluationResult"/>
            <code code="_DeviceManufacturerEvaluationResult" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Diagnosis Value</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IndicationValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21096"/>
            <printName language="en" preferredForLanguage="true" text="DiagnosisValue"/>
            <code code="_DiagnosisValue" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AnnotationValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21097"/>
            <printName language="en" preferredForLanguage="true" text="ECGAnnotationValue"/>
            <code code="_ECGAnnotationValue" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Concepts representing whether a person does or does not currently have a job or is not currently in the labor pool seeking employment.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23919"/>
            <printName language="en" preferredForLanguage="true" text="_EmploymentStatus"/>
            <code code="_EmploymentStatus" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The domain contains genetic analysis specific observation values, e.g. Homozygote, Heterozygote, etc.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22648"/>
            <printName language="en" preferredForLanguage="true" text="GeneticObservationValue"/>
            <code code="_GeneticObservationValue" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates the specific observation result which is the reason for the action (prescription, lab test, etc.). E.g. Headache, Ear infection, planned diagnostic image (requiring contrast agent), etc.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21542"/>
            <printName language="en" preferredForLanguage="true" text="IndicationValue"/>
            <code code="_IndicationValue" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This domain is established as a parent to a variety of value domains being defined to support the communication of Individual Case Safety Reports to regulatory bodies. Arguably, this aggregation is not taxonomically pure, but the grouping will facilitate the management of these domains.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21397"/>
            <printName language="en" preferredForLanguage="true"
                       text="Individual Case Safety Report Value Domains"/>
            <code code="_IndividualCaseSafetyReportValueDomains" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Values for observations of injuries.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21098"/>
            <printName language="en" preferredForLanguage="true" text="InjuryObservationValue"/>
            <code code="_InjuryObservationValue" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Codes identifying pariticular groupings of allergens and other agents which cause allergies and intolerances. E.g. the drug, allergen group, food or environmental agent which triggers the intolerance</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21495"/>
            <printName language="en" preferredForLanguage="true" text="IntoleranceValue"/>
            <code code="_IntoleranceValue" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The combined domain for different types of coded observation issue triggers, such as diagnoses, allergies, etc.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21528"/>
            <printName language="en" preferredForLanguage="true" text="IssueTriggerObservationValue"/>
            <code code="_IssueTriggerObservationValue" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="24042"/>
            <printName language="en" preferredForLanguage="true"
                       text="Measurement Improvement Notation"/>
            <code code="_MeasurementImprovementNotation" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Observation values used to indicate the type of scoring (e.g. proportion, ratio) used by a health quality measure.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23037"/>
            <printName language="en" preferredForLanguage="true" text="ObservationMeasureScoring"/>
            <code code="_ObservationMeasureScoring" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Observation values used to indicate what kind of health quality measure is used.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23041"/>
            <printName language="en" preferredForLanguage="true" text="ObservationMeasureType"/>
            <code code="_ObservationMeasureType" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Observation values used to assert various populations that a subject falls into.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="deprecationDate" value="2013-07-26"/>
            <conceptProperty name="internalId" value="23044"/>
            <printName language="en" preferredForLanguage="true" text="ObservationPopulationInclusion"/>
            <code code="_ObservationPopulationInclusion" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates an observed reason for a medical action other than an indication or symptom. E.g. Need for a contrast agent prior to a diagnostic image, need for anesthesia prior to surgery, etc.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21544"/>
            <printName language="en" preferredForLanguage="true" text="OtherIndicationValue"/>
            <code code="_OtherIndicationValue" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <conceptProperty name="internalId" value="21099"/>
            <printName language="en" preferredForLanguage="true" text="PartialCompletionScale"/>
            <code code="_PartialCompletionScale" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A code to capture the reporter's assessment of the extent to which the reaction is related to the suspect product reported in the ICSR.</p>
                        <p>Example concepts include: related, not related, possibly related and unlikely related.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IndividualCaseSafetyReportValueDomains"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21401"/>
            <printName language="en" preferredForLanguage="true" text="Pertinent Reaction Relatedness"/>
            <code code="_PertinentReactionRelatedness" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A code that characterizes the role that the primary reporter felt that the suspect intervention -- either a substance administration or a device related procedure - played in the incident being reported. This code will capture the primary reporter's assessment of the role that the suspect product played in the incident reported in the ICSR.</p>
                        <p>Examples include: Suspect, Concomitant, Interacting, Re-challenge.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IndividualCaseSafetyReportValueDomains"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21400"/>
            <printName language="en" preferredForLanguage="true" text="Product Characterization"/>
            <code code="_ProductCharacterization" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Code used to indicate the action taken by practitioner in response to the problem (whether drug or device related) that is reported in the ICSR.</p>
                        <p>Examples include: failing device replaced, medication stopped, medication dose adjusted.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IndividualCaseSafetyReportValueDomains"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21407"/>
            <printName language="en" preferredForLanguage="true" text="ReactionActionTaken"/>
            <code code="_ReactionActionTaken" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Abstract security metadata observation values used to indicate mechanism used for authorized alteration of an IT resource (data, information object, service, or system capability)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SECINTOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23497"/>
            <printName language="en" preferredForLanguage="true" text="alteration integrity"/>
            <code code="_SECALTINTOBV" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Abstract security observation values used to indicate security category metadata.</p>
                        <b>Examples:</b>Codes conveying:<p>* privacy law * information sensitivity * consent directive types</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SecurityObservationValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23485"/>
            <printName language="en" preferredForLanguage="true" text="security category"/>
            <code code="_SECCATOBV" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Abstract security observation values used to indicate security classification metadata.</p>
                        <b>Examples:</b>Confidentiality Codes</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SecurityObservationValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23484"/>
            <printName language="en" preferredForLanguage="true" text="security classification"/>
            <code code="_SECCLASSOBV" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Abstract security observation values used to indicate security control metadata.</p>
                        <b>Examples:</b>Codes conveying dissemination controls, information handling caveats, purpose of use, refrain policies, and obligations to which custodians and information receivers must comply.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SecurityObservationValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23486"/>
            <printName language="en" preferredForLanguage="true" text="security control"/>
            <code code="_SECCONOBV" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Abstract security observation values used to indicate data integrity metadata.</p>
                        <b>Examples:</b>Codes conveying the mechanism used to preserve the accuracy and consistency of an IT resource such as a digital signature and a cryptographic hash function.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SECINTOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23494"/>
            <printName language="en" preferredForLanguage="true" text="data integrity"/>
            <code code="_SECDATINTOBV" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Abstract security observation value used to indicate integrity confidence metadata.</p>
                        <b>Examples:</b>Codes conveying the level of reliability and trustworthiness of an IT resource.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SECINTOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23489"/>
            <printName language="en" preferredForLanguage="true" text="integrity confidence"/>
            <code code="_SECINTCONOBV" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Abstract security observation values used to indicate security integrity metadata.</p>
                        <b>Examples:</b>Codes conveying integrity status, integrity confidence, and provenance.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SecurityObservationValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23487"/>
            <printName language="en" preferredForLanguage="true" text="security integrity"/>
            <code code="_SECINTOBV" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Abstract security provenance metadata observation value used to indicate the entity that asserted an IT resource (data, information object, service, or system capability).</p>
                        <b>Examples:</b>Codes conveying the provenance metadata about the entity asserting the resource.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SECINTPRVOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23518"/>
            <printName language="en" preferredForLanguage="true" text="provenance asserted by"/>
            <code code="_SECINTPRVABOBV" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Abstract security metadata observation value used to indicate the provenance of an IT resource (data, information object, service, or system capability).</p>
                        <b>Examples:</b>Codes conveying the provenance metadata about the entity reporting an IT resource.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SECINTOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23508"/>
            <printName language="en" preferredForLanguage="true" text="provenance"/>
            <code code="_SECINTPRVOBV" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Abstract security provenance metadata observation value used to indicate the entity that reported the resource (data, information object, service, or system capability).</p>
                        <b>Examples:</b>Codes conveying the provenance metadata about the entity reporting an IT resource.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SECINTPRVOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23509"/>
            <printName language="en" preferredForLanguage="true" text="provenance reported by"/>
            <code code="_SECINTPRVRBOBV" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Abstract security observation values used to indicate integrity status metadata.</p>
                        <b>Examples:</b>Codes, such as those in the HL7 DocumentClassification code system conveying the workflow status of resource as authenticated, legally authenticated, and in progress.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SECINTOBV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23488"/>
            <printName language="en" preferredForLanguage="true" text="integrity status"/>
            <code code="_SECINTSTOBV" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Observation values used to indicate security observation metadata.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23483"/>
            <printName language="en" preferredForLanguage="true" text="SecurityObservationValue"/>
            <code code="_SecurityObservationValue" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Potential values for observations of severity.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21100"/>
            <printName language="en" preferredForLanguage="true" text="SeverityObservation"/>
            <code code="_SeverityObservation" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Contains codes for defining the observed, physical position of a subject, such as during an observation, assessment, collection of a specimen, etc. ECG waveforms and vital signs, such as blood pressure, are two examples where a general, observed position typically needs to be noted.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22917"/>
            <printName language="en" preferredForLanguage="true" text="_SubjectBodyPosition"/>
            <code code="_SubjectBodyPosition" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A code to capture the kind of reaction that was suffered by the investigated subject, and that is being reported in the ICSR. At this point, SNOMED or MedDRA have been suggested as code systems to be used for providing this information.</p>
                        <p>Example concepts include hives, swelling, rash, anaphylactic shock.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IndividualCaseSafetyReportValueDomains"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21399"/>
            <printName language="en" preferredForLanguage="true" text="Subject Reaction"/>
            <code code="_SubjectReaction" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Code that captures the emphasis that the reporter placed on this reaction.</p>
                        <p>Examples include: highlighted by the reporter, NOT serious, Not highlighted by the reporter, NOT serious, Highlighted by the reporter, SERIOUS, Not highlighted by the reporter, SERIOUS.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IndividualCaseSafetyReportValueDomains"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21403"/>
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                        <p>Indicates an observed abnormality in the patientaTMs condition, but does not assert causation. E.g. Runny nose, swelling, flaky skin, etc.</p>
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                        <p>Values for observations of verification act results</p>
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                        <p>Concepts that describe an individual's typical arrangement of working hours for an occupation.</p>
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                  <p>Codes to identify products and services that do not have DIN's and which need to be billed. http://www.atlanticpharmaceutical.ca/default.asp?mn=5.23</p>
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         <documentation>
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                  <i>OpenIssue:</i>Missing description.</text>
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               <documentation>
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                        <p>A solid dosage form in the shape of a small ball.</p>
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                        <p>A solid dosage form in which the drug is enclosed within either a hard or soft soluble container or "shell" made from a suitable form of gelatin.</p>
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               <documentation>
                  <definition>
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                        <p>A substance that serves to produce solid union between two surfaces.</p>
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               <documentation>
                  <definition>
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                        <p>A solid dosage form usually in the form of a rectangle that is meant to be chewed.</p>
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               <documentation>
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                        <p>A solid dosage form containing medicinal substances with or without suitable diluents that is intended to be chewed, producing a pleasant tasting residue in the oral cavity that is easily swallowed and does not leave a bitter or unpleasant after-taste.</p>
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         <concept>
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               <documentation>
                  <definition>
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                        <p>A semisolid dosage form containing one or more drug substances dissolved or dispersed in a suitable base; more recently, the term has been restricted to products consisting of oil-in-water emulsions or aqueous microcrystalline dispersions of long chain fatty acids or alcohols that are water washable and more cosmetically and aesthetically acceptable.</p>
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               <documentation>
                  <definition>
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                        <p>A naturally produced angular solid of definite form in which the ultimate units from which it is built up are systematically arranged; they are usually evenly spaced on a regular space lattice.</p>
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               <documentation>
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                        <p>A solid dosage form containing medicinal substances which disintegrates rapidly, usually within a matter of seconds, when placed upon the tongue.</p>
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               <documentation>
                  <definition>
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                        <p>A circular plate-like organ or structure.</p>
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         <concept>
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               <documentation>
                  <definition>
                     <text>
                        <p>A liquid preparation, intended for the irrigative cleansing of the vagina, that is prepared from powders, liquid solutions, or liquid concentrates and contains one or more chemical substances dissolved in a suitable solvent or mutually miscible solvents.</p>
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         <concept>
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               <documentation>
                  <definition>
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                        <p>A clear, pleasantly flavored, sweetened hydroalcoholic liquid containing dissolved medicinal agents; it is intended for oral use.</p>
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               <documentation>
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         <concept>
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               <documentation>
                  <definition>
                     <text>
                        <p>A solid dosage form in which the drug is enclosed within either a hard or soft soluble container made from a suitable form of gelatin, and which releases a drug (or drugs) in such a manner to allow a reduction in dosing frequency as compared to that drug (or drugs) presented as a conventional dosage form.</p>
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               <documentation>
                  <definition>
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               <documentation>
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                        <p>A semisolid system consisting of either suspensions made up of small inorganic particles or large organic molecules interpenetrated by a liquid.</p>
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               <documentation>
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                        <p>A small particle or grain.</p>
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         <concept>
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               <documentation>
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                     <text>
                        <p>A sweetened and flavored insoluble plastic material of various shapes which when chewed, releases a drug substance into the oral cavity.</p>
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               <targetConcept code="_GasSolidSpray"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14560"/>
            <printName language="en" preferredForLanguage="true" text="Inhalant"/>
            <code code="INHL" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INHL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14561"/>
            <printName language="en" preferredForLanguage="true" text="Inhalant Powder"/>
            <code code="INHLPWD" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AER"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14555"/>
            <printName language="en" preferredForLanguage="true" text="Inhalant Solution"/>
            <code code="INHLSOL" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SOL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14425"/>
            <printName language="en" preferredForLanguage="true" text="Intraperitoneal Solution"/>
            <code code="IPSOL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A sterile solution intended to bathe or flush open wounds or body cavities; they're used topically, never parenterally.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SOL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14427"/>
            <printName language="en" preferredForLanguage="true" text="Irrigation Solution"/>
            <code code="IRSOL" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SUSP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14455"/>
            <printName language="en" preferredForLanguage="true" text="Intrathecal Suspension"/>
            <code code="ITSUSP" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SOL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14426"/>
            <printName language="en" preferredForLanguage="true" text="Intravenous Solution"/>
            <code code="IVSOL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A solution or mixture of various substances in oil, alcoholic solutions of soap, or emulsions intended for external application.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TOPSOL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14438"/>
            <printName language="en" preferredForLanguage="true" text="Liniment"/>
            <code code="LIN" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Liquid"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14414"/>
            <printName language="en" preferredForLanguage="true" text="Liquid Cleanser"/>
            <code code="LIQCLN" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LIQCLN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14415"/>
            <printName language="en" preferredForLanguage="true" text="Medicated Liquid Soap"/>
            <code code="LIQSOAP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The term "lotion" has been used to categorize many topical suspensions, solutions and emulsions intended for application to the skin.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_LiquidLiquidEmulsion"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14464"/>
            <printName language="en" preferredForLanguage="true" text="Lotion"/>
            <code code="LTN" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AER"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14552"/>
            <printName language="en" preferredForLanguage="true" text="Metered Dose Inhaler"/>
            <code code="MDINHL" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INHL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14563"/>
            <printName language="en" preferredForLanguage="true" text="Metered Dose Powder Inhaler"/>
            <code code="MDINHLPWD" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="BARSOAP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14487"/>
            <printName language="en" preferredForLanguage="true" text="Medicated Bar Soap"/>
            <code code="MEDBAR" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PAD"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14498"/>
            <printName language="en" preferredForLanguage="true" text="Medicated Pad"/>
            <code code="MEDPAD" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SWAB"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14543"/>
            <printName language="en" preferredForLanguage="true" text="Medicated swab"/>
            <code code="MEDSWAB" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TOPSOL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14440"/>
            <printName language="en" preferredForLanguage="true"
                       text="Mucous Membrane Topical Solution"/>
            <code code="MUCTOPSOL" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CRM"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14467"/>
            <printName language="en" preferredForLanguage="true" text="Nasal Cream"/>
            <code code="NASCRM" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="GEL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14444"/>
            <printName language="en" preferredForLanguage="true" text="Nasal Gel"/>
            <code code="NASGEL" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INHL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14564"/>
            <printName language="en" preferredForLanguage="true" text="Nasal Inhalant"/>
            <code code="NASINHL" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OINT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14479"/>
            <printName language="en" preferredForLanguage="true" text="Nasal Ointment"/>
            <code code="NASOINT" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AER"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14554"/>
            <printName language="en" preferredForLanguage="true" text="Nasal Spray"/>
            <code code="NASSPRY" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DROP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14422"/>
            <printName language="en" preferredForLanguage="true" text="Nasal Drops"/>
            <code code="NDROP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An unctuous, combustible substance which is liquid, or easily liquefiable, on warming, and is soluble in ether but insoluble in water. Such substances, depending on their origin, are classified as animal, mineral, or vegetable oils.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Liquid"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14417"/>
            <printName language="en" preferredForLanguage="true" text="Oil"/>
            <code code="OIL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A semisolid preparation intended for external application to the skin or mucous membranes.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_LiquidLiquidEmulsion"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14475"/>
            <printName language="en" preferredForLanguage="true" text="Ointment"/>
            <code code="OINT" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OINT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14476"/>
            <printName language="en" preferredForLanguage="true" text="Ointment with Applicator"/>
            <code code="OINTAPL" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CRM"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14468"/>
            <printName language="en" preferredForLanguage="true" text="Ophthalmic Cream"/>
            <code code="OPCRM" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DROP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14421"/>
            <printName language="en" preferredForLanguage="true" text="Ophthalmic Drops"/>
            <code code="OPDROP" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="GEL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14445"/>
            <printName language="en" preferredForLanguage="true" text="Ophthalmic Gel"/>
            <code code="OPGEL" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="IRSOL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14430"/>
            <printName language="en" preferredForLanguage="true" text="Ophthalmic Irrigation Solution"/>
            <code code="OPIRSOL" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OINT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14477"/>
            <printName language="en" preferredForLanguage="true" text="Ophthalmic Ointment"/>
            <code code="OPOINT" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SUSP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14456"/>
            <printName language="en" preferredForLanguage="true" text="Ophthalmic Suspension"/>
            <code code="OPSUSP" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SOL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14431"/>
            <printName language="en" preferredForLanguage="true" text="Oral Solution"/>
            <code code="ORALSOL" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CAP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14508"/>
            <printName language="en" preferredForLanguage="true" text="Oral Capsule"/>
            <code code="ORCAP" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CRM"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14469"/>
            <printName language="en" preferredForLanguage="true" text="Oral Cream"/>
            <code code="ORCRM" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DROP"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ORALSOL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14423"/>
            <printName language="en" preferredForLanguage="true" text="Oral Drops"/>
            <code code="ORDROP" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INHL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14565"/>
            <printName language="en" preferredForLanguage="true" text="Oral Inhalant"/>
            <code code="ORINHL" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SUSP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14457"/>
            <printName language="en" preferredForLanguage="true" text="Oral Suspension"/>
            <code code="ORSUSP" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TAB"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14516"/>
            <printName language="en" preferredForLanguage="true" text="Oral Tablet"/>
            <code code="ORTAB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A solid preparation containing one or more medicaments, usually in a flavored, sweetened base which is intended to dissolve or disintegrate slowly in the mouth.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ORTAB"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14530"/>
            <printName language="en" preferredForLanguage="true" text="Lozenge/Oral Troche"/>
            <code code="ORTROCHE" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CRM"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14470"/>
            <printName language="en" preferredForLanguage="true" text="Otic Cream"/>
            <code code="OTCRM" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DROP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14424"/>
            <printName language="en" preferredForLanguage="true" text="Otic Drops"/>
            <code code="OTDROP" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="GEL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14446"/>
            <printName language="en" preferredForLanguage="true" text="Otic Gel"/>
            <code code="OTGEL" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OINT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14478"/>
            <printName language="en" preferredForLanguage="true" text="Otic Ointment"/>
            <code code="OTOINT" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SUSP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14461"/>
            <printName language="en" preferredForLanguage="true" text="Otic Suspension"/>
            <code code="OTSUSP" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SolidDrugForm"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14497"/>
            <printName language="en" preferredForLanguage="true" text="Pad"/>
            <code code="PAD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A semisolid dosage form that contains one or more drug substances intended for topical application.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_LiquidSolidSuspension"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14451"/>
            <printName language="en" preferredForLanguage="true" text="Paste"/>
            <code code="PASTE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A drug delivery system that contains an adhesived backing and that permits its ingredients to diffuse from some portion of it (e.g., the backing itself, a reservoir, the adhesive, or some other component) into the body from the external site where it is applied.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SolidDrugForm"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14499"/>
            <printName language="en" preferredForLanguage="true" text="Patch"/>
            <code code="PATCH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A small sterile solid mass consisting of a highly purified drug (with or without excipients) made by the formation of granules, or by compression and molding.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SolidDrugForm"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14533"/>
            <printName language="en" preferredForLanguage="true" text="Pellet"/>
            <code code="PELLET" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A small, round solid dosage form containing a medicinal agent intended for oral administration.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SolidDrugForm"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14506"/>
            <printName language="en" preferredForLanguage="true" text="Pill"/>
            <code code="PILL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An intimate mixture of dry, finely divided drugs and/or chemicals that may be intended for internal or external use.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SolidDrugForm"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14534"/>
            <printName language="en" preferredForLanguage="true" text="Powder"/>
            <code code="POWD" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PASTE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14453"/>
            <printName language="en" preferredForLanguage="true" text="Pudding"/>
            <code code="PUD" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AdministrableDrugForm"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14571"/>
            <printName language="en" preferredForLanguage="true" text="Puff"/>
            <code code="PUFF" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_GasSolidSpray"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14567"/>
            <printName language="en" preferredForLanguage="true" text="Powder Spray"/>
            <code code="PWDSPRY" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CRM"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14471"/>
            <printName language="en" preferredForLanguage="true" text="Rectal Cream"/>
            <code code="RECCRM" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="FOAM"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14548"/>
            <printName language="en" preferredForLanguage="true" text="Rectal foam"/>
            <code code="RECFORM" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OINT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14480"/>
            <printName language="en" preferredForLanguage="true" text="Rectal Ointment"/>
            <code code="RECOINT" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TOPPWD"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14536"/>
            <printName language="en" preferredForLanguage="true" text="Rectal Powder"/>
            <code code="RECPWD" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SOL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14436"/>
            <printName language="en" preferredForLanguage="true" text="Rectal Solution"/>
            <code code="RECSOL" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_GasLiquidMixture"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14557"/>
            <printName language="en" preferredForLanguage="true" text="Rectal Spray"/>
            <code code="RECSPRY" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SUPP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14539"/>
            <printName language="en" preferredForLanguage="true" text="Rectal Suppository"/>
            <code code="RECSUPP" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SUSP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14462"/>
            <printName language="en" preferredForLanguage="true" text="Rectal Suspension"/>
            <code code="RECSUSP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An aqueous solution which is most often used for its deodorant, refreshing, or antiseptic effect.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ORALSOL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14434"/>
            <printName language="en" preferredForLanguage="true" text="Mouthwash/Rinse"/>
            <code code="RINSE" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AdministrableDrugForm"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14574"/>
            <printName language="en" preferredForLanguage="true" text="Scoops"/>
            <code code="SCOOP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A liquid soap or detergent used to clean the hair and scalp and is often used as a vehicle for dermatologic agents.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LIQCLN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14416"/>
            <printName language="en" preferredForLanguage="true" text="Shampoo"/>
            <code code="SHMP" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ORTAB"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14531"/>
            <printName language="en" preferredForLanguage="true" text="Sublingual Tablet"/>
            <code code="SLTAB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A liquid preparation that contains one or more chemical substances dissolved, i.e., molecularly dispersed, in a suitable solvent or mixture of mutually miscible solvents.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Liquid"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14419"/>
            <printName language="en" preferredForLanguage="true" text="Solution"/>
            <code code="SOL" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AdministrableDrugForm"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14573"/>
            <printName language="en" preferredForLanguage="true" text="Sprays"/>
            <code code="SPRY" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_GasSolidSpray"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14566"/>
            <printName language="en" preferredForLanguage="true" text="Spray with Adaptor"/>
            <code code="SPRYADAPT" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="BUCTAB"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14519"/>
            <printName language="en" preferredForLanguage="true"
                       text="Sustained Release Buccal Tablet"/>
            <code code="SRBUCTAB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A solid body of various weights and shapes, adapted for introduction into the rectal, vaginal, or urethral orifice of the human body; they usually melt, soften, or dissolve at body temperature.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SolidDrugForm"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14538"/>
            <printName language="en" preferredForLanguage="true" text="Suppository"/>
            <code code="SUPP" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_LiquidSolidSuspension"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14454"/>
            <printName language="en" preferredForLanguage="true" text="Suspension"/>
            <code code="SUSP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A wad of absorbent material usually wound around one end of a small stick and used for applying medication or for removing material from an area.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SolidDrugForm"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14542"/>
            <printName language="en" preferredForLanguage="true" text="Swab"/>
            <code code="SWAB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An oral solution containing high concentrations of sucrose or other sugars; the term has also been used to include any other liquid dosage form prepared in a sweet and viscid vehicle, including oral suspensions.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ORALSOL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14433"/>
            <printName language="en" preferredForLanguage="true" text="Syrup"/>
            <code code="SYRUP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A solid dosage form containing medicinal substances with or without suitable diluents.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PILL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14515"/>
            <printName language="en" preferredForLanguage="true" text="Tablet"/>
            <code code="TAB" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TOPSOL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14439"/>
            <printName language="en" preferredForLanguage="true" text="Tincture"/>
            <code code="TINC" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CRM"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14472"/>
            <printName language="en" preferredForLanguage="true" text="Topical Cream"/>
            <code code="TOPCRM" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="GEL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14447"/>
            <printName language="en" preferredForLanguage="true" text="Topical Gel"/>
            <code code="TOPGEL" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LTN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14465"/>
            <printName language="en" preferredForLanguage="true" text="Topical Lotion"/>
            <code code="TOPLTN" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OIL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14418"/>
            <printName language="en" preferredForLanguage="true" text="Topical Oil"/>
            <code code="TOPOIL" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OINT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14481"/>
            <printName language="en" preferredForLanguage="true" text="Topical Ointment"/>
            <code code="TOPOINT" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="POWD"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14535"/>
            <printName language="en" preferredForLanguage="true" text="Topical Powder"/>
            <code code="TOPPWD" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SOL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14437"/>
            <printName language="en" preferredForLanguage="true" text="Topical Solution"/>
            <code code="TOPSOL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A paste formulation intended to clean and/or polish the teeth, and which may contain certain additional agents.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PASTE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14452"/>
            <printName language="en" preferredForLanguage="true" text="Toothpaste"/>
            <code code="TPASTE" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PATCH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14500"/>
            <printName language="en" preferredForLanguage="true" text="Transdermal Patch"/>
            <code code="TPATCH" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TPATCH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14501"/>
            <printName language="en" preferredForLanguage="true" text="16 Hour Transdermal Patch"/>
            <code code="TPATH16" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TPATCH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14502"/>
            <printName language="en" preferredForLanguage="true" text="24 Hour Transdermal Patch"/>
            <code code="TPATH24" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TPATCH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14505"/>
            <printName language="en" preferredForLanguage="true" text="Biweekly Transdermal Patch"/>
            <code code="TPATH2WK" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TPATCH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14503"/>
            <printName language="en" preferredForLanguage="true" text="72 Hour Transdermal Patch"/>
            <code code="TPATH72" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TPATCH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14504"/>
            <printName language="en" preferredForLanguage="true" text="Weekly Transdermal Patch"/>
            <code code="TPATHWK" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="GEL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14448"/>
            <printName language="en" preferredForLanguage="true" text="Urethral Gel"/>
            <code code="URETHGEL" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SUPP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14541"/>
            <printName language="en" preferredForLanguage="true" text="Urethral suppository"/>
            <code code="URETHSUPP" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CRM"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14473"/>
            <printName language="en" preferredForLanguage="true" text="Vaginal Cream"/>
            <code code="VAGCRM" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="VAGCRM"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14474"/>
            <printName language="en" preferredForLanguage="true" text="Vaginal Cream with Applicator"/>
            <code code="VAGCRMAPL" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="FOAM"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14549"/>
            <printName language="en" preferredForLanguage="true" text="Vaginal foam"/>
            <code code="VAGFOAM" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="VAGFOAM"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14550"/>
            <printName language="en" preferredForLanguage="true" text="Vaginal foam with applicator"/>
            <code code="VAGFOAMAPL" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="GEL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14449"/>
            <printName language="en" preferredForLanguage="true" text="Vaginal Gel"/>
            <code code="VAGGEL" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OINT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14482"/>
            <printName language="en" preferredForLanguage="true" text="Vaginal Ointment"/>
            <code code="VAGOINT" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="VAGOINT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14483"/>
            <printName language="en" preferredForLanguage="true"
                       text="Vaginal Ointment with Applicator"/>
            <code code="VAGOINTAPL" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TOPPWD"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14537"/>
            <printName language="en" preferredForLanguage="true" text="Vaginal Powder"/>
            <code code="VAGPWD" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_GasLiquidMixture"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14558"/>
            <printName language="en" preferredForLanguage="true" text="Vaginal Spray"/>
            <code code="VAGSPRY" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SUPP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14540"/>
            <printName language="en" preferredForLanguage="true" text="Vaginal Suppository"/>
            <code code="VAGSUPP" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TAB"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14532"/>
            <printName language="en" preferredForLanguage="true" text="Vaginal Tablet"/>
            <code code="VAGTAB" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="VAGGEL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14450"/>
            <printName language="en" preferredForLanguage="true" text="Vaginal Gel with Applicator"/>
            <code code="VGELAPL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A thin slice of material containing a medicinal agent.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SolidDrugForm"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14544"/>
            <printName language="en" preferredForLanguage="true" text="Wafer"/>
            <code code="WAFER" status="active"/>
         </concept>
         <concept isSelectable="false">
            <conceptProperty name="internalId" value="21101"/>
            <printName language="en" preferredForLanguage="true" text="AdministrableDrugForm"/>
            <code code="_AdministrableDrugForm" status="active"/>
         </concept>
         <concept isSelectable="false">
            <conceptProperty name="internalId" value="21102"/>
            <printName language="en" preferredForLanguage="true" text="DispensableDrugForm"/>
            <code code="_DispensableDrugForm" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Any elastic aeriform fluid in which the molecules are separated from one another and have free paths.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_DispensableDrugForm"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21103"/>
            <printName language="en" preferredForLanguage="true" text="GasDrugForm"/>
            <code code="_GasDrugForm" status="active"/>
         </concept>
         <concept isSelectable="false">
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_DispensableDrugForm"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21104"/>
            <printName language="en" preferredForLanguage="true" text="GasLiquidMixture"/>
            <code code="_GasLiquidMixture" status="active"/>
         </concept>
         <concept isSelectable="false">
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_DispensableDrugForm"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21105"/>
            <printName language="en" preferredForLanguage="true" text="GasSolidSpray"/>
            <code code="_GasSolidSpray" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A state of substance that is an intermediate one entered into as matter goes from solid to gas; liquids are also intermediate in that they have neither the orderliness of a crystal nor the randomness of a gas. (Note: This term should not be used to describe solutions, only pure chemicals in their liquid state.)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_DispensableDrugForm"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21106"/>
            <printName language="en" preferredForLanguage="true" text="Liquid"/>
            <code code="_Liquid" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A two-phase system in which one liquid is dispersed throughout another liquid in the form of small droplets.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_DispensableDrugForm"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21107"/>
            <printName language="en" preferredForLanguage="true" text="LiquidLiquidEmulsion"/>
            <code code="_LiquidLiquidEmulsion" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A liquid preparation which consists of solid particles dispersed throughout a liquid phase in which the particles are not soluble.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_DispensableDrugForm"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21108"/>
            <printName language="en" preferredForLanguage="true" text="LiquidSolidSuspension"/>
            <code code="_LiquidSolidSuspension" status="active"/>
         </concept>
         <concept isSelectable="false">
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_DispensableDrugForm"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21109"/>
            <printName language="en" preferredForLanguage="true" text="SolidDrugForm"/>
            <code code="_SolidDrugForm" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="OrganizationNameType" title="OrganizationNameType"
               codeSystemId="2.16.840.1.113883.5.1016">
      <historyItem dateTime="2020-05-06" id="v3-OrganizationNameType-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Deprecation Comment:</b>Deprecated as per 11/2008 Harmonization cleanup; internal and obsolete HL7 usage, no longer used. All of these are maintained under EntityNameType. This was created in error and should never be used.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
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                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
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                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An alias, typically a shorter name than the legal name. This is the default.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10680"/>
            <printName language="en" preferredForLanguage="true" text="Alias"/>
            <code code="A" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The full legal name of the organization as used in public records.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10679"/>
            <printName language="en" preferredForLanguage="true" text="Legal"/>
            <code code="L" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A stock market ticker symbol.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10681"/>
            <printName language="en" preferredForLanguage="true" text="Stock exchange"/>
            <code code="ST" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="ParameterizedDataType" title="ParameterizedDataType"
               codeSystemId="2.16.840.1.113883.5.87">
      <historyItem dateTime="2020-05-06" id="v3-ParameterizedDataType-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Deprecation Comment:</b>Deprecated as per 11/2008 Harmonization cleanup; internal and obsolete HL7 usage, no longer used.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
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                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
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                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
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                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="T"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10767"/>
            <printName language="en" preferredForLanguage="true" text="Annotated"/>
            <code code="ANT&lt;T&gt;" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="10763"/>
            <printName language="en" preferredForLanguage="true" text="Bag"/>
            <code code="BAG&lt;T&gt;" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SET&lt;T&gt;"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10766"/>
            <printName language="en" preferredForLanguage="true" text="Event Related Interval"/>
            <code code="EIVL&lt;T&gt;" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="T"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10768"/>
            <printName language="en" preferredForLanguage="true" text="Historical"/>
            <code code="HXIT&lt;T&gt;" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SET&lt;T&gt;"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10764"/>
            <printName language="en" preferredForLanguage="true" text="Interval"/>
            <code code="IVL&lt;T&gt;" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="10762"/>
            <printName language="en" preferredForLanguage="true" text="Sequence"/>
            <code code="LIST&lt;T&gt;" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="T"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10771"/>
            <printName language="en" preferredForLanguage="true"
                       text="Non Parametric Probability Distribution"/>
            <code code="NPPD&lt;T&gt;" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SET&lt;T&gt;"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10765"/>
            <printName language="en" preferredForLanguage="true" text="Periodic Interval"/>
            <code code="PIVL&lt;T&gt;" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="T"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10772"/>
            <printName language="en" preferredForLanguage="true"
                       text="Parametric Probability Distribution"/>
            <code code="PPD&lt;T&gt;" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="10761"/>
            <printName language="en" preferredForLanguage="true" text="Set"/>
            <code code="SET&lt;T&gt;" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="10760"/>
            <printName language="en" preferredForLanguage="true" text="Type"/>
            <code code="T" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="T"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10769"/>
            <printName language="en" preferredForLanguage="true" text="Uncertain Value Narrative"/>
            <code code="UVN&lt;T&gt;" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="T"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10770"/>
            <printName language="en" preferredForLanguage="true" text="Uncertain Value Probabilistic"/>
            <code code="UVP&lt;T&gt;" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="ParticipationFunction" title="ParticipationFunction"
               codeSystemId="2.16.840.1.113883.5.88">
      <historyItem dateTime="2020-05-06" id="v3-ParticipationFunction-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>This code is used to specify the exact function an actor had in a service in all necessary detail. This domain may include local extensions (CWE).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A physician who admitted a patient to a hospital or other care unit that is the context of this service.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10278"/>
            <printName language="en" preferredForLanguage="true" text="admitting physician"/>
            <code code="ADMPHYS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>In a typical anesthesia setting an anesthesiologist or anesthesia resident in charge of the anesthesia and life support, but only a witness to the surgical procedure itself. To clarify responsibilities anesthesia should always be represented as a separate service related to the surgery.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10274"/>
            <printName language="en" preferredForLanguage="true" text="anesthesist"/>
            <code code="ANEST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>In a typical anesthesia setting the nurse principally assisting the anesthesiologist during the critical periods.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10275"/>
            <printName language="en" preferredForLanguage="true" text="anesthesia nurse"/>
            <code code="ANRS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A device that operates independently of an author on custodian's algorithms for data extraction of existing information for purpose of generating a new artifact.</p>
                        <i>UsageConstraint:</i>ASSEMBLER ParticipationFunction should be used with DEV (device) ParticipationType.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23655"/>
            <printName language="en" preferredForLanguage="true" text="assembly software"/>
            <code code="ASSEMBLER" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A physician who is primarily responsible for a patient during the hospitalization, which is the context of the service.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10277"/>
            <printName language="en" preferredForLanguage="true" text="attending physician"/>
            <code code="ATTPHYS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Caregiver authorized to receive patient health information.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AuthorizedReceiverParticipationFunction"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22900"/>
            <printName language="en" preferredForLanguage="true" text="caregiver information receiver"/>
            <code code="AUCG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Entity authorized to override a consent directive.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_OverriderParticipationFunction"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22898"/>
            <printName language="en" preferredForLanguage="true" text="consent overrider"/>
            <code code="AUCOV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Entity authorized to override a consent directive or privacy policy in an emergency.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_OverriderParticipationFunction"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22899"/>
            <printName language="en" preferredForLanguage="true" text="emergency overrider"/>
            <code code="AUEMROV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Provider with legitimate relationship authorized to receive patient health information.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AuthorizedReceiverParticipationFunction"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22901"/>
            <printName language="en" preferredForLanguage="true"
                       text="legitimate relationship information receiver"/>
            <code code="AULR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Member of care team authorized to receive patient health information.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AuthorizedReceiverParticipationFunction"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22902"/>
            <printName language="en" preferredForLanguage="true" text="care team information receiver"/>
            <code code="AUTM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Entities within specified work area authorized to receive patient health information.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AuthorizedReceiverParticipationFunction"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22903"/>
            <printName language="en" preferredForLanguage="true" text="work area information receiver"/>
            <code code="AUWA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Manages all operations required to adjudicate fee for service claims or managed care encounter reports.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PayorParticipationFunction"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22226"/>
            <printName language="en" preferredForLanguage="true" text="claims adjudication"/>
            <code code="CLMADJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A device used by an author to record new information, which may also be used by the author to select existing information for aggregation with newly recorded information for the purpose of generating a new artifact.</p>
                        <i>UsageConstraint:</i>COMPOSER ParticipationFunction should be used with DEV (device) ParticipationType.<i>Usage Note:</i>This code will enable implementers to more specifically represent the manner in which a Device participated in and facilitated the generation of a CDA Clinical Document or a CDA Entry by the responsible Author, which is comprised of the Author's newly entered content, and may include the pre-existing content selected by the Author, for the purpose of establishing the provenance and accountability for these acts.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23722"/>
            <printName language="en" preferredForLanguage="true" text="composer software"/>
            <code code="COMPOSER" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A physician who discharged a patient from a hospital or other care unit that is the context of this service.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10279"/>
            <printName language="en" preferredForLanguage="true" text="discharging physician"/>
            <code code="DISPHYS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Managing the enrollment of covered parties.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PayorParticipationFunction"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22229"/>
            <printName language="en" preferredForLanguage="true" text="enrollment broker"/>
            <code code="ENROLL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>In a typical surgery setting the assistant facing the primary surgeon. The first assistant performs parts of the operation and assists in others (e.g., incision, approach, electrocoutering, ligatures, sutures).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10269"/>
            <printName language="en" preferredForLanguage="true" text="first assistant surgeon"/>
            <code code="FASST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Managing all operations required to administer a fee for service or indemnity health plan including enrolling covered parties and providing customer service, provider contracting, claims payment, care management and utilization review.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PayorParticipationFunction"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22228"/>
            <printName language="en" preferredForLanguage="true" text="ffs management"/>
            <code code="FFSMGT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Responsibility taken by a sponsor to contract with one or more underwriters for the assumption of full responsibility for the risk and administration of a policy or program.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SponsorParticipationFunction"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22232"/>
            <printName language="en" preferredForLanguage="true" text="fully insured"/>
            <code code="FULINRD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Legal guardian of the subject of consent authorized to author a consent directive for the subject of consent.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ConsenterParticipationFunction"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22894"/>
            <printName language="en" preferredForLanguage="true" text="legal guardian consent author"/>
            <code code="GRDCON" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Managing all operations required to administer a managed care plan including enrolling covered parties and providing customer service,, provider contracting, claims payment, care management and utilization review.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PayorParticipationFunction"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22227"/>
            <printName language="en" preferredForLanguage="true" text="managed care management"/>
            <code code="MCMGT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person (usually female) helping a woman deliver a baby. Responsibilities vary locally, ranging from a mere optional assistant to a full required participant, responsible for (normal) births and pre- and post-natal care for both mother and baby.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10276"/>
            <printName language="en" preferredForLanguage="true" text="midwife"/>
            <code code="MDWF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>In a typical surgery setting the non-sterile nurse handles material supply from the stock, forwards specimen to pathology, and helps with other non-sterile tasks (e.g., phone calls, etc.).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10273"/>
            <printName language="en" preferredForLanguage="true" text="nurse assistant"/>
            <code code="NASST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Contracting for the provision and administration of health services to payors while retaining the risk for coverage. Contracting may be for all provision and administration; or for provision of certain types of services; for provision of services by region; and by types of administration, e.g., claims adjudication, enrollment, provider management, and utilization management. Typically done by underwriters for sponsors who need coverage provided to covered parties in multiple regions. The underwriter may act as the payor in some, but not all of the regions in which coverage is provided.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_UnderwriterParticipationFunction"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22234"/>
            <printName language="en" preferredForLanguage="true" text="payor contracting"/>
            <code code="PAYORCNTR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The healthcare provider that holds primary responsibility for the overall care of a patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10281"/>
            <printName language="en" preferredForLanguage="true" text="primary care physician"/>
            <code code="PCP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Person authorized with healthcare power of attorney to author a consent directive for the subject of consent.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ConsenterParticipationFunction"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22896"/>
            <printName language="en" preferredForLanguage="true"
                       text="healthcare power of attorney consent author"/>
            <code code="POACON" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Personal representative of the subject of consent authorized to author a consent directive for the subject of consent.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ConsenterParticipationFunction"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22895"/>
            <printName language="en" preferredForLanguage="true"
                       text="personal representative consent author"/>
            <code code="PRCON" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>In a typical surgery setting the primary performing surgeon.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10268"/>
            <printName language="en" preferredForLanguage="true" text="primary surgeon"/>
            <code code="PRISURG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**Provider authorized to mask information to protect the patient, a third party, or to ensure that the provider has consulted with the patient prior to release of this information.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ConsenterParticipationFunction"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22897"/>
            <printName language="en" preferredForLanguage="true"
                       text="authorized provider masking author"/>
            <code code="PROMSK" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Managing provider contracting, provider services, credentialing, profiling, performance measures, and ensuring network adequacy.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PayorParticipationFunction"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22230"/>
            <printName language="en" preferredForLanguage="true" text="provider management"/>
            <code code="PROVMGT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Underwriting reinsurance for another underwriter for the policy or program.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_UnderwriterParticipationFunction"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22235"/>
            <printName language="en" preferredForLanguage="true" text="reinsures"/>
            <code code="REINS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Underwriting reinsurance for another reinsurer.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_UnderwriterParticipationFunction"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22236"/>
            <printName language="en" preferredForLanguage="true" text="retrocessionaires"/>
            <code code="RETROCES" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A verifier who is accountable for reviewing and asserting that the verification of an Act complies with jurisdictional or organizational policy.</p>
                        <i>UsageConstraint:</i>UsageConstraint: Specifies the exact function that an actor is authorized to have as a verifier of an Act. Connotes that a specialized verifier asserts compliance for veracity of the review per jurisdictional or organizational policy. E.g., The Provider who takes responsibility for authenticity of a record submitted to a payer.<p>REVIEW ParticipationFunction should be used with VFR (verifier)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23656"/>
            <printName language="en" preferredForLanguage="true" text="reviewer"/>
            <code code="REVIEWER" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A physician who made rounds on a patient in a hospital or other care center.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10280"/>
            <printName language="en" preferredForLanguage="true" text="rounding physician"/>
            <code code="RNDPHYS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>In a typical surgery setting the assistant who primarily holds the hooks.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10270"/>
            <printName language="en" preferredForLanguage="true" text="second assistant surgeon"/>
            <code code="SASST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Responsibility taken by a sponsor to organize the underwriting of risk and administration of a policy or program.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SponsorParticipationFunction"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22233"/>
            <printName language="en" preferredForLanguage="true" text="self insured"/>
            <code code="SELFINRD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>In a typical surgery setting the nurse in charge of the instrumentation.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10271"/>
            <printName language="en" preferredForLanguage="true" text="scrub nurse"/>
            <code code="SNRS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Subject of consent authorized to author a consent directive.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ConsenterParticipationFunction"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22893"/>
            <printName language="en" preferredForLanguage="true" text="subject of consent author"/>
            <code code="SUBCON" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Delegating risk for a policy or program to one or more subcontracting underwriters, e.g., a major health insurer may delegate risk for provision of coverage under a national health plan to other underwriters by region .</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_UnderwriterParticipationFunction"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22237"/>
            <printName language="en" preferredForLanguage="true" text="subcontracting risk"/>
            <code code="SUBCTRT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>In a typical surgery setting there is rarely a third assistant (e.g., in some Hip operations the third assistant postures the affected leg).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10272"/>
            <printName language="en" preferredForLanguage="true" text="third assistant"/>
            <code code="TASST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Managing utilization of services by ensuring that providers adhere to, e.g., payeraTMs clinical protocols for medical appropriateness and standards of medical necessity. May include management of authorizations for services and referrals.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PayorParticipationFunction"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22231"/>
            <printName language="en" preferredForLanguage="true" text="utilization management"/>
            <code code="UMGT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Provision of underwriting analysis for another underwriter without assumption of risk.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_UnderwriterParticipationFunction"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22238"/>
            <printName language="en" preferredForLanguage="true" text="underwriting"/>
            <code code="UNDERWRTNG" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This code is used to specify the exact function an actor is authorized to have in a service in all necessary detail.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22338"/>
            <printName language="en" preferredForLanguage="true"
                       text="AuthorizedParticipationFunction"/>
            <code code="_AuthorizedParticipationFunction" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This code is used to specify the exact function an actor is authorized to have as a receiver of information that is the subject of a consent directive or consent override.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AuthorizedParticipationFunction"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22341"/>
            <printName language="en" preferredForLanguage="true"
                       text="AuthorizedReceiverParticipationFunction"/>
            <code code="_AuthorizedReceiverParticipationFunction" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This code is used to specify the exact function an actor is authorized to have in authoring a consent directive.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AuthorizedParticipationFunction"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22339"/>
            <printName language="en" preferredForLanguage="true" text="ConsenterParticipationFunction"/>
            <code code="_ConsenterParticipationFunction" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Set of codes indicating the manner in which sponsors, underwriters, and payers participate in a policy or program.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22222"/>
            <printName language="en" preferredForLanguage="true" text="CoverageParticipationFunction"/>
            <code code="_CoverageParticipationFunction" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This code is used to specify the exact function an actor is authorized to have in authoring a consent override.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AuthorizedParticipationFunction"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22340"/>
            <printName language="en" preferredForLanguage="true" text="OverriderParticipationFunction"/>
            <code code="_OverriderParticipationFunction" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Set of codes indicating the manner in which payors participate in a policy or program.&lt;/</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoverageParticipationFunction"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22223"/>
            <printName language="en" preferredForLanguage="true" text="PayorParticipationFunction"/>
            <code code="_PayorParticipationFunction" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Set of codes indicating the manner in which sponsors participate in a policy or program. NOTE: use only when the Sponsor is not further specified with a SponsorRoleType as being either a fully insured sponsor or a self insured sponsor.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoverageParticipationFunction"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22224"/>
            <printName language="en" preferredForLanguage="true" text="SponsorParticipationFunction"/>
            <code code="_SponsorParticipationFunction" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>Set of codes indicating the manner in which underwriters participate in a policy or program.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoverageParticipationFunction"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22225"/>
            <printName language="en" preferredForLanguage="true"
                       text="UnderwriterParticipationFunction"/>
            <code code="_UnderwriterParticipationFunction" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="ParticipationMode" title="ParticipationMode"
               codeSystemId="2.16.840.1.113883.5.1064">
      <historyItem dateTime="2020-05-06" id="v3-ParticipationMode-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A set of codes specifying the modality by which the Entity playing the Role is participating in the Act.</p>
                  <i>Examples:</i>Physically present, over the telephone, written communication.<i>Rationale:</i>Particularly for author (originator) participants this is used to specify whether the information represented by the act was initially provided verbally, (hand-)written, or electronically.<i>Open Issue:</i>There needs to be a reexamination of the hierarchies as there seems to be some muddling between ELECTRONIC and other concepts that involve electronic communication that are in other hierarchies.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-08-10" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Participation by text or diagrams transmitted over an online app, e.g. Facebook Messenger, WhatsApp, or similar web app.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MSGWRIT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="116554"/>
            <printName language="en" preferredForLanguage="true" text="messaging app"/>
            <code code="APPWRIT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Participation by pre-recorded voice. Communication is limited to one direction (from the recorder to recipient).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="VERBAL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16547"/>
            <printName language="en" preferredForLanguage="true" text="dictated"/>
            <code code="DICTATE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Participation by non-human-languaged based electronic signal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="16554"/>
            <printName language="en" preferredForLanguage="true" text="electronic data"/>
            <code code="ELECTRONIC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Participation by text or diagrams transmitted over an electronic mail system.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ONLINEWRIT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16553"/>
            <printName language="en" preferredForLanguage="true" text="email"/>
            <code code="EMAILWRIT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Participation by voice communication where parties speak to each other directly.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="VERBAL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16545"/>
            <printName language="en" preferredForLanguage="true" text="face-to-face"/>
            <code code="FACE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Participation by text or diagrams printed on paper that have been transmitted over a fax device</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="WRITTEN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16552"/>
            <printName language="en" preferredForLanguage="true" text="telefax"/>
            <code code="FAXWRIT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Participation by text or diagrams printed on paper or other recording medium</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="WRITTEN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16550"/>
            <printName language="en" preferredForLanguage="true" text="handwritten"/>
            <code code="HANDWRIT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Participation by text or diagrams printed on paper transmitted physically (e.g. by courier service, postal service).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="WRITTEN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23720"/>
            <printName language="en" preferredForLanguage="true" text="mail"/>
            <code code="MAILWRIT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Participation by text or diagrams transmitted by an MMS message.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MSGWRIT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="116553"/>
            <printName language="en" preferredForLanguage="true" text="MMS message"/>
            <code code="MMSWRIT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Participation by messaging typically from a mobile phone or mobile device through a cellular network or Internet. Includes secured or unsecured messaging transmission and includes online chat. Also includes submission of photos or other images.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="WRITTEN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="116551"/>
            <printName language="en" preferredForLanguage="true" text="messaging"/>
            <code code="MSGWRIT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Participation by text or diagrams submitted by computer network, e.g. online survey.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="WRITTEN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23719"/>
            <printName language="en" preferredForLanguage="true" text="online written"/>
            <code code="ONLINEWRIT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Participation by voice communication where the voices of the communicating parties are transported over an electronic medium</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="VERBAL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16546"/>
            <printName language="en" preferredForLanguage="true" text="telephone"/>
            <code code="PHONE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Participation by direct action where subject and actor are in the same location. (The participation involves more than communication.)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="16556"/>
            <printName language="en" preferredForLanguage="true" text="physical presence"/>
            <code code="PHYSICAL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Participation by direct action where subject and actor are in separate locations, and the actions of the actor are transmitted by electronic or mechanical means. (The participation involves more than communication.)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="16557"/>
            <printName language="en" preferredForLanguage="true" text="remote presence"/>
            <code code="REMOTE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Participation by text or diagrams transmitted by an SMS message.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MSGWRIT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="116552"/>
            <printName language="en" preferredForLanguage="true" text="SMS message"/>
            <code code="SMSWRIT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Participation by text or diagrams printed on paper or other recording medium where the recording was performed using a typewriter, typesetter, computer or similar mechanism.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="WRITTEN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16551"/>
            <printName language="en" preferredForLanguage="true" text="typewritten"/>
            <code code="TYPEWRIT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Participation by voice communication</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="16544"/>
            <printName language="en" preferredForLanguage="true" text="verbal"/>
            <code code="VERBAL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Participation by voice and visual communication where the voices and images of the communicating parties are transported over an electronic medium</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="VERBAL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16548"/>
            <printName language="en" preferredForLanguage="true" text="videoconferencing"/>
            <code code="VIDEOCONF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Participation by human language recorded on a physical material</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="16549"/>
            <printName language="en" preferredForLanguage="true" text="written"/>
            <code code="WRITTEN" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="ParticipationSignature" title="ParticipationSignature"
               codeSystemId="2.16.840.1.113883.5.89">
      <historyItem dateTime="2020-05-06" id="v3-ParticipationSignature-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A set of codes specifying whether and how the participant has attested his participation through a signature and or whether such a signature is needed.</p>
                  <i>Examples:</i>A surgical Procedure act object (representing a procedure report) requires a signature of the performing and responsible surgeon, and possibly other participants. (See also: Participation.signatureText.)</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The particpant intends to provide a signature.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="13977"/>
            <printName language="en" preferredForLanguage="true" text="intended"/>
            <code code="I" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Signature has been affixed, either written on file, or electronic (incl. digital) signature in Participation.signatureText.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10284"/>
            <printName language="en" preferredForLanguage="true" text="signed"/>
            <code code="S" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A signature for the service is required of this actor.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10283"/>
            <printName language="en" preferredForLanguage="true" text="required"/>
            <code code="X" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="ParticipationType" title="ParticipationType"
               codeSystemId="2.16.840.1.113883.5.90">
      <historyItem dateTime="2020-05-06" id="v3-ParticipationType-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A code specifying the meaning and purpose of every Participation instance. Each of its values implies specific constraints on the Roles undertaking the participation.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired..</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="conductible" type="Boolean" isMandatoryIndicator="false">
            <description>If true, indicates that ActRelationships or Participations of the specified type (and any specializations thereof) will normally conduct. For more usage information, refer to the Core Principles specification.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="Name:Act:participation:Participation" type="Token"
                                   isMandatoryIndicator="false">
            <description>Name of relationship from Act to Participation</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="Name:Role:participation:Participation" type="Token"
                                   isMandatoryIndicator="false">
            <description>Name of relationship from Role to Participation</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="Sort:Act:participation:Participation" type="Token"
                                   isMandatoryIndicator="false">
            <description>Sort key for relationship from Act to Participation</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="Sort:Role:participation:Participation" type="Token"
                                   isMandatoryIndicator="false">
            <description>Sort key for relationship from Role to Participation</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="isDocumentCharacteristic" type="Boolean"
                                   isMandatoryIndicator="false">
            <description>If true, indicates that the Act attribute or association (as represented by a typeCode for eaither ActRelationship or Pareticipation is a descriptor of the document (record) represented by the act object. If false, indicates the property is a descriptor of the action itself, actual, intended, or potential. Applies to interpretation of attributes and associations with respect to changes in the value of Act.actionNegationInd and Act.moodCode. (See descriptions of these attributes for further discussion.) For example, in an order, the id attribute [isDocumentCharacteristic = true] is an identifier of the record of the order, not an identifier of the intended event. On the other hand, the code attribute [isDocumentCharacteristic = false] describes a characteristic of the intended event.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The practitioner who is responsible for admitting a patient to a patient encounter.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ParticipationAncillary"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16845"/>
            <conceptProperty name="Name:Act:participation:Participation" value="admitter"/>
            <conceptProperty name="Name:Role:participation:Participation" value="admission"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="FA_______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="FA_______"/>
            <conceptProperty name="conductible" value="false"/>
            <printName language="en" preferredForLanguage="true" text="admitter"/>
            <code code="ADM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The target of an Observation action. Links an observation to a Role whose player is the substance or most specific component entity (material, micro-organism, etc.) being measured within the subject.</p>
                        <i>Examples:</i>A "plasma porcelain substance concentration" has analyte a Role with player substance Entity "porcelain".<i>UsageNotes:</i>The Role that this participation connects to may be any Role whose player is that substance measured. Very often, the scoper may indicate the system in which the component is being measured. E.g., for "plasma porcelain" the scoper could be "Plasma".</text>
                  </definition>
                  <usageNotes>
                     <text>The Role that this participation connects to may be any Role whose player is that substance measured. Very often, the scoper may indicate the system in which the component is being measured. E.g., for "plasma porcelain" the scoper could be "Plasma".</text>
                  </usageNotes>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DIR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23093"/>
            <conceptProperty name="Name:Act:participation:Participation" value="analyte"/>
            <conceptProperty name="Name:Role:participation:Participation" value="analyzedBy"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="AAB______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="AAB______"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="analyte"/>
            <code code="ALY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The practitioner that has responsibility for overseeing a patient's care during a patient encounter.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ParticipationAncillary"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16843"/>
            <conceptProperty name="Name:Act:participation:Participation" value="attender"/>
            <conceptProperty name="Name:Role:participation:Participation" value="attenderOf"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="FB_______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="FB_______"/>
            <conceptProperty name="conductible" value="false"/>
            <printName language="en" preferredForLanguage="true" text="attender"/>
            <code code="ATND" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A party that originates the Act and therefore has responsibility for the information given in the Act and ownership of this Act.<b>Example:</b>the report writer, the person writing the act definition, the guideline author, the placer of an order, the EKG cart (device) creating a report etc. Every Act should have an author. Authorship is regardless of mood always actual authorship.<p>Examples of such policies might include:</p>
                        <p>* The author and anyone they explicitly delegate may update the report; * All administrators within the same clinic may cancel and reschedule appointments created by other administrators within that clinic;</p>
                        <p>A party that is neither an author nor a party who is extended authorship maintenance rights by policy, may only amend, reverse, override, replace, or follow up in other ways on this Act, whereby the Act remains intact and is linked to another Act authored by that other party.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ParticipationInformationGenerator"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10252"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:participation:Participation" value="author"/>
            <conceptProperty name="Name:Role:participation:Participation" value="origination"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="EA_______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="EA_______"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="author (originator)"/>
            <code code="AUT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A verifier who attests to the accuracy of an act, but who does not have privileges to legally authenticate the act. An example would be a resident physician who sees a patient and dictates a note, then later signs it. Their signature constitutes an authentication.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="VRF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19072"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:participation:Participation" value="authenticator"/>
            <conceptProperty name="Name:Role:participation:Participation" value="authenticated"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="IB_______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="IB_______"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="authenticator"/>
            <code code="AUTHEN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>In an obstetric service, the baby.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DIR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10293"/>
            <conceptProperty name="Name:Act:participation:Participation" value="baby"/>
            <conceptProperty name="Name:Role:participation:Participation" value="babyOf"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="AB_______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="AB_______"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="baby"/>
            <code code="BBY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Target on behalf of whom the service happens, but that is not necessarily present in the service. Can occur together with direct target to indicate that a target is both, as in the case where the patient is the indirect beneficiary of a service rendered to a family member, e.g. counseling or given home care instructions. This concept includes a participant, such as a covered party, who derives benefits from a service act covered by a coverage act.</p>
                        <p>Note that the semantic role of the intended recipient who benefits from the happening denoted by the verb in the clause. Thus, a patient who has no coverage under a policy or program may be a beneficiary of a health service while not being the beneficiary of coverage for that service.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="IND"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10288"/>
            <conceptProperty name="Name:Act:participation:Participation" value="beneficiary"/>
            <conceptProperty name="Name:Role:participation:Participation" value="beneficiaryOf"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="BC_______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="BC_______"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="beneficiary"/>
            <code code="BEN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Definition: A factor, such as a microorganism, chemical substance, or form of radiation, whose presence, excessive presence, or (in deficiency diseases) relative absence is essential, in whole or in part, for the occurrence of a condition.</p>
                        <p>Constraint: The use of this participation is limited to observations.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="IND"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21639"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="causative agent"/>
            <code code="CAGNT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person or organization who should be contacted for follow-up questions about the act in place of the author.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ParticipationAncillary"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21385"/>
            <conceptProperty name="Name:Act:participation:Participation" value="callBackContact"/>
            <conceptProperty name="Name:Role:participation:Participation" value="callBackAvailability"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="FF_______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="FF_______"/>
            <conceptProperty name="conductible" value="false"/>
            <printName language="en" preferredForLanguage="true" text="callback contact"/>
            <code code="CALLBCK" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The catalyst of a chemical reaction, such as an enzyme or a platinum surface. In biochemical reactions, connects the enzyme with the molecular interaction</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DIR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23094"/>
            <conceptProperty name="Name:Act:participation:Participation" value="catalyst"/>
            <conceptProperty name="Name:Role:participation:Participation" value="catalystOf"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="AA_______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="AA_______"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="catalyst"/>
            <code code="CAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An advisor participating in the service by performing evaluations and making recommendations.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ParticipationAncillary"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10256"/>
            <conceptProperty name="Name:Act:participation:Participation" value="consultant"/>
            <conceptProperty name="Name:Role:participation:Participation" value="consultation"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="FE_______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="FE_______"/>
            <conceptProperty name="conductible" value="false"/>
            <printName language="en" preferredForLanguage="true" text="consultant"/>
            <code code="CON" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The target participation for an individual in a health care coverage act in which the target role is either the policy holder of the coverage, or a covered party under the coverage.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="IND"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14017"/>
            <conceptProperty name="Name:Act:participation:Participation" value="coveredParty"/>
            <conceptProperty name="Name:Role:participation:Participation" value="coveredPartyOf"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="BB_______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="BB_______"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="coverage target"/>
            <code code="COV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Participant material that is taken up, diminished, altered, or disappears in the act.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DIR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10296"/>
            <conceptProperty name="Name:Act:participation:Participation" value="consumable"/>
            <conceptProperty name="Name:Role:participation:Participation" value="consumedIn"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="AE_______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="AE_______"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="consumable"/>
            <code code="CSM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An entity (person, organization or device) that is in charge of maintaining the information of this act (e.g., who maintains the report or the master service catalog item, etc.).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10266"/>
            <conceptProperty name="conductible" value="true"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:participation:Participation" value="custodian"/>
            <conceptProperty name="Name:Role:participation:Participation" value="custodianship"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="G________"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="G________"/>
            <printName language="en" preferredForLanguage="true" text="custodian"/>
            <code code="CST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Participant used in performing the act without being substantially affected by the act (i.e. durable or inert with respect to that particular service).</p>
                        <i>Examples:</i>monitoring equipment, tools, but also access/drainage lines, prostheses, pace maker, etc.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DIR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10298"/>
            <conceptProperty name="Name:Act:participation:Participation" value="device"/>
            <conceptProperty name="Name:Role:participation:Participation" value="deviceOf"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="AD_______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="AD_______"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="device"/>
            <code code="DEV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Target participant that is substantially present in the act and which is directly involved in the action (includes consumed material, devices, etc.).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10286"/>
            <conceptProperty name="conductible" value="true"/>
            <conceptProperty name="Name:Act:participation:Participation" value="directTarget"/>
            <conceptProperty name="Name:Role:participation:Participation" value="directTargetOf"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="A________"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="A________"/>
            <printName language="en" preferredForLanguage="true" text="direct target"/>
            <code code="DIR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The practitioner who is responsible for the discharge of a patient from a patient encounter.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ParticipationAncillary"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16844"/>
            <conceptProperty name="Name:Act:participation:Participation" value="discharger"/>
            <conceptProperty name="Name:Role:participation:Participation" value="discharge"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="FC_______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="FC_______"/>
            <conceptProperty name="conductible" value="false"/>
            <printName language="en" preferredForLanguage="true" text="discharger"/>
            <code code="DIS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Distributes material used in or generated during the act.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PRF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19063"/>
            <conceptProperty name="Name:Act:participation:Participation" value="distributer"/>
            <conceptProperty name="Name:Role:participation:Participation" value="distributed"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="DC_______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="DC_______"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="distributor"/>
            <code code="DIST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>In some organ transplantation services and rarely in transfusion services a donor will be a target participant in the service. However, in most cases transplantation is decomposed in three services: explantation, transport, and implantation. The identity of the donor (recipient) is often irrelevant for the explantation (implantation) service.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DIR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10291"/>
            <conceptProperty name="Name:Act:participation:Participation" value="organDonor"/>
            <conceptProperty name="Name:Role:participation:Participation" value="organDonation"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="AC_______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="AC_______"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="donor"/>
            <code code="DON" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The destination for services. May be a static building (or room therein) or a movable facility (e.g., ship).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LOC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10304"/>
            <conceptProperty name="Name:Act:participation:Participation" value="destination"/>
            <conceptProperty name="Name:Role:participation:Participation" value="destinationOf"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="JC_______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="JC_______"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="destination"/>
            <code code="DST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A location where data about an Act was entered.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LOC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="13973"/>
            <conceptProperty name="Name:Act:participation:Participation" value="dataEntryLocation"/>
            <conceptProperty name="Name:Role:participation:Participation" value="dataEntryLocationOf"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="JD_______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="JD_______"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="entry location"/>
            <code code="ELOC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person entering the data into the originating system. The data entry person is collected optionally for internal quality control purposes. This includes the transcriptionist for dictated text.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TRANS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10253"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:participation:Participation" value="dataEnterer"/>
            <conceptProperty name="Name:Role:participation:Participation" value="dataEntry"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="EBB______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="EBB______"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="data entry person"/>
            <code code="ENT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Only with Transportation services. A person who escorts the patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ParticipationAncillary"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10250"/>
            <conceptProperty name="Name:Act:participation:Participation" value="escort"/>
            <conceptProperty name="Name:Role:participation:Participation" value="escort"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="FG_______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="FG_______"/>
            <conceptProperty name="conductible" value="false"/>
            <printName language="en" preferredForLanguage="true" text="escort"/>
            <code code="ESC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The entity playing the associated role is the physical (including energy), chemical or biological substance that is participating in the exposure. For example in communicable diseases, the associated playing entity is the disease causing pathogen.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DIR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22347"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="ExposureAgent"/>
            <code code="EXPAGNT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Direct participation in an exposure act where it is unknown that the participant is the source or subject of the exposure. If the participant is known to be the contact of an exposure then the SBJ participation type should be used. If the participant is known to be the source then the EXSRC participation type should be used.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DIR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21978"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="ExposureParticipation"/>
            <code code="EXPART" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The entity playing the associated role is the target (contact) of exposure.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="EXPART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22346"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="ExposureTarget"/>
            <code code="EXPTRGT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The entity playing the associated role is the source of exposure.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="EXPART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21979"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="ExposureSource"/>
            <code code="EXSRC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The target person or organization contractually recognized by the issuer as a participant who has assumed fiscal responsibility for another personaTMs financial obligations by guaranteeing to pay for amounts owed to a particular account</p>
                        <p>*Example:*The subscriber of the patientaTMs health insurance policy signs a contract with the provider to be fiscally responsible for the patient billing account balance amount owed.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="IND"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21570"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="guarantor party"/>
            <code code="GUAR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Participant who posses an instrument such as a financial contract (insurance policy) usually based on some agreement with the author.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="IND"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16751"/>
            <conceptProperty name="Name:Act:participation:Participation" value="holder"/>
            <conceptProperty name="Name:Role:participation:Participation" value="contractHeld"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="BE_______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="BE_______"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="holder"/>
            <code code="HLD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Target that is not substantially present in the act and which is not directly affected by the act, but which will be a focus of the record or documentation of the act.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19032"/>
            <conceptProperty name="conductible" value="true"/>
            <conceptProperty name="Name:Act:participation:Participation" value="indirectTarget"/>
            <conceptProperty name="Name:Role:participation:Participation" value="indirectTargetOf"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="B________"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="B________"/>
            <printName language="en" preferredForLanguage="true" text="indirect target"/>
            <code code="IND" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A source of reported information (e.g., a next of kin who answers questions about the patient's history). For history questions, the patient is logically an informant, yet the informant of history questions is implicitly the subject.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ParticipationInformationGenerator"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10254"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:participation:Participation" value="informant"/>
            <conceptProperty name="Name:Role:participation:Participation" value="informationGiven"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="EC_______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="EC_______"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="informant"/>
            <code code="INF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A party, who may or should receive or who has recieved the Act or subsequent or derivative information of that Act. Information recipient is inert, i.e., independent of mood." Rationale: this is a generalization of a too diverse family that the definition can't be any more specific, and the concept is abstract so one of the specializations should be used.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10263"/>
            <conceptProperty name="conductible" value="true"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:participation:Participation" value="informationRecipient"/>
            <conceptProperty name="Name:Role:participation:Participation" value="informationReceived"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="H________"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="H________"/>
            <printName language="en" preferredForLanguage="true" text="information recipient"/>
            <code code="IRCP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A verifier who legally authenticates the accuracy of an act. An example would be a staff physician who sees a patient and dictates a note, then later signs it. Their signature constitutes a legal authentication.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="VRF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19073"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:participation:Participation" value="legalAuthenticator"/>
            <conceptProperty name="Name:Role:participation:Participation" value="legallyAuthenticated"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="IA_______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="IA_______"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="legal authenticator"/>
            <code code="LA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The facility where the service is done. May be a static building (or room therein) or a moving location (e.g., ambulance, helicopter, aircraft, train, truck, ship, etc.)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10302"/>
            <conceptProperty name="conductible" value="true"/>
            <conceptProperty name="Name:Act:participation:Participation" value="location"/>
            <conceptProperty name="Name:Role:participation:Participation" value="locationOf"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="J________"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="J________"/>
            <printName language="en" preferredForLanguage="true" text="location"/>
            <code code="LOC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An information recipient to notify for urgent matters about this Act. (e.g., in a laboratory order, critical results are being called by phone right away, this is the contact to call; or for an inpatient encounter, a next of kin to notify when the patient becomes critically ill).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="IRCP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19057"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:participation:Participation" value="notificationContact"/>
            <conceptProperty name="Name:Role:participation:Participation" value="contactFor"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="HE_______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="HE_______"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="ugent notification contact"/>
            <code code="NOT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The entity (person or organization) who legally attests that the information present in the Act is a true replica of an original.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ParticipationInformationGenerator"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="110260"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:participation:Participation" value="notary"/>
            <conceptProperty name="Name:Role:participation:Participation" value="notarization"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="EE_______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="EE_______"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="notary"/>
            <code code="NOTARY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A device that changes ownership due to the service, e.g., a pacemaker, a prosthesis, an insulin injection equipment (pen), etc. Such material may need to be restocked after he service.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DEV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10299"/>
            <conceptProperty name="Name:Act:participation:Participation" value="nonReusableDevice"/>
            <conceptProperty name="Name:Role:participation:Participation" value="nonReusableDeviceOf"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="ADB______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="ADB______"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="non-reuseable device"/>
            <code code="NRD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The location of origin for services. May be a static building (or room therein) or a movable facility (e.g., ship).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LOC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10303"/>
            <conceptProperty name="Name:Act:participation:Participation" value="origin"/>
            <conceptProperty name="Name:Role:participation:Participation" value="originOf"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="JA_______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="JA_______"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="origin"/>
            <code code="ORG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates that the target of the participation is involved in some manner in the act, but does not qualify how.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21573"/>
            <printName language="en" preferredForLanguage="true" text="Participation"/>
            <code code="PART" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The principal or primary performer of the act.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PRF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19064"/>
            <conceptProperty name="Name:Act:participation:Participation" value="primaryPerformer"/>
            <conceptProperty name="Name:Role:participation:Participation" value="performance"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="DA_______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="DA_______"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="primary performer"/>
            <code code="PPRF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Information recipient to whom an act statement is primarily directed. E.g., a primary care provider receiving a discharge letter from a hospitalist, a health department receiving information on a suspected case of infectious disease. Multiple of these participations may exist on the same act without requiring that recipients be ranked as primary vs. secondary.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="IRCP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19055"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:participation:Participation" value="primaryInformationRecipient"/>
            <conceptProperty name="Name:Role:participation:Participation" value="informationReceived"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="HA_______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="HA_______"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="primary information recipient"/>
            <code code="PRCP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Participant material that is brought forth (produced) in the act (e.g., specimen in a specimen collection, access or drainage in a placement service, medication package in a dispense service). It does not matter whether the material produced had existence prior to the service, or whether it is created in the service (e.g., in supply services the product is taken from a stock).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DIR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10295"/>
            <conceptProperty name="Name:Act:participation:Participation" value="product"/>
            <conceptProperty name="Name:Role:participation:Participation" value="productOf"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="AF_______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="AF_______"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="product"/>
            <code code="PRD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A person, non-person living subject, organization or device that who actually and principally carries out the action. Device should only be assigned as a performer in circumstances where the device is performing independent of human intervention. Need not be the principal responsible actor.<b>Exampe:</b>A surgery resident operating under supervision of attending surgeon, a search and rescue dog locating survivors, an electronic laboratory analyzer or the laboratory discipline requested to perform a laboratory test. The performer may also be the patient in self-care, e.g. fingerstick blood sugar. The traditional order filler is a performer. This information should accompany every service event.<b>Note:</b>that existing HL7 designs assign an organization as the playing entity of the Role that is the performer. These designs should be revised in subsequent releases to make this the scooping entity for the role involved.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10248"/>
            <conceptProperty name="conductible" value="true"/>
            <conceptProperty name="Name:Act:participation:Participation" value="performer"/>
            <conceptProperty name="Name:Role:participation:Participation" value="performance"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="D________"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="D________"/>
            <printName language="en" preferredForLanguage="true" text="performer"/>
            <code code="PRF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The record target indicates whose medical record holds the documentation of this act. This is especially important when the subject of a service is not the patient himself.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="IND"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10289"/>
            <conceptProperty name="Name:Act:participation:Participation" value="recordTarget"/>
            <conceptProperty name="Name:Role:participation:Participation" value="recordTargetOf"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="BA_______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="BA_______"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="record target"/>
            <code code="RCT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The person (or organization) who receives the product of an Act.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="IND"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="13974"/>
            <conceptProperty name="Name:Act:participation:Participation" value="receiver"/>
            <conceptProperty name="Name:Role:participation:Participation" value="receiverOf"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="BD_______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="BD_______"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="receiver"/>
            <code code="RCV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A device that does not change ownership due to the service, i.e., a surgical instrument or tool or an endoscope. The distinction between reuseable and non-reuseable must be made in order to know whether material must be re-stocked.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DEV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10300"/>
            <conceptProperty name="Name:Act:participation:Participation" value="reusableDevice"/>
            <conceptProperty name="Name:Role:participation:Participation" value="reusableDeviceOf"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="ADA______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="ADA______"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="reusable device"/>
            <code code="RDV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person having referred the subject of the service to the performer (referring physician). Typically, a referring physician will receive a report.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ParticipationAncillary"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10264"/>
            <conceptProperty name="Name:Act:participation:Participation" value="referrer"/>
            <conceptProperty name="Name:Role:participation:Participation" value="referral"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="FD_______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="FD_______"/>
            <conceptProperty name="conductible" value="false"/>
            <printName language="en" preferredForLanguage="true" text="referrer"/>
            <code code="REF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A participant (e.g. provider) who has referred the subject of an act (e.g. patient).</p>
                        <p>Typically, a referred by participant will provide a report (e.g. referral).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="IRCP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20842"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:participation:Participation" value="subjectReferrer"/>
            <conceptProperty name="Name:Role:participation:Participation" value="subjectReferral"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="HC_______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="HC_______"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="Referred By"/>
            <code code="REFB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The person who receives the patient</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="IRCP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18116"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:participation:Participation" value="subjectReferredTo"/>
            <conceptProperty name="Name:Role:participation:Participation" value="referral"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="HD_______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="HD_______"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="Referred to"/>
            <code code="REFT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The person or organization that has primary responsibility for the act. The responsible party is not necessarily present in an action, but is accountable for the action through the power to delegate, and the duty to review actions with the performing actor after the fact. This responsibility may be ethical, legal, contractual, fiscal, or fiduciary in nature.</p>
                        <i>Example:</i>A person who is the head of a biochemical laboratory; a sponsor for a policy or government program.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17931"/>
            <conceptProperty name="conductible" value="true"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:participation:Participation" value="responsibleParty"/>
            <conceptProperty name="Name:Role:participation:Participation" value="responsibleFor"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="C________"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="C________"/>
            <printName language="en" preferredForLanguage="true" text="responsible party"/>
            <code code="RESP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Some services take place at multiple concurrent locations (e.g., telemedicine, telephone consultation). The location where the principal performing actor is located is taken as the primary location (LOC) while the other location(s) are considered "remote."</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LOC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10306"/>
            <conceptProperty name="Name:Act:participation:Participation" value="remoteLocation"/>
            <conceptProperty name="Name:Role:participation:Participation" value="remoteLocationOf"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="JE_______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="JE_______"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="remote"/>
            <code code="RML" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The principle target on which the action happens.</p>
                        <i>Examples:</i>The patient in physical examination, a specimen in a lab observation. May also be a patient's family member (teaching) or a device or room (cleaning, disinfecting, housekeeping).<i>UsageNotes:</i>Not all direct targets are subjects. Consumables and devices used as tools for an act are not subjects. However, a device may be a subject of a maintenance action.</text>
                  </definition>
                  <usageNotes>
                     <text>Not all direct targets are subjects. Consumables and devices used as tools for an act are not subjects. However, a device may be a subject of a maintenance action.</text>
                  </usageNotes>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DIR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10287"/>
            <conceptProperty name="Name:Act:participation:Participation" value="subject"/>
            <conceptProperty name="Name:Role:participation:Participation" value="subjectOf"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="AA_______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="AA_______"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="subject"/>
            <code code="SBJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The subject of non-clinical (e.g. laboratory) observation services is a specimen.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SBJ"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10294"/>
            <conceptProperty name="Name:Act:participation:Participation" value="specimen"/>
            <conceptProperty name="Name:Role:participation:Participation" value="specimenOf"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="AAA______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="AAA______"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="specimen"/>
            <code code="SPC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person assisting in an act through his substantial presence and involvement This includes: assistants, technicians, associates, or whatever the job titles may be.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PRF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19065"/>
            <conceptProperty name="Name:Act:participation:Participation" value="secondaryPerformer"/>
            <conceptProperty name="Name:Role:participation:Participation" value="performance"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="DB_______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="DB_______"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="secondary performer"/>
            <code code="SPRF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Something incorporated in the subject of a therapy service to achieve a physiologic effect (e.g., heal, relieve, provoke a condition, etc.) on the subject. In an administration service the therapeutic agent is a consumable, in a preparation or dispense service, it is a product. Thus, consumable or product must be specified in accordance with the kind of service.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CSM"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10297"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="therapeutic agent"/>
            <code code="TPA" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An entity entering the data into the originating system. The data entry entity is collected optionally for internal quality control purposes. This includes the transcriptionist for dictated text transcribed into electronic form.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ParticipationInformationGenerator"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21463"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:participation:Participation" value="transcriber"/>
            <conceptProperty name="Name:Role:participation:Participation" value="transcription"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="EB_______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="EB_______"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="Transcriber"/>
            <code code="TRANS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A secondary information recipient, who receives copies (e.g., a primary care provider receiving copies of results as ordered by specialist).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="IRCP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10265"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:participation:Participation" value="tracker"/>
            <conceptProperty name="Name:Role:participation:Participation" value="tracking"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="HB_______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="HB_______"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="tracker"/>
            <code code="TRC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>For services, an intermediate location that specifies a path between origin an destination.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LOC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10305"/>
            <conceptProperty name="Name:Act:participation:Participation" value="via"/>
            <conceptProperty name="Name:Role:participation:Participation" value="viaOf"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="JB_______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="JB_______"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="via"/>
            <code code="VIA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person who verifies the correctness and appropriateness of the service (plan, order, event, etc.) and hence takes on accountability.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10259"/>
            <conceptProperty name="conductible" value="true"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:participation:Participation" value="verifier"/>
            <conceptProperty name="Name:Role:participation:Participation" value="verification"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="I________"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="I________"/>
            <printName language="en" preferredForLanguage="true" text="verifier"/>
            <code code="VRF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Only with service events. A person witnessing the action happening without doing anything. A witness is not necessarily aware, much less approves of anything stated in the service event. Example for a witness is students watching an operation or an advanced directive witness.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ParticipationInformationGenerator"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10260"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:participation:Participation" value="witness"/>
            <conceptProperty name="Name:Role:participation:Participation" value="witness"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="ED_______"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="ED_______"/>
            <conceptProperty name="conductible" value="true"/>
            <printName language="en" preferredForLanguage="true" text="witness"/>
            <code code="WIT" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Participations related, but not primary to an act. The Referring, Admitting, and Discharging practitioners must be the same person as those authoring the ControlAct event for their respective trigger events.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21110"/>
            <conceptProperty name="conductible" value="false"/>
            <conceptProperty name="Name:Act:participation:Participation" value="ancillaryRole"/>
            <conceptProperty name="Name:Role:participation:Participation" value="participation"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="F________"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="F________"/>
            <printName language="en" preferredForLanguage="true" text="ParticipationAncillary"/>
            <code code="_ParticipationAncillary" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Parties that may or should contribute or have contributed information to the Act. Such information includes information leading to the decision to perform the Act and how to perform the Act (e.g., consultant), information that the Act itself seeks to reveal (e.g., informant of clinical history), or information about what Act was performed (e.g., informant witness).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21111"/>
            <conceptProperty name="conductible" value="true"/>
            <conceptProperty name="isDocumentCharacteristic" value="true"/>
            <conceptProperty name="Name:Act:participation:Participation" value="informationOriginator"/>
            <conceptProperty name="Name:Role:participation:Participation" value="origination"/>
            <conceptProperty name="Sort:Act:participation:Participation" value="E________"/>
            <conceptProperty name="Sort:Role:participation:Participation" value="E________"/>
            <printName language="en" preferredForLanguage="true"
                       text="ParticipationInformationGenerator"/>
            <code code="_ParticipationInformationGenerator" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="PatientImportance" title="PatientImportance"
               codeSystemId="2.16.840.1.113883.5.1075">
      <historyItem dateTime="2020-05-06" id="v3-PatientImportance-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Patient VIP code</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Board member of health care organization</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19266"/>
            <printName language="en" preferredForLanguage="true" text="Board Member"/>
            <code code="BM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Family member of staff physician</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19269"/>
            <printName language="en" preferredForLanguage="true" text="Physician Family Member"/>
            <code code="DFM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Member of the health care organization physician staff</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19267"/>
            <printName language="en" preferredForLanguage="true" text="Staff Physician"/>
            <code code="DR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Financial donor to the health care organization</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19268"/>
            <printName language="en" preferredForLanguage="true" text="Financial Donor"/>
            <code code="FD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Foreign citizen dignitary of interest to the health care organization</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19274"/>
            <printName language="en" preferredForLanguage="true" text="Foreign Dignitary"/>
            <code code="FOR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Government dignitary of interest to the organization</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19270"/>
            <printName language="en" preferredForLanguage="true" text="Government Dignitary"/>
            <code code="GOVT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Family member of staff member</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19271"/>
            <printName language="en" preferredForLanguage="true" text="Staff Family Member"/>
            <code code="SFM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Staff member of the health care organization</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19272"/>
            <printName language="en" preferredForLanguage="true" text="Staff Member"/>
            <code code="STF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Very important person of interest to the health care organization</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19273"/>
            <printName language="en" preferredForLanguage="true" text="Very Important Person"/>
            <code code="VIP" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="PaymentTerms" title="PaymentTerms" codeSystemId="2.16.840.1.113883.5.91">
      <historyItem dateTime="2020-05-06" id="v3-PaymentTerms-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Describes payment terms for a financial transaction, used in an invoice.</p>
                  <p>This is typically expressed as a responsibility of the acceptor or payor of an invoice.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Payment in full for products and/or services is required as soon as the service is performed or goods delivered.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14913"/>
            <printName language="en" preferredForLanguage="true" text="Cash on Delivery"/>
            <code code="COD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Payment in full for products and/or services is required 30 days from the time the service is performed or goods delivered.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14909"/>
            <printName language="en" preferredForLanguage="true" text="Net 30 days"/>
            <code code="N30" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Payment in full for products and/or services is required 60 days from the time the service is performed or goods delivered.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14910"/>
            <printName language="en" preferredForLanguage="true" text="Net 60 days"/>
            <code code="N60" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Payment in full for products and/or services is required 90 days from the time the service is performed or goods delivered.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14911"/>
            <printName language="en" preferredForLanguage="true" text="Net 90 days"/>
            <code code="N90" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="Pclocd" title="pan-Canadian LOINC Observation Code Database"
               codeSystemId="2.16.840.1.113883.2.20.5.1">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The pan Canadian LOINC Observation Code Database (pCLOCD) is the Canadian version of the LOINC(tm) database. It was created using the LOINC(tm) records and attributes that were constrained for Canadian use and supplemented to specifically meet Canadian requirements. It contains the core LOINC(tm) attributes as required by Regenstrief copyright rules. The LOINC(tm) Component has been customized to meet Canadian requirements and is displayed as the pan Canadian Component Name. This component name is the basis for the pan Canadian Display Name. Core attributes are include both English and Canadian French.</p>
                  <p>This code system contains supplemental "X" codes defined in the pCLOCD that do not yet exist in the LOINC code system.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="PeriodicIntervalOfTimeAbbreviation"
               title="PeriodicIntervalOfTimeAbbreviation"
               codeSystemId="2.16.840.1.113883.5.1021">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**** MISSING DESCRIPTION ****</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2017-07-31" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="PersonDisabilityType" title="PersonDisabilityType"
               codeSystemId="2.16.840.1.113883.5.93">
      <historyItem dateTime="2020-05-06" id="v3-PersonDisabilityType-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A code identifying a person's disability.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Vision impaired</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10182"/>
            <printName language="en" preferredForLanguage="true" text="Vision impaired"/>
            <code code="1" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Hearing impaired</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10183"/>
            <printName language="en" preferredForLanguage="true" text="Hearing impaired"/>
            <code code="2" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Speech impaired</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10184"/>
            <printName language="en" preferredForLanguage="true" text="Speech impaired"/>
            <code code="3" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Mentally impaired</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10185"/>
            <printName language="en" preferredForLanguage="true" text="Mentally impaired"/>
            <code code="4" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="10186"/>
            <printName language="en" preferredForLanguage="true" text="Mobility impaired"/>
            <code code="5" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A crib is required to move the person</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="5"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15951"/>
            <printName language="en" preferredForLanguage="true" text="Requires crib"/>
            <code code="CB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Person requires crutches to ambulate</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="5"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15947"/>
            <printName language="en" preferredForLanguage="true" text="Requires crutches"/>
            <code code="CR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A gurney is required to move the person</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="5"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15950"/>
            <printName language="en" preferredForLanguage="true" text="Requires gurney"/>
            <code code="G" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Person requires a wheelchair to be ambulatory</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="5"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15949"/>
            <printName language="en" preferredForLanguage="true" text="Requires wheelchair"/>
            <code code="WC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Person requires a walker to ambulate</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="5"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15948"/>
            <printName language="en" preferredForLanguage="true" text="Requires walker"/>
            <code code="WK" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="PHIndustryCDCCensus2010" title="Industry CDC Census 2010"
               codeSystemId="2.16.840.1.114222.4.5.315">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>2010 Industry coding system used by CDC (NIOSH and NCHS) for coding industry text. Industry describes an economic/business sector comprised of businesses/ enterprises concerned with the output of a specified category of products or services.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="PHOccupationCDCCensus2010" title="Occupation CDC Census 2010"
               codeSystemId="2.16.840.1.114222.4.5.314">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>2010 Occupation coding system used by CDC (NIOSH and NCHS) for coding occupation text. Occupation describes a set of activities or tasks that individuals are paid to perform or, if unpaid, define a person's contribution to a household/family business/community.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="PHOccupationalDataForHealthODH"
               title="Occupational Data for Health (ODH)"
               codeSystemId="2.16.840.1.114222.4.5.327">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The concepts representing the values supporting Occupational Data for Health, including Job Supervisory Level or Pay Grade (ODH) code system consists of data elements that describe a person's work information, structured to facilitate individual, population, and public health use; not intended to support billing.).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="CDCREC" title="CDC Race and Ethnicity"
               codeSystemId="2.16.840.1.113883.6.238">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The U.S. Centers for Disease Control and Prevention (CDC) has prepared a code set for use in coding race and ethnicity data. This code set is based on current federal standards for classifying data on race and ethnicity, specifically the minimum race and ethnicity categories defined by the U.S. Office of Management and Budget (OMB) and a more detailed set of race and ethnicity categories maintained by the U.S. Bureau of the Census (BC). The main purpose of the code set is to facilitate use of federal standards for classifying data on race and ethnicity when these data are exchanged, stored, retrieved, or analyzed in electronic form. At the same time, the code set can be applied to paper-based record systems to the extent that these systems are used to collect, maintain, and report data on race and ethnicity in accordance with current federal standards.</p>
                  <p>The content is available at https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.238#.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-09-01" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Pnds" title="Perioperative Nursing Data Set"
               codeSystemId="2.16.840.1.113883.6.22">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The PNDS provides standardized terms and codes for patient problems/nursing diagnoses, nursing interventions including actual or expected (goal) outcomes. The PNDS provides standardized terms and codes for nursing diagnoses (a subset of NANDA), nursing interventions and outcomes. The outcomes and interventions are in a relational database. The PNDS intervention and outcome statements are attached in an Access Database. The NANDA diagnoses in the PNDS have already been registered by HL7.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="POS" title="POS Codes" codeSystemId="2.16.840.1.113883.6.50">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>POS Codes</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="PostalAddressUse" title="PostalAddressUse"
               codeSystemId="2.16.840.1.113883.5.1012">
      <historyItem dateTime="2020-05-06" id="v3-PostalAddressUse-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <i>Deprecation Comment:</i>This code system was deprecated as of the November 2007 harmonization meeting. The content was folded into AddressUse (2.16.840.1.113883.5.1119), which replaces this code system.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired..</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A flag indicating that the address is bad, in fact, useless.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AddressUse"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10641"/>
            <printName language="en" preferredForLanguage="true" text="bad address"/>
            <code code="BAD" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AddressUse"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12211"/>
            <printName language="en" preferredForLanguage="true" text="birthplace"/>
            <code code="BIR" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates a work place address or telecommunication address that reaches the individual or organization directly without intermediaries. For phones, often referred to as a 'private line'.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="WP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21426"/>
            <printName language="en" preferredForLanguage="true" text="Direct"/>
            <code code="DIR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A communication address at a home, attempted contacts for business purposes might intrude privacy and chances are one will contact family or other household members instead of the person one wishes to call. Typically used with urgent cases, or if no other contacts are available.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AddressUse"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10628"/>
            <printName language="en" preferredForLanguage="true" text="home address"/>
            <code code="H" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The primary home, to reach a person after business hours.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="H"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10629"/>
            <printName language="en" preferredForLanguage="true" text="primary home"/>
            <code code="HP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A vacation home, to reach a person while on vacation.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="H"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10630"/>
            <printName language="en" preferredForLanguage="true" text="vacation home"/>
            <code code="HV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Used primarily to visit an address.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10638"/>
            <printName language="en" preferredForLanguage="true" text="physical visit address"/>
            <code code="PHYS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Used to send mail.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10639"/>
            <printName language="en" preferredForLanguage="true" text="postal address"/>
            <code code="PST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates a work place address or telecommunication address that is a 'standard' address which may reach a reception service, mail-room, or other intermediary prior to the target entity.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="WP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21427"/>
            <printName language="en" preferredForLanguage="true" text="Public"/>
            <code code="PUB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A temporary address, may be good for visit or mailing. Note that an address history can provide more detailed information.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AddressUse"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10640"/>
            <printName language="en" preferredForLanguage="true" text="temporary address"/>
            <code code="TMP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An office address. First choice for business related contacts during business hours.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AddressUse"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10631"/>
            <printName language="en" preferredForLanguage="true" text="work place"/>
            <code code="WP" status="active"/>
         </concept>
         <concept isSelectable="false">
            <conceptProperty name="internalId" value="21112"/>
            <printName language="en" preferredForLanguage="true" text="AddressUse"/>
            <code code="_AddressUse" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="ProbabilityDistributionType" title="ProbabilityDistributionType"
               codeSystemId="2.16.840.1.113883.5.1020">
      <historyItem dateTime="2020-05-06" id="v3-ProbabilityDistributionType-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**** MISSING DESCRIPTION ****</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The beta-distribution is used for data that is bounded on both sides and may or may not be skewed (e.g., occurs when probabilities are estimated.) Two parameters a and b are available to adjust the curve. The mean m and variance s2 relate as follows: m = a/ (a + b) and s2 = ab/((a + b)2 (a + b + 1)).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10756"/>
            <printName language="en" preferredForLanguage="true" text="beta"/>
            <code code="B" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Used for data that describes extinction. The exponential distribution is a special form of g-distribution where a = 1, hence, the relationship to mean m and variance s2 are m = b and s2 = b2.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10752"/>
            <printName language="en" preferredForLanguage="true" text="exponential"/>
            <code code="E" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Used to describe the quotient of two c2 random variables. The F-distribution has two parameters n1 and n2, which are the numbers of degrees of freedom of the numerator and denominator variable respectively. The relationship to mean m and variance s2 are: m = n2 / (n2 - 2) and s2 = (2 n2 (n2 + n1 - 2)) / (n1 (n2 - 2)2 (n2 - 4)).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10755"/>
            <printName language="en" preferredForLanguage="true" text="F"/>
            <code code="F" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The gamma-distribution used for data that is skewed and bounded to the right, i.e. where the maximum of the distribution curve is located near the origin. The g-distribution has a two parameters a and b. The relationship to mean m and variance s2 is m = a b and s2 = a b2.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10751"/>
            <printName language="en" preferredForLanguage="true" text="(gamma)"/>
            <code code="G" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The logarithmic normal distribution is used to transform skewed random variable X into a normally distributed random variable U = log X. The log-normal distribution can be specified with the properties mean m and standard deviation s. Note however that mean m and standard deviation s are the parameters of the raw value distribution, not the transformed parameters of the lognormal distribution that are conventionally referred to by the same letters. Those log-normal parameters mlog and slog relate to the mean m and standard deviation s of the data value through slog2 = log (s2/m2 + 1) and mlog = log m - slog2/2.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10750"/>
            <printName language="en" preferredForLanguage="true" text="log-normal"/>
            <code code="LN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This is the well-known bell-shaped normal distribution. Because of the central limit theorem, the normal distribution is the distribution of choice for an unbounded random variable that is an outcome of a combination of many stochastic processes. Even for values bounded on a single side (i.e. greater than 0) the normal distribution may be accurate enough if the mean is "far away" from the bound of the scale measured in terms of standard deviations.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10749"/>
            <printName language="en" preferredForLanguage="true" text="normal (Gaussian)"/>
            <code code="N" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Used to describe the quotient of a normal random variable and the square root of a c2 random variable. The t-distribution has one parameter n, the number of degrees of freedom. The relationship to mean m and variance s2 are: m = 0 and s2 = n / (n - 2)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10754"/>
            <printName language="en" preferredForLanguage="true" text="T"/>
            <code code="T" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The uniform distribution assigns a constant probability over the entire interval of possible outcomes, while all outcomes outside this interval are assumed to have zero probability. The width of this interval is 2s sqrt(3). Thus, the uniform distribution assigns the probability densities f(x) = sqrt(2 s sqrt(3)) to values m - s sqrt(3) &gt;= x &lt;= m + s sqrt(3) and f(x) = 0 otherwise.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10748"/>
            <printName language="en" preferredForLanguage="true" text="uniform"/>
            <code code="U" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Used to describe the sum of squares of random variables which occurs when a variance is estimated (rather than presumed) from the sample. The only parameter of the c2-distribution is n, so called the number of degrees of freedom (which is the number of independent parts in the sum). The c2-distribution is a special type of g-distribution with parameter a = n /2 and b = 2. Hence, m = n and s2 = 2 n.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10753"/>
            <printName language="en" preferredForLanguage="true" text="chi square"/>
            <code code="X2" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="ProcessingID" title="ProcessingID" codeSystemId="2.16.840.1.113883.5.100">
      <historyItem dateTime="2020-05-06" id="v3-ProcessingID-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Codes used to specify whether a message is part of a production, training, or debugging system.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies debugging type of processing.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10117"/>
            <printName language="en" preferredForLanguage="true" text="Debugging"/>
            <code code="D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies production type of processing.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10118"/>
            <printName language="en" preferredForLanguage="true" text="Production"/>
            <code code="P" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies training type of processing.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10119"/>
            <printName language="en" preferredForLanguage="true" text="Training"/>
            <code code="T" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="ProcessingMode" title="ProcessingMode"
               codeSystemId="2.16.840.1.113883.5.101">
      <historyItem dateTime="2020-05-06" id="v3-ProcessingMode-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>This attribute defines whether the message is being sent in current processing, archive mode, initial load mode, restore from archive mode, etc.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies archive mode of processing.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10121"/>
            <printName language="en" preferredForLanguage="true" text="Archive"/>
            <code code="A" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies initial load mode of processing.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10123"/>
            <printName language="en" preferredForLanguage="true" text="Initial load"/>
            <code code="I" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies restore mode of processing.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10122"/>
            <printName language="en" preferredForLanguage="true" text="Restore from archive"/>
            <code code="R" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies on-line mode of processing.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10124"/>
            <printName language="en" preferredForLanguage="true" text="Current processing"/>
            <code code="T" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="QueryParameterValue" title="QueryParameterValue"
               codeSystemId="2.16.840.1.113883.5.1096">
      <historyItem dateTime="2020-05-06" id="v3-QueryParameterValue-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The domain of coded values used as parameters within QueryByParameter queries.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Returns all dispenses to date for a prescription.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_DispenseQueryFilterCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23300"/>
            <printName language="en" preferredForLanguage="true" text="all dispenses"/>
            <code code="ALLDISP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Return all orders.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_OrderFilterCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23617"/>
            <printName language="en" preferredForLanguage="true" text="all orders"/>
            <code code="AO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Filter to only include SubstanceAdministration orders which have no remaining quantity authorized to be dispensed.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PrescriptionDispenseFilterCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21540"/>
            <printName language="en" preferredForLanguage="true" text="Completely dispensed"/>
            <code code="C" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Result set should not be filtered based on the presence of issues.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_QueryParameterValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21987"/>
            <printName language="en" preferredForLanguage="true" text="all"/>
            <code code="ISSFA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Result set should be filtered to only include records with associated issues.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_QueryParameterValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21988"/>
            <printName language="en" preferredForLanguage="true" text="with issues"/>
            <code code="ISSFI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Result set should be filtered to only include records with associated unmanaged issues.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_QueryParameterValue"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21989"/>
            <printName language="en" preferredForLanguage="true" text="with unmanaged issues"/>
            <code code="ISSFU" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Returns the most recent dispense for a prescription.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_DispenseQueryFilterCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23301"/>
            <printName language="en" preferredForLanguage="true" text="last dispense"/>
            <code code="LASTDISP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Filter to only include SubstanceAdministration orders which have no fulfilling supply events performed.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PrescriptionDispenseFilterCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21538"/>
            <printName language="en" preferredForLanguage="true" text="Never Dispensed"/>
            <code code="N" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Returns no dispense for a prescription.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_DispenseQueryFilterCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23302"/>
            <printName language="en" preferredForLanguage="true" text="no dispense"/>
            <code code="NODISP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Return only those orders that do not have results.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_OrderFilterCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23619"/>
            <printName language="en" preferredForLanguage="true" text="orders without results"/>
            <code code="ONR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Return only those orders that have results.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_OrderFilterCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23618"/>
            <printName language="en" preferredForLanguage="true" text="orders with results"/>
            <code code="OWR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Filter to only include SubstanceAdministration orders which have had at least one fulfilling supply event, but which still have outstanding quantity remaining to be authorized.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PrescriptionDispenseFilterCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21539"/>
            <printName language="en" preferredForLanguage="true" text="Dispensed with remaining fills"/>
            <code code="R" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Filter codes used to manage volume of dispenses returned by a parameter-based queries.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23299"/>
            <printName language="en" preferredForLanguage="true" text="dispense query filter code"/>
            <code code="_DispenseQueryFilterCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Filter codes used to manage types of orders being returned by a parameter-based query.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23616"/>
            <printName language="en" preferredForLanguage="true" text="_OrderFilterCode"/>
            <code code="_OrderFilterCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A "helper" vocabulary used to construct complex query filters based on how and whether a prescription has been dispensed.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21537"/>
            <printName language="en" preferredForLanguage="true"
                       text="Prescription Dispense Filter Code"/>
            <code code="_PrescriptionDispenseFilterCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Indicates how result sets should be filtered based on whether they have associated issues.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21986"/>
            <printName language="en" preferredForLanguage="true" text="QueryParameterValue"/>
            <code code="_QueryParameterValue" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="QueryPriority" title="QueryPriority"
               codeSystemId="2.16.840.1.113883.5.102">
      <historyItem dateTime="2020-05-06" id="v3-QueryPriority-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Identifies the time frame in which the response is expected.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Query response is deferred.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10145"/>
            <printName language="en" preferredForLanguage="true" text="Deferred"/>
            <code code="D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Query response is immediate.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10146"/>
            <printName language="en" preferredForLanguage="true" text="Immediate"/>
            <code code="I" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="QueryQuantityUnit" title="QueryQuantityUnit"
               codeSystemId="2.16.840.1.113883.5.1066">
      <historyItem dateTime="2020-05-06" id="v3-QueryQuantityUnit-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Values in this domain specify the units of a query quantity limited request.</p>
                  <b>Deprecation Comment:</b>Deprecated as per 11/2008 Harmonization cleanup; internal and obsolete HL7 usage, no longer used. This is a holdover. It is not referenced. It is superseded by QueryRequestLimit.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Used where size of input buffer has limitations.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="16016"/>
            <printName language="en" preferredForLanguage="true" text="Characters"/>
            <code code="CH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Used where lines of respone has limitations.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="16017"/>
            <printName language="en" preferredForLanguage="true" text="Lines"/>
            <code code="LI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Used where pages of response has limitations.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="16018"/>
            <printName language="en" preferredForLanguage="true" text="Pages"/>
            <code code="PG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Used where number of records or instances of items in the query response result set has limitations.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="16019"/>
            <printName language="en" preferredForLanguage="true" text="Records"/>
            <code code="RD" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="QueryRequestLimit" title="QueryRequestLimit"
               codeSystemId="2.16.840.1.113883.5.1112">
      <historyItem dateTime="2020-05-06" id="v3-QueryRequestLimit-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Definition:</b>Defines the units associated with the magnitude of the maximum size limit of a query response that can be accepted by the requesting application.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>The number of matching instances (number of focal classes). The document header class is the focal class of a document, a record would therefore be equal to a document.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_QueryRequestLimit"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22257"/>
            <printName language="en" preferredForLanguage="true" text="record"/>
            <code code="RD" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>The number of matching instances (number of focal classes). The document header class is the focal class of a document, a record would therefore be equal to a document.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22258"/>
            <printName language="en" preferredForLanguage="true" text="QueryRequestLimit"/>
            <code code="_QueryRequestLimit" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="QueryResponse" title="QueryResponse"
               codeSystemId="2.16.840.1.113883.5.1067">
      <historyItem dateTime="2020-05-06" id="v3-QueryResponse-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A code classifying the general nature of the response to a given query. Includes whether or not data was found, or whether an error occurred.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Query Error. Application Error.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19793"/>
            <printName language="en" preferredForLanguage="true" text="ApplicationError"/>
            <code code="AE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>No errors, but no data was found matching the query request specification.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="16013"/>
            <printName language="en" preferredForLanguage="true" text="No data found"/>
            <code code="NF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Query reponse data found for 1 or more result sets matching the query request specification.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="16012"/>
            <printName language="en" preferredForLanguage="true" text="Data found"/>
            <code code="OK" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>QueryError. Problem with input ParmetersError</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19794"/>
            <printName language="en" preferredForLanguage="true" text="QueryParameterError"/>
            <code code="QE" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="QueryStatusCode" title="QueryStatusCode"
               codeSystemId="2.16.840.1.113883.5.103">
      <historyItem dateTime="2020-05-06" id="v3-QueryStatusCode-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A code specifying the state of the Query.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Query status aborted</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19301"/>
            <printName language="en" preferredForLanguage="true" text="aborted"/>
            <code code="aborted" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Query Status delivered response</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19302"/>
            <printName language="en" preferredForLanguage="true" text="deliveredResponse"/>
            <code code="deliveredResponse" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Query Status executing</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19303"/>
            <printName language="en" preferredForLanguage="true" text="executing"/>
            <code code="executing" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Query Status new</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19304"/>
            <printName language="en" preferredForLanguage="true" text="new"/>
            <code code="new" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Query Status wait continued</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="19305"/>
            <printName language="en" preferredForLanguage="true" text="waitContinuedQueryResponse"/>
            <code code="waitContinuedQueryResponse" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="Race" title="Race" codeSystemId="2.16.840.1.113883.5.104">
      <historyItem dateTime="2020-05-06" id="v3-Race-cs-1-0-0" responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Deprecation Information:</b>Deprecated per UP-263. This code system is NOT the acknowledged source of truth for Race concepts and codes. It should no longer be used. https://terminology.hl7.org/CodeSystem-CDCREC.html should be used in its place. In the United States, federal standards for classifying data on race determine the categories used by federal agencies and exert a strong influence on categorization by state and local agencies and private sector organizations. The federal standards do not conceptually define race, and they recognize the absence of an anthropological or scientific basis for racial classification. Instead, the federal standards acknowledge that race is a social-political construct in which an individual's own identification with one more race categories is preferred to observer identification. The standards use a variety of features to define five minimum race categories. Among these features are descent from "the original peoples" of a specified region or nation. The minimum race categories are American Indian or Alaska Native, Asian, Black or African American, Native Hawaiian or Other Pacific Islander, and White. The federal standards stipulate that race data need not be limited to the five minimum categories, but any expansion must be collapsible to those categories.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2022-01-05" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <conceptProperty name="internalId" value="14915"/>
            <printName language="en" preferredForLanguage="true"
                       text="American Indian or Alaska Native"/>
            <code code="1002-5" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1002-5"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14916"/>
            <printName language="en" preferredForLanguage="true" text="American Indian"/>
            <code code="1004-1" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1004-1"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14917"/>
            <printName language="en" preferredForLanguage="true" text="Abenaki"/>
            <code code="1006-6" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1004-1"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14918"/>
            <printName language="en" preferredForLanguage="true" text="Algonquian"/>
            <code code="1008-2" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1004-1"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14919"/>
            <printName language="en" preferredForLanguage="true" text="Apache"/>
            <code code="1010-8" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1010-8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14920"/>
            <printName language="en" preferredForLanguage="true" text="Chiricahua"/>
            <code code="1011-6" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1010-8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14921"/>
            <printName language="en" preferredForLanguage="true" text="Fort Sill Apache"/>
            <code code="1012-4" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1010-8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14922"/>
            <printName language="en" preferredForLanguage="true" text="Jicarilla Apache"/>
            <code code="1013-2" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1010-8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14923"/>
            <printName language="en" preferredForLanguage="true" text="Lipan Apache"/>
            <code code="1014-0" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1010-8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14924"/>
            <printName language="en" preferredForLanguage="true" text="Mescalero Apache"/>
            <code code="1015-7" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1010-8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14925"/>
            <printName language="en" preferredForLanguage="true" text="Oklahoma Apache"/>
            <code code="1016-5" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1010-8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14926"/>
            <printName language="en" preferredForLanguage="true" text="Payson Apache"/>
            <code code="1017-3" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1010-8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14927"/>
            <printName language="en" preferredForLanguage="true" text="San Carlos Apache"/>
            <code code="1018-1" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1010-8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14928"/>
            <printName language="en" preferredForLanguage="true" text="White Mountain Apache"/>
            <code code="1019-9" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1004-1"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14929"/>
            <printName language="en" preferredForLanguage="true" text="Arapaho"/>
            <code code="1021-5" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1021-5"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14930"/>
            <printName language="en" preferredForLanguage="true" text="Northern Arapaho"/>
            <code code="1022-3" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1021-5"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14931"/>
            <printName language="en" preferredForLanguage="true" text="Southern Arapaho"/>
            <code code="1023-1" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1021-5"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14932"/>
            <printName language="en" preferredForLanguage="true" text="Wind River Arapaho"/>
            <code code="1024-9" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1004-1"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14933"/>
            <printName language="en" preferredForLanguage="true" text="Arikara"/>
            <code code="1026-4" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1004-1"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14934"/>
            <printName language="en" preferredForLanguage="true" text="Assiniboine"/>
            <code code="1028-0" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1004-1"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14935"/>
            <printName language="en" preferredForLanguage="true" text="Assiniboine Sioux"/>
            <code code="1030-6" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1030-6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14936"/>
            <printName language="en" preferredForLanguage="true" text="Fort Peck Assiniboine Sioux"/>
            <code code="1031-4" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1004-1"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14937"/>
            <printName language="en" preferredForLanguage="true" text="Bannock"/>
            <code code="1033-0" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1004-1"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14938"/>
            <printName language="en" preferredForLanguage="true" text="Blackfeet"/>
            <code code="1035-5" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1004-1"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14939"/>
            <printName language="en" preferredForLanguage="true" text="Brotherton"/>
            <code code="1037-1" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1004-1"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14940"/>
            <printName language="en" preferredForLanguage="true" text="Burt Lake Band"/>
            <code code="1039-7" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1004-1"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14941"/>
            <printName language="en" preferredForLanguage="true" text="Caddo"/>
            <code code="1041-3" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1041-3"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14942"/>
            <printName language="en" preferredForLanguage="true" text="Oklahoma Cado"/>
            <code code="1042-1" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1004-1"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14943"/>
            <printName language="en" preferredForLanguage="true" text="Cahuilla"/>
            <code code="1044-7" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1044-7"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14944"/>
            <printName language="en" preferredForLanguage="true" text="Agua Caliente Cahuilla"/>
            <code code="1045-4" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1044-7"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14945"/>
            <printName language="en" preferredForLanguage="true" text="Augustine"/>
            <code code="1046-2" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1044-7"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14946"/>
            <printName language="en" preferredForLanguage="true" text="Cabazon"/>
            <code code="1047-0" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1044-7"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14947"/>
            <printName language="en" preferredForLanguage="true" text="Los Coyotes"/>
            <code code="1048-8" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1044-7"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14948"/>
            <printName language="en" preferredForLanguage="true" text="Morongo"/>
            <code code="1049-6" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1044-7"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14949"/>
            <printName language="en" preferredForLanguage="true" text="Santa Rosa Cahuilla"/>
            <code code="1050-4" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1044-7"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14950"/>
            <printName language="en" preferredForLanguage="true" text="Torres-Martinez"/>
            <code code="1051-2" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1004-1"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14951"/>
            <printName language="en" preferredForLanguage="true" text="California Tribes"/>
            <code code="1053-8" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1053-8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14952"/>
            <printName language="en" preferredForLanguage="true" text="Cahto"/>
            <code code="1054-6" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1053-8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14953"/>
            <printName language="en" preferredForLanguage="true" text="Chimariko"/>
            <code code="1055-3" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1053-8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14954"/>
            <printName language="en" preferredForLanguage="true" text="Coast Miwok"/>
            <code code="1056-1" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1053-8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14955"/>
            <printName language="en" preferredForLanguage="true" text="Digger"/>
            <code code="1057-9" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1053-8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14956"/>
            <printName language="en" preferredForLanguage="true" text="Kawaiisu"/>
            <code code="1058-7" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1053-8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14957"/>
            <printName language="en" preferredForLanguage="true" text="Kern River"/>
            <code code="1059-5" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1053-8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14958"/>
            <printName language="en" preferredForLanguage="true" text="Mattole"/>
            <code code="1060-3" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1053-8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14959"/>
            <printName language="en" preferredForLanguage="true" text="Red Wood"/>
            <code code="1061-1" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1053-8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14960"/>
            <printName language="en" preferredForLanguage="true" text="Santa Rosa"/>
            <code code="1062-9" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1053-8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14961"/>
            <printName language="en" preferredForLanguage="true" text="Takelma"/>
            <code code="1063-7" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1053-8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14962"/>
            <printName language="en" preferredForLanguage="true" text="Wappo"/>
            <code code="1064-5" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1053-8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14963"/>
            <printName language="en" preferredForLanguage="true" text="Yana"/>
            <code code="1065-2" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1053-8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14964"/>
            <printName language="en" preferredForLanguage="true" text="Yuki"/>
            <code code="1066-0" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1004-1"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14965"/>
            <printName language="en" preferredForLanguage="true"
                       text="Canadian and Latin American Indian"/>
            <code code="1068-6" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1068-6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14966"/>
            <printName language="en" preferredForLanguage="true" text="Canadian Indian"/>
            <code code="1069-4" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1068-6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14967"/>
            <printName language="en" preferredForLanguage="true" text="Central American Indian"/>
            <code code="1070-2" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1068-6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14968"/>
            <printName language="en" preferredForLanguage="true" text="French American Indian"/>
            <code code="1071-0" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1068-6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14969"/>
            <printName language="en" preferredForLanguage="true" text="Mexican American Indian"/>
            <code code="1072-8" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1068-6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14970"/>
            <printName language="en" preferredForLanguage="true" text="South American Indian"/>
            <code code="1073-6" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1004-1"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14971"/>
            <printName language="en" preferredForLanguage="true" text="Spanish American Indian"/>
            <code code="1074-4" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1004-1"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14972"/>
            <printName language="en" preferredForLanguage="true" text="Catawba"/>
            <code code="1076-9" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1004-1"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14973"/>
            <printName language="en" preferredForLanguage="true" text="Cayuse"/>
            <code code="1078-5" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1004-1"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14974"/>
            <printName language="en" preferredForLanguage="true" text="Chehalis"/>
            <code code="1080-1" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1004-1"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14975"/>
            <printName language="en" preferredForLanguage="true" text="Chemakuan"/>
            <code code="1082-7" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1082-7"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14976"/>
            <printName language="en" preferredForLanguage="true" text="Hoh"/>
            <code code="1083-5" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1082-7"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14977"/>
            <printName language="en" preferredForLanguage="true" text="Quileute"/>
            <code code="1084-3" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1004-1"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14978"/>
            <printName language="en" preferredForLanguage="true" text="Chemehuevi"/>
            <code code="1086-8" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1004-1"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14979"/>
            <printName language="en" preferredForLanguage="true" text="Cherokee"/>
            <code code="1088-4" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1088-4"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14980"/>
            <printName language="en" preferredForLanguage="true" text="Cherokee Alabama"/>
            <code code="1089-2" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1088-4"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14981"/>
            <printName language="en" preferredForLanguage="true" text="Cherokees of Northeast Alabama"/>
            <code code="1090-0" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1088-4"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14982"/>
            <printName language="en" preferredForLanguage="true" text="Cherokees of Southeast Alabama"/>
            <code code="1091-8" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1088-4"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14983"/>
            <printName language="en" preferredForLanguage="true" text="Eastern Cherokee"/>
            <code code="1092-6" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1088-4"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14984"/>
            <printName language="en" preferredForLanguage="true" text="Echota Cherokee"/>
            <code code="1093-4" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1088-4"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14985"/>
            <printName language="en" preferredForLanguage="true" text="Etowah Cherokee"/>
            <code code="1094-2" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1088-4"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14986"/>
            <printName language="en" preferredForLanguage="true" text="Northern Cherokee"/>
            <code code="1095-9" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1088-4"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14987"/>
            <printName language="en" preferredForLanguage="true" text="Tuscola"/>
            <code code="1096-7" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="1088-4"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14988"/>
            <printName language="en" preferredForLanguage="true"
                       text="United Keetowah Band of Cherokee"/>
            <code code="1097-5" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
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            <printName language="en" preferredForLanguage="true" text="Marshall"/>
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            <conceptProperty name="internalId" value="15706"/>
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            <conceptProperty name="internalId" value="15707"/>
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            <conceptProperty name="internalId" value="15708"/>
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            <conceptProperty name="internalId" value="15709"/>
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            <printName language="en" preferredForLanguage="true" text="Akhiok"/>
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            <conceptProperty name="internalId" value="15795"/>
            <printName language="en" preferredForLanguage="true" text="Guamanian or Chamorro"/>
            <code code="2086-7" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2085-9"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15796"/>
            <printName language="en" preferredForLanguage="true" text="Guamanian"/>
            <code code="2087-5" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2085-9"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15797"/>
            <printName language="en" preferredForLanguage="true" text="Chamorro"/>
            <code code="2088-3" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2085-9"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15798"/>
            <printName language="en" preferredForLanguage="true" text="Mariana Islander"/>
            <code code="2089-1" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2085-9"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15799"/>
            <printName language="en" preferredForLanguage="true" text="Marshallese"/>
            <code code="2090-9" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2085-9"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15800"/>
            <printName language="en" preferredForLanguage="true" text="Palauan"/>
            <code code="2091-7" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2085-9"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15801"/>
            <printName language="en" preferredForLanguage="true" text="Carolinian"/>
            <code code="2092-5" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2085-9"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15802"/>
            <printName language="en" preferredForLanguage="true" text="Kosraean"/>
            <code code="2093-3" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2085-9"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15803"/>
            <printName language="en" preferredForLanguage="true" text="Pohnpeian"/>
            <code code="2094-1" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2085-9"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15804"/>
            <printName language="en" preferredForLanguage="true" text="Saipanese"/>
            <code code="2095-8" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2085-9"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15805"/>
            <printName language="en" preferredForLanguage="true" text="Kiribati"/>
            <code code="2096-6" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2085-9"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15806"/>
            <printName language="en" preferredForLanguage="true" text="Chuukese"/>
            <code code="2097-4" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2085-9"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15807"/>
            <printName language="en" preferredForLanguage="true" text="Yapese"/>
            <code code="2098-2" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2076-8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15808"/>
            <printName language="en" preferredForLanguage="true" text="Melanesian"/>
            <code code="2100-6" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2100-6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15809"/>
            <printName language="en" preferredForLanguage="true" text="Fijian"/>
            <code code="2101-4" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2100-6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15810"/>
            <printName language="en" preferredForLanguage="true" text="Papua New Guinean"/>
            <code code="2102-2" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2100-6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15811"/>
            <printName language="en" preferredForLanguage="true" text="Solomon Islander"/>
            <code code="2103-0" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2100-6"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15812"/>
            <printName language="en" preferredForLanguage="true" text="New Hebrides"/>
            <code code="2104-8" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="15814"/>
            <printName language="en" preferredForLanguage="true" text="White"/>
            <code code="2106-3" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2106-3"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15815"/>
            <printName language="en" preferredForLanguage="true" text="European"/>
            <code code="2108-9" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2108-9"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15816"/>
            <printName language="en" preferredForLanguage="true" text="Armenian"/>
            <code code="2109-7" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2108-9"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15817"/>
            <printName language="en" preferredForLanguage="true" text="English"/>
            <code code="2110-5" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2108-9"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15818"/>
            <printName language="en" preferredForLanguage="true" text="French"/>
            <code code="2111-3" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2108-9"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15819"/>
            <printName language="en" preferredForLanguage="true" text="German"/>
            <code code="2112-1" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2108-9"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15820"/>
            <printName language="en" preferredForLanguage="true" text="Irish"/>
            <code code="2113-9" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2108-9"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15821"/>
            <printName language="en" preferredForLanguage="true" text="Italian"/>
            <code code="2114-7" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2108-9"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15822"/>
            <printName language="en" preferredForLanguage="true" text="Polish"/>
            <code code="2115-4" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2108-9"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15823"/>
            <printName language="en" preferredForLanguage="true" text="Scottish"/>
            <code code="2116-2" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2106-3"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15824"/>
            <printName language="en" preferredForLanguage="true"
                       text="Middle Eastern or North African"/>
            <code code="2118-8" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2118-8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15825"/>
            <printName language="en" preferredForLanguage="true" text="Assyrian"/>
            <code code="2119-6" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2118-8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15826"/>
            <printName language="en" preferredForLanguage="true" text="Egyptian"/>
            <code code="2120-4" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2118-8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15827"/>
            <printName language="en" preferredForLanguage="true" text="Iranian"/>
            <code code="2121-2" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2118-8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15828"/>
            <printName language="en" preferredForLanguage="true" text="Iraqi"/>
            <code code="2122-0" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2118-8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15829"/>
            <printName language="en" preferredForLanguage="true" text="Lebanese"/>
            <code code="2123-8" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2118-8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15830"/>
            <printName language="en" preferredForLanguage="true" text="Palestinian"/>
            <code code="2124-6" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2118-8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15831"/>
            <printName language="en" preferredForLanguage="true" text="Syrian"/>
            <code code="2125-3" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2118-8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15832"/>
            <printName language="en" preferredForLanguage="true" text="Afghanistani"/>
            <code code="2126-1" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2118-8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15833"/>
            <printName language="en" preferredForLanguage="true" text="Israeili"/>
            <code code="2127-9" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2106-3"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15834"/>
            <printName language="en" preferredForLanguage="true" text="Arab"/>
            <code code="2129-5" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Note that this term remains in the table for completeness, even though within HL7, the notion of Other code is deprecated.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="15835"/>
            <printName language="en" preferredForLanguage="true" text="Other Race"/>
            <code code="2131-1" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Note that this term remains in the table for completeness, even though within HL7, the notion of Other code is deprecated.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="2076-8"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15813"/>
            <printName language="en" preferredForLanguage="true" text="Other Pacific Islander"/>
            <code code="2500-7" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="RcFB" title="The Read Codes Four Byte Set:"
               codeSystemId="2.16.840.1.113883.6.28">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The Read Codes Four Byte Set consists of 4 alphanumeric characters. This version contains approximately 40,000 codes arranged in a hierarchical structure.</p>
                  <p>Top level hierarchy sections: Disorders Findings Surgical procedures Investigations Occupations Drugs</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="RcV2" title="The Read Codes Version 2"
               codeSystemId="2.16.840.1.113883.6.29">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The Read Codes Version 2 contains over 70,000 coded concepts arranged in a hierarchical structure.</p>
                  <p>Top level hierarchy sections: Disorders Findings Surgical procedures Investigations Occupations Drugs</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="ReadCodes" title="Read Classification"
               codeSystemId="2.16.840.1.113883.6.6">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Clinical Terms Version 3 contains over 200,000 coded concepts arranged in a sub-type hierarchical structure.</p>
                  <p>Top level hierarchy sections: Disorders Findings Morphology Surgical procedures Regimes &amp; therapies Investigations Stages &amp; scales Occupations Organisms Units Drugs Appliances &amp; equipment</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="RefSeq" title="Gene Reference Sequence Collection"
               codeSystemId="2.16.840.1.113883.6.280">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The Reference Sequence (RefSeq) is one of the NCBI projects, the RefSeq collection aims to provide a comprehensive, integrated, non-redundant, well-annotated set of sequences, including genomic DNA, transcripts, and proteins. ReqSeq is accessible via BLAST, Entrez, and the NCBI FTP site. Information is also available in Entrez Genomes and Entrez Gene, and for some genomes additional information is available in the Map Viewer.</p>
                  <p>RefSeq entries can be used with the HL7 coded data type. For example, in the HL7 messages specified according to the HL7 V2 Clinical Genomics Fully LOINC-Qualified Genetic Variation Model, RefSeq entries can be used to as the observation values for genomic reference sequence identifiers (LOINC \#: 48013-7).</p>
                  <p>More information may be found at: http://www.ncbi.nlm.nih.gov/RefSeq</p>
                  <p>Versioning informaiton: The latest release of RefSeq was released on May 13, 2009 with the release number of 35.</p>
                  <p>RefSeq generates new releases roughly every two months. The dates of the three previous releases were: Release 34, March 12, 2009 Release 33, January 20, 2009 Release 32, November 17, 2008</p>
                  <p>RefSeq is a free database for the public.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="RelationalOperator" title="RelationalOperator"
               codeSystemId="2.16.840.1.113883.5.105">
      <historyItem dateTime="2020-05-06" id="v3-RelationalOperator-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Identifies common relational operators used in selection criteria.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Specified set of things includes value being evaluated.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10170"/>
            <printName language="en" preferredForLanguage="true" text="Contains"/>
            <code code="CT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Equal condition applied to comparisons.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10164"/>
            <printName language="en" preferredForLanguage="true" text="Equal"/>
            <code code="EQ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Greater than or equal condition applied to comparisons.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10169"/>
            <printName language="en" preferredForLanguage="true" text="Greater than or equal"/>
            <code code="GE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A generic comparison selects a record for inclusion in the response if the beginning of the designated element value matches the select string.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10171"/>
            <printName language="en" preferredForLanguage="true" text="Generic"/>
            <code code="GN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Greater than condition applied to comparisons.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10167"/>
            <printName language="en" preferredForLanguage="true" text="Greater than"/>
            <code code="GT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Less than or equal condition applied to comparisons.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10168"/>
            <printName language="en" preferredForLanguage="true" text="Less than or equal"/>
            <code code="LE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Less than condition applied to comparisons.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10166"/>
            <printName language="en" preferredForLanguage="true" text="Less than"/>
            <code code="LT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Not equal condition applied to comparisons.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10165"/>
            <printName language="en" preferredForLanguage="true" text="Not Equal"/>
            <code code="NE" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="RelationshipConjunction" title="RelationshipConjunction"
               codeSystemId="2.16.840.1.113883.5.106">
      <historyItem dateTime="2020-05-06" id="v3-RelationshipConjunction-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A code specifying the logical conjunction of the criteria among all the condition-links of Acts (e.g., and, or, exclusive-or.)</p>
                  <i>Constraints:</i>All AND criteria must be true. If OR and AND criteria occur together, one criterion out of the OR-group must be true and all AND criteria must be true also. If XOR criteria occur together with OR and AND criteria, exactly one of the XOR criteria must be true, and at least one of the OR criteria and all AND criteria must be true. In other words, the sets of AND, OR, and XOR criteria are in turn combined by a logical AND operator (all AND criteria and at least one OR criterion and exactly one XOR criterion.) To overcome this ordering, Act criteria can be nested in any way necessary.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This condition must be true.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10366"/>
            <printName language="en" preferredForLanguage="true" text="and"/>
            <code code="AND" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>At least one of the condition among all OR conditions must be true.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10367"/>
            <printName language="en" preferredForLanguage="true" text="or"/>
            <code code="OR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>One and only one of the XOR conditions must be true.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10368"/>
            <printName language="en" preferredForLanguage="true" text="exclusive or"/>
            <code code="XOR" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="ReligiousAffiliation" title="Religious Affiliation"
               codeSystemId="2.16.840.1.113883.5.1076">
      <historyItem dateTime="2020-05-06" id="v3-ReligiousAffiliation-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Assigment of spiritual faith affiliation</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <conceptProperty name="internalId" value="19186"/>
            <printName language="en" preferredForLanguage="true" text="Adventist"/>
            <code code="1001" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19187"/>
            <printName language="en" preferredForLanguage="true" text="African Religions"/>
            <code code="1002" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19188"/>
            <printName language="en" preferredForLanguage="true" text="Afro-Caribbean Religions"/>
            <code code="1003" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19189"/>
            <printName language="en" preferredForLanguage="true" text="Agnosticism"/>
            <code code="1004" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19190"/>
            <printName language="en" preferredForLanguage="true" text="Anglican"/>
            <code code="1005" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19191"/>
            <printName language="en" preferredForLanguage="true" text="Animism"/>
            <code code="1006" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19192"/>
            <printName language="en" preferredForLanguage="true" text="Atheism"/>
            <code code="1007" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19193"/>
            <printName language="en" preferredForLanguage="true" text="Babi &amp; Baha'I faiths"/>
            <code code="1008" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19194"/>
            <printName language="en" preferredForLanguage="true" text="Baptist"/>
            <code code="1009" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19195"/>
            <printName language="en" preferredForLanguage="true" text="Bon"/>
            <code code="1010" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19196"/>
            <printName language="en" preferredForLanguage="true" text="Cao Dai"/>
            <code code="1011" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19197"/>
            <printName language="en" preferredForLanguage="true" text="Celticism"/>
            <code code="1012" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19198"/>
            <printName language="en" preferredForLanguage="true"
                       text="Christian (non-Catholic, non-specific)"/>
            <code code="1013" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19199"/>
            <printName language="en" preferredForLanguage="true" text="Confucianism"/>
            <code code="1014" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19200"/>
            <printName language="en" preferredForLanguage="true" text="Cyberculture Religions"/>
            <code code="1015" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19201"/>
            <printName language="en" preferredForLanguage="true" text="Divination"/>
            <code code="1016" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19202"/>
            <printName language="en" preferredForLanguage="true" text="Fourth Way"/>
            <code code="1017" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19203"/>
            <printName language="en" preferredForLanguage="true" text="Free Daism"/>
            <code code="1018" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19204"/>
            <printName language="en" preferredForLanguage="true" text="Gnosis"/>
            <code code="1019" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19205"/>
            <printName language="en" preferredForLanguage="true" text="Hinduism"/>
            <code code="1020" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19206"/>
            <printName language="en" preferredForLanguage="true" text="Humanism"/>
            <code code="1021" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19207"/>
            <printName language="en" preferredForLanguage="true" text="Independent"/>
            <code code="1022" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19208"/>
            <printName language="en" preferredForLanguage="true" text="Islam"/>
            <code code="1023" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19209"/>
            <printName language="en" preferredForLanguage="true" text="Jainism"/>
            <code code="1024" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19210"/>
            <printName language="en" preferredForLanguage="true" text="Jehovah's Witnesses"/>
            <code code="1025" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19211"/>
            <printName language="en" preferredForLanguage="true" text="Judaism"/>
            <code code="1026" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19212"/>
            <printName language="en" preferredForLanguage="true" text="Latter Day Saints"/>
            <code code="1027" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19213"/>
            <printName language="en" preferredForLanguage="true" text="Lutheran"/>
            <code code="1028" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19214"/>
            <printName language="en" preferredForLanguage="true" text="Mahayana"/>
            <code code="1029" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19215"/>
            <printName language="en" preferredForLanguage="true" text="Meditation"/>
            <code code="1030" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19216"/>
            <printName language="en" preferredForLanguage="true" text="Messianic Judaism"/>
            <code code="1031" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19217"/>
            <printName language="en" preferredForLanguage="true" text="Mitraism"/>
            <code code="1032" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19218"/>
            <printName language="en" preferredForLanguage="true" text="New Age"/>
            <code code="1033" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19219"/>
            <printName language="en" preferredForLanguage="true" text="non-Roman Catholic"/>
            <code code="1034" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19220"/>
            <printName language="en" preferredForLanguage="true" text="Occult"/>
            <code code="1035" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19221"/>
            <printName language="en" preferredForLanguage="true" text="Orthodox"/>
            <code code="1036" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19222"/>
            <printName language="en" preferredForLanguage="true" text="Paganism"/>
            <code code="1037" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19223"/>
            <printName language="en" preferredForLanguage="true" text="Pentecostal"/>
            <code code="1038" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19224"/>
            <printName language="en" preferredForLanguage="true" text="Process, The"/>
            <code code="1039" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19225"/>
            <printName language="en" preferredForLanguage="true" text="Reformed/Presbyterian"/>
            <code code="1040" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19226"/>
            <printName language="en" preferredForLanguage="true" text="Roman Catholic Church"/>
            <code code="1041" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19227"/>
            <printName language="en" preferredForLanguage="true" text="Satanism"/>
            <code code="1042" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19228"/>
            <printName language="en" preferredForLanguage="true" text="Scientology"/>
            <code code="1043" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19229"/>
            <printName language="en" preferredForLanguage="true" text="Shamanism"/>
            <code code="1044" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19230"/>
            <printName language="en" preferredForLanguage="true" text="Shiite (Islam)"/>
            <code code="1045" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19231"/>
            <printName language="en" preferredForLanguage="true" text="Shinto"/>
            <code code="1046" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19232"/>
            <printName language="en" preferredForLanguage="true" text="Sikism"/>
            <code code="1047" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19233"/>
            <printName language="en" preferredForLanguage="true" text="Spiritualism"/>
            <code code="1048" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19234"/>
            <printName language="en" preferredForLanguage="true" text="Sunni (Islam)"/>
            <code code="1049" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19235"/>
            <printName language="en" preferredForLanguage="true" text="Taoism"/>
            <code code="1050" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19236"/>
            <printName language="en" preferredForLanguage="true" text="Theravada"/>
            <code code="1051" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19237"/>
            <printName language="en" preferredForLanguage="true" text="Unitarian-Universalism"/>
            <code code="1052" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19238"/>
            <printName language="en" preferredForLanguage="true" text="Universal Life Church"/>
            <code code="1053" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19239"/>
            <printName language="en" preferredForLanguage="true" text="Vajrayana (Tibetan)"/>
            <code code="1054" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19240"/>
            <printName language="en" preferredForLanguage="true" text="Veda"/>
            <code code="1055" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19241"/>
            <printName language="en" preferredForLanguage="true" text="Voodoo"/>
            <code code="1056" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19242"/>
            <printName language="en" preferredForLanguage="true" text="Wicca"/>
            <code code="1057" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19243"/>
            <printName language="en" preferredForLanguage="true" text="Yaohushua"/>
            <code code="1058" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19244"/>
            <printName language="en" preferredForLanguage="true" text="Zen Buddhism"/>
            <code code="1059" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19245"/>
            <printName language="en" preferredForLanguage="true" text="Zoroastrianism"/>
            <code code="1060" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="21466"/>
            <printName language="en" preferredForLanguage="true" text="Assembly of God"/>
            <code code="1061" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="21467"/>
            <printName language="en" preferredForLanguage="true" text="Brethren"/>
            <code code="1062" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="21468"/>
            <printName language="en" preferredForLanguage="true" text="Christian Scientist"/>
            <code code="1063" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="21469"/>
            <printName language="en" preferredForLanguage="true" text="Church of Christ"/>
            <code code="1064" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="21470"/>
            <printName language="en" preferredForLanguage="true" text="Church of God"/>
            <code code="1065" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="21471"/>
            <printName language="en" preferredForLanguage="true" text="Congregational"/>
            <code code="1066" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="21472"/>
            <printName language="en" preferredForLanguage="true" text="Disciples of Christ"/>
            <code code="1067" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="21473"/>
            <printName language="en" preferredForLanguage="true" text="Eastern Orthodox"/>
            <code code="1068" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="21474"/>
            <printName language="en" preferredForLanguage="true" text="Episcopalian"/>
            <code code="1069" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="21475"/>
            <printName language="en" preferredForLanguage="true" text="Evangelical Covenant"/>
            <code code="1070" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="21476"/>
            <printName language="en" preferredForLanguage="true" text="Friends"/>
            <code code="1071" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="21477"/>
            <printName language="en" preferredForLanguage="true" text="Full Gospel"/>
            <code code="1072" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="21478"/>
            <printName language="en" preferredForLanguage="true" text="Methodist"/>
            <code code="1073" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="21479"/>
            <printName language="en" preferredForLanguage="true" text="Native American"/>
            <code code="1074" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="21480"/>
            <printName language="en" preferredForLanguage="true" text="Nazarene"/>
            <code code="1075" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="21481"/>
            <printName language="en" preferredForLanguage="true" text="Presbyterian"/>
            <code code="1076" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="21482"/>
            <printName language="en" preferredForLanguage="true" text="Protestant"/>
            <code code="1077" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="21483"/>
            <printName language="en" preferredForLanguage="true" text="Protestant, No Denomination"/>
            <code code="1078" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="21484"/>
            <printName language="en" preferredForLanguage="true" text="Reformed"/>
            <code code="1079" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="21485"/>
            <printName language="en" preferredForLanguage="true" text="Salvation Army"/>
            <code code="1080" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="21486"/>
            <printName language="en" preferredForLanguage="true" text="Unitarian Universalist"/>
            <code code="1081" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="21487"/>
            <printName language="en" preferredForLanguage="true" text="United Church of Christ"/>
            <code code="1082" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="ResponseLevel" title="ResponseLevel"
               codeSystemId="2.16.840.1.113883.5.108">
      <historyItem dateTime="2020-05-06" id="v3-ResponseLevel-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Specifies whether a response is expected from the addressee of this interaction and what level of detail that response should include</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Respond with exceptions and a notification of completion</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14763"/>
            <printName language="en" preferredForLanguage="true" text="completion"/>
            <code code="C" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Respond with exceptions, completion, modifications and include more detail information (if applicable)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14765"/>
            <printName language="en" preferredForLanguage="true" text="detail"/>
            <code code="D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Respond with exceptions only</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14762"/>
            <printName language="en" preferredForLanguage="true" text="exception"/>
            <code code="E" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Respond with exceptions, completion, and modification with detail (as above), and send positive confirmations even if no modifications are being made.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14766"/>
            <printName language="en" preferredForLanguage="true" text="confirmation"/>
            <code code="F" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Respond only with message level acknowledgements, i.e., only notify acceptance or rejection of the message, do not include any application-level detail</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14767"/>
            <printName language="en" preferredForLanguage="true" text="message-control"/>
            <code code="N" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Respond with exceptions, completions and modifications or revisions done before completion</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14764"/>
            <printName language="en" preferredForLanguage="true" text="modification"/>
            <code code="R" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Do not send any kind of response</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14768"/>
            <printName language="en" preferredForLanguage="true" text="none"/>
            <code code="X" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="ResponseModality" title="ResponseModality"
               codeSystemId="2.16.840.1.113883.5.109">
      <historyItem dateTime="2020-05-06" id="v3-ResponseModality-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Defines the timing and grouping of the response instances.</p>
                  <i>OpenIssue:</i>Description copied from Concept Domain of same name. Must be verified.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Query response to be sent as an HL7 Batch.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10153"/>
            <printName language="en" preferredForLanguage="true" text="Batch"/>
            <code code="B" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Query response to occur in real time.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10151"/>
            <printName language="en" preferredForLanguage="true" text="Real Time"/>
            <code code="R" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Query response to sent as a series of responses at the same time without the use of batch formatting.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10152"/>
            <printName language="en" preferredForLanguage="true" text="Bolus"/>
            <code code="T" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="ResponseMode" title="ResponseMode"
               codeSystemId="2.16.840.1.113883.5.1126">
      <historyItem dateTime="2020-05-06" id="v3-ResponseMode-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Specifies the mode, immediate versus deferred or queued, by which a receiver should communicate its receiver responsibilities.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The receiver may respond in a non-immediate manner. Note: this will be the default value.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21433"/>
            <printName language="en" preferredForLanguage="true" text="deferred"/>
            <code code="D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The receiver is required to assume that the sender is blocking and behave appropriately by sending an immediate response.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21432"/>
            <printName language="en" preferredForLanguage="true" text="immediate"/>
            <code code="I" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The receiver shall keep any application responses in a queue until such time as the queue is polled.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21434"/>
            <printName language="en" preferredForLanguage="true" text="queue"/>
            <code code="Q" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="RoleClass" title="RoleClass" codeSystemId="2.16.840.1.113883.5.110">
      <historyItem dateTime="2020-05-06" id="v3-RoleClass-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Codes for the Role class hierarchy. The values in this hierarchy, represent a Role which is an association or relationship between two entities - the entity that plays the role and the entity that scopes the role. Roles names are derived from the name of the playing entity in that role.</p>
                  <p>The role hierarchy stems from three core concepts, or abstract domains:</p>
                  <p>* **RoleClassOntological** is an abstract domain that collects roles in which the playing entity is defined or specified by the scoping entity. * **RoleClassPartitive** collects roles in which the playing entity is in some sense a "part" of the scoping entity. * **RoleClassAssociative** collects all of the remaining forms of association between the playing entity and the scoping entity. This set of roles is further partitioned between: * **RoleClassPassive** which are roles in which the playing entity is used, known, treated, handled, built, or destroyed, etc. under the auspices of the scoping entity. The playing entity is passive in these roles in that the role exists without an agreement from the playing entity. * **RoleClassMutualRelationship** which are relationships based on mutual behavior of the two entities. The basis of these relationship may be formal agreements or they may be *de facto* behavior. Thus, this sub-domain is further divided into: * **RoleClassRelationshipFormal** in which the relationship is formally defined, frequently by a contract or agreement. * **Personal relationship** which inks two people in a personal relationship.</p>
                  <p>The hierarchy discussed above is represented In the current vocabulary tables as a set of abstract domains, with the exception of the "Personal relationship" which is a leaf concept.</p>
                  <i>OpenIssue:</i>Description copied from Concept Domain of same name. Must be verified.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>A property that indicates the status of the concept. One of active, experimental, deprecated, or retired.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="Name:Class" type="Token" isMandatoryIndicator="false">
            <description>The formal name for the class clone under this code</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="Name:Role:player:Entity" type="Token"
                                   isMandatoryIndicator="false">
            <description>The name of the relationship from Role to the payer Entity</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="Name:Role:scoper:Entity" type="Token"
                                   isMandatoryIndicator="false">
            <description>The name of the relationship from Role to the scoper Entity</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="Sort:Entity:playedRole:Role" type="Token"
                                   isMandatoryIndicator="false">
            <description>Sort key for the relationship from the Entity to the playedRole</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="Sort:Entity:scopedRole:Role" type="Token"
                                   isMandatoryIndicator="false">
            <description>The sort key for the relationship from the Entity to the scopedRole</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="Name:Entity:playedRole:Role" type="String"
                                   isMandatoryIndicator="false">
            <description>The name of the relationship from the Entity to the playedRole</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="Name:Entity:scopedRole:Role" type="String"
                                   isMandatoryIndicator="false">
            <description>The name of the relationship from the Entity to the scopedRole</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="Name:Participation:role:Role" type="String"
                                   isMandatoryIndicator="false">
            <description>The name of the relationship from Participation to Role</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A role in which the playing entity (material) provides access to another entity. The principal use case is intravenous (or other bodily) access lines that preexist and need to be referred to for medication routing instructions.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassPassive"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11592"/>
            <conceptProperty name="Name:Class" value="access"/>
            <conceptProperty name="Name:Role:player:Entity" value="access&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="accessed&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AABM_____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AABM_____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="access"/>
            <code code="ACCESS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>a therapeutically active ingredient (player) in a mixture (scoper), where the mixture is typically a manufactured pharmaceutical. It is unknown if the quantity of such an ingredient is expressed precisely in terms of the playing ingredient substance, or, if it is specified in terms of a closely related substance (active moiety or reference substance).</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INGR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10433"/>
            <conceptProperty name="Name:Class" value="activeIngredient"/>
            <conceptProperty name="Name:Role:player:Entity" value="activeIngredient&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="ingredientOf&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="ABDA_____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="ABDA_____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="active ingredient"/>
            <code code="ACTI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Active ingredient, where the ingredient substance (player) is itself the "basis of strength", i.e., where the Role.quantity specifies exactly the quantity of the player substance in the medicine formulation.<b>Examples:</b>Lopressor 50 mg actually contains 50 mg of metoprolol succinate, even though the active moiety is metoprolol, but also: Tenormin 50 mg contain 50 mg of atenolol, as free base, i.e., where the active ingredient atenolol is also the active moiety.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ACTI"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22396"/>
            <conceptProperty name="Name:Class" value="activeIngredientBasisOfStrength"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true"
                       text="active ingredient - basis of strength"/>
            <code code="ACTIB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Active ingredient, where not the ingredient substance (player), but itaTMs active moiety is the "basis of strength", i.e., where the Role.quantity specifies the quantity of the player substance's active moiety in the medicine formulation.<b>Examples:</b>1 mL of Betopic 5mg/mL eye drops contains 5.6 mg betaxolol hydrochloride equivalent to betaxolol base 5 mg.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ACTI"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22397"/>
            <conceptProperty name="Name:Class" value="activeIngredientMoietyIsBasisOfStrength"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true"
                       text="active ingredient - moiety is basis of strength"/>
            <code code="ACTIM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Active ingredient, where not the ingredient substance (player) but another reference substance with the same active moiety, is the "basis of strength", i.e., where the Role.quantity specifies the quantity of a reference substance, similar but different from the player substance's in the medicine formulation.<b>Examples:</b>Toprol-XL 50 mg contains 47.5 mg of metoprolol succinate equivalent to 50 mg of metoprolol tartrate.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ACTI"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22398"/>
            <conceptProperty name="Name:Class" value="activeIngredientReferenceSubstanceIsBasisOfStrength"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true"
                       text="active ingredient - reference substance is basis of strength"/>
            <code code="ACTIR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The molecule or ion that is responsible for the intended pharmacological action of the drug substance, excluding those appended or associated parts of the molecule that make the molecule an ester, salt (including a salt with hydrogen or coordination bonds), or other noncovalent derivative (such as a complex, chelate, or clathrate).</p>
                        <p>Examples: heparin-sodium and heparin-potassium have the same active moiety, heparin; the active moiety of morphine-hydrochloride is morphine.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PART"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19088"/>
            <conceptProperty name="Name:Class" value="activeMoiety"/>
            <conceptProperty name="Name:Role:player:Entity" value="activeMoiety"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="moietyOf&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="ABDB_____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="ABDB_____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="active moiety"/>
            <code code="ACTM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A component (player) added to enhance the action of an active ingredient (scoper) (in the manner of a catalyst) but which has no active effect in and of itself. Such ingredients are significant in defining equivalence of products in a way that inactive ingredients are not.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INGR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23059"/>
            <conceptProperty name="Name:Class" value="adjuvant"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="adjuvant"/>
            <code code="ADJV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A physical association whereby two Entities are in some (even lose) spatial relationship with each other such that they touch each other in some way.</p>
                        <i>Examples:</i>the colon is connected (and therefore adjacent) to the jejunum; the colon is adjacent to the liver (even if not actually connected.)<i>UsageConstraints:</i>Adjacency is in principle a symmetrical connection, but scoper and player of the role should, where applicable, be assigned to have scoper be the larger, more central Entity and player the smaller, more distant, appendage.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassPassive"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23095"/>
            <conceptProperty name="Name:Class" value="adjacency"/>
            <conceptProperty name="Name:Role:player:Entity" value="distal&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="proximal&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AAB______"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AAB______"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="adjacency"/>
            <code code="ADJY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A material (player) that can be administered to an Entity (scoper).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassPassive"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21435"/>
            <conceptProperty name="Name:Class" value="administrableMaterial"/>
            <conceptProperty name="Name:Role:player:Entity" value="administrable(&amp;|Product)"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="(scoping&amp;)|scoper"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AABO_____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AABO_____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="Administerable Material"/>
            <code code="ADMM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An ingredient (player) that is added to a base (scoper), that amounts to a minor part of the overall mixture.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INGR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10432"/>
            <conceptProperty name="Name:Class" value="additive"/>
            <conceptProperty name="Name:Role:player:Entity" value="additive&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="additiveOf&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="ABDE_____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="ABDE_____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="additive"/>
            <code code="ADTV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Player of the Affiliate role has a business/professional relationship with scoper. Player and scoper may be persons or organization. The Affiliate relationship does not imply membership in a group, nor does it exist for resource scheduling purposes.</p>
                        <i>Example:</i>A healthcare provider is affiliated with another provider as a business associate.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassRelationshipFormal"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21438"/>
            <conceptProperty name="Name:Class" value="affiliate"/>
            <conceptProperty name="Name:Role:player:Entity" value="affiliate&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="affiliated&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AAAAR____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AAAAR____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="affiliate"/>
            <code code="AFFL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An entity (player) that acts or is authorized to act on behalf of another entity (scoper).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassRelationshipFormal"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14006"/>
            <conceptProperty name="Name:Class" value="agent"/>
            <conceptProperty name="Name:Role:player:Entity" value="agent&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="(represented&amp;)|representee"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AAAAD____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AAAAD____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="agent"/>
            <code code="AGNT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A portion (player) of an original or source specimen (scoper) used for testing or transportation.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SPEC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14026"/>
            <conceptProperty name="Name:Class" value="aliquot"/>
            <conceptProperty name="Name:Role:player:Entity" value="aliquot&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="source&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="ABAA_____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="ABAA_____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="aliquot"/>
            <code code="ALQT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An agent role in which the agent is an Entity acting in the employ of an organization. The focus is on functional role on behalf of the organization, unlike the Employee role where the focus is on the 'Human Resources' relationship between the employee and the organization.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AGNT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11595"/>
            <conceptProperty name="Name:Class" value="assignedEntity"/>
            <conceptProperty name="Name:Role:player:Entity" value="(assigned&amp;)|assignee"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="(represented&amp;)|representee"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AAAADA___"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AAAADA___"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="assigned entity"/>
            <code code="ASSIGNED" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A base ingredient (player) is what comprises the major part of a mixture (scoper). E.g., Water in most i.v. solutions, or Vaseline in salves. Among all ingredients of a material, there should be only one base. A base substance can, in turn, be a mixture.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INGR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10431"/>
            <conceptProperty name="Name:Class" value="base"/>
            <conceptProperty name="Name:Role:player:Entity" value="base&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="baseOf&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="ABDC_____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="ABDC_____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="base"/>
            <code code="BASE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Relates a place (playing Entity) as the location where a living subject (scoping Entity) was born.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassPassive"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11589"/>
            <conceptProperty name="Name:Class" value="birthplace"/>
            <conceptProperty name="Name:Role:player:Entity" value="birthplace"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="birthplaceFor&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AABL_____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AABL_____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="birthplace"/>
            <code code="BIRTHPL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A connection between two atoms of a molecule.</p>
                        <i>Examples:</i>double bond between first and second C in ethane, peptide bond between two amino-acid, disulfide bridge between two proteins, chelate and ion associations, even the much weaker van-der-Waals bonds can be considered molecular bonds.<i>UsageConstraints:</i>See connection and adjacency for the assignment of player and scoper.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CONC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23098"/>
            <conceptProperty name="Name:Class" value="bond"/>
            <conceptProperty name="Name:Role:player:Entity" value="distal&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="proximal&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AAB______"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AAB______"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="molecular bond"/>
            <code code="BOND" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person responsible for the primary care of a patient at home.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassMutualRelationship"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21355"/>
            <conceptProperty name="Name:Class" value="careGiver"/>
            <conceptProperty name="Name:Role:player:Entity" value="careGiver&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="careGiverScoper"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AAAC_____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AAAC_____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="caregiver"/>
            <code code="CAREGIVER" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person, non-person living subject, or place that is the subject of an investigation related to a notifiable condition (health circumstance that is reportable within the applicable public health jurisdiction)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INVSBJ"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21465"/>
            <conceptProperty name="Name:Class" value="caseSubject"/>
            <conceptProperty name="Name:Role:player:Entity" value="subject&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="caseMonitor"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AAAABA___"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AAAABA___"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="Case Subject"/>
            <code code="CASEBJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is a child of the scoping entity, in a generic sense.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11560"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="child"/>
            <code code="CHILD" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Citizen of apolitical entity</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassRelationshipFormal"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11568"/>
            <conceptProperty name="Name:Class" value="citizen"/>
            <conceptProperty name="Name:Role:player:Entity" value="citizen&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="political(&amp;|Entity)"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AAAAF____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AAAAF____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="citizen"/>
            <code code="CIT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A role played by a party making a claim for coverage under a policy or program. A claimant must be either a person or organization, or a group of persons or organizations. A claimant is not a named insured or a program eligible.<b>Discussion:</b>With respect to liability insurance such as property and casualty insurance, a claimant must file a claim requesting indemnification for a loss that the claimant considers covered under the policy of a named insured. The claims adjuster for the policy underwriter will review the claim to determine whether the loss meets the benefit coverage criteria under a policy, and base any indemnification or coverage payment on that review. If a third party is liable in whole or part for the loss, the underwriter may pursue third party liability recovery. A claimant may be involved in civil or criminal legal proceedings involving claims against a defendant party that is indemnified by an insurance policy or to protest the finding of a claims adjustor. With respect to life insurance, a beneficiary designated by a named insured becomes a claimant of the proceeds of coverage, as in the case of a life insurance policy. However, a claimant for coverage under life insurance is not necessarily a designated beneficiary.<b>Note:</b>A claimant is not a named insured. However, a named insured may make a claim under a policy, e.g., an insured driver may make a claim for an injury under his or her comprehensive automobile insurance policy. Similarly, a program eligible may make a claim under program, e.g., an unemployed worker may claim benefits under an unemployment insurance program, but parties playing these covered party role classes are not, for purposes of this vocabulary and in an effort to clearly distinguish role classes, considered claimants.<p>In the case of a named insured making a claim, a role type code INSCLM (insured claimant) subtypes the class to indicate that either a named insured or an individual insured has filed a claim for a loss. In the case of a program eligible, a role type code INJWKR (injured worker) subtypes the class to indicate that the covered party in a workers compensation program is an injured worker, and as such, has filed a "claim" under the program for benefits. Likewise, a covered role type code UNEMP (unemployed worker) subtypes the program eligible class to indicate that the covered party in an unemployment insurance program has filed a claim for unemployment benefits.</p>
                        <b>Example:</b>A claimant under automobile policy that is not the named insured.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="COVPTY"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21955"/>
            <conceptProperty name="Name:Class" value="claimant"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="claimant"/>
            <code code="CLAIM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An ingredient whose presence is not intended but may not be reasonably avoided given the circumstances of the mixture's nature or origin.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INGR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23369"/>
            <conceptProperty name="Name:Class" value="contaminant"/>
            <conceptProperty name="Name:Role:player:Entity" value="contaminant&amp;"/>
            <conceptProperty name="Name:role:scoper:Entity" value="contaminantOf&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="ABDF_____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="ABDF_____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="contaminant ingredient"/>
            <code code="CNTM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A substance (player) influencing the optical aspect of material (scoper).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="IACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10437"/>
            <conceptProperty name="Name:Class" value="colorAdditive"/>
            <conceptProperty name="Name:Role:player:Entity" value="color&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="additiveOf&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="ABDDC____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="ABDDC____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="color additive"/>
            <printName language="en" preferredForLanguage="false" text="color"/>
            <code code="COLR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An Entity that is authorized to issue or instantiate permissions, privileges, credentials or other formal/legal authorizations.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ASSIGNED"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21303"/>
            <conceptProperty name="Name:Class" value="commissioningParty"/>
            <conceptProperty name="Name:Role:player:Entity" value="commissioning&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="commissioningScoper"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AAAADAC__"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AAAADAC__"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="commissioning party"/>
            <code code="COMPAR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person or an organization (player) which provides or receives information regarding another entity (scoper). Examples; patient NOK and emergency contacts; guarantor contact; employer contact.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AGNT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12205"/>
            <conceptProperty name="Name:Class" value="contactParty"/>
            <conceptProperty name="Name:Role:player:Entity" value="contact(&amp;|Party)"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="(represented&amp;)|representee"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AAAADAA__"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AAAADAA__"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="contact"/>
            <code code="CON" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An adjacency of two Entities held together by a bond which attaches to each of the two entities.</p>
                        <i>Examples:</i>biceps brachii muscle connected to the radius bone, port 3 on a network switch connected to port 5 on a patch panel.<i>UsageConstraints:</i>See Adjacency for the assignment of scoper (larger, more central) and player (smaller, more distant).</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ADJY"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23096"/>
            <conceptProperty name="Name:Class" value="connection"/>
            <conceptProperty name="Name:Role:player:Entity" value="distal&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="proximal&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AAB______"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AAB______"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="connection"/>
            <code code="CONC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Relates a material as the content (player) to a container (scoper). Unlike ingredients, the content and a container remain separate (not mixed) and the content can be removed from the container. A content is not part of an empty container.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassPartitive"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10438"/>
            <conceptProperty name="Name:Class" value="content"/>
            <conceptProperty name="Name:Role:player:Entity" value="(contained(&amp;-MAT))|content"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="container&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="ABB______"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="ABB______"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="content"/>
            <code code="CONT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A connection between two regional parts.</p>
                        <i>Examples:</i>the connection between ascending aorta and the aortic arc, connection between descending colon and sigmoid.<i>UsageConstraints:</i>See connection and adjacency for the assignment of player and scoper.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CONC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23097"/>
            <conceptProperty name="Name:Class" value="continuity"/>
            <conceptProperty name="Name:Role:player:Entity" value="distal&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="proximal&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AAB______"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AAB______"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="continuity"/>
            <code code="CONY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A role class played by a person who receives benefit coverage under the terms of a particular insurance policy. The underwriter of that policy is the scoping entity. The covered party receives coverage because of some contractual or other relationship with the holder of that policy.</p>
                        <p>*Discussion:*This reason for coverage is captured in 'Role.code' and a relationship link with type code of indirect authority should be included using the policy holder role as the source, and the covered party role as the target.</p>
                        <p>Note that a particular policy may cover several individuals one of whom may be, but need not be, the policy holder. Thus the notion of covered party is a role that is distinct from that of the policy holder.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassRelationshipFormal"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14011"/>
            <conceptProperty name="Name:Class" value="coveredParty"/>
            <conceptProperty name="Name:Role:player:Entity" value="covered(&amp;|Party)"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="(underwriting&amp;)|underwriter"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AAAAI____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AAAAI____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="covered party"/>
            <code code="COVPTY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A role played by an entity that receives credentials from the scoping entity.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="16930"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="credentialed entity"/>
            <code code="CRED" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A role played by a provider, always a person, who has agency authority from a Clinical Research Sponsor to direct the conduct of a clinical research trial or study on behalf of the sponsor.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassRelationshipFormal"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19164"/>
            <conceptProperty name="Name:Class" value="clinicalResearchInvestigator"/>
            <conceptProperty name="Name:Role:player:Entity" value="investigator&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="sponsoring&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AAAAH____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AAAAH____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="clinical research investigator"/>
            <code code="CRINV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A role played by an entity, usually an organization, that is the sponsor of a clinical research trial or study. The sponsor commissions the study, bears the expenses, is responsible for satisfying all legal requirements concerning subject safety and privacy, and is generally responsible for collection, storage and analysis of the data generated during the trial. No scoper is necessary, as a clinical research sponsor undertakes the role on its own authority and declaration. Clinical research sponsors are usually educational or other research organizations, government agencies or biopharmaceutical companies.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassRelationshipFormal"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19165"/>
            <conceptProperty name="Name:Class" value="clinicalResearchSponsor"/>
            <conceptProperty name="Name:Role:player:Entity" value="sponsor&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="sponsorshipAuthorizing&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AAAAG____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AAAAG____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="clinical research sponsor"/>
            <code code="CRSPNSR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Definition: Relates a place (playing Entity) as the location where a living subject (scoping Entity) died.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassPassive"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21640"/>
            <conceptProperty name="Name:Class" value="placeOfDeath"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="place of death"/>
            <code code="DEATHPLC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A role played by a person covered under a policy or program based on an association with a subscriber, which is recognized by the policy holder.<b>Note:</b>The party playing the role of a dependent is not a claimant in the sense conveyed by the RoleClassCoveredParty CLAIM (claimant). However, a dependent may make a claim under a policy, e.g., a dependent under a health insurance policy may become the claimant for coverage under that policy for wellness examines or if injured and there is no liable third party. In the case of a dependent making a claim, a role type code INSCLM (insured claimant) subtypes the class to indicate that the dependent has filed a claim for services covered under the health insurance policy.<b>Example:</b>The dependent has an association with the subscriber such as a financial dependency or personal relationship such as that of a spouse, or a natural or adopted child. The policy holder may be required by law to recognize certain associations or may have discretion about the associations. For example, a policy holder may dictate the criteria for the dependent status of adult children who are students, such as requiring full time enrollment, or may recognize domestic partners as dependents. Under certain circumstances, the dependent may be under the indirect authority of a responsible party acting as a surrogate for the subscriber, for example, if the subscriber is differently abled or deceased, a guardian ad Lidem or estate executor may be appointed to assume the subscriberaTMs legal standing in the relationship with the dependent.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NAMED"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21960"/>
            <conceptProperty name="Name:Class" value="dependent"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="dependent"/>
            <code code="DEPEN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A role of a place (player) that is intended to house the provision of services. Scoper is the Entity (typically Organization) that provides these services. This is not synonymous with "ownership."</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SDLOC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11600"/>
            <conceptProperty name="Name:Class" value="dedicatedServiceDeliveryLocation"/>
            <conceptProperty name="Name:Role:player:Entity" value="location(&amp;-PLC)"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="recognizing&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AABJB____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AABJB____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true"
                       text="dedicated service delivery location"/>
            <printName language="en" preferredForLanguage="false" text="health care facility"/>
            <code code="DSDLOC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A material (player) distributed by a distributor (scoper) who functions between a manufacturer and a buyer or retailer.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassPassive"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10418"/>
            <conceptProperty name="Name:Class" value="distributedProduct"/>
            <conceptProperty name="Name:Role:player:Entity" value="distributed(&amp;|Product)"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="(distributing&amp;)|distributor"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AABB_____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AABB_____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="distributed material"/>
            <code code="DST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An entity to be contacted in the event of an emergency.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CON"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19140"/>
            <conceptProperty name="Name:Class" value="emergencyContact"/>
            <conceptProperty name="Name:Role:player:Entity" value="emergencyContact(&amp;|Party)"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="(represented&amp;)|representee"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AAAADAAB_"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AAAADAAB_"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="emergency contact"/>
            <code code="ECON" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship between a person or organization and a person or organization formed for the purpose of exchanging work for compensation. The purpose of the role is to identify the type of relationship the employee has to the employer, rather than the nature of the work actually performed. (Contrast with AssignedEntity.)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassRelationshipFormal"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11569"/>
            <conceptProperty name="Name:Class" value="employment"/>
            <conceptProperty name="Name:Role:player:Entity" value="employee&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="employer&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AAAAE____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AAAAE____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="employee"/>
            <code code="EMP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Specifies the player Entity (the equivalent Entity) as an Entity that is considered to be equivalent to a reference Entity (scoper). The equivalence is in principle a symmetric relationship, however, it is expected that the scoper is a reference entity which serves as reference entity for multiple different equivalent entities.<b>Examples:</b>An innovator's medicine formulation is the reference for "generics", i.e., formulations manufactured differently but having been proven to be biologically equivalent to the reference medicine. Another example is a reference ingredient that serves as basis for quantity specifications (basis of strength, e.g., metoprolol succinate specified in terms of metoprolol tartrate.)</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassOntological"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22399"/>
            <conceptProperty name="Name:Class" value="equivalentEntity"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="equivalent entity"/>
            <code code="EQUIV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A role played by a place at which the location of an event may be recorded.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassPassive"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23368"/>
            <conceptProperty name="Name:Class" value="eventLocation"/>
            <conceptProperty name="Name:Role:player:Entity" value="EventLocation(&amp;-PLC)"/>
            <conceptProperty name="Name:role:scoper:Entity" value="initiator&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AABI_____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AABI_____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="event location"/>
            <code code="EXLOC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An exposure agent carrier is an entity that is capable of conveying an exposure agent from one entity to another. The scoper of the role must be the exposure agent (e.g., pathogen).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassPartitive"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22350"/>
            <conceptProperty name="Name:Class" value="exposureAgentCarrier"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="exposure agent carrier"/>
            <code code="EXPAGTCAR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A role played by an entity that has been exposed to a person or animal suffering a contagious disease, or with a location from which a toxin has been distributed. The player of the role is normally a person or animal, but it is possible that other entity types could become exposed. The role is scoped by the source of the exposure, and it is quite possible for a person playing the role of exposed party to also become the scoper a role played by another person. That is to say, once a person has become infected, it is possible, perhaps likely, for that person to infect others.</p>
                        <p>Management of exposures and tracking exposed parties is a key function within public health, and within most public health contexts - exposed parties are known as "contacts."</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassPassive"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19131"/>
            <conceptProperty name="Name:Class" value="exposedEntity"/>
            <conceptProperty name="Name:Role:player:Entity" value="exposed&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="exposing&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AABN_____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AABN_____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="exposed entity"/>
            <code code="EXPR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A vector is a living subject that carries an exposure agent. The vector does not cause the disease itself, but exposes targets to the exposure agent. A mosquito carrying malaria is an example of a vector. The scoper of the role must be the exposure agent (e.g., pathogen).</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="EXPAGTCAR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22351"/>
            <conceptProperty name="Name:Class" value="exposureVector"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="exposure vector"/>
            <code code="EXPVECTOR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A substance (player) added to a mixture (scoper) to make it taste a certain way. In food the use is obvious, in pharmaceuticals flavors can hide disgusting taste of the active ingredient (important in pediatric treatments).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="IACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10436"/>
            <conceptProperty name="Name:Class" value="flavorAdditive"/>
            <conceptProperty name="Name:Role:player:Entity" value="flavor&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="additiveOf&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="ABDDD____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="ABDDD____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="flavor additive"/>
            <printName language="en" preferredForLanguage="false" text="flavor"/>
            <code code="FLVR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A fomite is a non-living entity that is capable of conveying exposure agent from one entity to another. A doorknob contaminated with a Norovirus is an example of a fomite. Anyone touching the doorknob would be exposed to the virus. The scoper of the role must be the exposure agent (e.g., pathogen).</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="EXPAGTCAR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22352"/>
            <conceptProperty name="Name:Class" value="fomite"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="fomite"/>
            <code code="FOMITE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Relates a specialized material concept (player) to its generalization (scoper).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassOntological"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10441"/>
            <conceptProperty name="Name:Class" value="specializedKind"/>
            <conceptProperty name="Name:Role:player:Entity" value="specialized(&amp;|Kind)"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="generalized(&amp;|Kind)"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="ACA______"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="ACA______"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="has generalization"/>
            <code code="GEN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A special link between pharmaceuticals indicating that the target (scoper) is a generic for the source (player).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="GEN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10442"/>
            <conceptProperty name="Name:Class" value="entityWithGeneric"/>
            <conceptProperty name="Name:Role:player:Entity" value="specialized(&amp;|Kind)"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="generic(&amp;|Kind)"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="ACAA_____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="ACAA_____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="has generic"/>
            <code code="GRIC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person or organization (player) that serves as a financial guarantor for another person or organization (scoper).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassRelationshipFormal"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="13941"/>
            <conceptProperty name="Name:Class" value="guarantor"/>
            <conceptProperty name="Name:Role:player:Entity" value="guarantor&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="promisor&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AAAAJ____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AAAAJ____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="guarantor"/>
            <printName language="en" preferredForLanguage="false" text="GuarantorRole"/>
            <code code="GUAR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Guardian of a ward</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AGNT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16324"/>
            <conceptProperty name="Name:Class" value="guardian"/>
            <conceptProperty name="Name:Role:player:Entity" value="guardian&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="ward&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AAAADB___"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AAAADB___"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="guardian"/>
            <code code="GUARD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Entity that is currently in the possession of a holder (scoper), who holds, or uses it, usually based on some agreement with the owner.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassPassive"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10422"/>
            <conceptProperty name="Name:Class" value="heldEntity"/>
            <conceptProperty name="Name:Role:player:Entity" value="held(&amp;|Entity)"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="(holding&amp;)|holder"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AABC_____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AABC_____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="held entity"/>
            <code code="HLD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The role of a material (player) that is the physical health chart belonging to an organization (scoper).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassPassive"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11618"/>
            <conceptProperty name="Name:Class" value="healthChart"/>
            <conceptProperty name="Name:Role:player:Entity" value="healthChart&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="subject&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AABI_____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AABI_____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="health chart"/>
            <code code="HLTHCHRT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An ingredient which is not considered therapeutically active, e.g., colors, flavors, stabilizers, or preservatives, fillers, or structural components added to an active ingredient in order to facilitate administration of the active ingredient but without being considered therapeutically active. An inactive ingredient need not be biologically inert, e.g., might be active as an allergen or might have a pleasant taste, but is not an essential constituent delivering the therapeutic effect.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INGR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19089"/>
            <conceptProperty name="Name:Class" value="inactiveIngredient"/>
            <conceptProperty name="Name:Role:player:Entity" value="inactiveIngredient&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="ingredientOf&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="ABDD_____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="ABDD_____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="inactive ingredient"/>
            <code code="IACT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A role in which the scoping entity designates an identifier for a playing entity.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassPassive"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16721"/>
            <conceptProperty name="Name:Class" value="identifiedEntity"/>
            <conceptProperty name="Name:Role:player:Entity" value="identified(&amp;|Entity)"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="assigning(&amp;|Authority)"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AABA_____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AABA_____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="identified entity"/>
            <code code="IDENT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A role played by a party covered under a policy as the policy holder. An individual may be either a person or an organization.<b>Note:</b>The party playing the role of an individual insured is not a claimant in the sense conveyed by the RoleClassCoveredParty CLAIM (claimant). However, a named insured may make a claim under a policy, e.g., a party that is the named insured and policy holder under a comprehensive automobile insurance policy may become the claimant for coverage under that policy if injured in an automobile accident and there is no liable third party. In the case of an individual insured making a claim, a role type code INSCLM (insured claimant) subtypes the class to indicate that an individual insured has filed a claim for a loss.<b>Example:</b>The individual insured under a comprehensive automobile, disability, or property and casualty policy that is the policy holder.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NAMED"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21958"/>
            <conceptProperty name="Name:Class" value="individual"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="individual"/>
            <code code="INDIV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Relates a component (player) to a mixture (scoper). E.g., Glucose and Water are ingredients of D5W, latex may be an ingredient in a tracheal tube.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassPartitive"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10430"/>
            <conceptProperty name="Name:Class" value="ingredient"/>
            <conceptProperty name="Name:Role:player:Entity" value="ingredient&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="ingredientOf&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="ABD______"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="ABD______"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="ingredient"/>
            <code code="INGR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An individual piece of material (player) instantiating a class of material (scoper).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassOntological"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10443"/>
            <conceptProperty name="Name:Class" value="instanceOfKind"/>
            <conceptProperty name="Name:Role:player:Entity" value="&amp;Instance"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="kindOf&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="ACB______"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="ACB______"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="instance"/>
            <code code="INST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An entity that is the subject of an investigation. This role is scoped by the party responsible for the investigation.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassRelationshipFormal"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21464"/>
            <conceptProperty name="Name:Class" value="investigativeSubject"/>
            <conceptProperty name="Name:Role:player:Entity" value="subject&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="investigationSponsor"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AAAAB____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AAAAB____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="Investigation Subject"/>
            <code code="INVSBJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A role played by a place at which health care services may be provided without prior designation or authorization.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SDLOC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16929"/>
            <conceptProperty name="Name:Class" value="incidentalServiceDeliveryLocation"/>
            <conceptProperty name="Name:Role:player:Entity" value="location(&amp;-PLC)"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="recognizing&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AABJA____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AABJA____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true"
                       text="incidental service delivery location"/>
            <code code="ISDLOC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A microorganism that has been isolated from other microorganisms or a source matrix.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SPEC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16302"/>
            <conceptProperty name="Name:Class" value="isolate"/>
            <conceptProperty name="Name:Role:player:Entity" value="isolate&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="source&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="ABAB_____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="ABAB_____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="isolate"/>
            <code code="ISLT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship in which the scoper certifies the player ( e. g. a medical care giver, a medical device or a provider organization) to perform certain activities that fall under the jurisdiction of the scoper (e.g., a health authority licensing healthcare providers, a medical quality authority certifying healthcare professionals).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassRelationshipFormal"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16773"/>
            <conceptProperty name="Name:Class" value="licensedEntity"/>
            <conceptProperty name="Name:Role:player:Entity" value="subject&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="(issuing&amp;)|issuer"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AAAAC____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AAAAC____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="licensed entity"/>
            <code code="LIC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Relates an entity (player) to a location (scoper) at which it is present in some way. This presence may be limited in time.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassPartitive"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16815"/>
            <conceptProperty name="Name:Class" value="locatedEntity"/>
            <conceptProperty name="Name:Role:player:Entity" value="located(&amp;|Entity)"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="location(&amp;-PLC)"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="ABE______"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="ABE______"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="located entity"/>
            <code code="LOCE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Scoped by the manufacturer</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassPassive"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11580"/>
            <conceptProperty name="Name:Class" value="manufacturedProduct"/>
            <conceptProperty name="Name:Role:player:Entity" value="manufactured(&amp;|Product)"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="manufacturer&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AABD_____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AABD_____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="manufactured product"/>
            <code code="MANU" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A role played by an entity that is a member of a group. The group provides the scope for this role.</p>
                        <p>Among other uses, groups as used in insurance (groups of covered individuals) and in scheduling where resources may be grouped for scheduling and logistical purposes.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassPartitive"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12204"/>
            <conceptProperty name="Name:Class" value="member"/>
            <conceptProperty name="Name:Role:player:Entity" value="member&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="group&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="ABF______"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="ABF______"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="member"/>
            <code code="MBR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An ingredient (player) of a medication (scoper) that is inseparable from the active ingredients, but has no intended chemical or pharmaceutical effect itself, but which may have some systemic effect on the patient.</p>
                        <p>An example is a collagen matrix used as a base for transplanting skin cells. The collagen matrix can be left permanently in the graft site. Because it is of bovine origin, the patient may exhibit allergies or may have cultural objections to its use.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INGR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23060"/>
            <conceptProperty name="Name:Class" value="mechanicalIngredient"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="mechanical ingredient"/>
            <code code="MECH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A role played by a member of a military service. Scoper is the military service (e.g. Army, Navy, Air Force, etc.) or, more specifically, the unit (e.g. Company C, 3rd Battalion, 4th Division, etc.)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="EMP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11570"/>
            <conceptProperty name="Name:Class" value="militaryPerson"/>
            <conceptProperty name="Name:Role:player:Entity" value="military&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="militaryService(&amp;-ORG)"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AAAAEA___"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AAAAEA___"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="military person"/>
            <code code="MIL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An entity (player) that is maintained by another entity (scoper). This is typical role held by durable equipment. The scoper assumes responsibility for proper operation, quality, and safety.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassPassive"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10427"/>
            <conceptProperty name="Name:Class" value="maintainedEntity"/>
            <conceptProperty name="Name:Role:player:Entity" value="maintained(&amp;|Entity)"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="(maintaining&amp;)|maintainer"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AABE_____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AABE_____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="maintained entity"/>
            <code code="MNT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A role played by a party to an insurance policy to which the insurer agrees to indemnify for losses, provides benefits for, or renders services. A named insured may be either a person, non-person living subject, or an organization, or a group of persons, non-person living subjects, or organizations.<b>Discussion:</b>The coded concept NAMED should not be used where a more specific child concept in this Specializable value set applies. In some cases, the named insured may not be the policy holder, e.g., where a policy holder purchases life insurance policy in which another party is the named insured and the policy holder is the beneficiary of the policy.<b>Note:</b>The party playing the role of a named insured is not a claimant in the sense conveyed by the RoleClassCoveredParty CLAIM (claimant). However, a named insured may make a claim under a policy, e.g., e.g., a party that is the named insured and policy holder under a comprehensive automobile insurance policy may become the claimant for coverage under that policy e.g., if injured in an automobile accident and there is no liable third party. In the case of a named insured making a claim, a role type code INSCLM (insured claimant) subtypes the class to indicate that a named insured has filed a claim for a loss.<b>Example:</b>The named insured under a comprehensive automobile, disability, or property and casualty policy that is the named insured and may or may not be the policy holder.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="COVPTY"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21957"/>
            <conceptProperty name="Name:Class" value="namedInsured"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="named insured"/>
            <code code="NAMED" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An individual designated for notification as the next of kin for a given entity.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CON"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19141"/>
            <conceptProperty name="Name:Class" value="nextOfKin"/>
            <conceptProperty name="Name:Role:player:Entity" value="nextOfKinContact&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="(represented&amp;)|representee"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AAAADAAA_"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AAAADAAA_"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="next of kin"/>
            <code code="NOK" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LIC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11576"/>
            <conceptProperty name="Name:Class" value="notaryPublic"/>
            <conceptProperty name="Name:Role:player:Entity" value="notaryPublic&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="political(&amp;|Entity)"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AAAACB___"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AAAACB___"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="notary public"/>
            <code code="NOT" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="11574"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="nurse practitioner"/>
            <code code="NURPRAC" status="retired"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="11573"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="nurse"/>
            <code code="NURS" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An Entity (player) for which someone (scoper) is granted by law the right to call the material (player) his own. This entitles the scoper to make decisions about the disposition of that material.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassPassive"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10421"/>
            <conceptProperty name="Name:Class" value="ownedEntity"/>
            <conceptProperty name="Name:Role:player:Entity" value="owned(&amp;|Entity)"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="(owning&amp;)|owner"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AABF_____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AABF_____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="owned entity"/>
            <code code="OWN" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="11575"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="physician assistant"/>
            <code code="PA" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>an association between two Entities where the playing Entity (the part) is a component of the whole (scoper) in the sense of an integral structural component, that is distinct from other parts in the same whole, has a distinct function in the whole, and, as an effect, the full integrity of the whole depends (to some degree) on the presence of this part, even though the part may often be separable from the whole.<b>Discussion:</b>Part is defined in opposition to (a) ingredient (not separable), (b) content (not a functional component), and (c) member (not functionally distinct from other members).</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassPartitive"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19102"/>
            <conceptProperty name="Name:Class" value="partOfWhole"/>
            <conceptProperty name="Name:Role:player:Entity" value="part&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="whole&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="ABC______"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="ABC______"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="part"/>
            <code code="PART" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A Role of a LivingSubject (player) as an actual or potential recipient of health care services from a healthcare provider organization (scoper).</p>
                        <i>Usage Note:</i>Communication about relationships between patients and specific healthcare practitioners (people) is not done via scoper. Instead this is generally done using the CareProvision act. This allows linkage between patient and a particular healthcare practitioner role and also allows description of the type of care involved in the relationship.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassRelationshipFormal"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11577"/>
            <conceptProperty name="Name:Class" value="patient"/>
            <conceptProperty name="Name:Role:player:Entity" value="patient&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="provider&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AAAAA____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AAAAA____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="patient"/>
            <code code="PAT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The role of an organization or individual designated to receive payment for a claim against a particular coverage. The scoping entity is the organization that is the submitter of the invoice in question.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassRelationshipFormal"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14015"/>
            <conceptProperty name="Name:Class" value="payee"/>
            <conceptProperty name="Name:Role:player:Entity" value="payee&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="invoicing&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AAAAK____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AAAAK____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="payee"/>
            <code code="PAYEE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The role of an organization that undertakes to accept claims invoices, assess the coverage or payments due for those invoices and pay to the designated payees for those invoices. This role may be either the underwriter or a third-party organization authorized by the underwriter. The scoping entity is the organization that underwrites the claimed coverage.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassRelationshipFormal"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14014"/>
            <conceptProperty name="Name:Class" value="payor"/>
            <conceptProperty name="Name:Role:player:Entity" value="invoicePayor&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="(underwriting&amp;)|underwriter"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AAAAL____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AAAAL____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="invoice payor"/>
            <code code="PAYOR" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="11572"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="physician"/>
            <code code="PHYS" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A role played by a person or organization that holds an insurance policy. The underwriter of that policy is the scoping entity.</p>
                        <p>*Discussion:*The identifier of the policy is captured in 'Role.id' when the Role is a policy holder.</p>
                        <p>A particular policy may cover several individuals one of whom may be, but need not be, the policy holder. Thus the notion of covered party is a role that is distinct from that of the policy holder.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassRelationshipFormal"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14010"/>
            <conceptProperty name="Name:Class" value="policyHolder"/>
            <conceptProperty name="Name:Role:player:Entity" value="policyHolder&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="(underwriting&amp;)|underwriter"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AAAAM____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AAAAM____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="policy holder"/>
            <code code="POLHOLD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A role played by a party that meets the eligibility criteria for coverage under a program. A program eligible may be either a person, non-person living subject, or an organization, or a group of persons, non-person living subjects, or organizations.<b>Discussion:</b>A program as typically government administered coverage for parties determined eligible under the terms of the program.<b>Note:</b>The party playing a program eligible is not a claimant in the sense conveyed by the RoleClassCoveredParty CLAIM (claimant). However a program eligible may make a claim under program, e.g., an unemployed worker may claim benefits under an unemployment insurance program, but parties playing these covered party role classes are not, for purposes of this vocabulary and in an effort to clearly distinguish role classes, considered claimants.<p>In the case of a program eligible, a role type code INJWKR (injured worker) subtypes the class to indicate that the covered party in a workers compensation program is an injured worker, and as such, has filed a "claim" under the program for benefits. Likewise, a covered role type code UNEMP (unemployed worker) subtypes the program eligible class to indicate that the covered party in an unemployment insurance program has filed a claim for unemployment benefits.</p>
                        <b>Example:</b>A party meeting eligibility criteria related to health or financial status, e.g., in the U.S., persons meeting health, demographic, or financial criteria established by state and federal law are eligible for Medicaid.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="COVPTY"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21956"/>
            <conceptProperty name="Name:Class" value="programEligible"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="program eligible"/>
            <code code="PROG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An Entity (player) that is authorized to provide health care services by some authorizing agency (scoper).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LIC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11599"/>
            <conceptProperty name="Name:Class" value="healthCareProvider"/>
            <conceptProperty name="Name:Role:player:Entity" value="healthCare(&amp;|Provider)"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="(issuing&amp;)|issuer"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AAAACA___"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AAAACA___"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="healthcare provider"/>
            <code code="PROV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Links two entities with classCode PSN (person) in a personal relationship. The character of the relationship must be defined by a PersonalRelationshipRoleType code. The player and scoper are determined by PersonalRelationshipRoleType code as well.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassMutualRelationship"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19167"/>
            <conceptProperty name="Name:Class" value="personalRelationship"/>
            <conceptProperty name="Name:Role:player:Entity" value="relationshipHolder"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="personalRelationshipWith"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AAAB_____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AAAB_____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="personal relationship"/>
            <code code="PRS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A substance (player) added to a mixture (scoper) to prevent microorganisms (fungi, bacteria) to spoil the mixture.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="IACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10435"/>
            <conceptProperty name="Name:Class" value="preservative"/>
            <conceptProperty name="Name:Role:player:Entity" value="preservative&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="preservativeOf&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="ABDDA____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="ABDDA____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="preservative"/>
            <code code="PRSV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An entity (player) that has been recognized as having certain training/experience or other characteristics that would make said entity an appropriate performer for a certain activity. The scoper is an organization that educates or qualifies entities.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassRelationshipFormal"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11619"/>
            <conceptProperty name="Name:Class" value="qualifiedEntity"/>
            <conceptProperty name="Name:Role:player:Entity" value="qualified(&amp;|Entity)"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="qualificationGranting(&amp;|Entity)"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AAAAP____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AAAAP____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="qualified entity"/>
            <code code="QUAL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**Specifies the administrative functionality within a formal experimental design for which the ResearchSubject role was established.</p>
                        <b>Examples:</b>Screening - role is used for pre-enrollment evaluation portion of the design; enrolled - role is used for subjects admitted to the experimental portion of the design.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INVSBJ"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19166"/>
            <conceptProperty name="Name:Class" value="researchSubject"/>
            <conceptProperty name="Name:Role:player:Entity" value="subject&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="researchSponsor"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AAAABB___"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AAAABB___"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="research subject"/>
            <code code="RESBJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Material (player) sold by a retailer (scoper), who also give advice to prospective buyers.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DST"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10419"/>
            <conceptProperty name="Name:Class" value="retailedProduct"/>
            <conceptProperty name="Name:Role:player:Entity" value="retailed(&amp;|Product)"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="retailer&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AABBA____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AABBA____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="retailed material"/>
            <code code="RET" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A product regulated by some governmentatl orgnization. The role is played by Material and scoped by Organization.</p>
                        <p>Rationale: To support an entity clone used to identify the NDC number for a drug product.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassPassive"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19132"/>
            <conceptProperty name="Name:Class" value="regulatedProduct"/>
            <conceptProperty name="Name:Role:player:Entity" value="regulated(&amp;|Product)"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="regulator&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AABH_____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AABH_____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="regulated product"/>
            <code code="RGPR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Corresponds to the Role class</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="13940"/>
            <conceptProperty name="Name:Class" value="role"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <conceptProperty name="Name:Role:player:Entity" value="(playing&amp;)|player"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="(scoping&amp;)|scoper"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="A________"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="A________"/>
            <printName language="en" preferredForLanguage="true" text="role"/>
            <code code="ROL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The "same" role asserts an identity between playing and scoping entities, i.e., that they are in fact two records of the same entity instance, and, in the case of discrepancies (e.g different DOB, gender), that one or both are in error.</p>
                        <i>Usage:</i>
                        <p>playing and scoping entities must have same classCode, but need not have identical attributes or values.</p>
                        <i>Example:</i>
                        <p>a provider registry maintains sets of conflicting demographic data for what is reported to be the same individual.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="EQUIV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21488"/>
            <conceptProperty name="Name:Class" value="same"/>
            <conceptProperty name="Name:Role:player:Entity" value="same&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="same&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="ACE______"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="ACE______"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="same"/>
            <code code="SAME" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A role played by a place at which services may be provided.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="EXLOC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16927"/>
            <conceptProperty name="Name:Class" value="serviceDeliveryLocation"/>
            <conceptProperty name="Name:Role:player:Entity" value="location(&amp;-PLC)"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="serviceProvider&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AABJ_____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AABJ_____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="service delivery location"/>
            <code code="SDLOC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The "same" roleclass asserts an identity between playing and scoping entities: that they are in fact instances of the same entity and, in the case of discrepancies (e.g different DOB, gender), that one or both are in error.</p>
                        <i>Usage:</i>
                        <p>playing and scoping entities must have same classcode, but need not have identical attributes or values.</p>
                        <i>Example:</i>
                        <p>a provider registry maintains sets of conflicting demographic data for what is reported to be the same individual.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassMutualRelationship"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21437"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="self"/>
            <code code="SELF" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The role of a person (player) who is the officer or signature authority for of a scoping entity, usually an organization (scoper).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ASSIGNED"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14007"/>
            <conceptProperty name="Name:Class" value="signatureAuthority"/>
            <conceptProperty name="Name:Role:player:Entity" value="signing(&amp;|Authority)"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="(represented&amp;)|representee"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AAAADAB__"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AAAADAB__"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="signing authority or officer"/>
            <code code="SGNOFF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A role played by a material entity that is a specimen for an act. It is scoped by the source of the specimen.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassPartitive"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11591"/>
            <conceptProperty name="Name:Class" value="specimen"/>
            <conceptProperty name="Name:Role:player:Entity" value="specimen&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="source&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="ABA______"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="ABA______"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="specimen"/>
            <code code="SPEC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A role played by an entity, usually an organization that is the sponsor of an insurance plan or a health program. A sponsor is the party that is ultimately accountable for the coverage by employment contract or by law. A sponsor can be an employer, union, government agency, or association. Fully insured sponsors establish the terms of the plan and contract with health insurance plans to assume the risk and to administer the plan. Self-insured sponsors delegate coverage administration, but not risk, to third-party administrators. Program sponsors designate services to be covered in accordance with statute. Program sponsors may administer the coverage themselves, delegate coverage administration, but not risk to third-party administrators, or contract with health insurance plans to assume the risk and administrator a program. Sponsors qualify individuals who may become</p>
                        <ul>
                           <li>
                              <p>a policy holder of the plan;</p>
                           </li>
                           <li>
                              <p>where the sponsor is the policy holder, who may become a subscriber or a dependent to a policy under the plan; or</p>
                           </li>
                           <li>
                              <p>where the sponsor is a government agency, who may become program eligibles under a program.</p>
                           </li>
                        </ul>
                        <p>The sponsor role may be further qualified by the SponsorRole.code. Entities playing the sponsor role may also play the role of a Coverage Administrator.</p>
                        <i>Example:</i>An employer, union, government agency, or association.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassRelationshipFormal"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14012"/>
            <conceptProperty name="Name:Class" value="sponsor"/>
            <conceptProperty name="Name:Role:player:Entity" value="sponsor&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="(underwriting&amp;)|underwriter"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AAAAN____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AAAAN____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="coverage sponsor"/>
            <code code="SPNSR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A stabilizer (player) added to a mixture (scoper) in order to prevent the molecular disintegration of the main substance.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="IACT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10434"/>
            <conceptProperty name="Name:Class" value="stabilizer"/>
            <conceptProperty name="Name:Role:player:Entity" value="stabilizer&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="stabilizerOf&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="ABDDB____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="ABDDB____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="stabilizer"/>
            <code code="STBL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A role played by an individual who is a student of a school, which is the scoping entity.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassRelationshipFormal"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12248"/>
            <conceptProperty name="Name:Class" value="student"/>
            <conceptProperty name="Name:Role:player:Entity" value="student"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="school(&amp;|Entity)"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AAAAQ____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AAAAQ____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="student"/>
            <code code="STD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Relates an entity (player) (e.g. a device) to a location (scoper) at which it is normally found or stored when not used.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="LOCE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16817"/>
            <conceptProperty name="Name:Class" value="storedEntity"/>
            <conceptProperty name="Name:Role:player:Entity" value="stored(&amp;|Entity)"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="storageLocation(&amp;-PLC)"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="ABEA_____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="ABEA_____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="stored entity"/>
            <code code="STOR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An entity that subsumes the identity of another. Used in the context of merging documented entity instances. Both the player and scoper must have the same classCode.</p>The use of this code is<b>deprecated</b>in favor of the term SUBY which is its inverse and is more ontologically correct.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassOntological"/>
            </conceptRelationship>
            <conceptProperty name="deprecationDate" value="2011-12-01"/>
            <conceptProperty name="internalId" value="16241"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="subsumer"/>
            <code code="SUBS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A role played by a person covered under a policy based on association with a sponsor who is the policy holder, and whose association may provide for the eligibility of dependents for coverage.<b>Discussion:</b>The policy holder holds the contract with the policy or program underwriter. The subscriber holds a certificate of coverage under the contract. In legal proceedings concerning the policy or program, the terms of the contract takes precedence over the terms of the certificate of coverage if there are any inconsistencies.<b>Note:</b>The party playing the role of a subscriber is not a claimant in the sense conveyed by the RoleClassCoveredParty CLAIM (claimant). However, a subscriber may make a claim under a policy, e.g., a subscriber under a health insurance policy may become the claimant for coverage under that policy for wellness examines or if injured and there is no liable third party. In the case of a subscriber making a claim, a role type code INSCLM (insured claimant) subtypes the class to indicate that the subscriber has filed a claim for services covered under the health insurance policy.<b>Example:</b>An employee or a member of an association.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NAMED"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21959"/>
            <conceptProperty name="Name:Class" value="subscriber"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="subscriber"/>
            <code code="SUBSCR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Relates a prevailing record of an Entity (scoper) with another record (player) that it subsumes.</p>
                        <i>Examples:</i>Show a correct new Person object (scoper) that subsumes one or more duplicate Person objects that had accidentally been created for the same physical person.<i>Constraints:</i>Both the player and scoper must have the same classCode.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="EQUIV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20070"/>
            <conceptProperty name="Name:Class" value="subsumedBy"/>
            <conceptProperty name="Name:Role:player:Entity" value="subsuming&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="subsumed&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="ACD______"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="ACD______"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="subsumed by"/>
            <code code="SUBY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Relates a place entity (player) as the region over which the scoper (typically an Organization) has certain authority (jurisdiction). For example, the Calgary Regional Health Authority (scoper) has authority over the territory "Region 4 of Alberta" (player) in matters of health.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassPassive"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11583"/>
            <conceptProperty name="Name:Class" value="territorialAuthority"/>
            <conceptProperty name="Name:Role:player:Entity" value="territory(&amp;-PLC)"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="governing&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AABK_____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AABK_____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="territory of authority"/>
            <code code="TERR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A manufactured material (player) that is used for its therapeutic properties. The manufacturer is the scoper.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MANU"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11581"/>
            <conceptProperty name="Name:Class" value="manufacturedProduct"/>
            <conceptProperty name="Name:Role:player:Entity" value="manufactured(&amp;|Product)"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="manufacturer&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AABDA____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AABDA____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="therapeutic agent"/>
            <code code="THER" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A role played by a person or an organization. It is the party that</p>
                        <ul>
                           <li>
                              <p>accepts fiscal responsibility for insurance plans and the policies created under those plans;</p>
                           </li>
                           <li>
                              <p>administers and accepts fiscal responsibility for a program that provides coverage for services to eligible individuals; and/or</p>
                           </li>
                           <li>
                              <p>has the responsibility to assess the merits of each risk and decide a suitable premium for accepting all or part of the risk. If played by an organization, this role may be further specified by an appropriate RoleCode.</p>
                           </li>
                        </ul>
                        <i>Example:</i>
                        <ul>
                           <li>
                              <p>A health insurer;</p>
                           </li>
                           <li>
                              <p>Medicaid Program;</p>
                           </li>
                           <li>
                              <p>Lloyd's of London</p>
                           </li>
                        </ul>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassRelationshipFormal"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14009"/>
            <conceptProperty name="Name:Class" value="underwriter"/>
            <conceptProperty name="Name:Role:player:Entity" value="(underwriting&amp;)|underwriter"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="scoper&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AAAAO____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AAAAO____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="underwriter"/>
            <code code="UNDWRT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**An entity (player) that is used by another entity (scoper)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassPassive"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22755"/>
            <conceptProperty name="Name:Class" value="usedEntity"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="used entity"/>
            <code code="USED" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A role a product plays when a guarantee is given to the purchaser by the seller (scoping entity) stating that the product is reliable and free from known defects and that the seller will repair or replace defective parts within a given time limit and under certain conditions.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassPassive"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16300"/>
            <conceptProperty name="Name:Class" value="warrantedProduct"/>
            <conceptProperty name="Name:Role:player:Entity" value="warranted(&amp;|Product)"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="(warranting&amp;)|warranter"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AABG_____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AABG_____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="warranted product"/>
            <code code="WRTE" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A general association between two entities that is neither partitive nor ontological.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ROL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21113"/>
            <conceptProperty name="Name:Class" value="associatedEntity"/>
            <conceptProperty name="Name:Role:player:Entity" value="associated&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="scoping&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AA_______"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AA_______"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="RoleClassAssociative"/>
            <code code="_RoleClassAssociative" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>A relationship that is based on mutual behavior of the two Entities as being related. The basis of such relationship may be agreements (e.g., spouses, contract parties) or they may be<i>de facto</i>behavior (e.g. friends) or may be an incidental involvement with each other (e.g. parties over a dispute, siblings, children).</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassAssociative"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21114"/>
            <conceptProperty name="Name:Class" value="relatedEntity"/>
            <conceptProperty name="Name:Role:player:Entity" value="related&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="scoping&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AAA______"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AAA______"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="RoleClassMutualRelationship"/>
            <code code="_RoleClassMutualRelationship" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship in which the scoping Entity defines or specifies what the playing Entity is. Thus, the player's "being" (Greek: ontos) is specified.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ROL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21115"/>
            <conceptProperty name="Name:Class" value="definedEntity"/>
            <conceptProperty name="Name:Role:player:Entity" value="defined&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="defining&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AC_______"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AC_______"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="RoleClassOntological"/>
            <code code="_RoleClassOntological" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An association between two Entities where the playing Entity is considered in some way "part" of the scoping Entity, e.g., as a member, component, ingredient, or content. Being "part" in the broadest sense of the word can mean anything from being an integral structural component to a mere incidental temporary association of a playing Entity with a (generally larger) scoping Entity.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ROL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21116"/>
            <conceptProperty name="Name:Class" value="partOfWhole"/>
            <conceptProperty name="Name:Role:player:Entity" value="part&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="whole&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AB_______"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AB_______"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="RoleClassPartitive"/>
            <code code="_RoleClassPartitive" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An association for a playing Entity that is used, known, treated, handled, built, or destroyed, etc. under the auspices of the scoping Entity. The playing Entity is passive in these roles (even though it may be active in other roles), in the sense that the kinds of things done to it in this role happen without an agreement from the playing Entity.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassAssociative"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21117"/>
            <conceptProperty name="Name:Class" value="passiveRelation"/>
            <conceptProperty name="Name:Role:player:Entity" value="playing&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="scoping&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AAB______"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AAB______"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="RoleClassPassive"/>
            <code code="_RoleClassPassive" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship between two entities that is formally recognized, frequently by a contract or similar agreement.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RoleClassMutualRelationship"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21118"/>
            <conceptProperty name="Name:Class" value="formalRelation"/>
            <conceptProperty name="Name:Role:player:Entity" value="related&amp;"/>
            <conceptProperty name="Name:Role:scoper:Entity" value="related&amp;"/>
            <conceptProperty name="Sort:Entity:playedRole:Role" value="AAAA_____"/>
            <conceptProperty name="Sort:Entity:scopedRole:Role" value="AAAA_____"/>
            <conceptProperty name="Name:Entity:playedRole:Role" value="as&amp;"/>
            <conceptProperty name="Name:Entity:scopedRole:Role" value="&amp;"/>
            <conceptProperty name="Name:Participation:role:Role" value="&amp;"/>
            <printName language="en" preferredForLanguage="true" text="RoleClassRelationshipFormal"/>
            <code code="_RoleClassRelationshipFormal" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="RoleCode" title="RoleCode" codeSystemId="2.16.840.1.113883.5.111">
      <historyItem dateTime="2020-05-06" id="v3-RoleCode-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A set of codes further specifying the kind of Role; specific classification codes for further qualifying RoleClass codes.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-12-15" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Specializes" name="ClassifiesClassCode">
            <description>The child code is a classification of the particular class group identified by the 'classCode' in a RIM class as the parent code. Used only in RIM backbone classes to link the code and classCode values.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="synonymCode" type="Token" isMandatoryIndicator="false">
            <description>An additional concept code that was also attributed to a concept</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>A property that indicates the status of the concept. One of active, experimental, deprecated, or retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Location of an accident where healthcare service was delivered, such as a roadside.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IncidentalServiceDeliveryLocationRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20844"/>
            <printName language="en" preferredForLanguage="true" text="accident site"/>
            <code code="ACC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Identifier assigned to a location by the organization responsible for accrediting the location.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_LocationIdentifiedEntityRoleCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23297"/>
            <printName language="en" preferredForLanguage="true"
                       text="accreditation location identifier"/>
            <code code="ACHFID" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A person playing the role of program eligible under a program based on active military status.<b>Discussion:</b>This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the persons status as active duty military meets jurisdictional or program criteria.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MIL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21969"/>
            <printName language="en" preferredForLanguage="true" text="active duty military"/>
            <code code="ACTMIL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A child taken into one's family through legal means and raised as one's own child.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoverageRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18891"/>
            <printName language="en" preferredForLanguage="true" text="adopted child"/>
            <code code="ADOPT" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role (father) is a male who has taken the scoper (child) into their family through legal means and raises them as his own child.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ADOPTP"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="FTH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23603"/>
            <printName language="en" preferredForLanguage="true" text="adoptive father"/>
            <code code="ADOPTF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role (father) is a female who has taken the scoper (child) into their family through legal means and raises them as her own child.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ADOPTP"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MTH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23604"/>
            <printName language="en" preferredForLanguage="true" text="adoptive mother"/>
            <code code="ADOPTM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role (parent) has taken the scoper (child) into their family through legal means and raises them as his or her own child.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PRN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23602"/>
            <printName language="en" preferredForLanguage="true" text="adoptive parent"/>
            <code code="ADOPTP" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10922"/>
            <printName language="en" preferredForLanguage="true" text="Allergy clinic"/>
            <code code="ALL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Location (mobile) where healthcare service was delivered, identified specifically as an ambulance.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MOBL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18097"/>
            <printName language="en" preferredForLanguage="true" text="Ambulance"/>
            <code code="AMB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An entity which corrected, edited, or amended pre-existing information.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AgentRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23768"/>
            <printName language="en" preferredForLanguage="true" text="amender"/>
            <code code="AMENDER" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10923"/>
            <printName language="en" preferredForLanguage="true" text="Amputee clinic"/>
            <code code="AMPUT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Non-person living subject used as antibiotic.</p>
                        <p>**Examples:**Bacteriophage, is a virus that infects bacteria.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="BIOTH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22159"/>
            <printName language="en" preferredForLanguage="true" text="Antibiotic"/>
            <code code="ANTIBIOT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Dogs trained to assist the ill or physically challenged.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AssignedNonPersonLivingSubjectRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22156"/>
            <printName language="en" preferredForLanguage="true"
                       text="Assistive non-person living subject"/>
            <code code="ASSIST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is a sister of the scoping person's mother or father.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="EXT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19748"/>
            <printName language="en" preferredForLanguage="true" text="aunt"/>
            <code code="AUNT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Quality Control specimen submitted to the lab whose identity and composition is not known to the lab.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="Q"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16526"/>
            <printName language="en" preferredForLanguage="true" text="Blind"/>
            <code code="B" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Cattle used for meat production</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_LivingSubjectProductionClass"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11506"/>
            <printName language="en" preferredForLanguage="true" text="Beef"/>
            <code code="BF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A contact role used to identify a person within a Provider organization that can be contacted for billing purposes (e.g. about the content of the Invoice).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AdministrativeContactRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17623"/>
            <printName language="en" preferredForLanguage="true" text="Billing Contact"/>
            <code code="BILL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Animals, including fish and insects, and microorganisms which may participate as assigned entities in biotherapies.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AssignedNonPersonLivingSubjectRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22157"/>
            <printName language="en" preferredForLanguage="true"
                       text="Biotherapeutic non-person living subject"/>
            <code code="BIOTH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Chickens raised for meat</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_LivingSubjectProductionClass"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11508"/>
            <printName language="en" preferredForLanguage="true" text="Broiler"/>
            <code code="BL" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10924"/>
            <printName language="en" preferredForLanguage="true" text="Bone marrow transplant clinic"/>
            <code code="BMTC" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HU"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10911"/>
            <printName language="en" preferredForLanguage="true" text="Bone marrow transplant unit"/>
            <code code="BMTU" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Breeding/genetic stock</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_LivingSubjectProductionClass"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11507"/>
            <printName language="en" preferredForLanguage="true" text="Breeder"/>
            <code code="BR" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10925"/>
            <printName language="en" preferredForLanguage="true" text="Breast clinic"/>
            <code code="BREAST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is a male sharing one or both parents in common with the scoping entity.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SIB"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16359"/>
            <printName language="en" preferredForLanguage="true" text="brother"/>
            <code code="BRO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is: (1) a brother of the scoping person's spouse, or (2) the husband of the scoping person's sister, or (3) the husband of a sister of the scoping person's spouse.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SIBINLAW"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19783"/>
            <printName language="en" preferredForLanguage="true" text="brother-in-law"/>
            <code code="BROINLAW" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A specimen used for initial calibration settings of an instrument</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16517"/>
            <printName language="en" preferredForLanguage="true" text="Calibrator"/>
            <code code="C" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10926"/>
            <printName language="en" preferredForLanguage="true"
                       text="Child and adolescent neurology clinic"/>
            <code code="CANC" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10927"/>
            <printName language="en" preferredForLanguage="true"
                       text="Child and adolescent psychiatry clinic"/>
            <code code="CAPC" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10590"/>
            <printName language="en" preferredForLanguage="true"
                       text="Ambulatory Health Care Facilities; Clinic/Center; Rehabilitation: Cardiac Facilities"/>
            <printName language="en" preferredForLanguage="false" text="Cardiology clinic"/>
            <code code="CARD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person who has fled his or her home country to find a safe place elsewhere.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CitizenRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23066"/>
            <printName language="en" preferredForLanguage="true" text="asylum seeker"/>
            <code code="CAS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person who is someone of below legal age who has fled his or her home country, *without his or her parents*, to find a safe place elsewhere at time of categorization.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CAS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23067"/>
            <printName language="en" preferredForLanguage="true" text="single minor asylum seeker"/>
            <code code="CASM" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CVDX"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10904"/>
            <printName language="en" preferredForLanguage="true" text="Cardiac catheterization lab"/>
            <code code="CATH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Companion animals, such as dogs, cats, and rabbits, which may be provided to patients to improve general mood, decrease depression and loneliness, and distract from stress-inducing concerns to improve quality of life.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AssignedNonPersonLivingSubjectRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22160"/>
            <printName language="en" preferredForLanguage="true" text="Clinical Companion"/>
            <code code="CCO" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HU"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10597"/>
            <printName language="en" preferredForLanguage="true" text="Coronary care unit"/>
            <code code="CCU" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A specialty unit in hospital that focuses on chronic respirator patients and pulmonary failure</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HU"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10912"/>
            <printName language="en" preferredForLanguage="true" text="Chest unit"/>
            <code code="CHEST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is a child of the scoping entity.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="FAMMEMB"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16360"/>
            <printName language="en" preferredForLanguage="true" text="child"/>
            <code code="CHILD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is a child taken into a family through legal means and raised by the scoping person (parent) as his or her own child.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CHILD"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11564"/>
            <printName language="en" preferredForLanguage="true" text="adopted child"/>
            <code code="CHLDADOPT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is a child receiving parental care and nurture from the scoping person (parent) but not related to him or her through legal or blood ties.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CHILD"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11565"/>
            <printName language="en" preferredForLanguage="true" text="foster child"/>
            <code code="CHLDFOST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is the spouse of scoping person's child.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INLAW"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11563"/>
            <printName language="en" preferredForLanguage="true" text="child-in-law"/>
            <code code="CHLDINLAW" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>(1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HOSP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="13792"/>
            <printName language="en" preferredForLanguage="true" text="Chronic Care Facility"/>
            <printName language="en" preferredForLanguage="false"
                       text="Hospitals; Chronic Disease Hospital"/>
            <code code="CHR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A party that makes a claim for coverage under a policy.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21949"/>
            <printName language="en" preferredForLanguage="true" text="claimant"/>
            <code code="CLAIM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An individual authorized to assign an original classification to information, including compilations of unclassified information, based on a determination that the information requires protection against unauthorized disclosure. The individual marks the information with immutable, computable, and human readable security labels in accordance with applicable security labeling policies. The labeling policies provide instructions on whether and if so how the security labels may be later reclassified \[i.e., upgraded, downgraded, used in derivative classification, or declassified\] in a manner that preserves the overridden original classification binding and provenance.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AgentRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23769"/>
            <printName language="en" preferredForLanguage="true" text="classifier"/>
            <code code="CLASSIFIER" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person who is legally recognized as a member of a nation or country, with associated rights and obligations.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CitizenRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23064"/>
            <printName language="en" preferredForLanguage="true" text="national"/>
            <code code="CN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A foreigner who is present in a country (which is foreign to him/her) unlawfully or without the country's authorization (may be called an illegal alien).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CitizenRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23070"/>
            <printName language="en" preferredForLanguage="true"
                       text="non-country member without residence permit"/>
            <code code="CNRP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person who is below legal age present in a country, *without his or her parents*, (which is foreign to him/her) unlawfully or without the country's authorization.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CNRP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23071"/>
            <printName language="en" preferredForLanguage="true"
                       text="non-country member minor without residence permit"/>
            <code code="CNRPM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Companion animals</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_LivingSubjectProductionClass"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11509"/>
            <printName language="en" preferredForLanguage="true" text="Companion"/>
            <code code="CO" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10928"/>
            <printName language="en" preferredForLanguage="true" text="Coagulation clinic"/>
            <code code="COAG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A person playing the role of an individual insured with continuity of coverage under a policy which is being terminated based on loss of original status that was the basis for coverage. Criteria for qualifying for continuity of coverage may be set by law.<b>Discussion:</b>This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the person's status as a continuity of coverage beneficiary meets jurisdictional or policy criteria.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_DependentCoveredPartyRoleType"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IndividualInsuredPartyRoleType"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SubscriberCoveredPartyRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21976"/>
            <printName language="en" preferredForLanguage="true"
                       text="continuity of coverage beneficiary"/>
            <code code="COCBEN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Community location where healthcare is delivered.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IncidentalServiceDeliveryLocationRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18098"/>
            <printName language="en" preferredForLanguage="true" text="Community Location"/>
            <code code="COMM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An entity or an entity's delegatee who is the grantee in an agreement such as a consent for services, advanced directive, or a privacy consent directive in accordance with jurisdictional, organizational, or patient policy.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AgentRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23770"/>
            <printName language="en" preferredForLanguage="true" text="consenter"/>
            <code code="CONSENTER" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An entity which has witnessed and attests to observing another entity being counseled about an agreement such as a consent for services, advanced directive, or a privacy consent directive.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AgentRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23771"/>
            <printName language="en" preferredForLanguage="true" text="consent witness"/>
            <code code="CONSWIT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An entity which participates in the generation of and attest to veracity of content, but is not an author or coauthor. For example a surgeon who is required by institutional, regulatory, or legal rules to sign an operative report, but who was not involved in the authorship of that report.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AgentRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23772"/>
            <printName language="en" preferredForLanguage="true" text="co-participant"/>
            <code code="COPART" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is a relative of the scoping person descended from a common ancestor, such as a grandparent, by two or more steps in a diverging line.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="EXT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19749"/>
            <printName language="en" preferredForLanguage="true" text="cousin"/>
            <code code="COUSN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A non-country member admitted to the territory of a nation or country as a non-resident for an explicit purpose.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CitizenRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23065"/>
            <printName language="en" preferredForLanguage="true" text="permit card applicant"/>
            <code code="CPCA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A person playing the role of program eligible under a program based on allegations of being the victim of a crime.<b>Discussion:</b>This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is "program eligible" and the person's status as a crime victim meets jurisdictional or program criteria.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ClaimantCoveredPartyRoleType"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ProgramEligiblePartyRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21964"/>
            <printName language="en" preferredForLanguage="true" text="crime victim"/>
            <code code="CRIMEVIC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A foreigner who is a resident of the country but does not have citizenship.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CitizenRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23068"/>
            <printName language="en" preferredForLanguage="true"
                       text="non-country member with residence permit"/>
            <code code="CRP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>A person who is a resident below legal age of the country<i>without his or her parents</i>and does not have citizenship.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CRP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23069"/>
            <printName language="en" preferredForLanguage="true"
                       text="non-country member minor with residence permit"/>
            <code code="CRPM" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10929"/>
            <printName language="en" preferredForLanguage="true"
                       text="Colon and rectal surgery clinic"/>
            <code code="CRS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A location that plays the role of delivering services which may include providing front-line services to the population of a defined geographic area such as: healthcare services and social services, preventive or curative, rehabilitation or reintegration.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="COMM"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23233"/>
            <printName language="en" preferredForLanguage="true" text="community service center"/>
            <code code="CSC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A practice setting where cardiovascular diagnostic procedures or therapeutic interventions are performed (e.g., cardiac catheterization lab, echocardiography suite)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DX"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10903"/>
            <printName language="en" preferredForLanguage="true"
                       text="Cardiovascular diagnostics or therapeutics unit"/>
            <code code="CVDX" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Milk production</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_LivingSubjectProductionClass"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11510"/>
            <printName language="en" preferredForLanguage="true" text="Dairy"/>
            <code code="DA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Location address where medical supplies were transported to for use.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_DedicatedNonClinicalLocationRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18099"/>
            <printName language="en" preferredForLanguage="true" text="Delivery Address"/>
            <code code="DADDR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is a female offspring of the scoping entity (parent).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DAUC"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NCHILD"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16361"/>
            <printName language="en" preferredForLanguage="true" text="natural daughter"/>
            <code code="DAU" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is a female child taken into a family through legal means and raised by the scoping person (parent) as his or her own child.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CHLDADOPT"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DAUC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19756"/>
            <printName language="en" preferredForLanguage="true" text="adopted daughter"/>
            <code code="DAUADOPT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The player of the role is a female child (of any type) of scoping entity (parent)</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CHILD"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22915"/>
            <printName language="en" preferredForLanguage="true" text="daughter"/>
            <code code="DAUC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is a female child receiving parental care and nurture from the scoping person (parent) but not related to him or her through legal or blood ties.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CHLDFOST"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DAUC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19758"/>
            <printName language="en" preferredForLanguage="true" text="foster daughter"/>
            <code code="DAUFOST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is the wife of scoping person's son.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CHLDINLAW"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19760"/>
            <printName language="en" preferredForLanguage="true" text="daughter in-law"/>
            <code code="DAUINLAW" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A categorization of medicinal products by their therapeutic properties and/or main therapeutic use.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MedicationGeneralizationRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23298"/>
            <printName language="en" preferredForLanguage="true" text="therapeutic class"/>
            <code code="DC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Maggots raised for biodebridement.</p>
                        <b>Discussion:</b>Maggot Debridement Therapy is the medical use of live maggots for cleaning non-healing wounds.<p>**Examples:**Removal of burnt skin.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="BIOTH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22158"/>
            <printName language="en" preferredForLanguage="true" text="Debridement"/>
            <code code="DEBR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An individual which is authorized to declassify information based on a determination that the information no longer requires protection against unauthorized disclosure. The individual marks the information being declassified using computable and human readable security labels indicating that this is copy of previously classified information is unclassified in accordance with applicable security labeling policies. The labeling policies provide instructions on whether and if so how the security labels may be later reclassified \[i.e., upgraded or used in derivative classification\] in a manner that preserves the overridden original classification binding and provenance.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AgentRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23773"/>
            <printName language="en" preferredForLanguage="true" text="declassifier"/>
            <code code="DECLASSIFIER" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A party to whom some right or authority is granted by a delegator.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AgentRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23774"/>
            <printName language="en" preferredForLanguage="true" text="delegatee"/>
            <code code="DELEGATEE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A party that grants all or some portion its right or authority to another party.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AgentRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23775"/>
            <printName language="en" preferredForLanguage="true" text="delegator"/>
            <code code="DELEGATOR" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="18888"/>
            <code code="DEP" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A party covered under a policy based on association with a subscriber.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21954"/>
            <printName language="en" preferredForLanguage="true" text="dependent"/>
            <code code="DEPEN" status="retired"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10930"/>
            <printName language="en" preferredForLanguage="true" text="Dermatology clinic"/>
            <code code="DERM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A person playing the role of program eligible under a program based on meeting criteria for health or functional limitation set by law or by the program.<b>Discussion:</b>This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible", "named insured", "individual insured", or "dependent", and the person's status as differently abled meets jurisdictional, policy, or program criteria.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_DependentCoveredPartyRoleType"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ProgramEligiblePartyRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21965"/>
            <printName language="en" preferredForLanguage="true" text="differently abled"/>
            <code code="DIFFABL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role cohabits with the scoping person but is not the scoping person's spouse.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SIGOTHR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19754"/>
            <printName language="en" preferredForLanguage="true" text="domestic partner"/>
            <code code="DOMPART" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An individual authorized to lower the classification level of labeled content and provide rationale for doing so as directed by a classification guide.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AgentRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23777"/>
            <printName language="en" preferredForLanguage="true" text="downgrader"/>
            <code code="DOWNGRDER" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship between two people in which one person authorizes another, usually a family member or relative, to act for him or her in a manner which is a legally binding upon the person giving such authority as if he or she personally were to do the acts that is often limited in the kinds of powers that can be assigned. Unlike ordinary powers of attorney, durable powers can survive for long periods of time, and again, unlike standard powers of attorney, durable powers can continue after incompetency.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="POWATT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22036"/>
            <printName language="en" preferredForLanguage="true" text="durable power of attorney"/>
            <code code="DPOWATT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Draft animals</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_LivingSubjectProductionClass"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11511"/>
            <printName language="en" preferredForLanguage="true" text="Draft"/>
            <code code="DR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An individual who is only authorized to classify reproduced, extracted, or summarized classified information, or compile classified and unclassified information by applying classification markings derived from source material or as directed by a classification guide.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AgentRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23776"/>
            <printName language="en" preferredForLanguage="true" text="derivative classifier"/>
            <code code="DRIVCLASSIFIER" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Dual purpose. Defined purposes based on species and breed</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_LivingSubjectProductionClass"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11512"/>
            <printName language="en" preferredForLanguage="true" text="Dual"/>
            <code code="DU" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A practice setting where diagnostic procedures or therapeutic interventions are performed</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_DedicatedClinicalLocationRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10902"/>
            <printName language="en" preferredForLanguage="true"
                       text="Diagnostics or therapeutics unit"/>
            <code code="DX" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An electronically simulated QC specimen</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="Q"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16522"/>
            <printName language="en" preferredForLanguage="true" text="Electronic QC"/>
            <code code="E" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CVDX"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10905"/>
            <printName language="en" preferredForLanguage="true" text="Echocardiography lab"/>
            <code code="ECHO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A contact designated for contact in emergent situations.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ContactRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12209"/>
            <printName language="en" preferredForLanguage="true" text="emergency contact"/>
            <code code="ECON" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10931"/>
            <printName language="en" preferredForLanguage="true" text="Endocrinology clinic"/>
            <code code="ENDO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>(X12N 261QD0000N)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="GIDX"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10907"/>
            <printName language="en" preferredForLanguage="true" text="Endoscopy lab"/>
            <printName language="en" preferredForLanguage="false"
                       text="Ambulatory Health Care Facilities; Clinic/Center; Endoscopy"/>
            <code code="ENDOS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A payor that is responsible for functions related to the enrollment of covered parties.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PayorRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22093"/>
            <printName language="en" preferredForLanguage="true" text="Enrollment Broker"/>
            <code code="ENROLBKR" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10932"/>
            <printName language="en" preferredForLanguage="true" text="Otorhinolaryngology clinic"/>
            <code code="ENT" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HU"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10913"/>
            <printName language="en" preferredForLanguage="true" text="Epilepsy unit"/>
            <code code="EPIL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The section of a health care facility for providing rapid treatment to victims of sudden illness or trauma.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HU"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10598"/>
            <printName language="en" preferredForLanguage="true" text="Emergency room"/>
            <code code="ER" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**The specific role being played by a research subject participating in the active treatment or primary data collection portion of a research study.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ResearchSubjectRoleBasis"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21621"/>
            <printName language="en" preferredForLanguage="true" text="enrollment"/>
            <code code="ERL" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ER"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10914"/>
            <printName language="en" preferredForLanguage="true" text="Emergency trauma unit"/>
            <code code="ETU" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The role played by a person acting as the estate executor for a deceased subscriber or policyholder who was the responsible party</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RESPRSN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22031"/>
            <printName language="en" preferredForLanguage="true" text="executor of estate"/>
            <code code="EXCEST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A family member not having an immediate genetic or legal relationship e.g. Aunt, cousin, great grandparent, grandchild, grandparent, niece, nephew or uncle.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="FAMMEMB"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22916"/>
            <printName language="en" preferredForLanguage="true" text="extended family member"/>
            <code code="EXT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Specimen used for testing proficiency of an organization performing testing (how does this differ from O?)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="Q"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16525"/>
            <printName language="en" preferredForLanguage="true" text="Filler Proficiency"/>
            <code code="F" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is dependent of the scoping entity.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoverageRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21319"/>
            <printName language="en" preferredForLanguage="true" text="family dependent"/>
            <code code="FAMDEP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship between two people characterizing their "familial" relationship</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PersonalRelationshipRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17926"/>
            <printName language="en" preferredForLanguage="true" text="family member"/>
            <code code="FAMMEMB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Animals raised for their fur, hair or skins</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_LivingSubjectProductionClass"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11513"/>
            <printName language="en" preferredForLanguage="true" text="Fiber"/>
            <code code="FI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A member of the covered party's family. This could be the spouse, a parent, a grand parent, a sibling, etc.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="18107"/>
            <printName language="en" preferredForLanguage="true" text="Family Member"/>
            <code code="FM" status="retired"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10933"/>
            <printName language="en" preferredForLanguage="true" text="Family medicine clinic"/>
            <code code="FMC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Player of the role was previously joined to the scoping person in marriage and this marriage is now dissolved and inactive.</p>
                        <i>Usage Note:</i>This is significant to indicate as some jurisdictions have different legal requirements for former spouse to access the patient's record, from a general friend.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SIGOTHR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23721"/>
            <printName language="en" preferredForLanguage="true" text="former spouse"/>
            <code code="FMRSPS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is a person who is known, liked, and trusted by the scoping person.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PersonalRelationshipRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19737"/>
            <printName language="en" preferredForLanguage="true" text="unrelated friend"/>
            <code code="FRND" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Covered party to an insurance policy has coverage through full-time attendance at a recognized educational institution as defined by a particular insurance policy.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="STUD"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18893"/>
            <printName language="en" preferredForLanguage="true" text="full-time student"/>
            <code code="FSTUD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is a male who begets or raises or nurtures the scoping entity (child).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PRN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16348"/>
            <printName language="en" preferredForLanguage="true" text="father"/>
            <code code="FTH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role (parent) who is a male state-certified caregiver responsible for the scoper (child) who has been placed in the parent's care. The placement of the child is usually arranged through the government or a social-service agency, and temporary.</p>
                        <p>The state, via a jurisdiction recognized child protection agency, stands as in loco parentis to the child, making all legal decisions while the foster parent is responsible for the day-to-day care of the specified child.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="FTH"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PRNFOST"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23633"/>
            <printName language="en" preferredForLanguage="true" text="foster father"/>
            <code code="FTHFOST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is the father of the scoping person's husband or wife.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PRNINLAW"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19771"/>
            <printName language="en" preferredForLanguage="true" text="father-in-law"/>
            <code code="FTHINLAW" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The scoper and player were carried in the same womb and share common biological parents but are the product of distinct egg/sperm pairs.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TWIN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23613"/>
            <printName language="en" preferredForLanguage="true" text="fraternal twin"/>
            <code code="FTWIN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The scoper was carried in the same womb as the male player and shares common biological parents but is the product of a distinct egg/sperm pair.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="FTWIN"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TWINBRO"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23614"/>
            <printName language="en" preferredForLanguage="true" text="fraternal twin brother"/>
            <code code="FTWINBRO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The scoper was carried in the same womb as the female player and shares common biological parents but is the product of a distinct egg/sperm pair.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="FTWIN"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TWINSIS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23615"/>
            <printName language="en" preferredForLanguage="true" text="fraternal twin sister"/>
            <code code="FTWINSIS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**An employer or organization that contracts with an underwriter to assumes the financial risk and administrative responsibility for coverage of health services for covered parties.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoverageSponsorRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22171"/>
            <printName language="en" preferredForLanguage="true" text="Fully insured coverage sponsor"/>
            <code code="FULLINS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A set of patient samples in which the individuals of the group may or may not be identified.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16519"/>
            <printName language="en" preferredForLanguage="true" text="Group"/>
            <code code="G" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>(X12N 282N00000N)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HOSP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10603"/>
            <printName language="en" preferredForLanguage="true"
                       text="Hospitals; General Acute Care Hospital"/>
            <printName language="en" preferredForLanguage="false" text="General acute care hospital"/>
            <code code="GACH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A child of one's son or daughter.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoverageRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18884"/>
            <printName language="en" preferredForLanguage="true" text="grandchild"/>
            <code code="GCHILD" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Relates a manufactured drug product to the non-proprietary (generic) representation of its ingredients independent of strength, and form.</p>
                        <p>The scoping entity identifies a unique combination of medicine ingredients; sometimes referred to as "ingredient set".</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MedicationGeneralizationRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21810"/>
            <printName language="en" preferredForLanguage="true" text="generic drug"/>
            <code code="GD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Relates a manufactured drug product to the non-proprietary (generic) representation of its ingredients and dose form, independent of strength of the ingredients. The scoping entity identifies a unique combination of medicine ingredients in a specific dose form.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="GD"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21814"/>
            <printName language="en" preferredForLanguage="true" text="generic drug form"/>
            <code code="GDF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Relates a manufactured drug product to the non-proprietary (generic) representation of is ingredients with their strength. The scoping entity identifies a unique combination of medicine ingredients with their strength.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="GD"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21811"/>
            <printName language="en" preferredForLanguage="true" text="generic drug strength"/>
            <code code="GDS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Relates a manufactured drug product to the non-proprietary (generic) representation of its ingredients with their strength in a specific dose form. The scoping entity identifies a unique combination of medicine ingredients with their strength in a single dose form.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="GD"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21812"/>
            <printName language="en" preferredForLanguage="true" text="generic drug strength form"/>
            <code code="GDSF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player is a female whose womb carries the fetus of the scoper. Generally used when the gestational mother and natural mother are not the same.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MTH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23605"/>
            <printName language="en" preferredForLanguage="true" text="gestational mother"/>
            <code code="GESTM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is the father of the scoping person's grandparent.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="GGRPRN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19740"/>
            <printName language="en" preferredForLanguage="true" text="great grandfather"/>
            <code code="GGRFTH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is the mother of the scoping person's grandparent.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="GGRPRN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19741"/>
            <printName language="en" preferredForLanguage="true" text="great grandmother"/>
            <code code="GGRMTH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is a parent of the scoping person's grandparent.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="EXT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19739"/>
            <printName language="en" preferredForLanguage="true" text="great grandparent"/>
            <code code="GGRPRN" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10934"/>
            <printName language="en" preferredForLanguage="true" text="Gastroenterology clinic"/>
            <code code="GI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A practice setting where GI procedures (such as endoscopies) are performed</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DX"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10906"/>
            <printName language="en" preferredForLanguage="true"
                       text="Gastroenterology diagnostics or therapeutics lab"/>
            <code code="GIDX" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10591"/>
            <printName language="en" preferredForLanguage="true"
                       text="General internal medicine clinic"/>
            <code code="GIM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>parent of a parent of the subject.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoverageRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18887"/>
            <printName language="en" preferredForLanguage="true" text="grandparent"/>
            <code code="GPARNT" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An entity which accepts certain rights or authority from a grantor.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AgentRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23779"/>
            <printName language="en" preferredForLanguage="true" text="grantee"/>
            <code code="GRANTEE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An entity which agrees to confer certain rights or authority to a grantee.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AgentRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23778"/>
            <printName language="en" preferredForLanguage="true" text="grantor"/>
            <code code="GRANTOR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is the father of the scoping person's mother or father.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="GRPRN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16351"/>
            <printName language="en" preferredForLanguage="true" text="grandfather"/>
            <code code="GRFTH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is the mother of the scoping person's mother or father.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="GRPRN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16350"/>
            <printName language="en" preferredForLanguage="true" text="grandmother"/>
            <code code="GRMTH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is a child of the scoping person's son or daughter.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="EXT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19745"/>
            <printName language="en" preferredForLanguage="true" text="grandchild"/>
            <code code="GRNDCHILD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is a daughter of the scoping person's son or daughter.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="GRNDCHILD"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19746"/>
            <printName language="en" preferredForLanguage="true" text="granddaughter"/>
            <code code="GRNDDAU" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is a son of the scoping person's son or daughter.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="GRNDCHILD"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19747"/>
            <printName language="en" preferredForLanguage="true" text="grandson"/>
            <code code="GRNDSON" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is a parent of the scoping person's mother or father.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="EXT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16349"/>
            <printName language="en" preferredForLanguage="true" text="grandparent"/>
            <code code="GRPRN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An individual or organization that makes or gives a promise, assurance, pledge to pay or has paid the healthcare service provider.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="18109"/>
            <printName language="en" preferredForLanguage="true" text="Guarantor"/>
            <code code="GT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The role played by a person appointed by the court to look out for the best interests of a minor child during the course of legal proceedings.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RESPRSN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22033"/>
            <printName language="en" preferredForLanguage="true" text="guardian ad lidem"/>
            <code code="GUADLTM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The role played by a person or institution legally empowered with responsibility for the care of a ward.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RESPRSN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22032"/>
            <printName language="en" preferredForLanguage="true" text="guardian"/>
            <code code="GUARD" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10935"/>
            <printName language="en" preferredForLanguage="true" text="Gynecology clinic"/>
            <code code="GYN" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ORTHO"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10950"/>
            <printName language="en" preferredForLanguage="true" text="Hand clinic"/>
            <code code="HAND" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Covered party is a dependent of the policy holder with a physical or mental disability causing a disadvantage that makes independent achievement unusually difficult.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoverageRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18880"/>
            <printName language="en" preferredForLanguage="true" text="handicapped dependent"/>
            <code code="HANDIC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is a male related to the scoping entity by sharing only one biological parent.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="BRO"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HSIB"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19777"/>
            <printName language="en" preferredForLanguage="true" text="half-brother"/>
            <code code="HBRO" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HU"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10915"/>
            <printName language="en" preferredForLanguage="true" text="Hemodialysis unit"/>
            <code code="HD" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10936"/>
            <printName language="en" preferredForLanguage="true" text="Hematology clinic"/>
            <code code="HEM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A location that plays the role of delivering services which may include tests done based on clinical specimens to get health information about a patient as pertaining to the diagnosis, treatment and prevention of disease. Hospital laboratories may be further divided into specialized units such as Anatomic Pathology, Microbiology, and Biochemistry.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HU"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23224"/>
            <printName language="en" preferredForLanguage="true" text="hospital laboratory"/>
            <code code="HLAB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An acute care institution that provides medical, surgical, or psychiatric care and treatment for the sick or the injured.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_DedicatedClinicalLocationRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10602"/>
            <printName language="en" preferredForLanguage="true" text="Hospital"/>
            <code code="HOSP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship between two people in which one person authorizes another to act for him or her in a manner which is a legally binding upon the person giving such authority as if he or she personally were to do the acts that continues (by its terms) to be effective even though the grantor has become mentally incompetent after signing the document.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="POWATT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22035"/>
            <printName language="en" preferredForLanguage="true" text="healthcare power of attorney"/>
            <code code="HPOWATT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A location that plays the role of delivering services which may include the branch of medicine that uses ionizing and non-ionizing radiation to diagnose and treat diseases. The radiology unit may be further divided into subspecialties such as Imaging, Cardiovascular, Thoracic, and Ultrasound.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HU"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23230"/>
            <printName language="en" preferredForLanguage="true" text="radiology unit"/>
            <code code="HRAD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is related to the scoping entity by sharing only one biological parent.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SIB"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19776"/>
            <printName language="en" preferredForLanguage="true" text="half-sibling"/>
            <code code="HSIB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is a female related to the scoping entity by sharing only one biological parent.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HSIB"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SIS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19778"/>
            <printName language="en" preferredForLanguage="true" text="half-sister"/>
            <code code="HSIS" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10937"/>
            <printName language="en" preferredForLanguage="true" text="Hypertension clinic"/>
            <code code="HTN" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_DedicatedClinicalLocationRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10596"/>
            <printName language="en" preferredForLanguage="true" text="Hospital unit"/>
            <code code="HU" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is a man joined to a woman (scoping person) in marriage.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SPS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19743"/>
            <printName language="en" preferredForLanguage="true" text="husband"/>
            <code code="HUSB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A location that plays the role of delivering services which may include collecting specimens and/or samples from patients for laboratory testing purposes, but does not perform any tests or analysis functions.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HU"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23231"/>
            <printName language="en" preferredForLanguage="true" text="specimen collection site"/>
            <code code="HUSCS" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HU"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10599"/>
            <printName language="en" preferredForLanguage="true" text="Intensive care unit"/>
            <code code="ICU" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Focuses on assessing disability</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10938"/>
            <printName language="en" preferredForLanguage="true" text="Impairment evaluation center"/>
            <code code="IEC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A person playing the role of program eligible under a program based on aboriginal ancestry or as a member of an aboriginal community.<b>Discussion:</b>This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is "program eligible" and the person's status as a member of an indigenous people meets jurisdictional or program criteria.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ProgramEligiblePartyRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21967"/>
            <printName language="en" preferredForLanguage="true" text="member of an indigenous people"/>
            <code code="INDIG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A party covered under a policy as the policyholder.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21952"/>
            <printName language="en" preferredForLanguage="true" text="individual"/>
            <code code="INDIV" status="retired"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10939"/>
            <printName language="en" preferredForLanguage="true" text="Infectious disease clinic"/>
            <code code="INFD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Covered party is an injured party with a legal claim for compensation against a policy holder under an insurance policy.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoverageRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18881"/>
            <printName language="en" preferredForLanguage="true" text="injured plaintiff"/>
            <code code="INJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A person playing the role of program eligible under a workers compensation program based on the filing of work-related injury claim.<b>Discussion:</b>This CoveredPartyRoleType.code is used when the CoveredPartyRole class code is either "program eligible", a "named insured", and "individual insured", or "dependent", and the person's status as differently abled or "handicapped" meets jurisdictional, policy, or program criteria.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ClaimantCoveredPartyRoleType"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ProgramEligiblePartyRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21966"/>
            <printName language="en" preferredForLanguage="true" text="injured worker"/>
            <code code="INJWKR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A location that plays the role of delivering services which may include tests are done on clinical specimens to get health information about a patient pertaining to the diagnosis, treatment, and prevention of disease for a hospital visit longer than one day.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HLAB"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23225"/>
            <printName language="en" preferredForLanguage="true" text="inpatient laboratory"/>
            <code code="INLAB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship between an individual and a member of their spousal partner's immediate family.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="EXT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23601"/>
            <printName language="en" preferredForLanguage="true" text="inlaw"/>
            <code code="INLAW" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A location that plays the role of delivering services which may include providing judicious, safe, efficacious, appropriate and cost effective use of medicines for treatment of patients for visits longer than one day. The distinction between inpatient pharmacies and retail (or outpatient) pharmacies is that they are part of a patient's continuity of care while staying in the hospital.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HU"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PHARM"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23228"/>
            <printName language="en" preferredForLanguage="true" text="inpatient pharmacy"/>
            <code code="INPHARM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An entity which converts spoken or written language into the language of key participants in an event such as when a provider is obtaining a patient's consent to treatment or permission to disclose information.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AgentRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23780"/>
            <printName language="en" preferredForLanguage="true" text="interpreter"/>
            <code code="INTPRTER" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10940"/>
            <printName language="en" preferredForLanguage="true" text="Infertility clinic"/>
            <code code="INV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The scoper and player are offspring of the same egg-sperm pair.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TWIN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23610"/>
            <printName language="en" preferredForLanguage="true" text="identical twin"/>
            <code code="ITWIN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The male scoper is an offspring of the same egg-sperm pair as the male player.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ITWIN"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TWINBRO"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23611"/>
            <printName language="en" preferredForLanguage="true" text="identical twin brother"/>
            <code code="ITWINBRO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The female scoper is an offspring of the same egg-sperm pair as the female player.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ITWIN"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TWINSIS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23612"/>
            <printName language="en" preferredForLanguage="true" text="identical twin sister"/>
            <code code="ITWINSIS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Identifier assigned to a location by a jurisdiction.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_LocationIdentifiedEntityRoleCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23295"/>
            <printName language="en" preferredForLanguage="true"
                       text="jurisdiction location identifier"/>
            <code code="JURID" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Aliquots of individual specimens combined to form a single specimen representing all of the included individuals.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16520"/>
            <printName language="en" preferredForLanguage="true" text="Pool"/>
            <code code="L" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Identifier assigned to a location by a local party (which could be the facility itself or organization overseeing a group of facilities).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_LocationIdentifiedEntityRoleCode"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23296"/>
            <printName language="en" preferredForLanguage="true" text="local location identifier"/>
            <code code="LOCHFID" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Chickens raised for egg production</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_LivingSubjectProductionClass"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11514"/>
            <printName language="en" preferredForLanguage="true" text="Layer"/>
            <code code="LY" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10941"/>
            <printName language="en" preferredForLanguage="true" text="Lympedema clinic"/>
            <code code="LYMPH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The player of the role is a biological sister of the scoping person's biological mother.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AUNT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22017"/>
            <printName language="en" preferredForLanguage="true" text="maternal aunt"/>
            <code code="MAUNT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A location that plays the role of delivering services which include biochemistry, hematology, microbiology, immunochemistry, and toxicology.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HU"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23227"/>
            <printName language="en" preferredForLanguage="true" text="medical laboratory"/>
            <code code="MBL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The player of the role is a biological relative of the scoping person descended from a common ancestor on the player's mother's side, such as a grandparent, by two or more steps in a diverging line.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="COUSN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22021"/>
            <printName language="en" preferredForLanguage="true" text="maternal cousin"/>
            <code code="MCOUSN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Relates a manufactured drug product to the non-proprietary (generic) representation of its ingredients with their strength in a specific dose form. The scoping entity identifies a unique combination of medicine ingredients with their strength in a single dose form.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MedicationGeneralizationRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21813"/>
            <printName language="en" preferredForLanguage="true"
                       text="manufactured drug strength form"/>
            <code code="MGDSF" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10942"/>
            <printName language="en" preferredForLanguage="true" text="Medical genetics clinic"/>
            <code code="MGEN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The player of the role is the biological father of the scoping person's biological mother's parent.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="GGRFTH"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MGGRPRN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22013"/>
            <printName language="en" preferredForLanguage="true" text="maternal great-grandfather"/>
            <code code="MGGRFTH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The player of the role is the biological mother of the scoping person's biological mother's parent.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="GGRMTH"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MGGRPRN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22015"/>
            <printName language="en" preferredForLanguage="true" text="maternal great-grandmother"/>
            <code code="MGGRMTH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The player of the role is a biological parent of the scoping person's biological mother's parent.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="GGRPRN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22011"/>
            <printName language="en" preferredForLanguage="true" text="maternal great-grandparent"/>
            <code code="MGGRPRN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The player of the role is the biological father of the scoping person's biological mother.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="GRFTH"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MGRPRN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22009"/>
            <printName language="en" preferredForLanguage="true" text="maternal grandfather"/>
            <code code="MGRFTH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The player of the role is the biological mother of the scoping person's biological mother.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="GRMTH"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MGRPRN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22007"/>
            <printName language="en" preferredForLanguage="true" text="maternal grandmother"/>
            <code code="MGRMTH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The player of the role is the biological parent of the scoping person's biological mother.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="GRPRN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22005"/>
            <printName language="en" preferredForLanguage="true" text="maternal grandparent"/>
            <code code="MGRPRN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A health care facility operated by the Department of Defense or other military operation.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HOSP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="13799"/>
            <printName language="en" preferredForLanguage="true" text="Military Hospital"/>
            <printName language="en" preferredForLanguage="false" text="MilitaryHospital"/>
            <code code="MHSP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A person playing the role of program eligible under a program based on military status.<b>Discussion:</b>This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the person's status as a member of the military meets jurisdictional or program criteria</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ProgramEligiblePartyRoleType"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SubscriberCoveredPartyRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21968"/>
            <printName language="en" preferredForLanguage="true" text="military"/>
            <code code="MIL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Location (mobile) where healthcare service was delivered.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_DedicatedNonClinicalLocationRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18100"/>
            <printName language="en" preferredForLanguage="true" text="Mobile Unit"/>
            <code code="MOBL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Animals raised for meat production</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_LivingSubjectProductionClass"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11515"/>
            <printName language="en" preferredForLanguage="true" text="Meat"/>
            <code code="MT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is a female who conceives, gives birth to, or raises and nurtures the scoping entity (child).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PRN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16347"/>
            <printName language="en" preferredForLanguage="true" text="mother"/>
            <code code="MTH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role (parent) who is a female state-certified caregiver responsible for the scoper (child) who has been placed in the parent's care. The placement of the child is usually arranged through the government or a social-service agency, and temporary.</p>
                        <p>The state, via a jurisdiction recognized child protection agency, stands as in loco parentis to the child, making all legal decisions while the foster parent is responsible for the day-to-day care of the specified child.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MTH"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PRNFOST"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23632"/>
            <printName language="en" preferredForLanguage="true" text="foster mother"/>
            <code code="MTHFOST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is the mother of the scoping person's husband or wife.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PRNINLAW"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19772"/>
            <printName language="en" preferredForLanguage="true" text="mother-in-law"/>
            <code code="MTHINLAW" status="active"/>
            <code code="MTHINLOAW" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Poultry flocks used for chick/poult production</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_LivingSubjectProductionClass"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11516"/>
            <printName language="en" preferredForLanguage="true" text="Multiplier"/>
            <code code="MU" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The player of the role is a biological brother of the scoping person's biological mother.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="UNCLE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22019"/>
            <printName language="en" preferredForLanguage="true" text="maternal uncle"/>
            <code code="MUNCLE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A party to an insurance policy to whom the insurer agrees to indemnify for losses, provides benefits for, or renders services.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21951"/>
            <printName language="en" preferredForLanguage="true" text="named insured"/>
            <code code="NAMED" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A child as determined by birth.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoverageRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18889"/>
            <printName language="en" preferredForLanguage="true" text="natural child"/>
            <code code="NAT" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role lives near or next to the scoping person.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PersonalRelationshipRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19738"/>
            <printName language="en" preferredForLanguage="true" text="neighbor"/>
            <code code="NBOR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is a male having the same biological parents as the scoping entity.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="BRO"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NSIB"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19774"/>
            <printName language="en" preferredForLanguage="true" text="natural brother"/>
            <code code="NBRO" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_DedicatedClinicalLocationRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10605"/>
            <printName language="en" preferredForLanguage="true"
                       text="Nursing or custodial care facility"/>
            <code code="NCCF" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HU"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10918"/>
            <printName language="en" preferredForLanguage="true"
                       text="Neurology critical care and stroke unit"/>
            <code code="NCCS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is an offspring of the scoping entity as determined by birth.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CHILD"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17930"/>
            <printName language="en" preferredForLanguage="true" text="natural child"/>
            <code code="NCHILD" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10943"/>
            <printName language="en" preferredForLanguage="true" text="Nephrology clinic"/>
            <code code="NEPH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is a son of the scoping person's brother or sister or of the brother or sister of the scoping person's spouse.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NIENEPH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19751"/>
            <printName language="en" preferredForLanguage="true" text="nephew"/>
            <code code="NEPHEW" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10944"/>
            <printName language="en" preferredForLanguage="true" text="Neurology clinic"/>
            <code code="NEUR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is a male who begets the scoping entity (child).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="FTH"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NPRN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19765"/>
            <printName language="en" preferredForLanguage="true" text="natural father"/>
            <code code="NFTH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates the biologic male parent of a fetus.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NFTH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21455"/>
            <printName language="en" preferredForLanguage="true" text="natural father of fetus"/>
            <code code="NFTHF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is a daughter of the scoping person's brother or sister or of the brother or sister of the scoping person's spouse.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NIENEPH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19752"/>
            <printName language="en" preferredForLanguage="true" text="niece"/>
            <code code="NIECE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A child of one's brother or sister or of the brother or sister of one's spouse.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoverageRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18885"/>
            <printName language="en" preferredForLanguage="true" text="niece/nephew"/>
            <code code="NIENE" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is a child of scoping person's brother or sister or of the brother or sister of the scoping person's spouse.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="EXT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19750"/>
            <printName language="en" preferredForLanguage="true" text="niece/nephew"/>
            <code code="NIENEPH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is a female who conceives or gives birth to the scoping entity (child).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MTH"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NPRN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19766"/>
            <printName language="en" preferredForLanguage="true" text="natural mother"/>
            <code code="NMTH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player is the biologic female parent of the scoping fetus.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NMTH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23606"/>
            <printName language="en" preferredForLanguage="true" text="natural mother of fetus"/>
            <code code="NMTHF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Played by an individual who is designated as the next of kin for another individual which scopes the role.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ContactRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12208"/>
            <printName language="en" preferredForLanguage="true" text="next of kin"/>
            <code code="NOK" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PRN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19764"/>
            <printName language="en" preferredForLanguage="true" text="natural parent"/>
            <code code="NPRN" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HU"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10919"/>
            <printName language="en" preferredForLanguage="true" text="Neurosurgery unit"/>
            <code code="NS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role has both biological parents in common with the scoping entity.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SIB"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19773"/>
            <printName language="en" preferredForLanguage="true" text="natural sibling"/>
            <code code="NSIB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is a female having the same biological parents as the scoping entity.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NSIB"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SIS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19775"/>
            <printName language="en" preferredForLanguage="true" text="natural sister"/>
            <code code="NSIS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A specimen used for evaluation of operator proficiency (operator in what context?)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="Q"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16524"/>
            <printName language="en" preferredForLanguage="true" text="Operator Proficiency"/>
            <code code="O" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10945"/>
            <printName language="en" preferredForLanguage="true" text="Obstetrics clinic"/>
            <code code="OB" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_DedicatedClinicalLocationRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10589"/>
            <printName language="en" preferredForLanguage="true" text="Outpatient facility"/>
            <code code="OF" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10946"/>
            <printName language="en" preferredForLanguage="true"
                       text="Oral and maxillofacial surgery clinic"/>
            <printName language="en" preferredForLanguage="false"
                       text="Ambulatory Health Care Facilities; Clinic/Center; Surgery, Oral/Maxillofacial"/>
            <code code="OMS" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10947"/>
            <printName language="en" preferredForLanguage="true" text="Medical oncology clinic"/>
            <code code="ONCL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The relationship that a person has with his or her self.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PersonalRelationshipRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23542"/>
            <printName language="en" preferredForLanguage="true" text="self"/>
            <code code="ONESELF" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10948"/>
            <printName language="en" preferredForLanguage="true" text="Opthalmology clinic"/>
            <code code="OPH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A location that plays the role of delivering services which may include examination, diagnosis, treatment, management, and prevention of diseases and disorders of the eye as well as prescribing and fitting appropriate corrective lenses (glasses or contact lenses) as needed. Optometry clinics may also provide tests for visual field screening, measuring intra-ocular pressure and ophthalmoscopy, as and when required.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23232"/>
            <printName language="en" preferredForLanguage="true" text="optometry clinic"/>
            <code code="OPTC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A contact for an organization for administrative purposes. Contact role specifies a person acting as a liason for the organization.</p>
                        <p>Example: HR Department representative.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AdministrativeContactRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21332"/>
            <printName language="en" preferredForLanguage="true" text="organizational contact"/>
            <code code="ORG" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10949"/>
            <printName language="en" preferredForLanguage="true" text="Orthopedics clinic"/>
            <code code="ORTHO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A location that plays the role of delivering services which may include tests are done on clinical specimens to get health information about a patient pertaining to the diagnosis, treatment, and prevention of disease for same day visits.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HLAB"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23226"/>
            <printName language="en" preferredForLanguage="true" text="outpatient laboratory"/>
            <code code="OUTLAB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A location that plays the role of delivering services which may include providing judicious, safe, efficacious, appropriate and cost effective use of medicines for treatment of patients for outpatient visits and may also be used for discharge prescriptions.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HU"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PHARM"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23229"/>
            <printName language="en" preferredForLanguage="true" text="outpatient pharmacy"/>
            <code code="OUTPHARM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A specimen that has been collected from a patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16516"/>
            <printName language="en" preferredForLanguage="true" text="Patient"/>
            <code code="P" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>(X12N 261QP3300N)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10951"/>
            <printName language="en" preferredForLanguage="true" text="Pain clinic"/>
            <printName language="en" preferredForLanguage="false"
                       text="Ambulatory Health Care Facilities; Clinic/Center; Pain"/>
            <code code="PAINCL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>One that begets or brings forth offspring or a person who brings up and cares for for another (Webster's Collegiate Dictionary)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoverageRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18886"/>
            <printName language="en" preferredForLanguage="true" text="parent"/>
            <code code="PARNT" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The player of the role is a biological sister of the scoping person's biological father.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="AUNT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22018"/>
            <printName language="en" preferredForLanguage="true" text="paternal aunt"/>
            <code code="PAUNT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A contact role used to identify a person within a Payor organization to whom this communication is addressed.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AdministrativeContactRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17624"/>
            <printName language="en" preferredForLanguage="true" text="Payor Contact"/>
            <code code="PAYOR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>(X12N 261QP2300N)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10952"/>
            <printName language="en" preferredForLanguage="true" text="Primary care clinic"/>
            <printName language="en" preferredForLanguage="false"
                       text="Ambulatory Health Care Facilities; Clinic/Center; Primary Care"/>
            <code code="PC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The player of the role is a biological relative of the scoping person descended from a common ancestor on the player's father's side, such as a grandparent, by two or more steps in a diverging line.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="COUSN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22022"/>
            <printName language="en" preferredForLanguage="true" text="paternal cousin"/>
            <code code="PCOUSN" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10953"/>
            <printName language="en" preferredForLanguage="true" text="Pediatrics clinic"/>
            <code code="PEDC" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CARD"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PEDC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10961"/>
            <printName language="en" preferredForLanguage="true" text="Pediatric cardiology clinic"/>
            <code code="PEDCARD" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ENDO"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PEDC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10954"/>
            <printName language="en" preferredForLanguage="true" text="Pediatric endocrinology clinic"/>
            <code code="PEDE" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="GI"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PEDC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10955"/>
            <printName language="en" preferredForLanguage="true"
                       text="Pediatric gastroenterology clinic"/>
            <code code="PEDGI" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HEM"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PEDC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10956"/>
            <printName language="en" preferredForLanguage="true" text="Pediatric hematology clinic"/>
            <code code="PEDHEM" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ONCL"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PEDC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10957"/>
            <printName language="en" preferredForLanguage="true" text="Pediatric oncology clinic"/>
            <code code="PEDHO" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ICU"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PEDU"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10916"/>
            <printName language="en" preferredForLanguage="true" text="Pediatric intensive care unit"/>
            <code code="PEDICU" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INFD"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PEDC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10958"/>
            <printName language="en" preferredForLanguage="true"
                       text="Pediatric infectious disease clinic"/>
            <code code="PEDID" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NEPH"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PEDC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10959"/>
            <printName language="en" preferredForLanguage="true" text="Pediatric nephrology clinic"/>
            <code code="PEDNEPH" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PEDICU"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10917"/>
            <printName language="en" preferredForLanguage="true"
                       text="Pediatric neonatal intensive care unit"/>
            <code code="PEDNICU" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PEDC"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RHEUM"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10960"/>
            <printName language="en" preferredForLanguage="true" text="Pediatric rheumatology clinic"/>
            <code code="PEDRHEUM" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HU"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10920"/>
            <printName language="en" preferredForLanguage="true" text="Pediatric unit"/>
            <code code="PEDU" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The player of the role is the biological father of the scoping person's biological father's parent.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="GGRFTH"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PGGRPRN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22014"/>
            <printName language="en" preferredForLanguage="true" text="paternal great-grandfather"/>
            <code code="PGGRFTH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The player of the role is the biological mother of the scoping person's biological father's parent.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="GGRMTH"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PGGRPRN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22016"/>
            <printName language="en" preferredForLanguage="true" text="paternal great-grandmother"/>
            <code code="PGGRMTH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The player of the role is a biological parent of the scoping person's biological father's parent.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="GGRPRN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22012"/>
            <printName language="en" preferredForLanguage="true" text="paternal great-grandparent"/>
            <code code="PGGRPRN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The player of the role is the biological father of the scoping person's biological father.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="GRFTH"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PGRPRN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22010"/>
            <printName language="en" preferredForLanguage="true" text="paternal grandfather"/>
            <code code="PGRFTH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The player of the role is the biological mother of the scoping person's biological father.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="GRMTH"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PGRPRN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22008"/>
            <printName language="en" preferredForLanguage="true" text="paternal grandmother"/>
            <code code="PGRMTH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The player of the role is the biological parent of the scoping person's biological father.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="GRPRN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22006"/>
            <printName language="en" preferredForLanguage="true" text="paternal grandparent"/>
            <code code="PGRPRN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Policy holder for the insurance policy.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="18108"/>
            <printName language="en" preferredForLanguage="true" text="Policy Holder"/>
            <code code="PH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Location where healthcare service was delivered, identified as a pharmacy.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_DedicatedNonClinicalLocationRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18102"/>
            <printName language="en" preferredForLanguage="true" text="Pharmacy"/>
            <code code="PHARM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>(X12N 273R00000N)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HU"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10600"/>
            <printName language="en" preferredForLanguage="true" text="Psychiatric hospital unit"/>
            <printName language="en" preferredForLanguage="false"
                       text="Hospital Units; Psychiatric Unit"/>
            <code code="PHU" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Animals rasied for recreation</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_LivingSubjectProductionClass"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11517"/>
            <printName language="en" preferredForLanguage="true" text="Pleasure"/>
            <code code="PL" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SU"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10969"/>
            <printName language="en" preferredForLanguage="true" text="Plastic surgery clinic"/>
            <code code="PLS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>(X12N 261QP1100N)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10962"/>
            <printName language="en" preferredForLanguage="true" text="Podiatry clinic"/>
            <printName language="en" preferredForLanguage="false"
                       text="Ambulatory Health Care Facilities; Clinic/Center; Podiatric"/>
            <code code="POD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship between two people in which one person authorizes another to act for him in a manner which is a legally binding upon the person giving such authority as if he or she personally were to do the acts.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RESPRSN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22034"/>
            <printName language="en" preferredForLanguage="true" text="power of attorney"/>
            <code code="POWATT" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RTF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10974"/>
            <printName language="en" preferredForLanguage="true" text="Pain rehabilitation center"/>
            <code code="PRC" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10963"/>
            <printName language="en" preferredForLanguage="true" text="Preventive medicine clinic"/>
            <code code="PREV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is one who begets, gives birth to, or nurtures and raises the scoping entity (child).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="FAMMEMB"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16346"/>
            <printName language="en" preferredForLanguage="true" text="parent"/>
            <code code="PRN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role (parent) who is a state-certified caregiver responsible for the scoper (child) who has been placed in the parent's care. The placement of the child is usually arranged through the government or a social-service agency, and temporary.</p>
                        <p>The state, via a jurisdiction recognized child protection agency, stands as in loco parentis to the child, making all legal decisions while the foster parent is responsible for the day-to-day care of the specified child.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PRN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23631"/>
            <printName language="en" preferredForLanguage="true" text="foster parent"/>
            <code code="PRNFOST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is the parent of scoping person's husband or wife.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INLAW"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19770"/>
            <printName language="en" preferredForLanguage="true" text="parent in-law"/>
            <code code="PRNINLAW" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10964"/>
            <printName language="en" preferredForLanguage="true" text="Proctology clinic"/>
            <code code="PROCTO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Location where healthcare service was delivered, identified as the healthcare provider's practice office.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18103"/>
            <printName language="en" preferredForLanguage="true" text="Provider's Office"/>
            <code code="PROFF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A party that meets the eligibility criteria for coverage under a program.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21950"/>
            <printName language="en" preferredForLanguage="true" text="program eligible"/>
            <code code="PROG" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10965"/>
            <printName language="en" preferredForLanguage="true" text="Prosthodontics clinic"/>
            <code code="PROS" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10966"/>
            <printName language="en" preferredForLanguage="true" text="Psychology clinic"/>
            <code code="PSI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Covered party to an insurance policy has coverage through part-time attendance at a recognized educational institution as defined by a particular insurance policy.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="STUD"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18894"/>
            <printName language="en" preferredForLanguage="true" text="part-time student"/>
            <code code="PSTUD" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10967"/>
            <printName language="en" preferredForLanguage="true" text="Psychiatry clinic"/>
            <code code="PSY" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="19725"/>
            <code code="PSYCHCF" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Healthcare facility that cares for patients with psychiatric illness(s).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HOSP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20024"/>
            <printName language="en" preferredForLanguage="true" text="Psychatric Care Facility"/>
            <code code="PSYCHF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The recipient for the service(s) and/or product(s) when they are not the covered party.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="18106"/>
            <printName language="en" preferredForLanguage="true" text="Patient"/>
            <code code="PT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>location where healthcare was delivered which is the residence of the Patient.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IncidentalServiceDeliveryLocationRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18101"/>
            <printName language="en" preferredForLanguage="true" text="Patient's Residence"/>
            <code code="PTRES" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**The player of the role is a biological brother of the scoping person's biological father.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="UNCLE"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22020"/>
            <printName language="en" preferredForLanguage="true" text="paternal uncle"/>
            <code code="PUNCLE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A specimen specifically used to verify the sensitivity, specificity, accuracy or other perfomance parameter of a diagnostic test.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16521"/>
            <printName language="en" preferredForLanguage="true" text="Quality Control"/>
            <code code="Q" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A portion of an original patent sample that is tested at the same time as the original sample</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16518"/>
            <printName language="en" preferredForLanguage="true" text="Replicate"/>
            <code code="R" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A practice setting where radiology services (diagnostic or therapeutic) are provided (X12N 261QR0200N)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DX"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10908"/>
            <printName language="en" preferredForLanguage="true"
                       text="Radiology diagnostics or therapeutics unit"/>
            <printName language="en" preferredForLanguage="false"
                       text="Ambulatory Health Care Facilities; Clinic/Center; Radiology"/>
            <code code="RADDX" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>(X12N 261QX0203N)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RADDX"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10909"/>
            <printName language="en" preferredForLanguage="true" text="Radiation oncology unit"/>
            <printName language="en" preferredForLanguage="false"
                       text="Ambulatory Health Care Facilities; Clinic/Center; Oncology, Radiation"/>
            <code code="RADO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Animals raised for racing perfomance</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_LivingSubjectProductionClass"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11518"/>
            <printName language="en" preferredForLanguage="true" text="Racing"/>
            <code code="RC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The role played by a party who has legal responsibility for another party.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AffiliationRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22030"/>
            <printName language="en" preferredForLanguage="true" text="responsible party"/>
            <code code="RESPRSN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A person playing the role of an individual insured under a policy based on meeting criteria for the employment status of retired set by law or the policy.<b>Discussion:</b>This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the person's status as a retiree meets jurisdictional or policy criteria.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IndividualInsuredPartyRoleType"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SubscriberCoveredPartyRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21977"/>
            <printName language="en" preferredForLanguage="true" text="retiree"/>
            <code code="RETIREE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A person playing the role of program eligible under a program based on retired military status.<b>Discussion:</b>This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the persons status as retired military meets jurisdictional or program criteria.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MIL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21970"/>
            <printName language="en" preferredForLanguage="true" text="retired military"/>
            <code code="RETMIL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An entity authorized to filter information according to approved criteria.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AgentRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23781"/>
            <printName language="en" preferredForLanguage="true" text="reviewer"/>
            <code code="REVIEWER" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>(X12N 283X00000N)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HOSP"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10604"/>
            <printName language="en" preferredForLanguage="true" text="Rehabilitation hospital"/>
            <printName language="en" preferredForLanguage="false"
                       text="Hospitals; Rehabilitation Hospital"/>
            <code code="RH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A location that plays the role of delivering services which may include life training and/or social support to people with addictions.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23216"/>
            <printName language="en" preferredForLanguage="true" text="addiction treatment center"/>
            <code code="RHAT" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10593"/>
            <printName language="en" preferredForLanguage="true" text="Rheumatology clinic"/>
            <code code="RHEUM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A location that plays the role of delivering services which may include adaptation, rehabilitation and social integration services for people with intellectual and/or pervasive development disorders such as autism or severe behaviour disorder.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23217"/>
            <printName language="en" preferredForLanguage="true" text="intellectual impairment center"/>
            <code code="RHII" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A location that plays the role of delivering services which may social support services for adolescents who are pregnant or have child and are experiencing adaptation issues/difficulties in their current or eventual parenting role.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23218"/>
            <printName language="en" preferredForLanguage="true"
                       text="parents with adjustment difficulties center"/>
            <code code="RHMAD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A location that plays the role of delivering services which may include adaptation, rehabilitation and social integration services for people with physical impairments.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23219"/>
            <printName language="en" preferredForLanguage="true" text="physical impairment center"/>
            <code code="RHPI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A location that plays the role of delivering services for people with hearing impairments.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RHPI"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23220"/>
            <printName language="en" preferredForLanguage="true"
                       text="physical impairment - hearing center"/>
            <code code="RHPIH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A location that plays the role of delivering services for people with motor skill impairments.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RHPI"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23221"/>
            <printName language="en" preferredForLanguage="true"
                       text="physical impairment - motor skills center"/>
            <code code="RHPIMS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A location that plays the role of delivering services for people with visual skill impairments.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RHPI"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23222"/>
            <printName language="en" preferredForLanguage="true"
                       text="physical impairment - visual skills center"/>
            <code code="RHPIVS" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HU"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10601"/>
            <printName language="en" preferredForLanguage="true" text="Rehabilitation hospital unit"/>
            <printName language="en" preferredForLanguage="false"
                       text="Hospital Units; Rehabilitation Unit"/>
            <code code="RHU" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A location that plays the role of delivering services which may include life training and/or social support services for the adaption, rehabilitation and social integration of youths with adjustment difficulties.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RH"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23223"/>
            <printName language="en" preferredForLanguage="true"
                       text="youths with adjustment difficulties center"/>
            <code code="RHYAD" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RADDX"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10910"/>
            <printName language="en" preferredForLanguage="true" text="Neuroradiology unit"/>
            <code code="RNEU" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>One who shares living quarters with the subject.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PersonalRelationshipRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16364"/>
            <printName language="en" preferredForLanguage="true" text="Roommate"/>
            <code code="ROOM" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_DedicatedClinicalLocationRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10607"/>
            <printName language="en" preferredForLanguage="true" text="Residential treatment facility"/>
            <code code="RTF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Location where healthcare service was delivered, identified as a school or educational facility.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IncidentalServiceDeliveryLocationRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20846"/>
            <printName language="en" preferredForLanguage="true" text="school"/>
            <code code="SCHOOL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Definition:**The specific role being played by a research subject participating in the pre-enrollment evaluation portion of a research study.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ResearchSubjectRoleBasis"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21620"/>
            <printName language="en" preferredForLanguage="true" text="screening"/>
            <code code="SCN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Dogs trained to assist persons who are seeing impaired or blind.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AssignedNonPersonLivingSubjectRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22161"/>
            <printName language="en" preferredForLanguage="true" text="Seeing"/>
            <code code="SEE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Covered party is the policy holder. Also known as the subscriber.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoverageRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18878"/>
            <printName language="en" preferredForLanguage="true" text="self"/>
            <code code="SELF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**An employer or organization that assumes the financial risk and administrative responsibility for coverage of health services for covered parties.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoverageSponsorRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22172"/>
            <printName language="en" preferredForLanguage="true" text="Self insured coverage sponsor"/>
            <code code="SELFINS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Animals raised for shows</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_LivingSubjectProductionClass"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11519"/>
            <printName language="en" preferredForLanguage="true" text="Show"/>
            <code code="SH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role shares one or both parents in common with the scoping entity.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="FAMMEMB"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11567"/>
            <printName language="en" preferredForLanguage="true" text="sibling"/>
            <code code="SIB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is: (1) a sibling of the scoping person's spouse, or (2) the spouse of the scoping person's sibling, or (3) the spouse of a sibling of the scoping person's spouse.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="INLAW"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19782"/>
            <printName language="en" preferredForLanguage="true" text="sibling in-law"/>
            <code code="SIBINLAW" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person who is important to one's well being; especially a spouse or one in a similar relationship. (The player is the one who is important)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="FAMMEMB"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19755"/>
            <printName language="en" preferredForLanguage="true" text="significant other"/>
            <code code="SIGOTHR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is a female sharing one or both parents in common with the scoping entity.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SIB"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16358"/>
            <printName language="en" preferredForLanguage="true" text="sister"/>
            <code code="SIS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is: (1) a sister of the scoping person's spouse, or (2) the wife of the scoping person's brother, or (3) the wife of a brother of the scoping person's spouse.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SIBINLAW"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19784"/>
            <printName language="en" preferredForLanguage="true" text="sister-in-law"/>
            <code code="SISINLAW" status="active"/>
            <code code="SISLINLAW" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>(X12N 261QA1200N)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="HU"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10921"/>
            <printName language="en" preferredForLanguage="true" text="Sleep disorders unit"/>
            <code code="SLEEP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>(X12N 314000000N)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NCCF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10606"/>
            <printName language="en" preferredForLanguage="true" text="Skilled nursing facility"/>
            <printName language="en" preferredForLanguage="false"
                       text="Nursing &amp; Custodial Care Facilities; Skilled Nursing Facility"/>
            <code code="SNF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Dogs trained or having the ability to detect imminent seizures or cancers in humans, probably as a result of volatile chemical (odors) given off by the malignancy of the host.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AssignedNonPersonLivingSubjectRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22162"/>
            <printName language="en" preferredForLanguage="true" text="Sniffing"/>
            <code code="SNIFF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is a male offspring of the scoping entity (parent).</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NCHILD"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SONC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16362"/>
            <printName language="en" preferredForLanguage="true" text="natural son"/>
            <code code="SON" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is a male child taken into a family through legal means and raised by the scoping person (parent) as his or her own child.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CHLDADOPT"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SONC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19757"/>
            <printName language="en" preferredForLanguage="true" text="adopted son"/>
            <code code="SONADOPT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The player of the role is a male child (of any type) of scoping entity (parent)</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CHILD"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22914"/>
            <printName language="en" preferredForLanguage="true" text="son"/>
            <code code="SONC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is a male child receiving parental care and nurture from the scoping person (parent) but not related to him or her through legal or blood ties.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CHLDFOST"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SONC"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19759"/>
            <printName language="en" preferredForLanguage="true" text="foster son"/>
            <code code="SONFOST" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is the husband of scoping person's daughter.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CHLDINLAW"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19761"/>
            <printName language="en" preferredForLanguage="true" text="son in-law"/>
            <code code="SONINLAW" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10594"/>
            <printName language="en" preferredForLanguage="true" text="Sports medicine clinic"/>
            <code code="SPMED" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Covered party is an individual that the policy holder has assumed responsibility for, such as foster child or legal ward.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoverageRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18882"/>
            <printName language="en" preferredForLanguage="true" text="sponsored dependent"/>
            <code code="SPON" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A relationship between two people in which one person authorizes another to act for him or her in a manner which is a legally binding upon the person giving such authority as if he or she personally were to do the acts that is often limited in the kinds of powers that can be assigned.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="POWATT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22037"/>
            <printName language="en" preferredForLanguage="true" text="special power of attorney"/>
            <code code="SPOWATT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is a marriage partner of the scoping person.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SIGOTHR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19742"/>
            <printName language="en" preferredForLanguage="true" text="spouse"/>
            <code code="SPS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A marriage partner; a husband or wife.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoverageRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18879"/>
            <printName language="en" preferredForLanguage="true" text="spouse"/>
            <code code="SPSE" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A child receiving parental care and nurture from a person who is related to them through marriage to their parent.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoverageRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="18890"/>
            <printName language="en" preferredForLanguage="true" text="step child"/>
            <code code="STEP" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is a son of the scoping person's stepparent.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="BRO"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="STPSIB"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19780"/>
            <printName language="en" preferredForLanguage="true" text="stepbrother"/>
            <code code="STPBRO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is a child of the scoping person's spouse by a previous union.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="CHILD"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11562"/>
            <printName language="en" preferredForLanguage="true" text="step child"/>
            <code code="STPCHLD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is a daughter of the scoping person's spouse by a previous union.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="DAUC"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="STPCHLD"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19762"/>
            <printName language="en" preferredForLanguage="true" text="stepdaughter"/>
            <code code="STPDAU" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is the husband of scoping person's mother and not the scoping person's natural father.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="FTH"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="STPPRN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19768"/>
            <printName language="en" preferredForLanguage="true" text="stepfather"/>
            <code code="STPFTH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is the wife of scoping person's father and not the scoping person's natural mother.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MTH"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="STPPRN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19769"/>
            <printName language="en" preferredForLanguage="true" text="stepmother"/>
            <code code="STPMTH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is the spouse of the scoping person's parent and not the scoping person's natural parent.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="PRN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19767"/>
            <printName language="en" preferredForLanguage="true" text="step parent"/>
            <code code="STPPRN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is a child of the scoping person's stepparent.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SIB"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19779"/>
            <printName language="en" preferredForLanguage="true" text="step sibling"/>
            <code code="STPSIB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is a daughter of the scoping person's stepparent.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SIS"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="STPSIB"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19781"/>
            <printName language="en" preferredForLanguage="true" text="stepsister"/>
            <code code="STPSIS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is a son of the scoping person's spouse by a previous union.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SONC"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="STPCHLD"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19763"/>
            <printName language="en" preferredForLanguage="true" text="stepson"/>
            <code code="STPSON" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Covered party to an insurance policy has coverage through full-time or part-time attendance at a recognized educational institution as defined by a particular insurance policy.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoverageRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21318"/>
            <printName language="en" preferredForLanguage="true" text="student"/>
            <code code="STUD" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10968"/>
            <printName language="en" preferredForLanguage="true" text="Surgery clinic"/>
            <code code="SU" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A party covered under a policy based on association with a sponsor who is the policy holder, and whose association may provide for the eligibility of dependents for coverage</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21953"/>
            <printName language="en" preferredForLanguage="true" text="subscriber"/>
            <code code="SUBSCR" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>(X12N 324500000N)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RTF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10608"/>
            <printName language="en" preferredForLanguage="true"
                       text="Substance use rehabilitation facility"/>
            <printName language="en" preferredForLanguage="false"
                       text="Residential Treatment Facilities; Substance Use Rehabilitation Facility"/>
            <code code="SURF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Third party administrator (TPA) is a payor organization that processes health care claims without carrying insurance risk. Third party administrators are prominent players in the managed care industry and have the expertise and capability to administer all or a portion of the claims process. They are normally contracted by a health insurer or self-insuring companies to administer services, including claims administration, premium collection, enrollment and other administrative activities.</p>
                        <p>Self-insured employers often contract with third party administrator to handle their insurance functions. Insurance companies oftentimes outsource the claims, utilization review or membership functions to a TPA. Sometimes TPAs only manage provider networks, only claims or only utilization review.</p>
                        <p>While some third-party administrators may operate as units of insurance companies, they are often independent. However, hospitals or provider organizations desiring to set up their own health plans will often outsource certain responsibilities to TPAs. TPAs may perform one or several payor functions, specified by the PayorParticipationFunction value set, such as provider management, enrollment, utilization management, and fee for service claims adjudication management.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PayorRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22092"/>
            <printName language="en" preferredForLanguage="true" text="Third party administrator"/>
            <code code="TPA" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10971"/>
            <printName language="en" preferredForLanguage="true" text="Transplant clinic"/>
            <code code="TR" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10972"/>
            <printName language="en" preferredForLanguage="true"
                       text="Travel and geographic medicine clinic"/>
            <code code="TRAVEL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A person who is a member of a tribe.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MemberRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12207"/>
            <printName language="en" preferredForLanguage="true" text="Tribal Member"/>
            <code code="TRB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The scoper and player were carried in the same womb and shared common biological parents.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NSIB"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23607"/>
            <printName language="en" preferredForLanguage="true" text="twin"/>
            <code code="TWIN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The scoper was carried in the same womb as the male player and shares common biological parents.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NBRO"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TWIN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23608"/>
            <printName language="en" preferredForLanguage="true" text="twin brother"/>
            <code code="TWINBRO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The scoper was carried in the same womb as the female player and shares common biological parents.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NSIS"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TWIN"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23609"/>
            <printName language="en" preferredForLanguage="true" text="twin sister"/>
            <code code="TWINSIS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A payor that is responsible for review and case management of health services covered under a policy or program.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PayorRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22094"/>
            <printName language="en" preferredForLanguage="true"
                       text="Utilization management organization"/>
            <code code="UMO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is a brother of the scoping person's mother or father.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="EXT"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19753"/>
            <printName language="en" preferredForLanguage="true" text="uncle"/>
            <code code="UNCLE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A location that plays the role of delivering services which may include: social emergency services required for a young person as required under any jurisdictional youth laws, child placement, and family mediation in the defined geographical area the SDL is responsible for. It may provide expertise in a judiciary setting on child custody, adoption and biological history research.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IncidentalServiceDeliveryLocationRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23234"/>
            <printName language="en" preferredForLanguage="true" text="underage protection center"/>
            <code code="UPC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An individual authorized to raise the classification level of labeled content and provide rationale for doing so as directed by a classification guide.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AgentRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="24124"/>
            <printName language="en" preferredForLanguage="true" text="upgrader"/>
            <code code="UPGRDER" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SU"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10970"/>
            <printName language="en" preferredForLanguage="true" text="Urology clinic"/>
            <code code="URO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A specimen used for periodic calibration checks of instruments</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="Q"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16523"/>
            <printName language="en" preferredForLanguage="true" text="Verifying"/>
            <code code="V" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An entity authorized to validate information for inclusion in a record.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AgentRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23782"/>
            <printName language="en" preferredForLanguage="true" text="validator"/>
            <code code="VALIDATOR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A person playing the role of program eligible under a program based on status as a military veteran.<b>Discussion:</b>This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the persons status as a veteran meets jurisdictional or program criteria.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="MIL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21971"/>
            <printName language="en" preferredForLanguage="true" text="veteran"/>
            <code code="VET" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Cattle raised for veal meat production. Implicit is the husbandry method.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_LivingSubjectProductionClass"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11520"/>
            <printName language="en" preferredForLanguage="true" text="Veal"/>
            <code code="VL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A person, who is a minor or is deemed incompetent, who plays the role of a program eligible where eligibility for coverage is based on meeting program eligibility criteria for status as a ward of a court or jurisdiction.<b>Discussion:</b>This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is a "claimant", "program eligible", a "named insured", an "individual Insured" or a "dependent", and the person's status as a ward meets program or policy criteria. In the case of a ward covered under a program providing financial or health benefits, a governmental agency may take temporary custody of a minor or incompetent for his/her protection and care, e.g., if the ward is suffering from neglect or abuse, or has been in trouble with the law.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_DependentCoveredPartyRoleType"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ProgramEligiblePartyRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21972"/>
            <printName language="en" preferredForLanguage="true" text="ward"/>
            <code code="WARD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The player of the role is a woman joined to a man (scoping person) in marriage.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="SPS"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19744"/>
            <printName language="en" preferredForLanguage="true" text="wife"/>
            <code code="WIFE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Sheep, goats and other mammals raised for their fiber</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_LivingSubjectProductionClass"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11521"/>
            <printName language="en" preferredForLanguage="true" text="Wool"/>
            <code code="WL" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="OF"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10973"/>
            <printName language="en" preferredForLanguage="true" text="Wound clinic"/>
            <code code="WND" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Animals used to perform work</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_LivingSubjectProductionClass"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11522"/>
            <printName language="en" preferredForLanguage="true" text="Working"/>
            <code code="WO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Location where healthcare service was delivered, identified as a work place.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IncidentalServiceDeliveryLocationRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="20845"/>
            <printName language="en" preferredForLanguage="true" text="work site"/>
            <code code="WORK" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A contact role used for business and/or administrative purposes.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ContactRoleType"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="CON" codeSystem="2.16.840.1.113883.5.110"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21119"/>
            <printName language="en" preferredForLanguage="true" text="AdministrativeContactRoleType"/>
            <code code="_AdministrativeContactRoleType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <conceptProperty name="internalId" value="21331"/>
            <printName language="en" preferredForLanguage="true" text="AdministrativeLocationRoleType"/>
            <code code="_AdministrativeLocationRoleType" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Concepts characterizing the type of association formed by player and scoper when there is a recognized Affiliate role by which the two parties are related.</p>
                        <i>Examples:</i>Business Partner, Business Associate, Colleague</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="AFFL" codeSystem="2.16.840.1.113883.5.110"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21489"/>
            <printName language="en" preferredForLanguage="true" text="AffiliationRoleType"/>
            <code code="_AffiliationRoleType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Parties that may or should contribute or have contributed to an Act.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AffiliationRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23767"/>
            <printName language="en" preferredForLanguage="true" text="AgentRoleType"/>
            <code code="_AgentRoleType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A role type that is used to further qualify a non-person subject playing a role where the role class attribute is set to RoleClass AssignedEntity</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AssignedRoleType"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="ASSIGNED" codeSystem="2.16.840.1.113883.5.110"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22155"/>
            <printName language="en" preferredForLanguage="true"
                       text="AssignedNonPersonLivingSubjectRoleType"/>
            <code code="_AssignedNonPersonLivingSubjectRoleType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="ASSIGNED" codeSystem="2.16.840.1.113883.5.110"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21326"/>
            <printName language="en" preferredForLanguage="true" text="AssignedRoleType"/>
            <code code="_AssignedRoleType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Defines types of certifications for all entities</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="QUAL" codeSystem="2.16.840.1.113883.5.110"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21120"/>
            <printName language="en" preferredForLanguage="true" text="CertifiedEntityType"/>
            <code code="_CertifiedEntityType" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A role type used to qualify a person's legal status within a country or nation.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23063"/>
            <printName language="en" preferredForLanguage="true" text="CitizenRoleType"/>
            <code code="_CitizenRoleType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description**A role recognized through the eligibility of a party play a claimant for benefits covered or provided under an insurance policy.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoveredPartyRoleType"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="COVPTY" codeSystem="2.16.840.1.113883.5.110"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21962"/>
            <printName language="en" preferredForLanguage="true" text="ClaimantCoveredPartyRoleType"/>
            <code code="_ClaimantCoveredPartyRoleType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A role of an organization that further classifies the clincial responsibility for the healthcare care delivered during an encounter. E.g. cardiology service, pediatric service, nursing services.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21121"/>
            <printName language="en" preferredForLanguage="true" text="ClinicalOrganizationRoleType"/>
            <code code="_ClinicalOrganizationRoleType" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <conceptProperty name="internalId" value="21330"/>
            <printName language="en" preferredForLanguage="true" text="CommissioningPartyRoleType"/>
            <code code="_CommissioningPartyRoleType" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Types of contact for Role code "CON"</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="CON" codeSystem="2.16.840.1.113883.5.110"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21122"/>
            <printName language="en" preferredForLanguage="true" text="ContactRoleType"/>
            <code code="_ContactRoleType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Role recognized through the issuance of insurance coverage to an identified covered party who has this relationship with the policy holder such as the policy holder themselves (self), spouse, child, etc</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PolicyOrProgramCoverageRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21123"/>
            <printName language="en" preferredForLanguage="true" text="CoverageRoleType"/>
            <code code="_CoverageRoleType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Codes that indicate a specific type of sponsor. Used when the sponsor's role is only either as a fully insured sponsor or only as a self-insured sponsor. NOTE: Where a sponsor may be either, use the SponsorParticipationFunction.code (fully insured or self insured) to indicate the type of responsibility. (CO6-0057)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AffiliationRoleType"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="SPNSR" codeSystem="2.16.840.1.113883.5.110"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22170"/>
            <printName language="en" preferredForLanguage="true" text="CoverageSponsorRoleType"/>
            <code code="_CoverageSponsorRoleType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A role recognized through the eligibility of an identified living subject for benefits covered under an insurance policy or a program. Eligibility as a covered party may be conditioned on a relationship with (1) the policy holder such as the policy holder who is covered as an individual under a poliy or as a party sponsored for coverage by the policy holder.</p>
                        <p>**Example:**An employee as a subscriber; or (2) on being scoped another covered party such as the subscriber, as in the case of a dependent.</p>
                        <b>Discussion:</b>The Abstract Value Set "CoverageRoleType", which was developed for use in the Canadian realm "pre-coordinate" coverage roles with other roles that a covered party must play in order to be eligible for coverage, e.g., "handicapped dependent". Other codes in the Abstract Value Set CoveredPartyRoleType domain can be "post-coordinated" with the EligiblePartyRoleType codes to denote comparable concepts. Decoupling the concepts is intended to support a wider range of concepts and semantic comparability of coded concepts.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PolicyOrProgramCoverageRoleType"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="COVPTY" codeSystem="2.16.840.1.113883.5.110"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21948"/>
            <printName language="en" preferredForLanguage="true" text="covered party role type"/>
            <code code="_CoveredPartyRoleType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A role of a place that further classifies the clinical setting (e.g., cardiology clinic, primary care clinic, rehabilitation hospital, skilled nursing facility) in which care is delivered during an encounter.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_DedicatedServiceDeliveryLocationRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21124"/>
            <printName language="en" preferredForLanguage="true"
                       text="DedicatedClinicalLocationRoleType"/>
            <code code="_DedicatedClinicalLocationRoleType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A role of a place that further classifies a setting that is intended to house the provision of non-clinical services.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_DedicatedServiceDeliveryLocationRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21125"/>
            <printName language="en" preferredForLanguage="true"
                       text="DedicatedNonClinicalLocationRoleType"/>
            <code code="_DedicatedNonClinicalLocationRoleType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A role of a place that further classifies a setting that is intended to house the provision of services.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ServiceDeliveryLocationRoleType"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="DSDLOC" codeSystem="2.16.840.1.113883.5.110"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21126"/>
            <printName language="en" preferredForLanguage="true"
                       text="DedicatedServiceDeliveryLocationRoleType"/>
            <code code="_DedicatedServiceDeliveryLocationRoleType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A role recognized through the eligibility of a party to play a dependent for benefits covered or provided under a health insurance policy because of an association with the subscriber that is recognized by the policy underwriter.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoveredPartyRoleType"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="COVPTY" codeSystem="2.16.840.1.113883.5.110"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21975"/>
            <printName language="en" preferredForLanguage="true" text="DependentCoveredPartyRoleType"/>
            <code code="_DependentCoveredPartyRoleType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Indicates the type of person that is responsible for operating the device related to the incident reported in ICSR.</p>
                        <p>Examples include: Physician, Nurse, Medical Technician, Respiratory Technician.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21409"/>
            <printName language="en" preferredForLanguage="true" text="DeviceOperatorType"/>
            <code code="_DeviceOperatorType" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <conceptProperty name="internalId" value="21328"/>
            <printName language="en" preferredForLanguage="true" text="EmployeeRoleType"/>
            <code code="_EmployeeRoleType" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <conceptProperty name="internalId" value="21325"/>
            <printName language="en" preferredForLanguage="true" text="HealthcareProviderRoleType"/>
            <code code="_HealthcareProviderRoleType" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Definition:</b>A code representing the type of identifier that has been assigned to the identified entity (IDENT).<b>Examples:</b>Example values include Social Insurance Number, Product Catalog ID, Product Model Number.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22400"/>
            <printName language="en" preferredForLanguage="true" text="IdentifiedEntityType"/>
            <code code="_IdentifiedEntityType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ServiceDeliveryLocationRoleType"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="ISDLOC" codeSystem="2.16.840.1.113883.5.110"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21127"/>
            <printName language="en" preferredForLanguage="true"
                       text="IncidentalServiceDeliveryLocationRoleType"/>
            <code code="_IncidentalServiceDeliveryLocationRoleType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A role recognized through the eligibility of a party to play an individual insured for benefits covered or provided under an insurance policy where the party is also the policy holder.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoveredPartyRoleType"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="COVPTY" codeSystem="2.16.840.1.113883.5.110"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21973"/>
            <printName language="en" preferredForLanguage="true" text="IndividualInsuredPartyRoleType"/>
            <code code="_IndividualInsuredPartyRoleType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <conceptProperty name="internalId" value="21324"/>
            <printName language="en" preferredForLanguage="true" text="LicensedRoleType"/>
            <code code="_LicensedRoleType" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Code indicating the primary use for which a living subject is bred or grown</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21128"/>
            <printName language="en" preferredForLanguage="true" text="LivingSubjectProductionClass"/>
            <code code="_LivingSubjectProductionClass" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Describes types of identifiers other than the primary location registry identifier for a service delivery location. Identifiers may be assigned by a local service delivery organization, a formal body capable of accrediting the location for the capability to provide specific services or the identifier may be assigned at a jurisdictional level.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IdentifiedEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23294"/>
            <printName language="en" preferredForLanguage="true"
                       text="LocationIdentifiedEntityRoleCode"/>
            <code code="_LocationIdentifiedEntityRoleCode" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Identifies the specific hierarchical relationship between the playing and scoping medications.</p>
                        <i>Examples:</i>Generic, Generic Formulation, Therapeutic Class, etc.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="GEN" codeSystem="2.16.840.1.113883.5.110"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21532"/>
            <printName language="en" preferredForLanguage="true"
                       text="MedicationGeneralizationRoleType"/>
            <code code="_MedicationGeneralizationRoleType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Types of membership for Role code "MBR"</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="MBR" codeSystem="2.16.840.1.113883.5.110"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21129"/>
            <printName language="en" preferredForLanguage="true" text="MemberRoleType"/>
            <code code="_MemberRoleType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>NDC Regulated Drug Entity Type</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21130"/>
            <printName language="en" preferredForLanguage="true" text="NDCRelatedDrugEntityType"/>
            <code code="_NDCRelatedDrugEntityType" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <conceptProperty name="internalId" value="21329"/>
            <printName language="en" preferredForLanguage="true" text="OrganizationPartRoleType"/>
            <code code="_OrganizationPartRoleType" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**PayorRoleType for a particular type of policy or program benefit package or plan where more detail about the coverage administration role of the Payor is required. The functions performed by a Payor qualified by a PayorRoleType may be specified by the PayorParticpationFunction value set.</p>
                        <p>**Examples:**A Payor that is a TPA may administer a managed care plan without underwriting the risk.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AffiliationRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22091"/>
            <printName language="en" preferredForLanguage="true" text="PayorRoleType"/>
            <code code="_PayorRoleType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="PRS" codeSystem="2.16.840.1.113883.5.110"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21131"/>
            <printName language="en" preferredForLanguage="true" text="PersonalRelationshipRoleType"/>
            <code code="_PersonalRelationshipRoleType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A role recognized through the eligibility of an identified party for benefits covered under an insurance policy or a program based on meeting eligibility criteria.<p>Eligibility as a covered party may be conditioned on the party meeting criteria to qualify for coverage under a policy or program, which may be mandated by law. These criteria may be:</p>
                        <ul>
                           <li>
                              <p>The sole basis for coverage, e.g., being differently abled may qualify a person for disability coverage</p>
                           </li>
                           <li>
                              <p>May more fully qualify a covered party role e.g, being differently abled may qualify an adult child as a dependent</p>
                           </li>
                           <li>
                              <p>May impact the level of coverage for a covered party under a policy or program, e.g., being differently abled may qualify a program eligible for additional benefits.</p>
                           </li>
                        </ul>
                        <b>Discussion:</b>The Abstract Value Set "CoverageRoleType", which was developed for use in the Canadian realm "pre-coordinate" coverage roles with other roles that a covered party must play in order to be eligible for coverage, e.g., "handicapped dependent". These role.codes may only be used with COVPTY to avoid overlapping concepts that would result from using them to specify the specializations of COVPTY, e.g., the role.class DEPEN should not be used with the role.code family dependent because that relationship has overlapping concepts due to the role.code precoodination and is conveyed in FICO with the personal relationship role that has a PART role link to the covered party role. For the same reasons, the role.class DEPEN should not be used with the role.code HANDIC (handicapped dependent); the role.code DIFFABLE (differently abled) should be used instead.<p>In summary, the coded concepts in the Abstract Value Set "CoveredPartyRoleType" can be "post-coordinated" with the "RoleClassCoveredParty" Abstract Value Set. Decoupling these concepts is intended to support an expansive range of covered party concepts and their semantic comparability.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21961"/>
            <printName language="en" preferredForLanguage="true"
                       text="PolicyOrProgramCoverageRoleType"/>
            <code code="_PolicyOrProgramCoverageRoleType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Defines types of certifications for practitioners</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CertifiedEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21132"/>
            <printName language="en" preferredForLanguage="true"
                       text="PractitionerCertifiedEntityType"/>
            <code code="_PractitionerCertifiedEntityType" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Indicates the role that an organization takes in the process by which a product goes from an original manufacturer to the eventual consumer.<p>**Examples:**Manufacturer, re-processor</p>
                        <p>**Note:**These two values are currently used in adverse event and product problem reporting.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22080"/>
            <printName language="en" preferredForLanguage="true"
                       text="ProductProcessingOrganizationRoleType"/>
            <code code="_ProductProcessingOrganizationRoleType" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**Captures the different roles that are recorded to characterize the qualifications or stations in life of persons or organizations who participate as senders or as receivers of adverse event or product problem reports.</p>
                        <p>**Example:**Example values may include: physician, healthcare facility, attorney, family member, regulatory agency. Initial effort to find defined concepts for this value set will focus on the HIPAA provider taxonomy.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22045"/>
            <printName language="en" preferredForLanguage="true"
                       text="ProductSafetyReportPartyRoleType"/>
            <code code="_ProductSafetyReportPartyRoleType" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A role recognized through the eligibility of a party to play a program eligible for benefits covered or provided under a program.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoveredPartyRoleType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21963"/>
            <printName language="en" preferredForLanguage="true" text="ProgramEligiblePartyRoleType"/>
            <code code="_ProgramEligiblePartyRoleType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <conceptProperty name="internalId" value="21327"/>
            <printName language="en" preferredForLanguage="true" text="QualifiedRoleType"/>
            <code code="_QualifiedRoleType" status="retired"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Specifies the administrative functionality within a formal experimental design for which the ResearchSubject role was established. Examples: screening - role is used for pre-enrollment evaluation portion of the design; enrolled - role is used for subjects admitted to the active treatment portion of the design.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="RESBJ" codeSystem="2.16.840.1.113883.5.110"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21133"/>
            <printName language="en" preferredForLanguage="true" text="ResearchSubjectRoleBasis"/>
            <code code="_ResearchSubjectRoleBasis" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A role of a place that further classifies the setting (e.g., accident site, road side, work site, community location) in which services are delivered.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="SDLOC" codeSystem="2.16.840.1.113883.5.110"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21134"/>
            <printName language="en" preferredForLanguage="true"
                       text="ServiceDeliveryLocationRoleType"/>
            <code code="_ServiceDeliveryLocationRoleType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="SPEC" codeSystem="2.16.840.1.113883.5.110"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21135"/>
            <printName language="en" preferredForLanguage="true" text="SpecimenRoleType"/>
            <code code="_SpecimenRoleType" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A role recognized through the eligibility of a party to play a subscriber for benefits covered or provided under a health insurance policy.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CoveredPartyRoleType"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="ClassifiesClassCode">
               <targetConcept code="COVPTY" codeSystem="2.16.840.1.113883.5.110"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21974"/>
            <printName language="en" preferredForLanguage="true" text="SubscriberCoveredPartyRoleType"/>
            <code code="_SubscriberCoveredPartyRoleType" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="21580"/>
            <printName language="en" preferredForLanguage="true" text="Community Laboratory"/>
            <code code="communityLaboratory" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="21581"/>
            <printName language="en" preferredForLanguage="true" text="Home Health"/>
            <code code="homeHealth" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="21576"/>
            <printName language="en" preferredForLanguage="true" text="Laboratory"/>
            <code code="laboratory" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="21578"/>
            <printName language="en" preferredForLanguage="true" text="Pathologist"/>
            <code code="pathologist" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="21577"/>
            <printName language="en" preferredForLanguage="true" text="Phlebotomist"/>
            <code code="phlebotomist" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="21579"/>
            <printName language="en" preferredForLanguage="true" text="Self"/>
            <code code="subject" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="21582"/>
            <printName language="en" preferredForLanguage="true" text="Third Party"/>
            <code code="thirdParty" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="RoleLinkStatus" title="RoleLinkStatus"
               codeSystemId="2.16.840.1.113883.5.1137">
      <historyItem dateTime="2020-05-06" id="v3-RoleLinkStatus-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**Codes representing possible states of a RoleLink, as defined by the RoleLink class state machine.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The state indicates the RoleLink is in progress.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NORMAL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23255"/>
            <printName language="en" preferredForLanguage="true" text="active"/>
            <code code="ACTIVE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The terminal state resulting from abandoning the RoleLink prior to or after activation.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NORMAL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23256"/>
            <printName language="en" preferredForLanguage="true" text="cancelled"/>
            <code code="CANCELLED" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The terminal state representing the successful completion of the RoleLink.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NORMAL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23257"/>
            <printName language="en" preferredForLanguage="true" text="completed"/>
            <code code="COMPLETED" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The 'typical' state. Excludes "nullified" which represents the termination state of a RoleLink instance that was created in error.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23254"/>
            <printName language="en" preferredForLanguage="true" text="normal"/>
            <code code="NORMAL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The state representing the termination of a RoleLink instance that was created in error.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23259"/>
            <printName language="en" preferredForLanguage="true" text="nullified"/>
            <code code="NULLIFIED" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The state indicates the RoleLink has not yet become active.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NORMAL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23258"/>
            <printName language="en" preferredForLanguage="true" text="pending"/>
            <code code="PENDING" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="RoleLinkType" title="RoleLinkType" codeSystemId="2.16.840.1.113883.5.107">
      <historyItem dateTime="2020-05-06" id="v3-RoleLinkType-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A code specifying the meaning and purpose of every RoleLink instance. Each of its values implies specific constraints to what kinds of Role objects can be related and in which way.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="Name:Role:inboundLink:RoleLink" type="Token"
                                   isMandatoryIndicator="false">
            <description>Name of inboundLink relationship from Role to RoleLink</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="Name:Role:outboundLink:RoleLink" type="Token"
                                   isMandatoryIndicator="false">
            <description>Name of outboundLink relationship from Role to RoleLink</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="Sort:Role:inboundLink:RoleLink" type="Token"
                                   isMandatoryIndicator="false">
            <description>Sort key for inboundLink relationship from Role to RoleLink</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="Sort:Role:outboundLink:RoleLink" type="Token"
                                   isMandatoryIndicator="false">
            <description>Sort key for outboundLink relationship from Role to RoleLink</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This relationship indicates the source Role is available to the target Role as a backup. An entity in a backup role will be available as a substitute or replacement in the event that the entity assigned the role is unavailable. In medical roles where it is critical that the function be performed and there is a possibility that the individual assigned may be ill or otherwise indisposed, another individual is assigned to cover for the individual originally assigned the role. A backup may be required to be identified, but unless the backup is actually used, he/she would not assume the assigned entity role.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="REL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21302"/>
            <conceptProperty name="Name:Role:inboundLink:RoleLink" value="backup"/>
            <conceptProperty name="Name:Role:outboundLink:RoleLink" value="backupFor"/>
            <conceptProperty name="Sort:Role:inboundLink:RoleLink" value="AE_______"/>
            <conceptProperty name="Sort:Role:outboundLink:RoleLink" value="AE_______"/>
            <printName language="en" preferredForLanguage="true" text="is backup for"/>
            <code code="BACKUP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This relationship indicates the target Role provides or receives information regarding the target role. For example, AssignedEntity is a contact for a ServiceDeliveryLocation.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="REL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="23100"/>
            <conceptProperty name="Name:Role:inboundLink:RoleLink" value="contactFor"/>
            <conceptProperty name="Name:Role:outboundLink:RoleLink" value="contact"/>
            <conceptProperty name="Sort:Role:inboundLink:RoleLink" value="AF_______"/>
            <conceptProperty name="Sort:Role:outboundLink:RoleLink" value="AF_______"/>
            <printName language="en" preferredForLanguage="true" text="has contact"/>
            <code code="CONT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The source Role has direct authority over the target role in a chain of authority.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="REL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11605"/>
            <conceptProperty name="Name:Role:inboundLink:RoleLink" value="directAuthority"/>
            <conceptProperty name="Name:Role:outboundLink:RoleLink" value="directAuthorityOver"/>
            <conceptProperty name="Sort:Role:inboundLink:RoleLink" value="AA_______"/>
            <conceptProperty name="Sort:Role:outboundLink:RoleLink" value="AA_______"/>
            <printName language="en" preferredForLanguage="true" text="has direct authority over"/>
            <code code="DIRAUTH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>The source role provides identification for the target role. The source role must be IDENT. The player entity of the source role is constrained to be the same as (i.e. the equivalent of, or equal to) the player of the target role if present. If the player is absent from the source role, then it is assumed to be the same as the player of the target role.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="REL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22184"/>
            <printName language="en" preferredForLanguage="true" text="Identification"/>
            <code code="IDENT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The source Role has indirect authority over the target role in a chain of authority.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="REL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11606"/>
            <conceptProperty name="Name:Role:inboundLink:RoleLink" value="indirectAuthority"/>
            <conceptProperty name="Name:Role:outboundLink:RoleLink" value="indirectAuthorithyOver"/>
            <conceptProperty name="Sort:Role:inboundLink:RoleLink" value="AB_______"/>
            <conceptProperty name="Sort:Role:outboundLink:RoleLink" value="AB_______"/>
            <printName language="en" preferredForLanguage="true" text="has indirect authority over"/>
            <code code="INDAUTH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The target Role is part of the Source Role.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="REL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11604"/>
            <conceptProperty name="Name:Role:inboundLink:RoleLink" value="partOf"/>
            <conceptProperty name="Name:Role:outboundLink:RoleLink" value="part"/>
            <conceptProperty name="Sort:Role:inboundLink:RoleLink" value="AC_______"/>
            <conceptProperty name="Sort:Role:outboundLink:RoleLink" value="AC_______"/>
            <printName language="en" preferredForLanguage="true" text="has part"/>
            <code code="PART" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An action taken with respect to a subject Entity by a regulatory or authoritative body with supervisory capacity over that entity. The action is taken in response to behavior by the subject Entity that body finds to be undesirable.</p>
                        <p>Suspension, license restrictions, monetary fine, letter of reprimand, mandated training, mandated supervision, etc.*Examples:*</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21429"/>
            <conceptProperty name="Name:Role:inboundLink:RoleLink" value="related"/>
            <conceptProperty name="Name:Role:outboundLink:RoleLink" value="relatedTo"/>
            <conceptProperty name="Sort:Role:inboundLink:RoleLink" value="A________"/>
            <conceptProperty name="Sort:Role:outboundLink:RoleLink" value="A________"/>
            <printName language="en" preferredForLanguage="true" text="related"/>
            <code code="REL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>This relationship indicates that the source Role replaces (or subsumes) the target Role. Allows for new identifiers and/or new effective time for a registry entry or a certification, etc.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="REL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="15952"/>
            <conceptProperty name="Name:Role:inboundLink:RoleLink" value="replacedBy"/>
            <conceptProperty name="Name:Role:outboundLink:RoleLink" value="replacementOf"/>
            <conceptProperty name="Sort:Role:inboundLink:RoleLink" value="AD_______"/>
            <conceptProperty name="Sort:Role:outboundLink:RoleLink" value="AD_______"/>
            <printName language="en" preferredForLanguage="true" text="replaces"/>
            <code code="REPL" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="RoleStatus" title="RoleStatus" codeSystemId="2.16.840.1.113883.5.1068">
      <historyItem dateTime="2020-05-06" id="v3-RoleStatus-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Codes representing the defined possible states of an Role, as defined by the Role class state machine.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The state representing the fact that the Entity is currently active in the Role.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="normal"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16001"/>
            <printName language="en" preferredForLanguage="true" text="active"/>
            <code code="active" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The terminal state resulting from cancellation of the role prior to activation.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="normal"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21306"/>
            <printName language="en" preferredForLanguage="true" text="cancelled"/>
            <code code="cancelled" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The 'typical' state. Excludes "nullified" which represents the termination state of a Role instance that was created in error.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="16000"/>
            <printName language="en" preferredForLanguage="true" text="normal"/>
            <code code="normal" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The state representing the termination of a Role instance that was created in error.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="16004"/>
            <printName language="en" preferredForLanguage="true" text="nullified"/>
            <code code="nullified" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The state representing that fact that the role has not yet become active.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="normal"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21305"/>
            <printName language="en" preferredForLanguage="true" text="pending"/>
            <code code="pending" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The state that represents a suspension of the Entity playing the Role. This state is arrived at from the "active" state.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="normal"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16002"/>
            <printName language="en" preferredForLanguage="true" text="suspended"/>
            <code code="suspended" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The state representing the successful termination of the Role.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="normal"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16003"/>
            <printName language="en" preferredForLanguage="true" text="terminated"/>
            <code code="terminated" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="RouteOfAdministration" title="RouteOfAdministration"
               codeSystemId="2.16.840.1.113883.5.112">
      <historyItem dateTime="2020-05-06" id="v3-RouteOfAdministration-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The path the administered medication takes to get into the body or into contact with the body.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired..</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="synonymCode" type="Token" isMandatoryIndicator="false">
            <description>An additional concept code that was also attributed to a concept</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, amniotic fluid</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_AmnioticFluidSacRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_EndocervicalRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14629"/>
            <printName language="en" preferredForLanguage="true" text="Injection, amniotic fluid"/>
            <code code="AMNINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, biliary tract</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_BiliaryRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_EndocervicalRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14630"/>
            <printName language="en" preferredForLanguage="true" text="Injection, biliary tract"/>
            <code code="BILINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, urinary bladder</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_UrinaryBladderRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14686"/>
            <printName language="en" preferredForLanguage="true" text="Injection, urinary bladder"/>
            <code code="BLADINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Instillation, urinary catheter</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Instillation"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_UrinaryTractRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14719"/>
            <printName language="en" preferredForLanguage="true" text="Instillation, urinary catheter"/>
            <code code="BLADINSTL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Irrigation, urinary bladder</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Irrigation"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_UrinaryBladderRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14725"/>
            <printName language="en" preferredForLanguage="true" text="Irrigation, urinary bladder"/>
            <code code="BLADIRR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Irrigation, urinary bladder, continuous</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="BLADIRR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14726"/>
            <printName language="en" preferredForLanguage="true"
                       text="Irrigation, urinary bladder, continuous"/>
            <code code="BLADIRRC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Irrigation, urinary bladder, tidal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="BLADIRR"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14727"/>
            <printName language="en" preferredForLanguage="true"
                       text="Irrigation, urinary bladder, tidal"/>
            <code code="BLADIRRT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Topical application, buccal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_BuccalMucosaRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TopicalApplication"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14740"/>
            <printName language="en" preferredForLanguage="true" text="Topical application, buccal"/>
            <code code="BUC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Instillation, continuous ambulatory peritoneal dialysis port</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Instillation"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntraperitonealRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14699"/>
            <printName language="en" preferredForLanguage="true"
                       text="Instillation, continuous ambulatory peritoneal dialysis port"/>
            <code code="CAPDINSTL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Instillation, cecostomy</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CecostomyRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Instillation"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14697"/>
            <printName language="en" preferredForLanguage="true" text="Instillation, cecostomy"/>
            <code code="CECINSTL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Topical application, cervical</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CervicalRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TopicalApplication"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14741"/>
            <printName language="en" preferredForLanguage="true" text="Topical application, cervical"/>
            <code code="CERV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, cervical</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CervicalRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14631"/>
            <printName language="en" preferredForLanguage="true" text="Injection, cervical"/>
            <code code="CERVINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Insertion, cervical (uterine)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CervicalRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Insertion"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14688"/>
            <printName language="en" preferredForLanguage="true" text="Insertion, cervical (uterine)"/>
            <code code="CERVINS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Chew, oral</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Chew"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_OralRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14583"/>
            <printName language="en" preferredForLanguage="true" text="Chew, oral"/>
            <code code="CHEW" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, for cholangiography</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_BiliaryRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14634"/>
            <printName language="en" preferredForLanguage="true" text="Injection, for cholangiography"/>
            <code code="CHOLINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Instillation, chest tube</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Instillation"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntrapleuralRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14698"/>
            <printName language="en" preferredForLanguage="true" text="Instillation, chest tube"/>
            <code code="CTINSTL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Topical application, dental</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CervicalRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TopicalApplication"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14742"/>
            <printName language="en" preferredForLanguage="true" text="Topical application, dental"/>
            <code code="DEN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Rinse, dental</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_CervicalRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Rinse"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14731"/>
            <printName language="en" preferredForLanguage="true" text="Rinse, dental"/>
            <code code="DENRINSE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Dissolve, oral</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Dissolve"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_OralRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14587"/>
            <printName language="en" preferredForLanguage="true" text="Dissolve, oral"/>
            <code code="DISSOLVE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Douche, vaginal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Douche"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_VaginalRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14590"/>
            <printName language="en" preferredForLanguage="true" text="Douche, vaginal"/>
            <code code="DOUCHE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Topical application, soaked dressing</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_BodySurfaceRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TopicalApplication"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14756"/>
            <printName language="en" preferredForLanguage="true"
                       text="Topical application, soaked dressing"/>
            <code code="DRESS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Instillation, enteral feeding tube</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_EnteralRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Instillation"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14702"/>
            <printName language="en" preferredForLanguage="true"
                       text="Instillation, enteral feeding tube"/>
            <code code="EFT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Electro-osmosis</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_BodySurfaceRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ElectroOsmosisRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16932"/>
            <printName language="en" preferredForLanguage="true" text="Electro-osmosis"/>
            <code code="ELECTOSMOS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, endosinusial</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SinusUnspecifiedRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16939"/>
            <printName language="en" preferredForLanguage="true" text="Injection, endosinusial"/>
            <code code="ENDOSININJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Enema, rectal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Enema"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RectalRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14592"/>
            <printName language="en" preferredForLanguage="true" text="Enema, rectal"/>
            <code code="ENEMA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Instillation, enteral</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_EnteralRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Instillation"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14701"/>
            <printName language="en" preferredForLanguage="true" text="Instillation, enteral"/>
            <code code="ENTINSTL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Infusion, epidural</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_EpiduralRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Infusion"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14603"/>
            <printName language="en" preferredForLanguage="true" text="Infusion, epidural"/>
            <code code="EPI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, epidural</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_EpiduralRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16940"/>
            <printName language="en" preferredForLanguage="true" text="Injection, epidural"/>
            <code code="EPIDURINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, epidural, push</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_EpiduralRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14632"/>
            <printName language="en" preferredForLanguage="true" text="Injection, epidural, push"/>
            <code code="EPIINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, epidural, slow push</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_EpiduralRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14633"/>
            <printName language="en" preferredForLanguage="true" text="Injection, epidural, slow push"/>
            <code code="EPINJSP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Instillation, endotracheal tube</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Instillation"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PulmonaryRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14700"/>
            <printName language="en" preferredForLanguage="true"
                       text="Instillation, endotracheal tube"/>
            <code code="ETINSTL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Nebulization, endotracheal tube</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Nebulization"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PulmonaryRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14729"/>
            <printName language="en" preferredForLanguage="true"
                       text="Nebulization, endotracheal tube"/>
            <code code="ETNEB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Diffusion, extracorporeal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Diffusion"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ExtracorporealCirculationRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19401"/>
            <printName language="en" preferredForLanguage="true" text="Diffusion, extracorporeal"/>
            <code code="EXTCORPDIF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, extracorporeal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ExtracorporealCirculationRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntrapulmonaryRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="19400"/>
            <printName language="en" preferredForLanguage="true" text="Injection, extracorporeal"/>
            <code code="EXTCORPINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, extra-amniotic</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ExtraAmnioticRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16941"/>
            <printName language="en" preferredForLanguage="true" text="Injection, extra-amniotic"/>
            <code code="EXTRAMNINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Gargle</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_OromucosalRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RouteByMethod"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14596"/>
            <printName language="en" preferredForLanguage="true" text="Gargle"/>
            <code code="GARGLE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, gastric button</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_GastricRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14635"/>
            <printName language="en" preferredForLanguage="true" text="Injection, gastric button"/>
            <code code="GBINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Topical application, gingival</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_GingivalRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TopicalApplication"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14743"/>
            <printName language="en" preferredForLanguage="true" text="Topical application, gingival"/>
            <code code="GIN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, gingival</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_GingivalRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14636"/>
            <printName language="en" preferredForLanguage="true" text="Injection, gingival"/>
            <code code="GINGINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Instillation, gastro-jejunostomy tube</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Instillation"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_JejunumRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14703"/>
            <printName language="en" preferredForLanguage="true"
                       text="Instillation, gastro-jejunostomy tube"/>
            <code code="GJT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Instillation, gastrostomy tube</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_GastricRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Instillation"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14704"/>
            <printName language="en" preferredForLanguage="true" text="Instillation, gastrostomy tube"/>
            <code code="GT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Irrigation, genitourinary</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_GenitourinaryRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Irrigation"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14722"/>
            <printName language="en" preferredForLanguage="true" text="Irrigation, genitourinary"/>
            <code code="GUIRR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Topical application, hair</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HairRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TopicalApplication"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14744"/>
            <printName language="en" preferredForLanguage="true" text="Topical application, hair"/>
            <code code="HAIR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Diffusion, hemodialysis</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Diffusion"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntravascularRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14585"/>
            <printName language="en" preferredForLanguage="true" text="Diffusion, hemodialysis"/>
            <code code="HEMODIFF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, hemodialysis port</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntravascularRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14637"/>
            <printName language="en" preferredForLanguage="true" text="Injection, hemodialysis port"/>
            <code code="HEMOPORT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Infusion, intraarterial catheter</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Infusion"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntraarterialRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14604"/>
            <printName language="en" preferredForLanguage="true"
                       text="Infusion, intraarterial catheter"/>
            <code code="IA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intra-abdominal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntraabdominalRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16944"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intra-abdominal"/>
            <code code="IABDINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intraarterial</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntraarterialRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14639"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intraarterial"/>
            <code code="IAINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intraarterial, push</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="IAINJ"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14640"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intraarterial, push"/>
            <code code="IAINJP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intraarterial, slow push</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="IAINJ"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14641"/>
            <printName language="en" preferredForLanguage="true"
                       text="Injection, intraarterial, slow push"/>
            <code code="IAINJSP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intraarticular</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntraarticularRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14642"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intraarticular"/>
            <code code="IARTINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Instillation, intrabronchial</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Instillation"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntrabronchialRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16977"/>
            <printName language="en" preferredForLanguage="true" text="Instillation, intrabronchial"/>
            <code code="IBRONCHINSTIL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intrabursal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntrabursalRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14643"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intrabursal"/>
            <code code="IBURSINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Infusion, intracardiac</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Infusion"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntracardiacRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14605"/>
            <printName language="en" preferredForLanguage="true" text="Infusion, intracardiac"/>
            <code code="IC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intracardiac</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntracardiacRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14644"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intracardiac"/>
            <code code="ICARDINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intracardiac, rapid push</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ICARDINJ"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14646"/>
            <printName language="en" preferredForLanguage="true"
                       text="Injection, intracardiac, rapid push"/>
            <code code="ICARDINJRP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intracardiac, slow push</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ICARDINJ"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14647"/>
            <printName language="en" preferredForLanguage="true"
                       text="Injection, intracardiac, slow push"/>
            <code code="ICARDINJSP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intracardiac, push</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ICARDINJ"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14645"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intracardiac, push"/>
            <code code="ICARINJP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intracartilaginous</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntracartilaginousRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16945"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intracartilaginous"/>
            <code code="ICARTINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intracaudal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntracaudalRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16946"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intracaudal"/>
            <code code="ICAUDINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intracavernous</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntracavernosalRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14648"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intracavernous"/>
            <code code="ICAVINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intracavitary</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntracavitaryRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16947"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intracavitary"/>
            <code code="ICAVITINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intracerebral</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntracerebralRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16948"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intracerebral"/>
            <code code="ICEREBINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intracisternal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntracisternalRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16949"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intracisternal"/>
            <code code="ICISTERNINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Infusion, intracoronary</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Infusion"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntracoronaryRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14606"/>
            <printName language="en" preferredForLanguage="true" text="Infusion, intracoronary"/>
            <code code="ICOR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Topical application, intracorneal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntracornealRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TopicalApplication"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17008"/>
            <printName language="en" preferredForLanguage="true"
                       text="Topical application, intracorneal"/>
            <code code="ICORNTA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intracoronary</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntracoronaryRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14650"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intracoronary"/>
            <code code="ICORONINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intracoronary, push</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ICORONINJ"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14651"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intracoronary, push"/>
            <code code="ICORONINJP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Topical application, intracoronal (dental)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntracoronalRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TopicalApplication"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17009"/>
            <printName language="en" preferredForLanguage="true"
                       text="Topical application, intracoronal (dental)"/>
            <code code="ICORONTA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intracorpus cavernosum</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntracorpusCavernosumRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16950"/>
            <printName language="en" preferredForLanguage="true"
                       text="Injection, intracorpus cavernosum"/>
            <code code="ICORPCAVINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Implantation, intradermal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Implantation"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntradermalRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14599"/>
            <printName language="en" preferredForLanguage="true" text="Implantation, intradermal"/>
            <code code="IDIMPLNT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intradermal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntradermalRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14652"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intradermal"/>
            <code code="IDINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intradiscal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntradiscalRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14653"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intradiscal"/>
            <code code="IDISCINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Mucosal absorption, intraduodenal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntraduodenalRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MucosalAbsorptionRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16999"/>
            <printName language="en" preferredForLanguage="true"
                       text="Mucosal absorption, intraduodenal"/>
            <code code="IDOUDMAB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intraductal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntraductalRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16951"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intraductal"/>
            <code code="IDUCTINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Instillation, intraduodenal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Instillation"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntraduodenalRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16978"/>
            <printName language="en" preferredForLanguage="true" text="Instillation, intraduodenal"/>
            <code code="IDUODINSTIL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intradural</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntraduralRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16952"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intradural"/>
            <code code="IDURINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intraepidermal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntraepidermalRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16953"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intraepidermal"/>
            <code code="IEPIDINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intraepithelial</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntraepithelialRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14654"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intraepithelial"/>
            <code code="IEPITHINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Instillation, intraesophageal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Instillation"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntraesophagealRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16979"/>
            <printName language="en" preferredForLanguage="true" text="Instillation, intraesophageal"/>
            <code code="IESOPHINSTIL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Topical application, intraesophageal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntraesophagealRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TopicalApplication"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17010"/>
            <printName language="en" preferredForLanguage="true"
                       text="Topical application, intraesophageal"/>
            <code code="IESOPHTA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Instillation, intragastric</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Instillation"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntragastricRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16980"/>
            <printName language="en" preferredForLanguage="true" text="Instillation, intragastric"/>
            <code code="IGASTINSTIL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Irrigation, intragastric</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntragastricRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Irrigation"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16993"/>
            <printName language="en" preferredForLanguage="true" text="Irrigation, intragastric"/>
            <code code="IGASTIRR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Lavage, intragastric</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntragastricRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_LavageRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16996"/>
            <printName language="en" preferredForLanguage="true" text="Lavage, intragastric"/>
            <code code="IGASTLAV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Instillation, intraileal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Instillation"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntrailealRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16981"/>
            <printName language="en" preferredForLanguage="true" text="Instillation, intraileal"/>
            <code code="IILEALINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Topical application, intraileal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntrailealRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TopicalApplication"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17011"/>
            <printName language="en" preferredForLanguage="true"
                       text="Topical application, intraileal"/>
            <code code="IILEALTA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intralesional</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntralesionalRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14655"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intralesional"/>
            <code code="ILESINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Irrigation, intralesional</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntralesionalRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Irrigation"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14723"/>
            <printName language="en" preferredForLanguage="true" text="Irrigation, intralesional"/>
            <code code="ILESIRR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Topical application, intralesional</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntralesionalRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TopicalApplication"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14745"/>
            <printName language="en" preferredForLanguage="true"
                       text="Topical application, intralesional"/>
            <code code="ILTOP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intraluminal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntraluminalRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16954"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intraluminal"/>
            <code code="ILUMINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Topical application, intraluminal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntraluminalRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TopicalApplication"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17012"/>
            <printName language="en" preferredForLanguage="true"
                       text="Topical application, intraluminal"/>
            <code code="ILUMTA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intralymphatic</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntralymphaticRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14656"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intralymphatic"/>
            <code code="ILYMPJINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intramuscular</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntramuscularRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14657"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intramuscular"/>
            <code code="IM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intramuscular, deep</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="IM"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14658"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intramuscular, deep"/>
            <code code="IMD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intramedullary</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntramedullaryRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16955"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intramedullary"/>
            <code code="IMEDULINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intramuscular, z track</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="IM"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14659"/>
            <printName language="en" preferredForLanguage="true"
                       text="Injection, intramuscular, z track"/>
            <code code="IMZ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Insufflation</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RouteByMethod"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14720"/>
            <printName language="en" preferredForLanguage="true" text="Insufflation"/>
            <code code="INSUF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, interameningeal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InterameningealRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16942"/>
            <printName language="en" preferredForLanguage="true" text="Injection, interameningeal"/>
            <code code="INTERMENINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, interstitial</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_InterstitialRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16943"/>
            <printName language="en" preferredForLanguage="true" text="Injection, interstitial"/>
            <code code="INTERSTITINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intraocular</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntraocularRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14660"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intraocular"/>
            <code code="IOINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Instillation, intraocular</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Instillation"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntraocularRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14705"/>
            <printName language="en" preferredForLanguage="true" text="Instillation, intraocular"/>
            <code code="IOINSTL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Irrigation, intraocular</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntraocularRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Irrigation"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14724"/>
            <printName language="en" preferredForLanguage="true" text="Irrigation, intraocular"/>
            <code code="IOIRR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Topical application, iontophoresis</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_BodySurfaceRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IontophoresisRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TopicalApplication"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16991"/>
            <printName language="en" preferredForLanguage="true"
                       text="Topical application, iontophoresis"/>
            <code code="IONTO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Infusion, intraosseous, continuous</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Infusion"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntraosseousRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14607"/>
            <printName language="en" preferredForLanguage="true"
                       text="Infusion, intraosseous, continuous"/>
            <code code="IOSSC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intraosseous</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntraosseousRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14661"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intraosseous"/>
            <code code="IOSSINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Insertion, intraocular, surgical</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Insertion"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntraocularRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14689"/>
            <printName language="en" preferredForLanguage="true"
                       text="Insertion, intraocular, surgical"/>
            <code code="IOSURGINS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Topical application, intraocular</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntraocularRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TopicalApplication"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14746"/>
            <printName language="en" preferredForLanguage="true"
                       text="Topical application, intraocular"/>
            <code code="IOTOP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intraovarian</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntraovarianRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16956"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intraovarian"/>
            <code code="IOVARINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intrapericardial</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntrapericardialRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16957"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intrapericardial"/>
            <code code="IPCARDINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intraperitoneal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntraperitonealRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14662"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intraperitoneal"/>
            <code code="IPERINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Inhalation, oral</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Inhalation"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_OralRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RespiratoryTractRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14622"/>
            <printName language="en" preferredForLanguage="true" text="Inhalation, respiratory"/>
            <printName language="en" preferredForLanguage="false" text="Inhalation, intrapulmonary"/>
            <printName language="en" preferredForLanguage="false" text="Inhalation, oral"/>
            <code code="IPINHL" status="active"/>
            <code code="ORINHL" status="active"/>
            <code code="RESPINHL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intrapulmonary</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntrapulmonaryRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16959"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intrapulmonary"/>
            <code code="IPINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intrapleural</p>
                     </text>
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            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
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            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntrapleuralRoute"/>
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            <conceptProperty name="internalId" value="14663"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intrapleural"/>
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         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Inhalation, intermittent positive pressure breathing (ippb)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Inhalation"/>
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            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PulmonaryRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14616"/>
            <printName language="en" preferredForLanguage="true"
                       text="Inhalation, intermittent positive pressure breathing (ippb)"/>
            <code code="IPPB" status="active"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intraprostatic</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
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            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntraprostaticRoute"/>
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            <conceptProperty name="internalId" value="16958"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intraprostatic"/>
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         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, insulin pump</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
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            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SubcutaneousRoute"/>
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            <conceptProperty name="internalId" value="14638"/>
            <printName language="en" preferredForLanguage="true" text="Injection, insulin pump"/>
            <code code="IPUMPINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Instillation, intrasinal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Instillation"/>
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            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntrasinalRoute"/>
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            <conceptProperty name="internalId" value="16982"/>
            <printName language="en" preferredForLanguage="true" text="Instillation, intrasinal"/>
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         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intraspinal</p>
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                  </definition>
               </documentation>
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            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
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            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntraspinalRoute"/>
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            <conceptProperty name="internalId" value="14664"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intraspinal"/>
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         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intrasternal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
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            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntrasternalRoute"/>
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            <conceptProperty name="internalId" value="14665"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intrasternal"/>
            <code code="ISTERINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intrasynovial</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntrasynovialRoute"/>
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            <conceptProperty name="internalId" value="14666"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intrasynovial"/>
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         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Infusion, intrathecal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Infusion"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntrathecalRoute"/>
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            <conceptProperty name="internalId" value="14608"/>
            <printName language="en" preferredForLanguage="true" text="Infusion, intrathecal"/>
            <code code="IT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intratendinous</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntratendinousRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16960"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intratendinous"/>
            <code code="ITENDINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intratesticular</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntratesticularRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16961"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intratesticular"/>
            <code code="ITESTINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intrathoracic</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntrathoracicRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16962"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intrathoracic"/>
            <code code="ITHORINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intrathecal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntrathecalRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14667"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intrathecal"/>
            <code code="ITINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Instillation, intratracheal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Instillation"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntratrachealRoute"/>
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            <conceptProperty name="internalId" value="16983"/>
            <printName language="en" preferredForLanguage="true" text="Instillation, intratracheal"/>
            <code code="ITRACHINSTIL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Mucosal absorption, intratracheal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntratrachealRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MucosalAbsorptionRoute"/>
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            <conceptProperty name="internalId" value="17000"/>
            <printName language="en" preferredForLanguage="true"
                       text="Mucosal absorption, intratracheal"/>
            <code code="ITRACHMAB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intratubular</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntratubularRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16963"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intratubular"/>
            <code code="ITUBINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intratumor</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
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            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntratumorRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16964"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intratumor"/>
            <code code="ITUMINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intratympanic</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntratympanicRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16965"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intratympanic"/>
            <code code="ITYMPINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Insertion, intrauterine</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Insertion"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntrauterineRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14690"/>
            <printName language="en" preferredForLanguage="true" text="Insertion, intrauterine"/>
            <code code="IU" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intracervical (uterus)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntrauterineRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14669"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intrauterine"/>
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         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intracervical (uterus)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntracervicalRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14649"/>
            <printName language="en" preferredForLanguage="true"
                       text="Injection, intracervical (uterus)"/>
            <code code="IUINJC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Instillation, intrauterine</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Instillation"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntrauterineRoute"/>
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            <conceptProperty name="internalId" value="14706"/>
            <printName language="en" preferredForLanguage="true" text="Instillation, intrauterine"/>
            <code code="IUINSTL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intraureteral, retrograde</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntrauterineRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14668"/>
            <printName language="en" preferredForLanguage="true"
                       text="Injection, intraureteral, retrograde"/>
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         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Infusion, intravenous</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Infusion"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14609"/>
            <printName language="en" preferredForLanguage="true" text="Infusion, intravenous"/>
            <code code="IV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Infusion, intravascular</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Infusion"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntravascularRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16936"/>
            <printName language="en" preferredForLanguage="true" text="Infusion, intravascular"/>
            <code code="IVASCINFUS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intravascular</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntravascularRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16966"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intravascular"/>
            <code code="IVASCINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Infusion, intravenous catheter</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="IV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14610"/>
            <printName language="en" preferredForLanguage="true" text="Infusion, intravenous catheter"/>
            <code code="IVC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Infusion, intravenous catheter, continuous</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="IV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14611"/>
            <printName language="en" preferredForLanguage="true"
                       text="Infusion, intravenous catheter, continuous"/>
            <code code="IVCC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Infusion, intravenous catheter, intermittent</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="IV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14612"/>
            <printName language="en" preferredForLanguage="true"
                       text="Infusion, intravenous catheter, intermittent"/>
            <code code="IVCI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intraventricular (heart)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntraventricularRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14675"/>
            <printName language="en" preferredForLanguage="true"
                       text="Injection, intraventricular (heart)"/>
            <code code="IVENTINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intravesicle</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntravesicleRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14676"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intravesicle"/>
            <code code="IVESINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Flush, intravenous catheter</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Flush"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntravenousRoute"/>
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            <conceptProperty name="internalId" value="14595"/>
            <printName language="en" preferredForLanguage="true" text="Flush, intravenous catheter"/>
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         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intravenous</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntravenousRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14670"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intravenous"/>
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         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intravenous, bolus</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="IVINJ"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14671"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intravenous, bolus"/>
            <code code="IVINJBOL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Implantation, intravitreal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Implantation"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_VitreousHumourRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14600"/>
            <printName language="en" preferredForLanguage="true" text="Implantation, intravitreal"/>
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         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intravitreal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntravitrealRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14677"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intravitreal"/>
            <code code="IVITINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intravenous, push</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="IVINJ"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14672"/>
            <printName language="en" preferredForLanguage="true" text="Injection, intravenous, push"/>
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         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intravenous, rapid push</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="IVINJ"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14673"/>
            <printName language="en" preferredForLanguage="true"
                       text="Injection, intravenous, rapid push"/>
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         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, intravenous, slow push</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="IVINJ"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14674"/>
            <printName language="en" preferredForLanguage="true"
                       text="Injection, intravenous, slow push"/>
            <code code="IVSPUSH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Instillation, jejunostomy tube</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Instillation"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_JejunumRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14707"/>
            <printName language="en" preferredForLanguage="true" text="Instillation, jejunostomy tube"/>
            <code code="JJTINSTL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Instillation, laryngeal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Instillation"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_LaryngealRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16984"/>
            <printName language="en" preferredForLanguage="true" text="Instillation, laryngeal"/>
            <code code="LARYNGINSTIL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Topical application, laryngeal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_LaryngealRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TopicalApplication"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17013"/>
            <printName language="en" preferredForLanguage="true" text="Topical application, laryngeal"/>
            <code code="LARYNGTA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Insertion, lacrimal puncta</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Insertion"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_LacrimalPunctaRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14691"/>
            <printName language="en" preferredForLanguage="true" text="Insertion, lacrimal puncta"/>
            <code code="LPINS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Topical application, mucous membrane</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MucousMembraneRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TopicalApplication"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14747"/>
            <printName language="en" preferredForLanguage="true"
                       text="Topical application, mucous membrane"/>
            <code code="MUC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Topical application, nail</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NailRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TopicalApplication"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14748"/>
            <printName language="en" preferredForLanguage="true" text="Topical application, nail"/>
            <code code="NAIL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Topical application, nasal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NasalRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TopicalApplication"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14749"/>
            <printName language="en" preferredForLanguage="true" text="Topical application, nasal"/>
            <code code="NASAL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Instillation, nasal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Instillation"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NasalRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16985"/>
            <printName language="en" preferredForLanguage="true" text="Instillation, nasal"/>
            <code code="NASALINSTIL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Inhalation, nasal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Inhalation"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NasalRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14617"/>
            <printName language="en" preferredForLanguage="true" text="Inhalation, nasal"/>
            <code code="NASINHL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Inhalation, nasal, prongs</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NASINHL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14618"/>
            <printName language="en" preferredForLanguage="true" text="Inhalation, nasal cannula"/>
            <printName language="en" preferredForLanguage="false" text="Inhalation, nasal, prongs"/>
            <code code="NASINHLC" status="active"/>
            <code code="NP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Inhalation, nebulization, nasal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NEB"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14620"/>
            <printName language="en" preferredForLanguage="true"
                       text="Inhalation, nebulization, nasal"/>
            <code code="NASNEB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Instillation, nasogastric</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Instillation"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NasalRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16986"/>
            <printName language="en" preferredForLanguage="true" text="Instillation, nasogastric"/>
            <code code="NASOGASINSTIL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Inhalation, nebulization</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Inhalation"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14619"/>
            <printName language="en" preferredForLanguage="true" text="Inhalation, nebulization"/>
            <code code="NEB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Instillation, nasogastric tube</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_GastricRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Instillation"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14708"/>
            <printName language="en" preferredForLanguage="true" text="Instillation, nasogastric tube"/>
            <code code="NGT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Instillation, nasotracheal tube</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Instillation"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PulmonaryRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14709"/>
            <printName language="en" preferredForLanguage="true"
                       text="Instillation, nasotracheal tube"/>
            <code code="NTT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Occlusive dressing technique</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SkinRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TopicalApplication"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17001"/>
            <printName language="en" preferredForLanguage="true" text="Occlusive dressing technique"/>
            <code code="OCDRESTA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Instillation, orogastric tube</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_GastricRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Instillation"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14710"/>
            <printName language="en" preferredForLanguage="true" text="Instillation, orogastric tube"/>
            <code code="OGT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Instillation, orojejunum tube</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Instillation"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_JejunumRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14711"/>
            <printName language="en" preferredForLanguage="true" text="Instillation, orojejunum tube"/>
            <code code="OJJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Topical application, ophthalmic</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_OphthalmicRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TopicalApplication"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17014"/>
            <printName language="en" preferredForLanguage="true"
                       text="Topical application, ophthalmic"/>
            <code code="OPTHALTA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Topical application, oral</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_OralRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TopicalApplication"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17015"/>
            <printName language="en" preferredForLanguage="true" text="Topical application, oral"/>
            <code code="ORALTA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Inhalation, oral intermittent flow</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="IPINHL"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ORINHL"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RESPINHL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14623"/>
            <printName language="en" preferredForLanguage="true"
                       text="Inhalation, oral intermittent flow"/>
            <code code="ORIFINHL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Topical application, oromucosal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_OromucosalRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TopicalApplication"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14750"/>
            <printName language="en" preferredForLanguage="true"
                       text="Topical application, oromucosal"/>
            <code code="ORMUC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Inhalation, nebulization, oral</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="NEB"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14621"/>
            <printName language="en" preferredForLanguage="true" text="Inhalation, nebulization, oral"/>
            <code code="ORNEB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Topical application, oropharyngeal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_OropharyngealRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TopicalApplication"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17016"/>
            <printName language="en" preferredForLanguage="true"
                       text="Topical application, oropharyngeal"/>
            <code code="OROPHARTA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Rinse, oral</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_OralRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Rinse"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14732"/>
            <printName language="en" preferredForLanguage="true" text="Rinse, oral"/>
            <code code="ORRINSE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Instillation, otic</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Instillation"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_OticRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14712"/>
            <printName language="en" preferredForLanguage="true" text="Instillation, otic"/>
            <code code="OT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, periarticular</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PeriarticularRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14679"/>
            <printName language="en" preferredForLanguage="true" text="Injection, periarticular"/>
            <code code="PAINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, parenteral</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ParenteralRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16967"/>
            <printName language="en" preferredForLanguage="true" text="Injection, parenteral"/>
            <code code="PARENTINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Infusion, intravenous catheter, pca pump</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="IV"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14613"/>
            <printName language="en" preferredForLanguage="true"
                       text="Infusion, intravenous catheter, pca pump"/>
            <code code="PCA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, periodontal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PeriodontalRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16969"/>
            <printName language="en" preferredForLanguage="true" text="Injection, periodontal"/>
            <code code="PDONTINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Topical application, periodontal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PeriodontalRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TopicalApplication"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17017"/>
            <printName language="en" preferredForLanguage="true"
                       text="Topical application, periodontal"/>
            <code code="PDONTTA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, peritoneal dialysis port</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntraperitonealRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14681"/>
            <printName language="en" preferredForLanguage="true"
                       text="Injection, peritoneal dialysis port"/>
            <code code="PDPINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Instillation, peritoneal dialysis port</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Instillation"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_IntraperitonealRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14714"/>
            <printName language="en" preferredForLanguage="true"
                       text="Instillation, peritoneal dialysis port"/>
            <code code="PDPINSTL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, peridural</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PeriduralRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16968"/>
            <printName language="en" preferredForLanguage="true" text="Injection, peridural"/>
            <code code="PDURINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Topical application, perianal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PerianalRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TopicalApplication"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14751"/>
            <printName language="en" preferredForLanguage="true" text="Topical application, perianal"/>
            <code code="PERIANAL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Topical application, perineal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PerinealRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TopicalApplication"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14752"/>
            <printName language="en" preferredForLanguage="true" text="Topical application, perineal"/>
            <code code="PERINEAL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, perineural</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_PerineuralRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14680"/>
            <printName language="en" preferredForLanguage="true" text="Injection, perineural"/>
            <code code="PNINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, paranasal sinuses</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ParanasalSinusesRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14678"/>
            <printName language="en" preferredForLanguage="true" text="Injection, paranasal sinuses"/>
            <code code="PNSINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Instillation, paranasal sinuses</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Instillation"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ParanasalSinusesRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14713"/>
            <printName language="en" preferredForLanguage="true"
                       text="Instillation, paranasal sinuses"/>
            <code code="PNSINSTL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Swallow, oral</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_OralRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RouteByMethod"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14735"/>
            <printName language="en" preferredForLanguage="true" text="Swallow, oral"/>
            <code code="PO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Insertion, rectal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Insertion"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RectalRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14692"/>
            <printName language="en" preferredForLanguage="true" text="Insertion, rectal"/>
            <code code="PR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, retrobulbar</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RetrobulbarRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14682"/>
            <printName language="en" preferredForLanguage="true" text="Injection, retrobulbar"/>
            <code code="RBINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Inhalation, oral rebreather mask</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="IPINHL"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="ORINHL"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RESPINHL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14624"/>
            <printName language="en" preferredForLanguage="true"
                       text="Inhalation, oral rebreather mask"/>
            <code code="REBREATH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Instillation, rectal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Instillation"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RectalRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14715"/>
            <printName language="en" preferredForLanguage="true" text="Instillation, rectal"/>
            <code code="RECINSTL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Irrigation, rectal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Irrigation"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RectalRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16994"/>
            <printName language="en" preferredForLanguage="true" text="Irrigation, rectal"/>
            <code code="RECIRR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Topical application, rectal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RectalRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TopicalApplication"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14753"/>
            <printName language="en" preferredForLanguage="true" text="Topical application, rectal"/>
            <code code="RECTAL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Instillation, rectal tube</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="RECINSTL"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14716"/>
            <printName language="en" preferredForLanguage="true" text="Instillation, rectal tube"/>
            <code code="RECTINSTL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Enema, rectal retention</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Enema"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RectalRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14593"/>
            <printName language="en" preferredForLanguage="true" text="Enema, rectal retention"/>
            <code code="RETENEMA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Topical application, scalp</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ScalpRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TopicalApplication"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14754"/>
            <printName language="en" preferredForLanguage="true" text="Topical application, scalp"/>
            <code code="SCALP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, subconjunctival</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SubconjunctivalRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14683"/>
            <printName language="en" preferredForLanguage="true" text="Injection, subconjunctival"/>
            <code code="SCINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Shampoo</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_HairRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RouteByMethod"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14733"/>
            <printName language="en" preferredForLanguage="true" text="Shampoo"/>
            <code code="SHAMPOO" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Instillation, sinus, unspecified</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Instillation"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SinusUnspecifiedRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16987"/>
            <printName language="en" preferredForLanguage="true"
                       text="Instillation, sinus, unspecified"/>
            <code code="SININSTIL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Topical application, skin</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SkinRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TopicalApplication"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14755"/>
            <printName language="en" preferredForLanguage="true" text="Topical application, skin"/>
            <code code="SKIN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Dissolve, sublingual</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Dissolve"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SublingualRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14588"/>
            <printName language="en" preferredForLanguage="true" text="Dissolve, sublingual"/>
            <code code="SL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, sublesional</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SublesionalRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14685"/>
            <printName language="en" preferredForLanguage="true" text="Injection, sublesional"/>
            <code code="SLESINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Mucosal absorption, submucosal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_MucosalAbsorptionRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SubmucosalRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16998"/>
            <printName language="en" preferredForLanguage="true" text="Mucosal absorption, submucosal"/>
            <code code="SMUCMAB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Immersion (soak)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_BodySurfaceRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RouteByMethod"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14597"/>
            <printName language="en" preferredForLanguage="true" text="Immersion (soak)"/>
            <code code="SOAK" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, soft tissue</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SoftTissueRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16970"/>
            <printName language="en" preferredForLanguage="true" text="Injection, soft tissue"/>
            <code code="SOFTISINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Instillation, soft tissue</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Instillation"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SoftTissueRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16988"/>
            <printName language="en" preferredForLanguage="true" text="Instillation, soft tissue"/>
            <code code="SOFTISINSTIL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, subcutaneous</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SubcutaneousRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14684"/>
            <printName language="en" preferredForLanguage="true" text="Injection, subcutaneous"/>
            <code code="SQ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Implantation, subcutaneous</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Implantation"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SubcutaneousRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14601"/>
            <printName language="en" preferredForLanguage="true" text="Implantation, subcutaneous"/>
            <code code="SQIMPLNT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Infusion, subcutaneous</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Infusion"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SubcutaneousRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14614"/>
            <printName language="en" preferredForLanguage="true" text="Infusion, subcutaneous"/>
            <code code="SQINFUS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Insertion, subcutaneous, surgical</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Insertion"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SubcutaneousRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14693"/>
            <printName language="en" preferredForLanguage="true"
                       text="Insertion, subcutaneous, surgical"/>
            <code code="SQSURGINS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, subarachnoid</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SubarachnoidRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16971"/>
            <printName language="en" preferredForLanguage="true" text="Injection, subarachnoid"/>
            <code code="SUBARACHINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Subconjunctival</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SubconjunctivalRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TopicalApplication"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17002"/>
            <printName language="en" preferredForLanguage="true" text="Subconjunctival"/>
            <code code="SUBCONJTA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, submucosal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SubmucosalRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16972"/>
            <printName language="en" preferredForLanguage="true" text="Injection, submucosal"/>
            <code code="SUBMUCINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Suck, oromucosal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_OromucosalRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RouteByMethod"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14734"/>
            <printName language="en" preferredForLanguage="true" text="Suck, oromucosal"/>
            <code code="SUCK" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Topical application, swab</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_BodySurfaceRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TopicalApplication"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14757"/>
            <printName language="en" preferredForLanguage="true" text="Topical application, swab"/>
            <code code="SWAB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Swish and spit out, oromucosal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_OromucosalRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Swish"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14737"/>
            <printName language="en" preferredForLanguage="true" text="Swish and spit out, oromucosal"/>
            <code code="SWISHSPIT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Swish and swallow, oromucosal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_OromucosalRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Swish"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14738"/>
            <printName language="en" preferredForLanguage="true" text="Swish and swallow, oromucosal"/>
            <code code="SWISHSWAL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Topical application, transmucosal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TopicalApplication"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TransmucosalRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17018"/>
            <printName language="en" preferredForLanguage="true"
                       text="Topical application, transmucosal"/>
            <code code="TMUCTA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Topical</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_BodySurfaceRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TopicalApplication"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17005"/>
            <printName language="en" preferredForLanguage="true" text="Topical"/>
            <code code="TOPICAL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Inhalation, tracheostomy</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Inhalation"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TracheostomyRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14625"/>
            <printName language="en" preferredForLanguage="true" text="Inhalation, tracheostomy"/>
            <code code="TRACH" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Instillation, tracheostomy</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Instillation"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TracheostomyRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14717"/>
            <printName language="en" preferredForLanguage="true" text="Instillation, tracheostomy"/>
            <code code="TRACHINSTL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Transdermal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RouteByMethod"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RouteBySite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17356"/>
            <printName language="en" preferredForLanguage="true" text="Transdermal"/>
            <code code="TRNSDERM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Diffusion, transdermal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Diffusion"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="TRNSDERM"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14759"/>
            <printName language="en" preferredForLanguage="true" text="Diffusion, transdermal"/>
            <code code="TRNSDERMD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Translingual</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_LingualRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RouteByMethod"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14760"/>
            <printName language="en" preferredForLanguage="true" text="Translingual"/>
            <code code="TRNSLING" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, transplacental</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TransplacentalRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16973"/>
            <printName language="en" preferredForLanguage="true" text="Injection, transplacental"/>
            <code code="TRPLACINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, transtracheal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TranstrachealRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16974"/>
            <printName language="en" preferredForLanguage="true" text="Injection, transtracheal"/>
            <code code="TRTRACHINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Instillation, transtympanic</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Instillation"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TranstympanicRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16989"/>
            <printName language="en" preferredForLanguage="true" text="Instillation, transtympanic"/>
            <code code="TRTYMPINSTIL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Topical absorption, transtympanic</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TopicalAbsorptionRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TranstympanicRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17007"/>
            <printName language="en" preferredForLanguage="true"
                       text="Topical absorption, transtympanic"/>
            <code code="TTYMPTABSORP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Injection, urethral</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Injection"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_UrethralRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="16976"/>
            <printName language="en" preferredForLanguage="true" text="Injection, urethral"/>
            <code code="URETHINJ" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Insertion, urethral</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Insertion"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_UrethralRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14694"/>
            <printName language="en" preferredForLanguage="true" text="Insertion, urethral"/>
            <code code="URETHINS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Instillation, urethral</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_Instillation"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_UrethralRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="14718"/>
            <printName language="en" preferredForLanguage="true" text="instillation, urethral"/>
            <code code="URETHINSTL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Suppository, urethral</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SuppositoryRoute"/>
            </conceptRelationship>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_UrethralRoute"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="17004"/>
            <printName language="en" preferredForLanguage="true" text="Suppository, urethral"/>
            <code code="URETHSUP" status="active"/>
         </concept>
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               <documentation>
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                        <p>Injection, ureteral</p>
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               <documentation>
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                        <p>Insertion, vaginal</p>
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                        <p>Insertion, vaginal</p>
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               <documentation>
                  <definition>
                     <text>
                        <p>Inhalation, ventilator</p>
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            <conceptRelationship relationshipName="Specializes">
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            <conceptRelationship relationshipName="Specializes">
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               <documentation>
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                     <text>
                        <p>Inhalation, ventimask</p>
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               <documentation>
                  <definition>
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                        <p>Amniotic fluid sac</p>
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               <targetConcept code="_RouteBySite"/>
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               <documentation>
                  <definition>
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                        <p>Biliary tract</p>
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               <documentation>
                  <definition>
                     <text>
                        <p>Body surface</p>
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         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Buccal mucosa</p>
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                  </definition>
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            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Cecostomy</p>
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                  </definition>
               </documentation>
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               <targetConcept code="_RouteBySite"/>
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            <conceptProperty name="internalId" value="21140"/>
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         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Cervix of the uterus</p>
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                  </definition>
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            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Chew</p>
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                  </definition>
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            <conceptProperty name="internalId" value="21142"/>
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            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Dental</p>
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                  </definition>
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            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Diffusion</p>
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         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Dissolve</p>
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                  </definition>
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            <conceptProperty name="internalId" value="21145"/>
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            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Douche</p>
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            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Electro-osmosis</p>
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               <documentation>
                  <definition>
                     <text>
                        <p>Endocervical</p>
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            <conceptProperty name="internalId" value="21148"/>
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               <documentation>
                  <definition>
                     <text>
                        <p>Enema</p>
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            <conceptProperty name="internalId" value="21149"/>
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               <documentation>
                  <definition>
                     <text>
                        <p>Enteral</p>
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            <conceptProperty name="internalId" value="21150"/>
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               <documentation>
                  <definition>
                     <text>
                        <p>Epidural</p>
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            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Extra-amniotic</p>
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            <conceptProperty name="internalId" value="21152"/>
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               <documentation>
                  <definition>
                     <text>
                        <p>Extracorporeal circulation</p>
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            <conceptProperty name="internalId" value="21153"/>
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               <documentation>
                  <definition>
                     <text>
                        <p>Flush</p>
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            <conceptProperty name="internalId" value="21154"/>
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               <documentation>
                  <definition>
                     <text>
                        <p>Gastric</p>
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               <documentation>
                  <definition>
                     <text>
                        <p>Genitourinary</p>
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                  <definition>
                     <text>
                        <p>Gingival</p>
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               <documentation>
                  <definition>
                     <text>
                        <p>Hair</p>
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               <documentation>
                  <definition>
                     <text>
                        <p>Implantation</p>
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                  <definition>
                     <text>
                        <p>Infiltration</p>
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                  <definition>
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                        <p>Infusion</p>
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                  <definition>
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                        <p>Inhalation</p>
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                        <p>Insertion</p>
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                  <definition>
                     <text>
                        <p>Instillation</p>
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                        <p>Interameningeal</p>
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                  <definition>
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                        <p>Interstitial</p>
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                        <p>Intra-abdominal</p>
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                        <p>Intra-arterial</p>
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                        <p>Intracavernosal</p>
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                        <p>Intracerebral</p>
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                        <p>Intracorneal</p>
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                        <p>Intracoronal (dental)</p>
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                        <p>Intracoronary</p>
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               <documentation>
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                        <p>Intracorpus cavernosum</p>
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               <documentation>
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                        <p>Intradermal</p>
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            <conceptProperty name="internalId" value="21185"/>
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               <documentation>
                  <definition>
                     <text>
                        <p>Intradiscal</p>
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            <conceptProperty name="internalId" value="21186"/>
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               <documentation>
                  <definition>
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                        <p>Intraductal</p>
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            <conceptProperty name="internalId" value="21187"/>
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               <documentation>
                  <definition>
                     <text>
                        <p>Intraduodenal</p>
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            <conceptProperty name="internalId" value="21188"/>
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                  <definition>
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                        <p>Intradural</p>
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            <conceptProperty name="internalId" value="21189"/>
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               <documentation>
                  <definition>
                     <text>
                        <p>Intraepidermal</p>
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            <conceptRelationship relationshipName="Specializes">
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            <conceptProperty name="internalId" value="21190"/>
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               <documentation>
                  <definition>
                     <text>
                        <p>Intraepithelial</p>
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            <conceptProperty name="internalId" value="21191"/>
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               <documentation>
                  <definition>
                     <text>
                        <p>Intraesophageal</p>
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            <conceptProperty name="internalId" value="21192"/>
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               <documentation>
                  <definition>
                     <text>
                        <p>Intragastric</p>
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               <documentation>
                  <definition>
                     <text>
                        <p>Intraileal</p>
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            <conceptProperty name="internalId" value="21194"/>
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               <documentation>
                  <definition>
                     <text>
                        <p>Intralesional</p>
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            <conceptProperty name="internalId" value="21195"/>
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               <documentation>
                  <definition>
                     <text>
                        <p>Intraluminal</p>
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            <conceptProperty name="internalId" value="21196"/>
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               <documentation>
                  <definition>
                     <text>
                        <p>Intralymphatic</p>
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            <conceptProperty name="internalId" value="21197"/>
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                  <definition>
                     <text>
                        <p>Intramedullary</p>
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                  <definition>
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                        <p>Intramuscular</p>
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               <documentation>
                  <definition>
                     <text>
                        <p>Intraocular</p>
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            <conceptProperty name="internalId" value="21200"/>
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               <documentation>
                  <definition>
                     <text>
                        <p>Intraosseous</p>
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            <conceptProperty name="internalId" value="21201"/>
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               <documentation>
                  <definition>
                     <text>
                        <p>Intraovarian</p>
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            <conceptProperty name="internalId" value="21202"/>
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                  <definition>
                     <text>
                        <p>Intrapericardial</p>
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            <conceptProperty name="internalId" value="21203"/>
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                  <definition>
                     <text>
                        <p>Intraperitoneal</p>
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            <conceptProperty name="internalId" value="21204"/>
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                  <definition>
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                        <p>Intrapleural</p>
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            <conceptProperty name="internalId" value="21205"/>
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                  <definition>
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                        <p>Intraprostatic</p>
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            <conceptProperty name="internalId" value="21206"/>
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                  <definition>
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                        <p>Intrasinal</p>
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                        <p>Intraspinal</p>
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                        <p>Intrasternal</p>
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                  <definition>
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                        <p>Intrasynovial</p>
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                        <p>Intratendinous</p>
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                        <p>Intratesticular</p>
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                        <p>Intrathecal</p>
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                        <p>Intrathoracic</p>
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                        <p>Intratracheal</p>
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                  <definition>
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                  <definition>
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               <documentation>
                  <definition>
                     <text>
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               <documentation>
                  <definition>
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                        <p>Irrigation</p>
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                        <p>Jejunum</p>
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                        <p>Lacrimal puncta</p>
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                        <p>Laryngeal</p>
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               <documentation>
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                        <p>Lavage</p>
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               <documentation>
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                        <p>Lingual</p>
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               <documentation>
                  <definition>
                     <text>
                        <p>Mucosal absorption</p>
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               <documentation>
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                        <p>Mucous membrane</p>
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               <documentation>
                  <definition>
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                        <p>Nail</p>
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               <documentation>
                  <definition>
                     <text>
                        <p>Nasal</p>
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               <documentation>
                  <definition>
                     <text>
                        <p>Nebulization</p>
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               <documentation>
                  <definition>
                     <text>
                        <p>Ophthalmic</p>
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               <documentation>
                  <definition>
                     <text>
                        <p>Oral</p>
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                  <definition>
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                        <p>Oromucosal</p>
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                        <p>Oropharyngeal</p>
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               <documentation>
                  <definition>
                     <text>
                        <p>Otic</p>
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                  </definition>
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                  <definition>
                     <text>
                        <p>Paranasal sinuses</p>
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                  <definition>
                     <text>
                        <p>Parenteral</p>
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                  <definition>
                     <text>
                        <p>Perianal</p>
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                        <p>Periarticular</p>
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                        <p>Peridural</p>
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                        <p>Perineal</p>
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                  <definition>
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                        <p>Periodontal</p>
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                        <p>Pulmonary</p>
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                  <definition>
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                        <p>Rectal</p>
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                        <p>Respiratory tract</p>
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                        <p>Retrobulbar</p>
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                  <definition>
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                        <p>Rinse</p>
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                        <p>Route of substance administration classified by administration method.</p>
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                        <p>Scalp</p>
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                        <p>Skin</p>
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                        <p>Soft tissue</p>
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                        <p>Subarachnoid</p>
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                        <p>Subconjunctival</p>
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                        <p>Sublingual</p>
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                        <p>Swish</p>
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                        <p>Transtracheal</p>
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               <documentation>
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                     <text>
                        <p>Ureteral</p>
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                  </definition>
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            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RouteBySite"/>
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         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Urethral</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RouteBySite"/>
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            <conceptProperty name="internalId" value="21278"/>
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            <code code="_UrethralRoute" status="active"/>
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         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Urinary bladder</p>
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                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RouteBySite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21279"/>
            <printName language="en" preferredForLanguage="true" text="UrinaryBladderRoute"/>
            <code code="_UrinaryBladderRoute" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Urinary tract</p>
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                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RouteBySite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21280"/>
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            <code code="_UrinaryTractRoute" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Vaginal</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RouteBySite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21281"/>
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            <code code="_VaginalRoute" status="active"/>
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         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Vitreous humour</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_RouteBySite"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21282"/>
            <printName language="en" preferredForLanguage="true" text="VitreousHumourRoute"/>
            <code code="_VitreousHumourRoute" status="active"/>
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      </releasedVersion>
   </codeSystem>
   <codeSystem name="SCDHECGISSpatialAccuracyTiers" title="SCDHEC GIS Spatial Accuracy Tiers"
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      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>The South Carolina Department of Health and Environmental Control GIS Spatial Data Accuracy Tiers have been derived from the National Standard for Spatial Data Accuracy as a means to categorize the accuracy of spatial data assignment utilizing a variety of tools for capturing coordinates including digitizers, geocoding software and global positioning system devices.</text>
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         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
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                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Scptype" title="pan-Canadian Provider Types"
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      <annotations>
         <documentation>
            <description>
               <text>
                  <p>This code system contains the list of provider types used in the pan-Canadian specifications.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Sctemp" title="pan-Canadian Temporary Codes"
               codeSystemId="2.16.840.1.113883.2.20.5.2">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>These pan-Canadian codes are maintained in circumstances where the desired code is not yet available in another code system (HL7 code systems, LOINC, SNOMED, etc.) In general, the codes will be deprecated once an equivalent code is available in the preferred code system.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="SDM" title="SNOMED-DICOM Microglossary"
               codeSystemId="2.16.840.1.113883.6.53">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>SNOMED-DICOM Microglossary</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Sequencing" title="Sequencing" codeSystemId="2.16.840.1.113883.5.113">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Specifies sequence of sort order.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
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                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Ascending sequence order.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10160"/>
            <printName language="en" preferredForLanguage="true" text="Ascending"/>
            <code code="A" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Descending sequence order.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10161"/>
            <printName language="en" preferredForLanguage="true" text="Descending"/>
            <code code="D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>No enforced sequence order.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10162"/>
            <printName language="en" preferredForLanguage="true" text="None"/>
            <code code="N" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="SetOperator" title="SetOperator" codeSystemId="2.16.840.1.113883.5.1069">
      <historyItem dateTime="2020-05-06" id="v3-SetOperator-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**** MISSING DESCRIPTION ****</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
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                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
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                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Form the intersection with the value.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="17419"/>
            <printName language="en" preferredForLanguage="true" text="intersect"/>
            <code code="A" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Form the set-difference with this value, i.e., exclude this element or set from the resulting set.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ValueSetOperator"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11039"/>
            <printName language="en" preferredForLanguage="true" text="exclude"/>
            <code code="E" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Form the convex hull with the value. The convex hull is defined over ordered domains and is the smallest contiguous superset (interval) that of all the operand sets.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="17420"/>
            <printName language="en" preferredForLanguage="true" text="convex hull"/>
            <code code="H" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Form the union with this value, i.e., include this element or set in the resulting set.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ValueSetOperator"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11038"/>
            <printName language="en" preferredForLanguage="true" text="include"/>
            <code code="I" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Form the periodic hull with the value. The periodic hull is defined over ordered domains and is the periodic set that contains all contiguous supersets of pairs of intervals generated by the operand periodic intervals.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="17421"/>
            <printName language="en" preferredForLanguage="true" text="periodic hull"/>
            <code code="P" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Operations that can be used to associate concepts in a terminology.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22384"/>
            <printName language="en" preferredForLanguage="true" text="ValueSetOperator"/>
            <code code="_ValueSetOperator" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="Sic" title="US Census Bureau" codeSystemId="2.16.840.1.113883.6.232">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The Standard Industrial Classification Codes that appear in a company's disseminated EDGAR filings indicate the company's type of business. These codes are also used in the Division of Corporation Finance as a basis for assigning review responsibility for the company's filings. For example, a company whose business was Metal Mining (SIC 1000) would have its filings reviewed by staffers in A/D Office 4. Note that this code system is published both by the US Bureau of Labor Statistics (BLS) at http://www.sec.gov/info/edgar/siccodes.htm, and by the US Occupational &amp; Safety Health Administration (OSHA) at http://www.osha.gov/pls/imis/sic\_manual.html.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Snm" title="Systemized Nomenclature of Medicine (SNOMED)"
               codeSystemId="2.16.840.1.113883.6.5">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Systemized Nomenclature in Medicine (SNOMED)</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="SNM3" title="SNOMED International" codeSystemId="2.16.840.1.113883.6.51">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>SNOMED International</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="SNT" title="SNOMED topology codes (anatomic sites)"
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      <annotations>
         <documentation>
            <description>
               <text>
                  <p>SNOMED topology codes (anatomic sites)</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="Soc" title="Standard Occupation Code"
               codeSystemId="2.16.840.1.113883.6.243">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The Standard Occupational Classification (SOC) system is used by Federal statistical agencies to classify workers into occupational categories for the purpose of collecting, calculating, or disseminating data. All workers are classified into one of over 820 occupations according to their occupational definition. To facilitate classification, occupations are combined to form 23 major groups, 96 minor groups, and 449 broad occupations. Each broad occupation includes detailed occupation(s) requiring similar job duties, skills, education, or experience. This code system replaced the older FIPSPUB92, which was withdrawn in February 2005.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="SpecimenType" title="SpecimenType" codeSystemId="2.16.840.1.113883.5.129">
      <historyItem dateTime="2020-05-06" id="v3-SpecimenType-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**** MISSING DESCRIPTION ****</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
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                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
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                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="synonymCode" type="Token" isMandatoryIndicator="false">
            <description>An additional concept code that was also attributed to a concept</description>
         </supportedConceptProperty>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10446"/>
            <printName language="en" preferredForLanguage="true" text="Abcess"/>
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         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10447"/>
            <printName language="en" preferredForLanguage="true" text="Amniotic fluid"/>
            <code code="AMN" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10448"/>
            <printName language="en" preferredForLanguage="true" text="Aspirate"/>
            <code code="ASP" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10452"/>
            <printName language="en" preferredForLanguage="true" text="Blood bag"/>
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         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10562"/>
            <printName language="en" preferredForLanguage="true" text="Whole body"/>
            <code code="BDY" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10450"/>
            <printName language="en" preferredForLanguage="true" text="Bile fluid"/>
            <code code="BIFL" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10561"/>
            <printName language="en" preferredForLanguage="true" text="Whole blood"/>
            <code code="BLD" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10451"/>
            <printName language="en" preferredForLanguage="true" text="Blood arterial"/>
            <code code="BLDA" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10453"/>
            <printName language="en" preferredForLanguage="true" text="Blood capillary"/>
            <code code="BLDC" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10454"/>
            <printName language="en" preferredForLanguage="true" text="Blood - cord"/>
            <code code="BLDCO" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10456"/>
            <printName language="en" preferredForLanguage="true" text="Blood venous"/>
            <code code="BLDV" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10457"/>
            <printName language="en" preferredForLanguage="true" text="Bone"/>
            <code code="BON" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10449"/>
            <printName language="en" preferredForLanguage="true" text="Basophils"/>
            <code code="BPH" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10455"/>
            <printName language="en" preferredForLanguage="true" text="Blood product unit"/>
            <code code="BPU" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10460"/>
            <printName language="en" preferredForLanguage="true" text="Burn"/>
            <code code="BRN" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10459"/>
            <printName language="en" preferredForLanguage="true" text="Bronchial"/>
            <code code="BRO" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10458"/>
            <printName language="en" preferredForLanguage="true" text="Exhaled gas (=breath)"/>
            <printName language="en" preferredForLanguage="false" text="Breath (use EXG)"/>
            <code code="BRTH" status="active"/>
            <code code="EXG" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10461"/>
            <printName language="en" preferredForLanguage="true" text="Calculus (=Stone)"/>
            <printName language="en" preferredForLanguage="false" text="Stone (use CALC)"/>
            <code code="CALC" status="active"/>
            <code code="STON" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10462"/>
            <printName language="en" preferredForLanguage="true" text="Cardiac muscle"/>
            <code code="CDM" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10469"/>
            <printName language="en" preferredForLanguage="true" text="Conjunctiva"/>
            <code code="CNJT" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10463"/>
            <printName language="en" preferredForLanguage="true" text="Cannula"/>
            <code code="CNL" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10468"/>
            <printName language="en" preferredForLanguage="true" text="Colostrum"/>
            <code code="COL" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10471"/>
            <printName language="en" preferredForLanguage="true" text="Cornea"/>
            <code code="CRN" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10465"/>
            <printName language="en" preferredForLanguage="true" text="Cerebral spinal fluid"/>
            <code code="CSF" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10464"/>
            <printName language="en" preferredForLanguage="true" text="Catheter tip"/>
            <code code="CTP" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10470"/>
            <printName language="en" preferredForLanguage="true" text="Curettage"/>
            <code code="CUR" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10466"/>
            <printName language="en" preferredForLanguage="true" text="Cervical mucus"/>
            <code code="CVM" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10467"/>
            <printName language="en" preferredForLanguage="true" text="Cervix"/>
            <code code="CVX" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10472"/>
            <printName language="en" preferredForLanguage="true" text="Cyst"/>
            <code code="CYST" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10473"/>
            <printName language="en" preferredForLanguage="true" text="Dialysis fluid"/>
            <code code="DIAF" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10474"/>
            <printName language="en" preferredForLanguage="true" text="Dose med or substance"/>
            <code code="DOSE" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10475"/>
            <printName language="en" preferredForLanguage="true" text="Drain"/>
            <code code="DRN" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10476"/>
            <printName language="en" preferredForLanguage="true" text="Duodenal fluid"/>
            <code code="DUFL" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10477"/>
            <printName language="en" preferredForLanguage="true" text="Ear"/>
            <code code="EAR" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10478"/>
            <printName language="en" preferredForLanguage="true" text="Ear wax (cerumen)"/>
            <code code="EARW" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10479"/>
            <printName language="en" preferredForLanguage="true" text="Electrode"/>
            <code code="ELT" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10480"/>
            <printName language="en" preferredForLanguage="true" text="Endocardium"/>
            <code code="ENDC" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10481"/>
            <printName language="en" preferredForLanguage="true" text="Endometrium"/>
            <code code="ENDM" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10482"/>
            <printName language="en" preferredForLanguage="true" text="Eosinophils"/>
            <code code="EOS" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10484"/>
            <printName language="en" preferredForLanguage="true" text="Eye"/>
            <code code="EYE" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10485"/>
            <printName language="en" preferredForLanguage="true" text="Fibroblasts"/>
            <code code="FIB" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10487"/>
            <printName language="en" preferredForLanguage="true" text="Fistula"/>
            <code code="FIST" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10486"/>
            <printName language="en" preferredForLanguage="true" text="Filter"/>
            <code code="FLT" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10488"/>
            <printName language="en" preferredForLanguage="true" text="Body fluid, unsp"/>
            <code code="FLU" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10489"/>
            <printName language="en" preferredForLanguage="true" text="Food sample"/>
            <code code="FOOD" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10490"/>
            <printName language="en" preferredForLanguage="true" text="Gas"/>
            <code code="GAS" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10491"/>
            <printName language="en" preferredForLanguage="true" text="Gastric fluid/contents"/>
            <code code="GAST" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10492"/>
            <printName language="en" preferredForLanguage="true" text="Genital"/>
            <code code="GEN" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10493"/>
            <printName language="en" preferredForLanguage="true" text="Genital cervix"/>
            <code code="GENC" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10494"/>
            <printName language="en" preferredForLanguage="true" text="Genital fluid"/>
            <code code="GENF" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10495"/>
            <printName language="en" preferredForLanguage="true" text="Genital lochia"/>
            <code code="GENL" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10496"/>
            <printName language="en" preferredForLanguage="true" text="Genital vaginal"/>
            <code code="GENV" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10497"/>
            <printName language="en" preferredForLanguage="true" text="Hair"/>
            <code code="HAR" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10498"/>
            <printName language="en" preferredForLanguage="true" text="Inhaled Gas"/>
            <code code="IHG" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10500"/>
            <printName language="en" preferredForLanguage="true" text="Isolate"/>
            <code code="ISLT" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10499"/>
            <printName language="en" preferredForLanguage="true" text="Intubation tube"/>
            <code code="IT" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10501"/>
            <printName language="en" preferredForLanguage="true" text="Lamella"/>
            <code code="LAM" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10506"/>
            <printName language="en" preferredForLanguage="true" text="Liquid NOS"/>
            <code code="LIQ" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10503"/>
            <printName language="en" preferredForLanguage="true" text="Line"/>
            <code code="LN" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10504"/>
            <printName language="en" preferredForLanguage="true" text="Line arterial"/>
            <code code="LNA" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10505"/>
            <printName language="en" preferredForLanguage="true" text="Line venous"/>
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         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10507"/>
            <printName language="en" preferredForLanguage="true" text="Lymphocytes"/>
            <code code="LYM" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10508"/>
            <printName language="en" preferredForLanguage="true" text="Macrophages"/>
            <code code="MAC" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10509"/>
            <printName language="en" preferredForLanguage="true" text="Marrow (bone)"/>
            <code code="MAR" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10511"/>
            <printName language="en" preferredForLanguage="true" text="Menstrual blood"/>
            <code code="MBLD" status="active"/>
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         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10510"/>
            <printName language="en" preferredForLanguage="true" text="Meconium"/>
            <code code="MEC" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10513"/>
            <printName language="en" preferredForLanguage="true" text="Breast milk"/>
            <code code="MILK" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10512"/>
            <printName language="en" preferredForLanguage="true" text="Milk"/>
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         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10514"/>
            <printName language="en" preferredForLanguage="true" text="Nail"/>
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         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10515"/>
            <printName language="en" preferredForLanguage="true" text="Nose (nasal passage)"/>
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         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10516"/>
            <printName language="en" preferredForLanguage="true" text="Pancreatic fluid"/>
            <code code="PAFL" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10517"/>
            <printName language="en" preferredForLanguage="true" text="Patient"/>
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         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10520"/>
            <printName language="en" preferredForLanguage="true" text="Plasma"/>
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         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10521"/>
            <printName language="en" preferredForLanguage="true" text="Plasma bag"/>
            <code code="PLB" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10519"/>
            <printName language="en" preferredForLanguage="true" text="Placenta"/>
            <code code="PLC" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10522"/>
            <printName language="en" preferredForLanguage="true"
                       text="Pleural fluid (thoracentesis fld)"/>
            <code code="PLR" status="active"/>
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         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10523"/>
            <printName language="en" preferredForLanguage="true" text="Polymorphonuclear neutrophils"/>
            <code code="PMN" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10524"/>
            <printName language="en" preferredForLanguage="true" text="Platelet poor plasma"/>
            <code code="PPP" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10525"/>
            <printName language="en" preferredForLanguage="true" text="Platelet rich plasma"/>
            <code code="PRP" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10518"/>
            <printName language="en" preferredForLanguage="true" text="Peritoneal fluid /ascites"/>
            <code code="PRT" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10526"/>
            <printName language="en" preferredForLanguage="true" text="Pus"/>
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         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10483"/>
            <printName language="en" preferredForLanguage="true" text="Erythrocytes"/>
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         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10527"/>
            <printName language="en" preferredForLanguage="true" text="Saliva"/>
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         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10530"/>
            <printName language="en" preferredForLanguage="true" text="Serum"/>
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         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10532"/>
            <printName language="en" preferredForLanguage="true" text="Skeletal muscle"/>
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         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10531"/>
            <printName language="en" preferredForLanguage="true" text="Skin"/>
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         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10528"/>
            <printName language="en" preferredForLanguage="true" text="Seminal fluid"/>
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         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10529"/>
            <printName language="en" preferredForLanguage="true" text="Seminal plasma"/>
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         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
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            <conceptProperty name="internalId" value="10539"/>
            <printName language="en" preferredForLanguage="true" text="Synovial fluid (Joint fluid)"/>
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         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10533"/>
            <printName language="en" preferredForLanguage="true" text="Spermatozoa"/>
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         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10534"/>
            <printName language="en" preferredForLanguage="true" text="Sputum"/>
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         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10535"/>
            <printName language="en" preferredForLanguage="true" text="Sputum - coughed"/>
            <code code="SPTC" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10536"/>
            <printName language="en" preferredForLanguage="true" text="Sputum - tracheal aspirate"/>
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         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10537"/>
            <printName language="en" preferredForLanguage="true" text="Stool = Fecal"/>
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         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10538"/>
            <printName language="en" preferredForLanguage="true" text="Sweat"/>
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         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10540"/>
            <printName language="en" preferredForLanguage="true" text="Tears"/>
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         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10542"/>
            <printName language="en" preferredForLanguage="true" text="Thrombocyte (platelet)"/>
            <code code="THRB" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10541"/>
            <printName language="en" preferredForLanguage="true" text="Throat"/>
            <code code="THRT" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10544"/>
            <printName language="en" preferredForLanguage="true" text="Tissue gall bladder"/>
            <code code="TISG" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10547"/>
            <printName language="en" preferredForLanguage="true" text="Tissue placenta"/>
            <code code="TISPL" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10543"/>
            <printName language="en" preferredForLanguage="true" text="Tissue, unspecified"/>
            <code code="TISS" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10549"/>
            <printName language="en" preferredForLanguage="true" text="Tissue ulcer"/>
            <code code="TISU" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10545"/>
            <printName language="en" preferredForLanguage="true" text="Tissue large intestine"/>
            <code code="TLGI" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10546"/>
            <printName language="en" preferredForLanguage="true" text="Tissue lung"/>
            <code code="TLNG" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10548"/>
            <printName language="en" preferredForLanguage="true"
                       text="Tissue small intestine Tissue ulcer"/>
            <code code="TSMI" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10550"/>
            <printName language="en" preferredForLanguage="true" text="Tube, unspecified"/>
            <code code="TUB" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10551"/>
            <printName language="en" preferredForLanguage="true" text="Ulcer"/>
            <code code="ULC" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10552"/>
            <printName language="en" preferredForLanguage="true" text="Umbilical blood"/>
            <code code="UMB" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10553"/>
            <printName language="en" preferredForLanguage="true" text="Unknown medicine"/>
            <code code="UMED" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10555"/>
            <printName language="en" preferredForLanguage="true" text="Urine"/>
            <code code="UR" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10556"/>
            <printName language="en" preferredForLanguage="true" text="Urine clean catch"/>
            <code code="URC" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10558"/>
            <printName language="en" preferredForLanguage="true" text="Urine sediment"/>
            <code code="URNS" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10557"/>
            <printName language="en" preferredForLanguage="true" text="Urine catheter"/>
            <code code="URT" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10554"/>
            <printName language="en" preferredForLanguage="true" text="Urethra"/>
            <code code="URTH" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10559"/>
            <printName language="en" preferredForLanguage="true" text="Unknown substance"/>
            <code code="USUB" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10560"/>
            <printName language="en" preferredForLanguage="true" text="Vomitus"/>
            <code code="VOM" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10563"/>
            <printName language="en" preferredForLanguage="true" text="Water"/>
            <code code="WAT" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10502"/>
            <printName language="en" preferredForLanguage="true" text="Leukocytes"/>
            <code code="WBC" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10564"/>
            <printName language="en" preferredForLanguage="true" text="Wick"/>
            <code code="WICK" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10565"/>
            <printName language="en" preferredForLanguage="true" text="Wound"/>
            <code code="WND" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10566"/>
            <printName language="en" preferredForLanguage="true" text="Wound abscess"/>
            <code code="WNDA" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10568"/>
            <printName language="en" preferredForLanguage="true" text="Wound drainage"/>
            <code code="WNDD" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_SpecimenEntityType"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="10567"/>
            <printName language="en" preferredForLanguage="true" text="Wound exudate"/>
            <code code="WNDE" status="active"/>
         </concept>
         <concept isSelectable="false">
            <conceptProperty name="internalId" value="21283"/>
            <printName language="en" preferredForLanguage="true" text="SpecimenEntityType"/>
            <code code="_SpecimenEntityType" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="TriggerEventID" title="Trigger Event ID"
               codeSystemId="2.16.840.1.113883.1.18">
      <historyItem dateTime="2020-05-06" id="triggerEventID-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>This code system contains all HL7 artifacts of type TE (Trigger Event) that are created by HL7 or its affiliates or their designates using the realm namespacing rules approved by HL7. Local implementations who create trigger events outside of these namespacing rules, (e.g. using the ZZ realm code) must register their own code system. The specific list of legal codes can be found by consulting the HL7 publications (editions, ballots, implementation guides, etc.) published by HL7 Inc. and by the various HL7 affiliates and their designates. Codes shall be expressed in upper case, with separator as shown in HL7 publications with no version id. E.g. PORX\_TE123456UV.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22674"/>
            <printName language="en" preferredForLanguage="true" text="Result Status"/>
            <code code="POLB_TE004000UV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22668"/>
            <printName language="en" preferredForLanguage="true" text="Result Confirm"/>
            <code code="POLB_TE004001UV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22672"/>
            <printName language="en" preferredForLanguage="true" text="Result Reject"/>
            <code code="POLB_TE004002UV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22673"/>
            <printName language="en" preferredForLanguage="true" text="Result Tracking"/>
            <code code="POLB_TE004007UV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22670"/>
            <printName language="en" preferredForLanguage="true" text="Result in Progress"/>
            <code code="POLB_TE004100UV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22665"/>
            <printName language="en" preferredForLanguage="true" text="Result Activate"/>
            <code code="POLB_TE004102UV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22667"/>
            <printName language="en" preferredForLanguage="true"
                       text="Result Complete with Fulfillment"/>
            <code code="POLB_TE004200UV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22669"/>
            <printName language="en" preferredForLanguage="true" text="Result Corrected"/>
            <code code="POLB_TE004201UV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22666"/>
            <printName language="en" preferredForLanguage="true" text="Result Complete"/>
            <code code="POLB_TE004202UV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22664"/>
            <printName language="en" preferredForLanguage="true" text="Result Abort"/>
            <code code="POLB_TE004301UV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22671"/>
            <printName language="en" preferredForLanguage="true" text="Result Nullify"/>
            <code code="POLB_TE004500UV" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="StyleType" title="Style Type" codeSystemId="2.16.840.1.113883.5.1095">
      <historyItem dateTime="2020-05-06" id="v3-styleType-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>&lt;ns1:p&gt;The style code is used within the CDA/SPL narrative block to give the instance author some control over various aspects of style&lt;/ns1:p&gt;</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="synonymCode" type="Token" isMandatoryIndicator="false">
            <description>An additional concept code that was also attributed to a concept</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>List is ordered using Arabic numerals: 1, 2, 3</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_OrderedListStyle"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21346"/>
            <printName language="en" preferredForLanguage="true" text="Arabic"/>
            <code code="Arabic" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>List is ordered using big alpha characters: A, B, C</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_OrderedListStyle"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21350"/>
            <printName language="en" preferredForLanguage="true" text="Big Alpha"/>
            <code code="BIG.ALPHA" status="retired"/>
            <code code="BigAlpha" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>List is ordered using big Roman numerals: I, II, III</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_OrderedListStyle"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21348"/>
            <printName language="en" preferredForLanguage="true" text="Big Roman"/>
            <code code="BIG.ROMAN" status="retired"/>
            <code code="BigRoman" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Render cell with rule on bottom</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TableRuleStyle"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21343"/>
            <printName language="en" preferredForLanguage="true" text="Bottom Rule"/>
            <code code="Botrule" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>List bullets are hollow discs</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_UnorderedListStyle"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21353"/>
            <printName language="en" preferredForLanguage="true" text="Circle"/>
            <code code="Circle" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>List bullets are simple solid discs</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_UnorderedListStyle"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21352"/>
            <printName language="en" preferredForLanguage="true" text="Disc"/>
            <code code="Disc" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>List is order using little alpha characters: a, b, c</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_OrderedListStyle"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21349"/>
            <printName language="en" preferredForLanguage="true" text="Little Alpha"/>
            <code code="LITTLE.ALPHA" status="retired"/>
            <code code="LittleAlpha" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>List is ordered using little Roman numerals: i, ii, iii</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_OrderedListStyle"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21347"/>
            <printName language="en" preferredForLanguage="true" text="Little Roman"/>
            <code code="LITTLE.ROMAN" status="retired"/>
            <code code="LittleRoman" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Render cell with left-sided rule</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TableRuleStyle"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21340"/>
            <printName language="en" preferredForLanguage="true" text="Left-sided rule"/>
            <code code="Lrule" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Render cell with right-sided rule</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TableRuleStyle"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21341"/>
            <printName language="en" preferredForLanguage="true" text="Right-sided rule"/>
            <code code="Rrule" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>List bullets are solid squares</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_UnorderedListStyle"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21354"/>
            <printName language="en" preferredForLanguage="true" text="Square"/>
            <code code="Square" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Render cell with rule on top</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_TableRuleStyle"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21342"/>
            <printName language="en" preferredForLanguage="true" text="Top Rule"/>
            <code code="TORULE" status="retired"/>
            <code code="Toprule" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Defines font rendering characteristics</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21334"/>
            <printName language="en" preferredForLanguage="true" text="Font Style"/>
            <code code="_FontStyle" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Defines list rendering characteristics</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21344"/>
            <printName language="en" preferredForLanguage="true" text="List Style"/>
            <code code="_ListStyle" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Defines rendering characteristics for ordered lists</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ListStyle"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21345"/>
            <printName language="en" preferredForLanguage="true" text="Ordered List Style"/>
            <code code="_OrderedListStyle" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Defines table cell rendering characteristics</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21339"/>
            <printName language="en" preferredForLanguage="true" text="Table Rule Style"/>
            <code code="_TableRuleStyle" status="active"/>
         </concept>
         <concept isSelectable="false">
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Defines rendering characteristics for unordered lists</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_ListStyle"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21351"/>
            <printName language="en" preferredForLanguage="true" text="Unordered List Style"/>
            <code code="_UnorderedListStyle" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Render with a bold font</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_FontStyle"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21335"/>
            <printName language="en" preferredForLanguage="true" text="Bold Font"/>
            <code code="bold" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Render with with some type of emphasis</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_FontStyle"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="21338"/>
            <printName language="en" preferredForLanguage="true" text="Emphasised Font"/>
            <code code="emphasis" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Render italicized</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
         <documentation>
            <description>
               <text>
                  <p>These values are defined within the XHTML 4.0 Table Model</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <conceptProperty name="internalId" value="11003"/>
            <printName language="en" preferredForLanguage="true" text="all"/>
            <code code="all" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="11004"/>
            <printName language="en" preferredForLanguage="true" text="cols"/>
            <code code="cols" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="11005"/>
            <printName language="en" preferredForLanguage="true" text="groups"/>
            <code code="groups" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="11006"/>
            <printName language="en" preferredForLanguage="true" text="none"/>
            <code code="none" status="active"/>
         </concept>
         <concept>
            <conceptProperty name="internalId" value="11007"/>
            <printName language="en" preferredForLanguage="true" text="rows"/>
            <code code="rows" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="TargetAwareness" title="TargetAwareness"
               codeSystemId="2.16.840.1.113883.5.137">
      <historyItem dateTime="2020-05-06" id="v3-TargetAwareness-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A code specifying the extent to which the Entity playing the participating Role (usually as a target Participation) is aware of the associated Act.</p>
                  <i>Examples:</i>For diagnostic observations, is the patient, family member or other participant aware of his terminal illness?<i>Discussion:</i>If the awareness, denial, unconsciousness, etc. is the subject of medical considerations (e.g., part of the problem list), one should use explicit observations in these matters as well, and should not solely rely on this simple attribute in the Participation.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Target person has been informed about the issue but currently denies it.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10313"/>
            <printName language="en" preferredForLanguage="true" text="denying"/>
            <code code="D" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Target person is fully aware of the issue.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10311"/>
            <printName language="en" preferredForLanguage="true" text="full awareness"/>
            <code code="F" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Target person is not capable of comprehending the issue.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10316"/>
            <printName language="en" preferredForLanguage="true" text="incapable"/>
            <code code="I" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Target person is marginally aware of the issue.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10315"/>
            <printName language="en" preferredForLanguage="true" text="marginal"/>
            <code code="M" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Target person is partially aware of the issue.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10314"/>
            <printName language="en" preferredForLanguage="true" text="partial"/>
            <code code="P" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Target person has not yet been informed of the issue.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10312"/>
            <printName language="en" preferredForLanguage="true" text="uninformed"/>
            <code code="U" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="TelecommunicationAddressUse" title="TelecommunicationAddressUse"
               codeSystemId="2.16.840.1.113883.5.1011">
      <historyItem dateTime="2020-05-06" id="v3-TelecommunicationAddressUse-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <i>Deprecation Comment:</i>This code system was deprecated as of the November 2007 harmonization meeting. The content was folded into AddressUse (2.16.840.1.113883.5.1119), which replaces this code system.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>An automated answering machine used for less urgent cases and if the main purpose of contact is to leave a message or access an automated announcement.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10633"/>
            <printName language="en" preferredForLanguage="true" text="answering service"/>
            <code code="AS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A contact specifically designated to be used for emergencies. This is the first choice in emergencies, independent of any other use codes.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10634"/>
            <printName language="en" preferredForLanguage="true" text="emergency contact"/>
            <code code="EC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A telecommunication device that moves and stays with its owner. May have characteristics of all other use codes, suitable for urgent matters, not the first choice for routine business.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10636"/>
            <printName language="en" preferredForLanguage="true" text="mobile contact"/>
            <code code="MC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A paging device suitable to solicit a callback or to leave a very short message.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10635"/>
            <printName language="en" preferredForLanguage="true" text="pager"/>
            <code code="PG" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="TelecommunicationCapabilities" title="TelecommunicationCapabilities"
               codeSystemId="2.16.840.1.113883.5.1118">
      <historyItem dateTime="2020-05-06" id="v3-TelecommunicationCapabilities-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>Concepts that define the telecommunication capabilities of a particular device. Used to identify the expected capabilities to be found at a particular telecommunication address.</text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>This device can receive data calls (i.e. modem).</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22725"/>
            <printName language="en" preferredForLanguage="true" text="data"/>
            <code code="data" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>This device can receive faxes.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22724"/>
            <printName language="en" preferredForLanguage="true" text="fax"/>
            <code code="fax" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>This device can receive SMS messages.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22727"/>
            <printName language="en" preferredForLanguage="true" text="sms"/>
            <code code="sms" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>This device is a text telephone.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22726"/>
            <printName language="en" preferredForLanguage="true" text="text"/>
            <code code="tty" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>This device can receive voice calls (i.e. talking to another person, or a recording device, or a voice activated computer).</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22723"/>
            <printName language="en" preferredForLanguage="true" text="voice"/>
            <code code="voice" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="TimingEvent" title="TimingEvent" codeSystemId="2.16.840.1.113883.5.139">
      <historyItem dateTime="2020-05-06" id="v3-TimingEvent-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**** MISSING DESCRIPTION ****</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>before meal (from lat. ante cibus)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10708"/>
            <printName language="en" preferredForLanguage="true" text="AC"/>
            <code code="AC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>before lunch (from lat. ante cibus diurnus)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10712"/>
            <printName language="en" preferredForLanguage="true" text="ACD"/>
            <code code="ACD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>before breakfast (from lat. ante cibus matutinus)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10711"/>
            <printName language="en" preferredForLanguage="true" text="ACM"/>
            <code code="ACM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>before dinner (from lat. ante cibus vespertinus)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10713"/>
            <printName language="en" preferredForLanguage="true" text="ACV"/>
            <code code="ACV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>meal (from lat. ante cibus)</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22717"/>
            <printName language="en" preferredForLanguage="true" text="C"/>
            <code code="C" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>lunch (from lat. cibus diurnus)</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="C"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22719"/>
            <printName language="en" preferredForLanguage="true" text="CD"/>
            <code code="CD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>breakfast (from lat. cibus matutinus)</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="C"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22718"/>
            <printName language="en" preferredForLanguage="true" text="CM"/>
            <code code="CM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>dinner (from lat. cibus vespertinus)</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="C"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="22720"/>
            <printName language="en" preferredForLanguage="true" text="CV"/>
            <code code="CV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Prior to beginning a regular period of extended sleep (this would exclude naps). Note that this might occur at different times of day depending on a person's regular sleep schedule.</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10707"/>
            <printName language="en" preferredForLanguage="true" text="HS"/>
            <code code="HS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>between meals (from lat. inter cibus)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10710"/>
            <printName language="en" preferredForLanguage="true" text="IC"/>
            <code code="IC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>between lunch and dinner</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10718"/>
            <printName language="en" preferredForLanguage="true" text="ICD"/>
            <code code="ICD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>between breakfast and lunch</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10717"/>
            <printName language="en" preferredForLanguage="true" text="ICM"/>
            <code code="ICM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>between dinner and the hour of sleep</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10719"/>
            <printName language="en" preferredForLanguage="true" text="ICV"/>
            <code code="ICV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>after meal (from lat. post cibus)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10709"/>
            <printName language="en" preferredForLanguage="true" text="PC"/>
            <code code="PC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>after lunch (from lat. post cibus diurnus)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10715"/>
            <printName language="en" preferredForLanguage="true" text="PCD"/>
            <code code="PCD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>after breakfast (from lat. post cibus matutinus)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10714"/>
            <printName language="en" preferredForLanguage="true" text="PCM"/>
            <code code="PCM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>after dinner (from lat. post cibus vespertinus)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="10716"/>
            <printName language="en" preferredForLanguage="true" text="PCV"/>
            <code code="PCV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Upon waking up from a regular period of sleep, in order to start regular activities (this would exclude waking up from a nap or temporarily waking up during a period of sleep)<b>Usage Notes:</b>e.g.<p>Take pulse rate on waking in management of thyrotoxicosis.</p>
                        <p>Take BP on waking in management of hypertension</p>
                        <p>Take basal body temperature on waking in establishing date of ovulation</p>
                     </text>
                  </definition>
                  <usageNotes>
                     <text>e.g. Take pulse rate on waking in management of thyrotoxicosis. Take BP on waking in management of hypertension Take basal body temperature on waking in establishing date of ovulation</text>
                  </usageNotes>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22721"/>
            <printName language="en" preferredForLanguage="true" text="WAKE"/>
            <code code="WAKE" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="TransmissionRelationshipTypeCode"
               title="TransmissionRelationshipTypeCode"
               codeSystemId="2.16.840.1.113883.5.1111">
      <historyItem dateTime="2020-05-06" id="v3-TransmissionRelationshipTypeCode-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**A code specifying the meaning and purpose of every TransmissionRelationship instance. Each of its values implies specific constraints to what kinds of Transmission objects can be related and in which way.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>**Description:**A transmission relationship indicating that the source transmission follows the target transmission.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22039"/>
            <printName language="en" preferredForLanguage="true" text="sequence"/>
            <code code="SEQL" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="TribalEntityUS" title="TribalEntityUS"
               codeSystemId="2.16.840.1.113883.5.140">
      <historyItem dateTime="2020-05-06" id="v3-TribalEntityUS-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>INDIAN ENTITIES RECOGNIZED AND ELIGIBLE TO RECEIVE SERVICES FROM THE UNITED STATES BUREAU OF INDIAN AFFAIRS</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11632"/>
            <printName language="en" preferredForLanguage="true"
                       text="Absentee-Shawnee Tribe of Indians of Oklahoma"/>
            <code code="1" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11641"/>
            <printName language="en" preferredForLanguage="true"
                       text="Assiniboine and Sioux Tribes of the Fort Peck Indian Reservation, Montana"/>
            <code code="10" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11731"/>
            <printName language="en" preferredForLanguage="true"
                       text="Havasupai Tribe of the Havasupai Reservation, Arizona"/>
            <code code="100" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11732"/>
            <printName language="en" preferredForLanguage="true" text="Ho-Chunk Nation of Wisconsin"/>
            <code code="101" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11733"/>
            <printName language="en" preferredForLanguage="true" text="Hoh Indian Tribe"/>
            <code code="102" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11734"/>
            <printName language="en" preferredForLanguage="true" text="Hoopa Valley Tribe, California"/>
            <code code="103" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11735"/>
            <printName language="en" preferredForLanguage="true" text="Hopi Tribe of Arizona"/>
            <code code="104" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11736"/>
            <printName language="en" preferredForLanguage="true"
                       text="Hopland Band of Pomo Indians, California"/>
            <code code="105" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11737"/>
            <printName language="en" preferredForLanguage="true"
                       text="Houlton Band of Maliseet Indians"/>
            <code code="106" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11738"/>
            <printName language="en" preferredForLanguage="true"
                       text="Hualapai Indian Tribe of the Hualapai Indian Reservation, Arizona"/>
            <code code="107" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11739"/>
            <printName language="en" preferredForLanguage="true"
                       text="Nottawaseppi Huron Band of the Potawatomi, Michigan"/>
            <code code="108" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11740"/>
            <printName language="en" preferredForLanguage="true"
                       text="Inaja Band of Diegueno Mission Indians of the Inaja and Cosmit Reservation, California"/>
            <code code="109" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11642"/>
            <printName language="en" preferredForLanguage="true"
                       text="Augustine Band of Cahuilla Indians, California"/>
            <code code="11" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11741"/>
            <printName language="en" preferredForLanguage="true"
                       text="Ione Band of Miwok Indians of California"/>
            <code code="110" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11742"/>
            <printName language="en" preferredForLanguage="true"
                       text="Iowa Tribe of Kansas and Nebraska"/>
            <code code="111" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11743"/>
            <printName language="en" preferredForLanguage="true" text="Iowa Tribe of Oklahoma"/>
            <code code="112" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11744"/>
            <printName language="en" preferredForLanguage="true" text="Jackson Band of Miwuk Indians"/>
            <code code="113" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11745"/>
            <printName language="en" preferredForLanguage="true" text="Jamestown S'Klallam Tribe"/>
            <code code="114" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11746"/>
            <printName language="en" preferredForLanguage="true"
                       text="Jamul Indian Village of California"/>
            <code code="115" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11747"/>
            <printName language="en" preferredForLanguage="true" text="Jena Band of Choctaw Indians"/>
            <code code="116" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11748"/>
            <printName language="en" preferredForLanguage="true"
                       text="Jicarilla Apache Nation, New Mexico"/>
            <code code="117" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11749"/>
            <printName language="en" preferredForLanguage="true"
                       text="Kaibab Band of Paiute Indians of the Kaibab Indian Reservation, Arizona"/>
            <code code="118" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11750"/>
            <printName language="en" preferredForLanguage="true"
                       text="Kalispel Indian Community of the Kalispel Reservation"/>
            <code code="119" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11643"/>
            <printName language="en" preferredForLanguage="true"
                       text="Bad River Band of the Lake Superior Tribe of Chippewa Indians of the Bad River Reservation, Wisconsin"/>
            <code code="12" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11751"/>
            <printName language="en" preferredForLanguage="true" text="Karuk Tribe"/>
            <code code="120" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11752"/>
            <printName language="en" preferredForLanguage="true"
                       text="Kashia Band of Pomo Indians of the Stewarts Point Rancheria, California"/>
            <code code="121" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11753"/>
            <printName language="en" preferredForLanguage="true" text="Kaw Nation, Oklahoma"/>
            <code code="122" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11754"/>
            <printName language="en" preferredForLanguage="true"
                       text="Keweenaw Bay Indian Community, Michigan"/>
            <code code="123" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11755"/>
            <printName language="en" preferredForLanguage="true" text="Kialegee Tribal Town"/>
            <code code="124" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11756"/>
            <printName language="en" preferredForLanguage="true"
                       text="Kickapoo Tribe of Indians of the Kickapoo Reservation in Kansas"/>
            <code code="125" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11757"/>
            <printName language="en" preferredForLanguage="true" text="Kickapoo Tribe of Oklahoma"/>
            <code code="126" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11758"/>
            <printName language="en" preferredForLanguage="true"
                       text="Kickapoo Traditional Tribe of Texas"/>
            <code code="127" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11759"/>
            <printName language="en" preferredForLanguage="true" text="Kiowa Indian Tribe of Oklahoma"/>
            <code code="128" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11760"/>
            <printName language="en" preferredForLanguage="true" text="Klamath Tribes"/>
            <code code="129" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11644"/>
            <printName language="en" preferredForLanguage="true"
                       text="Bay Mills Indian Community, Michigan"/>
            <code code="13" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11761"/>
            <printName language="en" preferredForLanguage="true" text="Kootenai Tribe of Idaho"/>
            <code code="130" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11762"/>
            <printName language="en" preferredForLanguage="true"
                       text="La Jolla Band of Luiseno Indians, California"/>
            <code code="131" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11763"/>
            <printName language="en" preferredForLanguage="true"
                       text="La Posta Band of Diegueno Mission Indians of the La Posta Indian Reservation, California"/>
            <code code="132" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11764"/>
            <printName language="en" preferredForLanguage="true"
                       text="Lac Courte Oreilles Band of Lake Superior Chippewa Indians of Wisconsin"/>
            <code code="133" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11765"/>
            <printName language="en" preferredForLanguage="true"
                       text="Lac du Flambeau Band of Lake Superior Chippewa Indians of the Lac du Flambeau Reservation of Wisconsin"/>
            <code code="134" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11766"/>
            <printName language="en" preferredForLanguage="true"
                       text="Lac Vieux Desert Band of Lake Superior Chippewa Indians of Michigan"/>
            <code code="135" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11767"/>
            <printName language="en" preferredForLanguage="true"
                       text="Las Vegas Tribe of Paiute Indians of the Las Vegas Indian Colony, Nevada"/>
            <code code="136" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11768"/>
            <printName language="en" preferredForLanguage="true"
                       text="Little River Band of Ottawa Indians, Michigan"/>
            <code code="137" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11769"/>
            <printName language="en" preferredForLanguage="true"
                       text="Little Traverse Bay Bands of Odawa Indians, Michigan"/>
            <code code="138" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11770"/>
            <printName language="en" preferredForLanguage="true"
                       text="Koi Nation of Northern California"/>
            <code code="139" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11645"/>
            <printName language="en" preferredForLanguage="true"
                       text="Bear River Band of the Rohnerville Rancheria, California"/>
            <code code="14" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11771"/>
            <printName language="en" preferredForLanguage="true"
                       text="Los Coyotes Band of Cahuilla and Cupeno Indians, California"/>
            <code code="140" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11772"/>
            <printName language="en" preferredForLanguage="true"
                       text="Lovelock Paiute Tribe of the Lovelock Indian Colony, Nevada"/>
            <code code="141" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11773"/>
            <printName language="en" preferredForLanguage="true"
                       text="Lower Brule Sioux Tribe of the Lower Brule Reservation, South Dakota"/>
            <code code="142" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11774"/>
            <printName language="en" preferredForLanguage="true" text="Lower Elwha Tribal Community"/>
            <code code="143" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11775"/>
            <printName language="en" preferredForLanguage="true"
                       text="Lower Sioux Indian Community in the State of Minnesota"/>
            <code code="144" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11776"/>
            <printName language="en" preferredForLanguage="true"
                       text="Lummi Tribe of the Lummi Reservation"/>
            <code code="145" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11777"/>
            <printName language="en" preferredForLanguage="true" text="Lytton Rancheria of California"/>
            <code code="146" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11778"/>
            <printName language="en" preferredForLanguage="true"
                       text="Makah Indian Tribe of the Makah Indian Reservation"/>
            <code code="147" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11779"/>
            <printName language="en" preferredForLanguage="true"
                       text="Manchester Band of Pomo Indians of the Manchester Rancheria, California"/>
            <code code="148" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11780"/>
            <printName language="en" preferredForLanguage="true"
                       text="Manzanita Band of Diegueno Mission Indians of the Manzanita Reservation, California"/>
            <code code="149" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11646"/>
            <printName language="en" preferredForLanguage="true"
                       text="Berry Creek Rancheria of Maidu Indians of California"/>
            <code code="15" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11781"/>
            <printName language="en" preferredForLanguage="true"
                       text="Mashantucket Pequot Indian Tribe"/>
            <code code="150" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11782"/>
            <printName language="en" preferredForLanguage="true"
                       text="Match-e-be-nash-she-wish Band of Pottawatomi Indians of Michigan"/>
            <code code="151" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11783"/>
            <printName language="en" preferredForLanguage="true"
                       text="Mechoopda Indian Tribe of Chico Rancheria, California"/>
            <code code="152" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11784"/>
            <printName language="en" preferredForLanguage="true"
                       text="Menominee Indian Tribe of Wisconsin"/>
            <code code="153" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11785"/>
            <printName language="en" preferredForLanguage="true"
                       text="Mesa Grande Band of Diegueno Mission Indians of the Mesa Grande Reservation, California"/>
            <code code="154" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11786"/>
            <printName language="en" preferredForLanguage="true"
                       text="Mescalero Apache Tribe of the Mescalero Reservation, New Mexico"/>
            <code code="155" status="active"/>
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            <printName language="en" preferredForLanguage="true" text="Miami Tribe of Oklahoma"/>
            <code code="156" status="active"/>
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            <printName language="en" preferredForLanguage="true" text="Miccosukee Tribe of Indians"/>
            <code code="157" status="active"/>
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            <conceptProperty name="internalId" value="11789"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="158" status="active"/>
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            <conceptProperty name="internalId" value="11790"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="159" status="active"/>
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            <conceptProperty name="internalId" value="11647"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="16" status="active"/>
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            <conceptProperty name="internalId" value="11791"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="160" status="retired"/>
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            <conceptProperty name="internalId" value="11792"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="161" status="active"/>
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            <printName language="en" preferredForLanguage="true"
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            <conceptProperty name="internalId" value="11794"/>
            <printName language="en" preferredForLanguage="true" text="Modoc Nation"/>
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            <printName language="en" preferredForLanguage="true"
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            <code code="164" status="active"/>
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            <printName language="en" preferredForLanguage="true"
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            <conceptProperty name="internalId" value="11797"/>
            <printName language="en" preferredForLanguage="true"
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            <printName language="en" preferredForLanguage="true" text="Muckleshoot Indian Tribe"/>
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            <conceptProperty name="internalId" value="11799"/>
            <printName language="en" preferredForLanguage="true" text="The Muscogee (Creek) Nation"/>
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            <conceptProperty name="internalId" value="11800"/>
            <printName language="en" preferredForLanguage="true" text="Narragansett Indian Tribe"/>
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            <conceptProperty name="internalId" value="11648"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="17" status="active"/>
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            <conceptProperty name="internalId" value="11801"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="170" status="active"/>
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            <conceptProperty name="internalId" value="11802"/>
            <printName language="en" preferredForLanguage="true" text="Nez Perce Tribe"/>
            <code code="171" status="active"/>
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            <conceptProperty name="internalId" value="11803"/>
            <printName language="en" preferredForLanguage="true" text="Nisqually Indian Tribe"/>
            <code code="172" status="active"/>
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            <conceptProperty name="internalId" value="11804"/>
            <printName language="en" preferredForLanguage="true" text="Nooksack Indian Tribe"/>
            <code code="173" status="active"/>
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         <concept>
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            <conceptProperty name="internalId" value="11805"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="174" status="active"/>
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            <conceptProperty name="internalId" value="11806"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="175" status="active"/>
         </concept>
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            <conceptProperty name="internalId" value="11807"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="176" status="active"/>
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         <concept>
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               <targetConcept code="_NativeEntityContiguous"/>
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            <conceptProperty name="internalId" value="11808"/>
            <printName language="en" preferredForLanguage="true" text="Oglala Sioux Tribe"/>
            <code code="177" status="active"/>
         </concept>
         <concept>
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               <targetConcept code="_NativeEntityContiguous"/>
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            <conceptProperty name="internalId" value="11809"/>
            <printName language="en" preferredForLanguage="true" text="Omaha Tribe of Nebraska"/>
            <code code="178" status="active"/>
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         <concept>
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            <conceptProperty name="internalId" value="11810"/>
            <printName language="en" preferredForLanguage="true" text="Oneida Indian Nation"/>
            <code code="179" status="active"/>
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            <conceptProperty name="internalId" value="11649"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="18" status="active"/>
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            <printName language="en" preferredForLanguage="true" text="Onondaga Nation"/>
            <code code="181" status="active"/>
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            <conceptProperty name="internalId" value="11813"/>
            <printName language="en" preferredForLanguage="true" text="The Osage Nation"/>
            <code code="182" status="active"/>
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            <conceptProperty name="internalId" value="11814"/>
            <printName language="en" preferredForLanguage="true" text="Ottawa Tribe of Oklahoma"/>
            <code code="183" status="active"/>
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            <code code="185" status="active"/>
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            <printName language="en" preferredForLanguage="true" text="Bishop Paiute Tribe"/>
            <code code="186" status="active"/>
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            <code code="187" status="active"/>
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            <printName language="en" preferredForLanguage="true"
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            <code code="188" status="active"/>
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            <conceptProperty name="internalId" value="11820"/>
            <printName language="en" preferredForLanguage="true" text="Pala Band of Mission Indians"/>
            <code code="189" status="active"/>
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            <printName language="en" preferredForLanguage="true"
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            <code code="19" status="active"/>
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            <code code="190" status="active"/>
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            <printName language="en" preferredForLanguage="true" text="Passamaquoddy Tribe"/>
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            <printName language="en" preferredForLanguage="true"
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            <code code="193" status="active"/>
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            <code code="194" status="active"/>
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            <code code="195" status="active"/>
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            <printName language="en" preferredForLanguage="true" text="Penobscot Nation"/>
            <code code="196" status="active"/>
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            <printName language="en" preferredForLanguage="true"
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            <code code="199" status="active"/>
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            <code code="2" status="active"/>
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            <printName language="en" preferredForLanguage="true"
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            <code code="20" status="active"/>
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            <code code="200" status="active"/>
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            <code code="201" status="active"/>
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            <code code="202" status="active"/>
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            <code code="203" status="active"/>
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            <code code="214" status="active"/>
         </concept>
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            <code code="215" status="active"/>
         </concept>
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            <code code="216" status="active"/>
         </concept>
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            <conceptProperty name="internalId" value="11848"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="217" status="active"/>
         </concept>
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            <conceptProperty name="internalId" value="11849"/>
            <printName language="en" preferredForLanguage="true" text="Ohkay Owingeh, New Mexico"/>
            <code code="218" status="active"/>
         </concept>
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            </conceptRelationship>
            <conceptProperty name="internalId" value="11850"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="219" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
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            </conceptRelationship>
            <conceptProperty name="internalId" value="11653"/>
            <printName language="en" preferredForLanguage="true" text="Bridgeport Indian Colony"/>
            <code code="22" status="active"/>
         </concept>
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            <conceptProperty name="internalId" value="11851"/>
            <printName language="en" preferredForLanguage="true" text="Pueblo of Sandia, New Mexico"/>
            <code code="220" status="active"/>
         </concept>
         <concept>
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            </conceptRelationship>
            <conceptProperty name="internalId" value="11852"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="221" status="active"/>
         </concept>
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            <conceptProperty name="internalId" value="11853"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="222" status="active"/>
         </concept>
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            <printName language="en" preferredForLanguage="true" text="Santo Domingo Pueblo"/>
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            <conceptProperty name="internalId" value="11855"/>
            <printName language="en" preferredForLanguage="true" text="Pueblo of Taos, New Mexico"/>
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            <printName language="en" preferredForLanguage="true" text="Pueblo of Zia, New Mexico"/>
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            <conceptProperty name="internalId" value="11858"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="227" status="active"/>
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            <conceptProperty name="internalId" value="11859"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="228" status="active"/>
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            <conceptProperty name="internalId" value="11860"/>
            <printName language="en" preferredForLanguage="true" text="Quapaw Nation"/>
            <code code="229" status="active"/>
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            <conceptProperty name="internalId" value="11654"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="23" status="active"/>
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            <conceptProperty name="internalId" value="11861"/>
            <printName language="en" preferredForLanguage="true"
                       text="Quartz Valley Indian Community of the Quartz Valley Reservation of California"/>
            <code code="230" status="active"/>
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            <conceptProperty name="internalId" value="11862"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="231" status="active"/>
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            <conceptProperty name="internalId" value="11863"/>
            <printName language="en" preferredForLanguage="true"
                       text="Quileute Tribe of the Quileute Reservation"/>
            <code code="232" status="active"/>
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            <conceptProperty name="internalId" value="11864"/>
            <printName language="en" preferredForLanguage="true" text="Quinault Indian Nation"/>
            <code code="233" status="active"/>
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            <conceptProperty name="internalId" value="11865"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="234" status="active"/>
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            <conceptProperty name="internalId" value="11866"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="235" status="active"/>
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            <conceptProperty name="internalId" value="11867"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="236" status="active"/>
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         <concept>
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            <conceptProperty name="internalId" value="11868"/>
            <printName language="en" preferredForLanguage="true" text="Redding Rancheria, California"/>
            <code code="237" status="active"/>
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            <conceptProperty name="internalId" value="11869"/>
            <printName language="en" preferredForLanguage="true"
                       text="Redwood Valley or Little River Band of Pomo Indians of the Redwood Valley Rancheria California"/>
            <code code="238" status="active"/>
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         <concept>
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            <conceptProperty name="internalId" value="11870"/>
            <printName language="en" preferredForLanguage="true"
                       text="Reno-Sparks Indian Colony, Nevada"/>
            <code code="239" status="active"/>
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            <conceptProperty name="internalId" value="11655"/>
            <printName language="en" preferredForLanguage="true" text="Burns Paiute Tribe"/>
            <code code="24" status="active"/>
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         <concept>
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            <conceptProperty name="internalId" value="11871"/>
            <printName language="en" preferredForLanguage="true"
                       text="Resighini Rancheria, California"/>
            <code code="240" status="active"/>
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         <concept>
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            <conceptProperty name="internalId" value="11872"/>
            <printName language="en" preferredForLanguage="true"
                       text="Rincon Band of Luiseno Mission Indians of Rincon Reservation, California"/>
            <code code="241" status="active"/>
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         <concept>
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            <conceptProperty name="internalId" value="11873"/>
            <printName language="en" preferredForLanguage="true" text="Robinson Rancheria"/>
            <code code="242" status="active"/>
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         <concept>
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            <conceptProperty name="internalId" value="11874"/>
            <printName language="en" preferredForLanguage="true"
                       text="Rosebud Sioux Tribe of the Rosebud Indian Reservation, South Dakota"/>
            <code code="243" status="active"/>
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         <concept>
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            <conceptProperty name="internalId" value="11875"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="244" status="active"/>
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         <concept>
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            <conceptProperty name="internalId" value="11876"/>
            <printName language="en" preferredForLanguage="true"
                       text="Yocha Dehe Wintun Nation, California"/>
            <code code="245" status="active"/>
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         <concept>
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            <conceptProperty name="internalId" value="11877"/>
            <printName language="en" preferredForLanguage="true"
                       text="Sac &amp; Fox Tribe of the Mississippi in Iowa"/>
            <code code="246" status="active"/>
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         <concept>
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            <conceptProperty name="internalId" value="11878"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="247" status="active"/>
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         <concept>
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            <conceptProperty name="internalId" value="11879"/>
            <printName language="en" preferredForLanguage="true" text="Sac &amp; Fox Nation, Oklahoma"/>
            <code code="248" status="active"/>
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         <concept>
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            <conceptProperty name="internalId" value="11880"/>
            <printName language="en" preferredForLanguage="true"
                       text="Saginaw Chippewa Indian Tribe of Michigan"/>
            <code code="249" status="active"/>
         </concept>
         <concept>
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            <conceptProperty name="internalId" value="11656"/>
            <printName language="en" preferredForLanguage="true"
                       text="Cabazon Band of Cahuilla Indians"/>
            <code code="25" status="active"/>
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         <concept>
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            <conceptProperty name="internalId" value="11881"/>
            <printName language="en" preferredForLanguage="true"
                       text="Salt River Pima-Maricopa Indian Community of the Salt River Reservation, Arizona"/>
            <code code="250" status="active"/>
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            <conceptProperty name="internalId" value="11882"/>
            <printName language="en" preferredForLanguage="true" text="Samish Indian Nation"/>
            <code code="251" status="active"/>
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         <concept>
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            <conceptProperty name="internalId" value="11883"/>
            <printName language="en" preferredForLanguage="true"
                       text="San Carlos Apache Tribe of the San Carlos Reservation, Arizona"/>
            <code code="252" status="active"/>
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            <conceptProperty name="internalId" value="11884"/>
            <printName language="en" preferredForLanguage="true"
                       text="San Juan Southern Paiute Tribe of Arizona"/>
            <code code="253" status="active"/>
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            <conceptProperty name="internalId" value="11885"/>
            <printName language="en" preferredForLanguage="true"
                       text="Yuhaaviatam of San Manuel Nation"/>
            <code code="254" status="active"/>
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         <concept>
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            <conceptProperty name="internalId" value="11886"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="255" status="active"/>
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         <concept>
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            <conceptProperty name="internalId" value="11887"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="256" status="active"/>
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            <conceptProperty name="internalId" value="11888"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="257" status="active"/>
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            <conceptProperty name="internalId" value="11889"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="258" status="active"/>
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            <conceptProperty name="internalId" value="11890"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="259" status="active"/>
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            <conceptProperty name="internalId" value="11657"/>
            <printName language="en" preferredForLanguage="true"
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            <conceptProperty name="internalId" value="11891"/>
            <printName language="en" preferredForLanguage="true" text="Santee Sioux Nation, Nebraska"/>
            <code code="260" status="active"/>
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         <concept>
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            <conceptProperty name="internalId" value="11892"/>
            <printName language="en" preferredForLanguage="true" text="Sauk-Suiattle Indian Tribe"/>
            <code code="261" status="active"/>
         </concept>
         <concept>
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            <conceptProperty name="internalId" value="11893"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="262" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
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            <conceptProperty name="internalId" value="11894"/>
            <printName language="en" preferredForLanguage="true"
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         <concept>
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            <conceptProperty name="internalId" value="11895"/>
            <printName language="en" preferredForLanguage="true"
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         <concept>
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            <conceptProperty name="internalId" value="11896"/>
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            <code code="265" status="active"/>
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         <concept>
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            <conceptProperty name="internalId" value="11897"/>
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         </concept>
         <concept>
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            <conceptProperty name="internalId" value="11898"/>
            <printName language="en" preferredForLanguage="true" text="Seneca-Cayuga Nation"/>
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         <concept>
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            <conceptProperty name="internalId" value="11899"/>
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            <code code="268" status="active"/>
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         <concept>
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            <conceptProperty name="internalId" value="11900"/>
            <printName language="en" preferredForLanguage="true" text="Shawnee Tribe"/>
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         </concept>
         <concept>
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               <targetConcept code="_NativeEntityContiguous"/>
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            <conceptProperty name="internalId" value="11658"/>
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         <concept>
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            <conceptProperty name="internalId" value="11901"/>
            <printName language="en" preferredForLanguage="true"
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            <conceptProperty name="internalId" value="11902"/>
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         <concept>
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            <conceptProperty name="internalId" value="11903"/>
            <printName language="en" preferredForLanguage="true"
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            <conceptProperty name="internalId" value="11904"/>
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            <conceptProperty name="internalId" value="11905"/>
            <printName language="en" preferredForLanguage="true"
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         <concept>
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            <conceptProperty name="internalId" value="11906"/>
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         <concept>
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            <conceptProperty name="internalId" value="11907"/>
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         <concept>
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            <conceptProperty name="internalId" value="11908"/>
            <printName language="en" preferredForLanguage="true" text="Skokomish Indian Tribe"/>
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         </concept>
         <concept>
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            <conceptProperty name="internalId" value="11909"/>
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         <concept>
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            <conceptProperty name="internalId" value="11910"/>
            <printName language="en" preferredForLanguage="true" text="Tolowa Dee-ni' Nation"/>
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         <concept>
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            <conceptProperty name="internalId" value="11659"/>
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         <concept>
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            <conceptProperty name="internalId" value="11911"/>
            <printName language="en" preferredForLanguage="true" text="Snoqualmie Indian Tribe"/>
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         <concept>
            <conceptRelationship relationshipName="Specializes">
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            <conceptProperty name="internalId" value="11912"/>
            <printName language="en" preferredForLanguage="true"
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         <concept>
            <conceptRelationship relationshipName="Specializes">
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            <conceptProperty name="internalId" value="11913"/>
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            <code code="282" status="active"/>
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         <concept>
            <conceptRelationship relationshipName="Specializes">
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            <conceptProperty name="internalId" value="11914"/>
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         <concept>
            <conceptRelationship relationshipName="Specializes">
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            <conceptProperty name="internalId" value="11915"/>
            <printName language="en" preferredForLanguage="true"
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         <concept>
            <conceptRelationship relationshipName="Specializes">
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            <conceptProperty name="internalId" value="11916"/>
            <printName language="en" preferredForLanguage="true"
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         <concept>
            <conceptRelationship relationshipName="Specializes">
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            <conceptProperty name="internalId" value="11917"/>
            <printName language="en" preferredForLanguage="true"
                       text="Squaxin Island Tribe of the Squaxin Island Reservation"/>
            <code code="286" status="active"/>
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         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
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            <conceptProperty name="internalId" value="11918"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="287" status="active"/>
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         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11919"/>
            <printName language="en" preferredForLanguage="true" text="Saint Regis Mohawk Tribe"/>
            <code code="288" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
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            <conceptProperty name="internalId" value="11920"/>
            <printName language="en" preferredForLanguage="true"
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         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
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            <conceptProperty name="internalId" value="11660"/>
            <printName language="en" preferredForLanguage="true"
                       text="Cahto Tribe of the Laytonville Rancheria"/>
            <code code="29" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
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            <conceptProperty name="internalId" value="11921"/>
            <printName language="en" preferredForLanguage="true"
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         <concept>
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         <concept>
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         <concept>
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            <conceptProperty name="internalId" value="11934"/>
            <printName language="en" preferredForLanguage="true" text="Tonawanda Band of Seneca"/>
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            <conceptProperty name="internalId" value="11937"/>
            <printName language="en" preferredForLanguage="true"
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         <concept>
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            <printName language="en" preferredForLanguage="true" text="Tulalip Tribes of Washington"/>
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            <printName language="en" preferredForLanguage="true" text="Tunica-Biloxi Indian Tribe"/>
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         </concept>
         <concept>
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            <printName language="en" preferredForLanguage="true"
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            <printName language="en" preferredForLanguage="true"
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         <concept>
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         <concept>
            <annotations>
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                     <text>
                        <p>Capitan Grande Band of Diegueno Mission Indians of California (Barona Group of Capitan Grande Band of Mission Indians of the Barona Reservation, California; Viejas (Baron Long) Group of Capitan Grande Band of Mission Indians of the Viejas Reservation, California)</p>
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            <printName language="en" preferredForLanguage="true"
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            <printName language="en" preferredForLanguage="true"
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            <printName language="en" preferredForLanguage="true" text="Yupiit of Andreafski"/>
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            <printName language="en" preferredForLanguage="true" text="Anvik Village"/>
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            <code code="355" status="active"/>
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            <printName language="en" preferredForLanguage="true" text="Asa'carsarmiut Tribe"/>
            <code code="356" status="active"/>
         </concept>
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            <printName language="en" preferredForLanguage="true" text="Native Village of Atka"/>
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            <printName language="en" preferredForLanguage="true" text="Village of Atmautluak"/>
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            <conceptProperty name="internalId" value="11991"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of Atqasuk"/>
            <code code="359" status="active"/>
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         <concept>
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            <conceptProperty name="internalId" value="11667"/>
            <printName language="en" preferredForLanguage="true" text="Cayuga Nation"/>
            <code code="36" status="active"/>
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            <conceptProperty name="internalId" value="11992"/>
            <printName language="en" preferredForLanguage="true"
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         <concept>
            <conceptRelationship relationshipName="Specializes">
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            <conceptProperty name="internalId" value="11993"/>
            <printName language="en" preferredForLanguage="true" text="Beaver Village"/>
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         <concept>
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            <conceptProperty name="internalId" value="11994"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of Belkofski"/>
            <code code="362" status="active"/>
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         <concept>
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            <conceptProperty name="internalId" value="11995"/>
            <printName language="en" preferredForLanguage="true" text="Village of Bill Moore's Slough"/>
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         <concept>
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            <conceptProperty name="internalId" value="11996"/>
            <printName language="en" preferredForLanguage="true" text="Birch Creek Tribe"/>
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         <concept>
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            <conceptProperty name="internalId" value="11997"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="365" status="active"/>
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         <concept>
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            <conceptProperty name="internalId" value="11998"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of Buckland"/>
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         <concept>
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            <conceptProperty name="internalId" value="11999"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of Cantwell"/>
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         </concept>
         <concept>
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            <conceptProperty name="internalId" value="12000"/>
            <printName language="en" preferredForLanguage="true"
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         <concept>
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            <conceptProperty name="internalId" value="12001"/>
            <printName language="en" preferredForLanguage="true" text="Chalkyitsik Village"/>
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         <concept>
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            <conceptProperty name="internalId" value="11668"/>
            <printName language="en" preferredForLanguage="true"
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            <conceptProperty name="internalId" value="12002"/>
            <printName language="en" preferredForLanguage="true" text="Village of Chefornak"/>
            <code code="370" status="active"/>
         </concept>
         <concept>
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            <conceptProperty name="internalId" value="12003"/>
            <printName language="en" preferredForLanguage="true" text="Chevak Native Village"/>
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         </concept>
         <concept>
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            <conceptProperty name="internalId" value="12004"/>
            <printName language="en" preferredForLanguage="true" text="Chickaloon Native Village"/>
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         </concept>
         <concept>
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            </conceptRelationship>
            <conceptProperty name="internalId" value="12005"/>
            <printName language="en" preferredForLanguage="true" text="Chignik Bay Tribal Council"/>
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         </concept>
         <concept>
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            <conceptProperty name="internalId" value="12006"/>
            <printName language="en" preferredForLanguage="true"
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         <concept>
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            <conceptProperty name="internalId" value="12007"/>
            <printName language="en" preferredForLanguage="true" text="Chignik Lake Village"/>
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         </concept>
         <concept>
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            <conceptProperty name="internalId" value="12008"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="376" status="active"/>
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         <concept>
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               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12009"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="377" status="active"/>
         </concept>
         <concept>
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               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12010"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="378" status="active"/>
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         <concept>
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            </conceptRelationship>
            <conceptProperty name="internalId" value="12011"/>
            <printName language="en" preferredForLanguage="true" text="Cheesh-Na Tribe"/>
            <code code="379" status="active"/>
         </concept>
         <concept>
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            <conceptProperty name="internalId" value="11669"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="38" status="active"/>
         </concept>
         <concept>
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            <conceptProperty name="internalId" value="12012"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of Chitina"/>
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         </concept>
         <concept>
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               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12013"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="381" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityAlaska"/>
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            <conceptProperty name="internalId" value="12014"/>
            <printName language="en" preferredForLanguage="true" text="Chuloonawick Native Village"/>
            <code code="382" status="active"/>
         </concept>
         <concept>
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            </conceptRelationship>
            <conceptProperty name="internalId" value="12015"/>
            <printName language="en" preferredForLanguage="true" text="Circle Native Community"/>
            <code code="383" status="active"/>
         </concept>
         <concept>
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            </conceptRelationship>
            <conceptProperty name="internalId" value="12016"/>
            <printName language="en" preferredForLanguage="true" text="Village of Clarks Point"/>
            <code code="384" status="active"/>
         </concept>
         <concept>
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            <conceptProperty name="internalId" value="12017"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of Council"/>
            <code code="385" status="active"/>
         </concept>
         <concept>
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               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12018"/>
            <printName language="en" preferredForLanguage="true" text="Craig Tribal Association"/>
            <code code="386" status="active"/>
         </concept>
         <concept>
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               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12019"/>
            <printName language="en" preferredForLanguage="true" text="Village of Crooked Creek"/>
            <code code="387" status="active"/>
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         <concept>
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               <targetConcept code="_NativeEntityAlaska"/>
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            <conceptProperty name="internalId" value="12020"/>
            <printName language="en" preferredForLanguage="true" text="Curyung Tribal Council"/>
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         </concept>
         <concept>
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               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12021"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of Deering"/>
            <code code="389" status="active"/>
         </concept>
         <concept>
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            <conceptProperty name="internalId" value="11670"/>
            <printName language="en" preferredForLanguage="true"
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         <concept>
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            <conceptProperty name="internalId" value="12022"/>
            <printName language="en" preferredForLanguage="true"
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         <concept>
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               <targetConcept code="_NativeEntityAlaska"/>
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            <conceptProperty name="internalId" value="12023"/>
            <printName language="en" preferredForLanguage="true" text="Village of Dot Lake"/>
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         <concept>
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            <conceptProperty name="internalId" value="12024"/>
            <printName language="en" preferredForLanguage="true" text="Douglas Indian Association"/>
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         </concept>
         <concept>
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            <conceptProperty name="internalId" value="12025"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of Eagle"/>
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         </concept>
         <concept>
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               <targetConcept code="_NativeEntityAlaska"/>
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            <conceptProperty name="internalId" value="12026"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of Eek"/>
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         </concept>
         <concept>
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               <targetConcept code="_NativeEntityAlaska"/>
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            <conceptProperty name="internalId" value="12027"/>
            <printName language="en" preferredForLanguage="true" text="Egegik Village"/>
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            <conceptProperty name="internalId" value="12028"/>
            <printName language="en" preferredForLanguage="true" text="Eklutna Native Village"/>
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         <concept>
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            <printName language="en" preferredForLanguage="true" text="Native Village of Ekuk"/>
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         <concept>
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            <conceptProperty name="internalId" value="12030"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of Ekwok"/>
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            <conceptProperty name="internalId" value="12031"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of Elim"/>
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         <concept>
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            <printName language="en" preferredForLanguage="true" text="Cherokee Nation"/>
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         </concept>
         <concept>
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            <conceptProperty name="internalId" value="12032"/>
            <printName language="en" preferredForLanguage="true" text="Emmonak Village"/>
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         </concept>
         <concept>
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            <conceptProperty name="internalId" value="12033"/>
            <printName language="en" preferredForLanguage="true"
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         </concept>
         <concept>
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            <conceptProperty name="internalId" value="12034"/>
            <printName language="en" preferredForLanguage="true"
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         </concept>
         <concept>
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            <conceptProperty name="internalId" value="12035"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of False Pass"/>
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         </concept>
         <concept>
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            <conceptProperty name="internalId" value="12036"/>
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         </concept>
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            <conceptProperty name="internalId" value="12038"/>
            <printName language="en" preferredForLanguage="true"
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         <concept>
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            <conceptProperty name="internalId" value="12039"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of Gambell"/>
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         <concept>
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            <conceptProperty name="internalId" value="12041"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of Goodnews Bay"/>
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            <conceptProperty name="internalId" value="12042"/>
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         <concept>
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            <conceptProperty name="internalId" value="12043"/>
            <printName language="en" preferredForLanguage="true" text="Gulkana Village Council"/>
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         </concept>
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            <conceptProperty name="internalId" value="12044"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of Hamilton"/>
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         </concept>
         <concept>
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            <conceptProperty name="internalId" value="12045"/>
            <printName language="en" preferredForLanguage="true" text="Healy Lake Village"/>
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            <conceptProperty name="internalId" value="12046"/>
            <printName language="en" preferredForLanguage="true" text="Holy Cross Tribe"/>
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         </concept>
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            <printName language="en" preferredForLanguage="true" text="Hoonah Indian Association"/>
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         </concept>
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            <printName language="en" preferredForLanguage="true" text="Native Village of Hooper Bay"/>
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            <conceptProperty name="internalId" value="12049"/>
            <printName language="en" preferredForLanguage="true" text="Hughes Village"/>
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            <printName language="en" preferredForLanguage="true" text="Huslia Village"/>
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         <concept>
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               <targetConcept code="_NativeEntityAlaska"/>
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            <conceptProperty name="internalId" value="12051"/>
            <printName language="en" preferredForLanguage="true"
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         <concept>
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            <conceptProperty name="internalId" value="12052"/>
            <printName language="en" preferredForLanguage="true" text="Igiugig Village"/>
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         </concept>
         <concept>
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            <conceptProperty name="internalId" value="12053"/>
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         <concept>
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            <conceptProperty name="internalId" value="12054"/>
            <printName language="en" preferredForLanguage="true"
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         <concept>
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            <conceptProperty name="internalId" value="12055"/>
            <printName language="en" preferredForLanguage="true" text="Iqugmiut Traditional Council"/>
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         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityAlaska"/>
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            <conceptProperty name="internalId" value="12056"/>
            <printName language="en" preferredForLanguage="true" text="Ivanof Bay Tribe"/>
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         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityAlaska"/>
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            <conceptProperty name="internalId" value="12057"/>
            <printName language="en" preferredForLanguage="true" text="Kaguyak Village"/>
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         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityAlaska"/>
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            <conceptProperty name="internalId" value="12058"/>
            <printName language="en" preferredForLanguage="true" text="Organized Village of Kake"/>
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         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityAlaska"/>
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            <conceptProperty name="internalId" value="12059"/>
            <printName language="en" preferredForLanguage="true"
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         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityAlaska"/>
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            <conceptProperty name="internalId" value="12060"/>
            <printName language="en" preferredForLanguage="true" text="Village of Kalskag"/>
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         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityAlaska"/>
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            <printName language="en" preferredForLanguage="true" text="Village of Kaltag"/>
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            <printName language="en" preferredForLanguage="true" text="King Island Native Community"/>
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            <printName language="en" preferredForLanguage="true" text="Native Village of Kivalina"/>
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            <printName language="en" preferredForLanguage="true"
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            <printName language="en" preferredForLanguage="true"
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         <concept>
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            <printName language="en" preferredForLanguage="true" text="Knik Tribe"/>
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            <conceptProperty name="internalId" value="12076"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of Kobuk"/>
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         <concept>
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            <printName language="en" preferredForLanguage="true" text="Kokhanok Village"/>
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            <printName language="en" preferredForLanguage="true" text="Native Village of Kongiganak"/>
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            <printName language="en" preferredForLanguage="true" text="Village of Kotlik"/>
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            <printName language="en" preferredForLanguage="true" text="Native Village of Kotzebue"/>
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            <printName language="en" preferredForLanguage="true" text="Native Village of Koyuk"/>
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            <printName language="en" preferredForLanguage="true"
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            <printName language="en" preferredForLanguage="true" text="Koyukuk Native Village"/>
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         <concept>
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            <printName language="en" preferredForLanguage="true" text="Organized Village of Kwethluk"/>
            <code code="451" status="active"/>
         </concept>
         <concept>
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            <conceptProperty name="internalId" value="12084"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of Kwigillingok"/>
            <code code="452" status="active"/>
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         <concept>
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            <printName language="en" preferredForLanguage="true"
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         <concept>
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            <conceptProperty name="internalId" value="12086"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of Larsen Bay"/>
            <code code="454" status="active"/>
         </concept>
         <concept>
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            <conceptProperty name="internalId" value="12087"/>
            <printName language="en" preferredForLanguage="true" text="Levelock Village"/>
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            <printName language="en" preferredForLanguage="true" text="Tangirnaq Native Village"/>
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            <conceptProperty name="internalId" value="12089"/>
            <printName language="en" preferredForLanguage="true" text="Lime Village"/>
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            <conceptProperty name="internalId" value="12090"/>
            <printName language="en" preferredForLanguage="true" text="Village of Lower Kalskag"/>
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         <concept>
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            <conceptProperty name="internalId" value="12091"/>
            <printName language="en" preferredForLanguage="true" text="Manley Hot Springs Village"/>
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            <printName language="en" preferredForLanguage="true" text="Chitimacha Tribe of Louisiana"/>
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            <printName language="en" preferredForLanguage="true" text="Manokotak Village"/>
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            <printName language="en" preferredForLanguage="true"
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            <printName language="en" preferredForLanguage="true" text="Native Village of Mary's Igloo"/>
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            <printName language="en" preferredForLanguage="true" text="McGrath Native Village"/>
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            <printName language="en" preferredForLanguage="true" text="Native Village of Mekoryuk"/>
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            <conceptProperty name="internalId" value="12097"/>
            <printName language="en" preferredForLanguage="true" text="Mentasta Traditional Council"/>
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            <printName language="en" preferredForLanguage="true"
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            <printName language="en" preferredForLanguage="true" text="Native Village of Minto"/>
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            <printName language="en" preferredForLanguage="true" text="Naknek Native Village"/>
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            <printName language="en" preferredForLanguage="true"
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            <printName language="en" preferredForLanguage="true" text="Native Village of Napaimute"/>
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            <printName language="en" preferredForLanguage="true" text="Native Village of Napakiak"/>
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            <conceptProperty name="internalId" value="12105"/>
            <printName language="en" preferredForLanguage="true"
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            <printName language="en" preferredForLanguage="true" text="Nenana Native Association"/>
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            <conceptProperty name="internalId" value="12107"/>
            <printName language="en" preferredForLanguage="true" text="New Koliganek Village Council"/>
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            <printName language="en" preferredForLanguage="true" text="Newhalen Village"/>
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            <printName language="en" preferredForLanguage="true" text="Newtok Village"/>
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            <printName language="en" preferredForLanguage="true" text="Native Village of Nightmute"/>
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            <conceptProperty name="internalId" value="11679"/>
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            <printName language="en" preferredForLanguage="true" text="Ninilchik Village"/>
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            <printName language="en" preferredForLanguage="true" text="Nome Eskimo Community"/>
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            <printName language="en" preferredForLanguage="true" text="Northway Village"/>
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            <conceptProperty name="internalId" value="12124"/>
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            <conceptProperty name="internalId" value="12125"/>
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            <conceptProperty name="internalId" value="12126"/>
            <printName language="en" preferredForLanguage="true"
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            <conceptProperty name="internalId" value="12127"/>
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            <conceptProperty name="internalId" value="12130"/>
            <printName language="en" preferredForLanguage="true" text="Pauloff Harbor Village"/>
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         <concept>
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            <conceptProperty name="internalId" value="12131"/>
            <printName language="en" preferredForLanguage="true" text="Pedro Bay Village"/>
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         </concept>
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            <conceptProperty name="internalId" value="11636"/>
            <printName language="en" preferredForLanguage="true" text="Alabama-Quassarte Tribal Town"/>
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            <conceptProperty name="internalId" value="11681"/>
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            <code code="50" status="active"/>
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         <concept>
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            <printName language="en" preferredForLanguage="true" text="Native Village of Perryville"/>
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            <conceptProperty name="internalId" value="12133"/>
            <printName language="en" preferredForLanguage="true" text="Petersburg Indian Association"/>
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         <concept>
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            <conceptProperty name="internalId" value="12134"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of Pilot Point"/>
            <code code="502" status="active"/>
         </concept>
         <concept>
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               <targetConcept code="_NativeEntityAlaska"/>
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            <conceptProperty name="internalId" value="12135"/>
            <printName language="en" preferredForLanguage="true"
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         <concept>
            <conceptRelationship relationshipName="Specializes">
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            <conceptProperty name="internalId" value="12136"/>
            <printName language="en" preferredForLanguage="true"
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         <concept>
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            <conceptProperty name="internalId" value="12137"/>
            <printName language="en" preferredForLanguage="true" text="Platinum Traditional Village"/>
            <code code="505" status="active"/>
         </concept>
         <concept>
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            <conceptProperty name="internalId" value="12138"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of Point Hope"/>
            <code code="506" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12139"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of Point Lay"/>
            <code code="507" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12140"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of Port Graham"/>
            <code code="508" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12141"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of Port Heiden"/>
            <code code="509" status="active"/>
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         <concept>
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               <targetConcept code="_NativeEntityContiguous"/>
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            <conceptProperty name="internalId" value="11682"/>
            <printName language="en" preferredForLanguage="true" text="Coeur D'Alene Tribe"/>
            <code code="51" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12142"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of Port Lions"/>
            <code code="510" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12143"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="511" status="active"/>
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         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12144"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="512" status="retired"/>
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         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityAlaska"/>
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            <conceptProperty name="internalId" value="12145"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="513" status="active"/>
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         <concept>
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               <targetConcept code="_NativeEntityAlaska"/>
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            <conceptProperty name="internalId" value="12146"/>
            <printName language="en" preferredForLanguage="true" text="Qawalangin Tribe of Unalaska"/>
            <code code="514" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityAlaska"/>
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            <conceptProperty name="internalId" value="12147"/>
            <printName language="en" preferredForLanguage="true" text="Rampart Village"/>
            <code code="515" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12148"/>
            <printName language="en" preferredForLanguage="true" text="Village of Red Devil"/>
            <code code="516" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12149"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of Ruby"/>
            <code code="517" status="active"/>
         </concept>
         <concept>
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               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12150"/>
            <printName language="en" preferredForLanguage="true" text="Saint George Island"/>
            <code code="518" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12151"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="519" status="active"/>
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         <concept>
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               <targetConcept code="_NativeEntityContiguous"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="11683"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="52" status="active"/>
         </concept>
         <concept>
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               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12152"/>
            <printName language="en" preferredForLanguage="true" text="Saint Paul Island"/>
            <code code="520" status="active"/>
         </concept>
         <concept>
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               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12153"/>
            <printName language="en" preferredForLanguage="true" text="Salamatof Tribe"/>
            <code code="521" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12154"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of Savoonga"/>
            <code code="522" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12155"/>
            <printName language="en" preferredForLanguage="true" text="Organized Village of Saxman"/>
            <code code="523" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12156"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of Scammon Bay"/>
            <code code="524" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12157"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of Selawik"/>
            <code code="525" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12158"/>
            <printName language="en" preferredForLanguage="true" text="Seldovia Village Tribe"/>
            <code code="526" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12159"/>
            <printName language="en" preferredForLanguage="true" text="Shageluk Native Village"/>
            <code code="527" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12160"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of Shaktoolik"/>
            <code code="528" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12161"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of Nunam Iqua"/>
            <code code="529" status="active"/>
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         <concept>
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               <targetConcept code="_NativeEntityContiguous"/>
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            <conceptProperty name="internalId" value="11684"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="53" status="active"/>
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         <concept>
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               <targetConcept code="_NativeEntityAlaska"/>
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            <conceptProperty name="internalId" value="12162"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of Shishmaref"/>
            <code code="530" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12163"/>
            <printName language="en" preferredForLanguage="true" text="Sun'aq Tribe of Kodiak"/>
            <code code="531" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12164"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of Shungnak"/>
            <code code="532" status="active"/>
         </concept>
         <concept>
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               <targetConcept code="_NativeEntityAlaska"/>
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            <conceptProperty name="internalId" value="12165"/>
            <printName language="en" preferredForLanguage="true" text="Sitka Tribe of Alaska"/>
            <code code="533" status="active"/>
         </concept>
         <concept>
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               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12166"/>
            <printName language="en" preferredForLanguage="true" text="Skagway Village"/>
            <code code="534" status="active"/>
         </concept>
         <concept>
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               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12167"/>
            <printName language="en" preferredForLanguage="true" text="Village of Sleetmute"/>
            <code code="535" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12168"/>
            <printName language="en" preferredForLanguage="true" text="Village of Solomon"/>
            <code code="536" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12169"/>
            <printName language="en" preferredForLanguage="true" text="South Naknek Village"/>
            <code code="537" status="active"/>
         </concept>
         <concept>
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               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12170"/>
            <printName language="en" preferredForLanguage="true" text="Stebbins Community Association"/>
            <code code="538" status="active"/>
         </concept>
         <concept>
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               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12171"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of Stevens"/>
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         </concept>
         <concept>
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               <targetConcept code="_NativeEntityContiguous"/>
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            <conceptProperty name="internalId" value="11685"/>
            <printName language="en" preferredForLanguage="true" text="Comanche Nation, Oklahoma"/>
            <code code="54" status="active"/>
         </concept>
         <concept>
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               <targetConcept code="_NativeEntityAlaska"/>
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            <conceptProperty name="internalId" value="12172"/>
            <printName language="en" preferredForLanguage="true" text="Village of Stony River"/>
            <code code="540" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12173"/>
            <printName language="en" preferredForLanguage="true" text="Takotna Village"/>
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         </concept>
         <concept>
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               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12174"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of Tanacross"/>
            <code code="542" status="active"/>
         </concept>
         <concept>
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               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12175"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of Tanana"/>
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         </concept>
         <concept>
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               <targetConcept code="_NativeEntityAlaska"/>
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            <conceptProperty name="internalId" value="12176"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of Tatitlek"/>
            <code code="544" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12177"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of Tazlina"/>
            <code code="545" status="active"/>
         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12178"/>
            <printName language="en" preferredForLanguage="true" text="Telida Village"/>
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         </concept>
         <concept>
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               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12179"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of Teller"/>
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         </concept>
         <concept>
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               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12180"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of Tetlin"/>
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         </concept>
         <concept>
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               <targetConcept code="_NativeEntityAlaska"/>
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            <conceptProperty name="internalId" value="12181"/>
            <printName language="en" preferredForLanguage="true"
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         <concept>
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            <conceptProperty name="internalId" value="11686"/>
            <printName language="en" preferredForLanguage="true"
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            <code code="55" status="active"/>
         </concept>
         <concept>
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               <targetConcept code="_NativeEntityAlaska"/>
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            <conceptProperty name="internalId" value="12182"/>
            <printName language="en" preferredForLanguage="true" text="Traditional Village of Togiak"/>
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         <concept>
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               <targetConcept code="_NativeEntityAlaska"/>
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            <conceptProperty name="internalId" value="12183"/>
            <printName language="en" preferredForLanguage="true" text="Tuluksak Native Community"/>
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         </concept>
         <concept>
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               <targetConcept code="_NativeEntityAlaska"/>
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            <conceptProperty name="internalId" value="12184"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of Tuntutuliak"/>
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         <concept>
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               <targetConcept code="_NativeEntityAlaska"/>
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            <conceptProperty name="internalId" value="12185"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of Tununak"/>
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         <concept>
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               <targetConcept code="_NativeEntityAlaska"/>
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            <conceptProperty name="internalId" value="12186"/>
            <printName language="en" preferredForLanguage="true" text="Twin Hills Village"/>
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         </concept>
         <concept>
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               <targetConcept code="_NativeEntityAlaska"/>
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            <conceptProperty name="internalId" value="12187"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of Tyonek"/>
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         <concept>
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               <targetConcept code="_NativeEntityAlaska"/>
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            <conceptProperty name="internalId" value="12188"/>
            <printName language="en" preferredForLanguage="true" text="Ugashik Village"/>
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         </concept>
         <concept>
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            <conceptProperty name="internalId" value="12189"/>
            <printName language="en" preferredForLanguage="true" text="Umkumiut Native Village"/>
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         <concept>
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            <printName language="en" preferredForLanguage="true" text="Native Village of Unalakleet"/>
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         <concept>
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            <conceptProperty name="internalId" value="12191"/>
            <printName language="en" preferredForLanguage="true" text="Native Village of Unga"/>
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            <conceptProperty name="internalId" value="11687"/>
            <printName language="en" preferredForLanguage="true"
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         </concept>
         <concept>
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               <targetConcept code="_NativeEntityAlaska"/>
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            <conceptProperty name="internalId" value="12192"/>
            <printName language="en" preferredForLanguage="true" text="Village of Venetie"/>
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         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12193"/>
            <printName language="en" preferredForLanguage="true"
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         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityAlaska"/>
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            <conceptProperty name="internalId" value="12194"/>
            <printName language="en" preferredForLanguage="true" text="Village of Wainwright"/>
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         </concept>
         <concept>
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               <targetConcept code="_NativeEntityAlaska"/>
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            <conceptProperty name="internalId" value="12195"/>
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         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityAlaska"/>
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            <conceptProperty name="internalId" value="12196"/>
            <printName language="en" preferredForLanguage="true"
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         </concept>
         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityAlaska"/>
            </conceptRelationship>
            <conceptProperty name="internalId" value="12197"/>
            <printName language="en" preferredForLanguage="true"
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         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityAlaska"/>
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            <conceptProperty name="internalId" value="12198"/>
            <printName language="en" preferredForLanguage="true" text="Yakutat Tlingit Tribe"/>
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         <concept>
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            <conceptProperty name="internalId" value="30003"/>
            <printName language="en" preferredForLanguage="true" text="Chickahominy Indian Tribe"/>
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         <concept>
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               <targetConcept code="_NativeEntityContiguous"/>
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            <conceptProperty name="internalId" value="30004"/>
            <printName language="en" preferredForLanguage="true"
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         <concept>
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               <targetConcept code="_NativeEntityContiguous"/>
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            <conceptProperty name="internalId" value="30005"/>
            <printName language="en" preferredForLanguage="true" text="Monacan Indian Nation"/>
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         <concept>
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               <targetConcept code="_NativeEntityContiguous"/>
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            <conceptProperty name="internalId" value="11688"/>
            <printName language="en" preferredForLanguage="true"
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         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
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            <conceptProperty name="internalId" value="30006"/>
            <printName language="en" preferredForLanguage="true" text="Nansemond Indian Nation"/>
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         <concept>
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               <targetConcept code="_NativeEntityContiguous"/>
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            <conceptProperty name="internalId" value="30008"/>
            <printName language="en" preferredForLanguage="true" text="Rappahannock Tribe, Inc."/>
            <code code="571" status="active"/>
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         <concept>
            <conceptRelationship relationshipName="Specializes">
               <targetConcept code="_NativeEntityContiguous"/>
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                        <p>Host-specific local file names \[RCF 1738\]. Note that the file scheme works only for local files. There is little use for exchanging local file names between systems, since the receiving system likely will not be able to access the file.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14872"/>
            <printName language="en" preferredForLanguage="true" text="File"/>
            <code code="file" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The File Transfer Protocol (FTP) \[RFC 1738\].</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14871"/>
            <printName language="en" preferredForLanguage="true" text="FTP"/>
            <code code="ftp" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A reference to an HL7 attachment by it's identifier, which takes the form hl7-att:\[II.literal\], such as hl7-att:2.1.16.3.9.12345.2.39.3:ABC123</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22604"/>
            <printName language="en" preferredForLanguage="true" text="HL7 Attachment"/>
            <code code="hl7-att" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Hypertext Transfer Protocol \[RFC 2068\].</p>
                        <p>http://www.ietf.org/rfc/rfc2068.txt</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14870"/>
            <printName language="en" preferredForLanguage="true" text="HTTP"/>
            <code code="http" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Electronic mail address \[RFC 2368\]</p>
                        <p>http://www.ietf.org/rfc/rfc2368.txt</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14869"/>
            <printName language="en" preferredForLanguage="true" text="Mailto"/>
            <code code="mailto" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>Mimimal Lower Layer Protocol. See Transport Specification: MLLP, Release 2 (HL7 V3 Transport specification).</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="21461"/>
            <printName language="en" preferredForLanguage="true" text="MLLP"/>
            <code code="mllp" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A telephone number served by a modem device \[http://www.ietf.org/rfc/rfc3966.txt and http://www.ietf.org/rfc/rfc2806.txt\].</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14875"/>
            <printName language="en" preferredForLanguage="true" text="Modem"/>
            <code code="modem" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Network File System protocol \[RFC 2224\]. Some sites use NFS servers to share data files.</p>
                        <p>http://www.ietf.org/rfc/rfc2224.txt</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14873"/>
            <printName language="en" preferredForLanguage="true" text="NFS"/>
            <code code="nfs" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A voice telephone number \[http://www.ietf.org/rfc/rfc3966.txt and http://www.ietf.org/rfc/rfc2806.txt\].</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14867"/>
            <printName language="en" preferredForLanguage="true" text="Telephone"/>
            <code code="tel" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Reference to interactive sessions \[RFC 1738\]. Some sites, (e.g., laboratories) have TTY based remote query sessions that can be accessed through telnet.</p>
                        <p>http://www.ietf.org/rfc/rfc1738.txt</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="14874"/>
            <printName language="en" preferredForLanguage="true" text="Telnet"/>
            <code code="telnet" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A telephone number served by a fax device \[http://www.ietf.org/rfc/rfc3966.txt and http://www.ietf.org/rfc/rfc2806.txt\]</text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22605"/>
            <printName language="en" preferredForLanguage="true" text="Fax"/>
            <code code="x-text-fax" status="retired"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <b>Description:</b>A text telephone - a telephone which is designed for use by the hearing-impaired<b>Notes:</b>
                        <p>* x-text-fax is required to replace fax, since this has been deprecated by W3C. * hl7-att is associated with a series of rules that must be followed. These rules are documented in Datatypes R2 * This domain is external and extensible, so documenting this simply clarifies consistent usage for these use cases.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="22606"/>
            <printName language="en" preferredForLanguage="true" text="Text Telephone"/>
            <code code="x-text-tel" status="retired"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="USCOC" title="US Census Occupation Code"
               codeSystemId="2.16.840.1.113883.6.240">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Coding system of United States Census Occupation Codes, published by the US Governmetn Bureau of the Census. Doucmentation and Crosswalk mapping between the COC and the SOC and NAICS code systems available at http://www.census.gov/hhes/www/ioindex/view.html</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="UsEPAsrs" title="US EPA Substance Registry System"
               codeSystemId="2.16.840.1.113883.6.275">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The United States Environmental Protection Agency's (US EPA) Substance Registry System (SRS) provides information on substances and how they are represented in US environmental statutes, in US EPA information systems, and in information systems owned by other organizations. The SRS provides standardized identification for each substance to improve data quality in US EPA systems and elsewhere.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="USZIPCODES" title="United States Postal Service"
               codeSystemId="2.16.840.1.113883.6.231">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Coding system of defined postal zip codes for the United States of America.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2021-11-09" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <codeSystem name="VaccineManufacturer" title="VaccineManufacturer"
               codeSystemId="2.16.840.1.113883.5.144">
      <historyItem dateTime="2020-05-06" id="v3-VaccineManufacturer-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The manufacturer of a vaccine.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Abbott Laboratories (includes Ross Products Division)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11125"/>
            <printName language="en" preferredForLanguage="true"
                       text="Abbott Laboratories (includes Ross Products Division)"/>
            <code code="AB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Adams Laboratories</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11126"/>
            <printName language="en" preferredForLanguage="true" text="Adams Laboratories"/>
            <code code="AD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Alpha Therapeutic Corporation</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11127"/>
            <printName language="en" preferredForLanguage="true" text="Alpha Therapeutic Corporation"/>
            <code code="ALP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Armour \[Inactive-use CEN\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11128"/>
            <printName language="en" preferredForLanguage="true" text="Armour [Inactive - use CEN]"/>
            <code code="AR" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Aviron</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11129"/>
            <printName language="en" preferredForLanguage="true" text="Aviron"/>
            <code code="AVI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Baxter Healthcare Corporation</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11130"/>
            <printName language="en" preferredForLanguage="true" text="Baxter Healthcare Corporation"/>
            <code code="BA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Bayer Corporation (includes Miles, Inc. and Cutter Laboratories)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11131"/>
            <printName language="en" preferredForLanguage="true"
                       text="Bayer Corporation (includes Miles, Inc. and Cutter Laboratories)"/>
            <code code="BAY" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Berna Products \[Inactive-use BPC\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11132"/>
            <printName language="en" preferredForLanguage="true"
                       text="Berna Products [Inactive - use BPC]"/>
            <code code="BP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Berna Products Corporation (includes Swiss Serum and Vaccine Institute Berne)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11133"/>
            <printName language="en" preferredForLanguage="true"
                       text="Berna Products Corporation (includes Swiss Serum and Vaccine Institute Berne)"/>
            <code code="BPC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Centeon L.L.C. (includes Armour Pharmaceutical Company)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11134"/>
            <printName language="en" preferredForLanguage="true"
                       text="Centeon L.L.C. (includes Armour Pharmaceutical Company)"/>
            <code code="CEN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Chiron Corporation</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11135"/>
            <printName language="en" preferredForLanguage="true" text="Chiron Corporation"/>
            <code code="CHI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Connaught \[Inactive-use PMC\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11136"/>
            <printName language="en" preferredForLanguage="true" text="Connaught [Inactive - use PMC]"/>
            <code code="CON" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Evans Medical Limited (an affiliate of Medeva Pharmaceuticals, Inc.)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11137"/>
            <printName language="en" preferredForLanguage="true"
                       text="Evans Medical Limited (an affiliate of Medeva Pharmaceuticals, Inc.)"/>
            <code code="EVN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Greer Laboratories, Inc.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11138"/>
            <printName language="en" preferredForLanguage="true" text="Greer Laboratories, Inc."/>
            <code code="GRE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Immuno International AG</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11139"/>
            <printName language="en" preferredForLanguage="true" text="Immuno International AG"/>
            <code code="IAG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Merieux \[Inactive-use PMC\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11140"/>
            <printName language="en" preferredForLanguage="true" text="Merieux [Inactive - use PMC]"/>
            <code code="IM" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Immuno-U.S., Inc.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11141"/>
            <printName language="en" preferredForLanguage="true" text="Immuno-U.S., Inc."/>
            <code code="IUS" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>The Research Foundation for Microbial Diseases of Osaka University (BIKEN)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11142"/>
            <printName language="en" preferredForLanguage="true"
                       text="The Research Foundation for Microbial Diseases of Osaka University (BIKEN)"/>
            <code code="JPN" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Korea Green Cross Corporation</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11143"/>
            <printName language="en" preferredForLanguage="true" text="Korea Green Cross Corporation"/>
            <code code="KGC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Lederle \[Inactive-use WAL\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11144"/>
            <printName language="en" preferredForLanguage="true" text="Lederle [Inactive - use WAL]"/>
            <code code="LED" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Massachusetts Public Health Biologic Laboratories</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11145"/>
            <printName language="en" preferredForLanguage="true"
                       text="Massachusetts Public Health Biologic Laboratories"/>
            <code code="MA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>MedImmune, Inc.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11146"/>
            <printName language="en" preferredForLanguage="true" text="MedImmune, Inc."/>
            <code code="MED" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Miles \[Inactive-use BAY\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11147"/>
            <printName language="en" preferredForLanguage="true" text="Miles [Inactive - use BAY]"/>
            <code code="MIL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Bioport Corporation (formerly Michigan Biologic Products Institute)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11148"/>
            <printName language="en" preferredForLanguage="true"
                       text="Bioport Corporation (formerly Michigan Biologic Products Institute)"/>
            <code code="MIP" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Merck &amp; Co., Inc.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11149"/>
            <printName language="en" preferredForLanguage="true" text="Merck and Co., Inc."/>
            <code code="MSD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>NABI (formerly North American Biologicals, Inc.)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11150"/>
            <printName language="en" preferredForLanguage="true"
                       text="NABI (formerly North American Biologicals, Inc.)"/>
            <code code="NAB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>North American Vaccine, Inc.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11152"/>
            <printName language="en" preferredForLanguage="true" text="North American Vaccine, Inc."/>
            <code code="NAV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Novartis Pharmaceutical Corporation (includes Ciba-Geigy Limited and Sandoz Limited)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11153"/>
            <printName language="en" preferredForLanguage="true"
                       text="Novartis Pharmaceutical Corporation (includes Ciba-Geigy Limited and Sandoz Limited)"/>
            <code code="NOV" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>New York Blood Center</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11151"/>
            <printName language="en" preferredForLanguage="true" text="New York Blood Center"/>
            <code code="NYB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Ortho Diagnostic Systems, Inc.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11155"/>
            <printName language="en" preferredForLanguage="true" text="Ortho Diagnostic Systems, Inc."/>
            <code code="ORT" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Organon Teknika Corporation</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11154"/>
            <printName language="en" preferredForLanguage="true" text="Organon Teknika Corporation"/>
            <code code="OTC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Parkedale Pharmaceuticals (formerly Parke-Davis)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11156"/>
            <printName language="en" preferredForLanguage="true"
                       text="Parkedale Pharmaceuticals (formerly Parke-Davis)"/>
            <code code="PD" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Aventis Pasteur Inc. (formerly Pasteur Merieux Connaught; includes Connaught Laboratories and Pasteur Merieux)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11157"/>
            <printName language="en" preferredForLanguage="true"
                       text="Aventis Pasteur Inc. (formerly Pasteur Merieux Connaught; includes Connaught Laboratories and Pasteur Merieux)"/>
            <code code="PMC" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Praxis Biologics \[Inactive-use WAL\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11158"/>
            <printName language="en" preferredForLanguage="true"
                       text="Praxis Biologics [Inactive - use WAL]"/>
            <code code="PRX" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Sclavo, Inc.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11159"/>
            <printName language="en" preferredForLanguage="true" text="Sclavo, Inc."/>
            <code code="SCL" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Swiss Serum and Vaccine Inst. \[Inactive-use BPC\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11160"/>
            <printName language="en" preferredForLanguage="true"
                       text="Swiss Serum and Vaccine Inst. [Inactive - use BPC]"/>
            <code code="SI" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>SmithKline Beecham</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11161"/>
            <printName language="en" preferredForLanguage="true" text="SmithKline Beecham"/>
            <code code="SKB" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>United States Army Medical Research and Materiel Command</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11162"/>
            <printName language="en" preferredForLanguage="true"
                       text="United States Army Medical Research and Materiel Command"/>
            <code code="USA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Wyeth-Ayerst \[Inactive-use WAL\]</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11163"/>
            <printName language="en" preferredForLanguage="true"
                       text="Wyeth-Ayerst [Inactive - use WAL]"/>
            <code code="WA" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Wyeth-Ayerst (includes Wyeth-Lederle Vaccines and Pediatrics, Wyeth Laboratories, Lederle Laboratories, and Praxis Biologics)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11164"/>
            <printName language="en" preferredForLanguage="true"
                       text="Wyeth-Ayerst (includes Wyeth-Lederle Vaccines and Pediatrics, Wyeth Laboratories, Lederle Laboratories, and Praxis Biologics)"/>
            <code code="WAL" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="VaccineType" title="VaccineType" codeSystemId="2.16.840.1.113883.5.145">
      <historyItem dateTime="2020-05-06" id="v3-VaccineType-cs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The kind of vaccine.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="true"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
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                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
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         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>diphtheria, tetanus toxoids and pertussis vaccine</p>
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                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11179"/>
            <printName language="en" preferredForLanguage="true" text="DTP"/>
            <code code="1" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>poliovirus vaccine, inactivated</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11210"/>
            <printName language="en" preferredForLanguage="true" text="IPV"/>
            <code code="10" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>pneumococcal conjugate vaccine, polyvalent</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11230"/>
            <printName language="en" preferredForLanguage="true" text="pneumococcal conjugate"/>
            <code code="100" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Typhoid Vi capsular polysaccharide vaccine</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11257"/>
            <printName language="en" preferredForLanguage="true" text="typhoid, ViCPs"/>
            <code code="101" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>pertussis vaccine</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11227"/>
            <printName language="en" preferredForLanguage="true" text="pertussis"/>
            <code code="11" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>diphtheria antitoxin</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11175"/>
            <printName language="en" preferredForLanguage="true" text="diphtheria antitoxin"/>
            <code code="12" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>tetanus immune globulin</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11248"/>
            <printName language="en" preferredForLanguage="true" text="TIG"/>
            <code code="13" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>immune globulin, NOS</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11206"/>
            <printName language="en" preferredForLanguage="true" text="IG, NOS"/>
            <code code="14" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>influenza virus vaccine, split virus (incl. purified surface antigen)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11207"/>
            <printName language="en" preferredForLanguage="true"
                       text="influenza, split (incl. purified surface antigen)"/>
            <code code="15" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>influenza virus vaccine, whole virus</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11208"/>
            <printName language="en" preferredForLanguage="true" text="influenza, whole"/>
            <code code="16" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Haemophilus influenzae type b vaccine, conjugate NOS</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11200"/>
            <printName language="en" preferredForLanguage="true" text="Hib, NOS"/>
            <code code="17" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>rabies vaccine, for intramuscular injection</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11232"/>
            <printName language="en" preferredForLanguage="true"
                       text="rabies, intramuscular injection"/>
            <code code="18" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Bacillus Calmette-Guerin vaccine</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11170"/>
            <printName language="en" preferredForLanguage="true" text="BCG"/>
            <code code="19" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>poliovirus vaccine, live, oral</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11211"/>
            <printName language="en" preferredForLanguage="true" text="OPV"/>
            <code code="2" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>diphtheria, tetanus toxoids and acellular pertussis vaccine</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11177"/>
            <printName language="en" preferredForLanguage="true" text="DTaP"/>
            <code code="20" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>varicella virus vaccine</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11260"/>
            <printName language="en" preferredForLanguage="true" text="varicella"/>
            <code code="21" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>DTP-Haemophilus influenzae type b conjugate vaccine</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11180"/>
            <printName language="en" preferredForLanguage="true" text="DTP-Hib"/>
            <code code="22" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>plague vaccine</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11228"/>
            <printName language="en" preferredForLanguage="true" text="plague"/>
            <code code="23" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>anthrax vaccine</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11169"/>
            <printName language="en" preferredForLanguage="true" text="Anthrax"/>
            <code code="24" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>typhoid vaccine, live, oral</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11254"/>
            <printName language="en" preferredForLanguage="true" text="typhoid, oral"/>
            <code code="25" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>cholera vaccine</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11172"/>
            <printName language="en" preferredForLanguage="true" text="Cholera"/>
            <code code="26" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>botulinum antitoxin</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11171"/>
            <printName language="en" preferredForLanguage="true" text="botulinum antitoxin"/>
            <code code="27" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>diphtheria and tetanus toxoids, adsorbed for pediatric use</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11176"/>
            <printName language="en" preferredForLanguage="true" text="DT (pediatric)"/>
            <code code="28" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>cytomegalovirus immune globulin, intravenous</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11173"/>
            <printName language="en" preferredForLanguage="true" text="CMVIG"/>
            <code code="29" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>measles, mumps and rubella virus vaccine</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11218"/>
            <printName language="en" preferredForLanguage="true" text="MMR"/>
            <code code="3" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>hepatitis B immune globulin</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11187"/>
            <printName language="en" preferredForLanguage="true" text="HBIG"/>
            <code code="30" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>hepatitis A vaccine, pediatric dosage, NOS</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11185"/>
            <printName language="en" preferredForLanguage="true" text="Hep A, pediatric, NOS"/>
            <code code="31" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>meningococcal polysaccharide vaccine</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11224"/>
            <printName language="en" preferredForLanguage="true" text="meningococcal"/>
            <code code="32" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>pneumococcal polysaccharide vaccine</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11229"/>
            <printName language="en" preferredForLanguage="true" text="pneumococcal"/>
            <code code="33" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>rabies immune globulin</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11237"/>
            <printName language="en" preferredForLanguage="true" text="RIG"/>
            <code code="34" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>tetanus toxoid</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11246"/>
            <printName language="en" preferredForLanguage="true" text="tetanus toxoid"/>
            <code code="35" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>varicella zoster immune globulin</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11264"/>
            <printName language="en" preferredForLanguage="true" text="VZIG"/>
            <code code="36" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>yellow fever vaccine</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11265"/>
            <printName language="en" preferredForLanguage="true" text="yellow fever"/>
            <code code="37" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>rubella and mumps virus vaccine</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11242"/>
            <printName language="en" preferredForLanguage="true" text="rubella/mumps"/>
            <code code="38" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Japanese encephalitis vaccine</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11213"/>
            <printName language="en" preferredForLanguage="true" text="Japanese encephalitis"/>
            <code code="39" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>measles and rubella virus vaccine</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11219"/>
            <printName language="en" preferredForLanguage="true" text="M/R"/>
            <code code="4" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>rabies vaccine, for intradermal injection</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11233"/>
            <printName language="en" preferredForLanguage="true" text="rabies, intradermal injection"/>
            <code code="40" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>typhoid vaccine, parenteral, other than acetone-killed, dried</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11255"/>
            <printName language="en" preferredForLanguage="true" text="typhoid, parenteral"/>
            <code code="41" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>hepatitis B vaccine, adolescent/high risk infant dosage</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11189"/>
            <printName language="en" preferredForLanguage="true"
                       text="Hep B, adolescent/high risk infant"/>
            <code code="42" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>hepatitis B vaccine, adult dosage</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11190"/>
            <printName language="en" preferredForLanguage="true" text="Hep B, adult"/>
            <code code="43" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>hepatitis B vaccine, dialysis patient dosage</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11191"/>
            <printName language="en" preferredForLanguage="true" text="Hep B, dialysis"/>
            <code code="44" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>hepatitis B vaccine, NOS</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11192"/>
            <printName language="en" preferredForLanguage="true" text="Hep B, NOS"/>
            <code code="45" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Haemophilus influenzae type b vaccine, PRP-D conjugate</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11196"/>
            <printName language="en" preferredForLanguage="true" text="Hib (PRP-D)"/>
            <code code="46" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Haemophilus influenzae type b vaccine, HbOC conjugate</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11197"/>
            <printName language="en" preferredForLanguage="true" text="Hib (HbOC)"/>
            <code code="47" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Haemophilus influenzae type b vaccine, PRP-T conjugate</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11198"/>
            <printName language="en" preferredForLanguage="true" text="Hib (PRP-T)"/>
            <code code="48" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Haemophilus influenzae type b vaccine, PRP-OMP conjugate</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11199"/>
            <printName language="en" preferredForLanguage="true" text="Hib (PRP-OMP)"/>
            <code code="49" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>measles virus vaccine</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11222"/>
            <printName language="en" preferredForLanguage="true" text="measles"/>
            <code code="5" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>DTaP-Haemophilus influenzae type b conjugate vaccine</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11178"/>
            <printName language="en" preferredForLanguage="true" text="DTaPHib"/>
            <code code="50" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Haemophilus influenzae type b conjugate and Hepatitis B vaccine</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11201"/>
            <printName language="en" preferredForLanguage="true" text="Hib-Hep B"/>
            <code code="51" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>hepatitis A vaccine, adult dosage</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11182"/>
            <printName language="en" preferredForLanguage="true" text="Hep A, adult"/>
            <code code="52" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>typhoid vaccine, parenteral, acetone-killed, dried (U.S. military)</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11256"/>
            <printName language="en" preferredForLanguage="true"
                       text="typhoid, parenteral, AKD (U.S. military)"/>
            <code code="53" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>adenovirus vaccine, type 4, live, oral</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11166"/>
            <printName language="en" preferredForLanguage="true" text="adenovirus, type 4"/>
            <code code="54" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>adenovirus vaccine, type 7, live, oral</p>
                     </text>
                  </definition>
               </documentation>
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            <conceptProperty name="internalId" value="11174"/>
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            <code code="56" status="active"/>
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            <printName language="en" preferredForLanguage="true" text="Hep C"/>
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            <code code="59" status="active"/>
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            <printName language="en" preferredForLanguage="true" text="herpes simplex 2"/>
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            <printName language="en" preferredForLanguage="true" text="HIV"/>
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                        <p>human papilloma virus vaccine</p>
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            <printName language="en" preferredForLanguage="true" text="HPV"/>
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            <printName language="en" preferredForLanguage="true" text="leishmaniasis"/>
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                  <definition>
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                        <p>leprosy vaccine</p>
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            <printName language="en" preferredForLanguage="true" text="leprosy"/>
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                  <definition>
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                        <p>Lyme disease vaccine</p>
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            <printName language="en" preferredForLanguage="true" text="Lyme disease"/>
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            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>malaria vaccine</p>
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            <printName language="en" preferredForLanguage="true" text="malaria"/>
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            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>melanoma vaccine</p>
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            <printName language="en" preferredForLanguage="true" text="melanoma"/>
            <code code="68" status="active"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>parainfluenza-3 virus vaccine</p>
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            <printName language="en" preferredForLanguage="true" text="parainfluenza-3"/>
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            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>mumps virus vaccine</p>
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            <printName language="en" preferredForLanguage="true" text="mumps"/>
            <code code="7" status="active"/>
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                  <definition>
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                        <p>Q fever vaccine</p>
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            <printName language="en" preferredForLanguage="true" text="Q fever"/>
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                  <definition>
                     <text>
                        <p>respiratory syncytial virus immune globulin, intravenous</p>
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            <printName language="en" preferredForLanguage="true" text="RSV-IGIV"/>
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                  <definition>
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                        <p>rheumatic fever vaccine</p>
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               <documentation>
                  <definition>
                     <text>
                        <p>rotavirus vaccine, tetravalent, live, oral</p>
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            <printName language="en" preferredForLanguage="true" text="rotavirus"/>
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                  <definition>
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            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Staphylococcus bacteriophage lysate</p>
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            <conceptProperty name="internalId" value="11244"/>
            <printName language="en" preferredForLanguage="true" text="Staphylococcus bacterio lysate"/>
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            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>tick-borne encephalitis vaccine</p>
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            <printName language="en" preferredForLanguage="true" text="tick-borne encephalitis"/>
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            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>tularemia vaccine</p>
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            <printName language="en" preferredForLanguage="true" text="tularemia vaccine"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>vaccinia immune globulin</p>
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            <printName language="en" preferredForLanguage="true" text="vaccinia immune globulin"/>
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            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>hepatitis B vaccine, pediatric or pediatric/adolescent dosage</p>
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            <printName language="en" preferredForLanguage="true" text="Hep B, adolescent or pediatric"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Venezuelan equine encephalitis, live, attenuated</p>
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            <printName language="en" preferredForLanguage="true" text="VEE, live"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Venezuelan equine encephalitis, inactivated</p>
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            <printName language="en" preferredForLanguage="true" text="VEE, inactivated"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>adenovirus vaccine, NOS</p>
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            <printName language="en" preferredForLanguage="true" text="adenovirus, NOS"/>
            <code code="82" status="active"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>hepatitis A vaccine, pediatric/adolescent dosage, 2 dose schedule</p>
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                  </definition>
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            <printName language="en" preferredForLanguage="true" text="Hep A, ped/adol, 2 dose"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>hepatitis A vaccine, pediatric/adolescent dosage, 3 dose schedule</p>
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                  </definition>
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            <conceptProperty name="internalId" value="11184"/>
            <printName language="en" preferredForLanguage="true" text="Hep A, ped/adol, 3 dose"/>
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            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>hepatitis A vaccine, NOS</p>
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            <conceptProperty name="internalId" value="11186"/>
            <printName language="en" preferredForLanguage="true" text="Hep A, NOS"/>
            <code code="85" status="active"/>
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            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>immune globulin, intramuscular</p>
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            </annotations>
            <conceptProperty name="internalId" value="11204"/>
            <printName language="en" preferredForLanguage="true" text="IG"/>
            <code code="86" status="active"/>
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         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>immune globulin, intravenous</p>
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            <conceptProperty name="internalId" value="11205"/>
            <printName language="en" preferredForLanguage="true" text="IGIV"/>
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            <annotations>
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                  <definition>
                     <text>
                        <p>influenza virus vaccine, NOS</p>
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               <documentation>
                  <definition>
                     <text>
                        <p>poliovirus vaccine, NOS</p>
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            </annotations>
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            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>tetanus and diphtheria toxoids, adsorbed for adult use</p>
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                  </definition>
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            </annotations>
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            <printName language="en" preferredForLanguage="true" text="Td (adult)"/>
            <code code="9" status="active"/>
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            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>rabies vaccine, NOS</p>
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            <conceptProperty name="internalId" value="11234"/>
            <printName language="en" preferredForLanguage="true" text="rabies, NOS"/>
            <code code="90" status="active"/>
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            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>typhoid vaccine, NOS</p>
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            <conceptProperty name="internalId" value="11258"/>
            <printName language="en" preferredForLanguage="true" text="typhoid, NOS"/>
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            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>Venezuelan equine encephalitis vaccine, NOS</p>
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            </annotations>
            <conceptProperty name="internalId" value="11263"/>
            <printName language="en" preferredForLanguage="true" text="VEE, NOS"/>
            <code code="92" status="active"/>
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            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>respiratory syncytial virus monoclonal antibody (palivizumab), intramuscular</p>
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            <printName language="en" preferredForLanguage="true" text="RSV-Mab"/>
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               <documentation>
                  <definition>
                     <text>
                        <p>measles, mumps, rubella, and varicella virus vaccine</p>
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            <printName language="en" preferredForLanguage="true" text="MMRV"/>
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         <concept>
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               <documentation>
                  <definition>
                     <text>
                        <p>tuberculin skin test; old tuberculin, multipuncture device</p>
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                  </definition>
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            </annotations>
            <conceptProperty name="internalId" value="11249"/>
            <printName language="en" preferredForLanguage="true" text="TST-OT tine test"/>
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               <documentation>
                  <definition>
                     <text>
                        <p>tuberculin skin test; purified protein derivative solution, intradermal</p>
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            <code code="96" status="active"/>
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            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>tuberculin skin test; purified protein derivative, multipuncture device</p>
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                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="11251"/>
            <printName language="en" preferredForLanguage="true" text="TST-PPD tine test"/>
            <code code="97" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>tuberculin skin test; NOS</p>
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                  <p>WHO Adverse Drug Reaction Terminology (WHOART). French Translation. Uppsala (Sweden): WHO Collaborating Centre for International Drug Monitoring, 1997. For more information, see http://www.umc-products.com/graphics/3149.pdf</p>
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         <documentation>
            <description>
               <text>
                  <p>WHO Adverse Drug Reaction Terminology (WHOART). German Translation. Uppsala (Sweden): WHO Collaborating Centre for International Drug Monitoring, 1997. For more information, see http://www.umc-products.com/graphics/3149.pdf</p>
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         <documentation>
            <description>
               <text>
                  <p>WHO Adverse Drug Reaction Terminology (WHOART). Portuguese Translation. Uppsala (Sweden): WHO Collaborating Centre for International Drug Monitoring, 1997. For more information, see http://www.umc-products.com/graphics/3149.pdf</p>
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         <documentation>
            <description>
               <text>
                  <p>WHO Adverse Drug Reaction Terminology (WHOART). Spanish Translation. Uppsala (Sweden): WHO Collaborating Centre for International Drug Monitoring, 1997. For more information, see http://www.umc-products.com/graphics/3149.pdf</p>
               </text>
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         </documentation>
      </annotations>
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         <documentation>
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                  <p>Code system of concepts representing a person's job type as defined by compensation and sector (e.g. paid vs. unpaid, self-employed vs. not self-employed, government vs. private, etc.).</p>
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            </description>
         </documentation>
      </annotations>
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         <supportedConceptRelationship relationshipKind="Specializes" name="Specializes" inverseName="Generalizes"
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                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>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.</description>
         </supportedConceptRelationship>
         <supportedConceptRelationship relationshipKind="Generalizes" name="Generalizes" inverseName="Specializes"
                                       isNavigable="true"
                                       reflexivity="irreflexive"
                                       symmetry="antisymmetric"
                                       transitivity="transitive">
            <description>Inverse of Specializes. Only included as a derived relationship.</description>
         </supportedConceptRelationship>
         <supportedConceptProperty propertyName="internalId" type="Token" isMandatoryIndicator="false">
            <description>The internal identifier for the concept in the HL7 Access database repository.</description>
         </supportedConceptProperty>
         <supportedConceptProperty propertyName="status" type="Token" isMandatoryIndicator="false">
            <description>Designation of a concept's state. Normally is not populated unless the state is retired.</description>
         </supportedConceptProperty>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A situation in which an individual serves in a government-sponsored military force.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23905"/>
            <printName language="en" preferredForLanguage="true" text="Paid work, Armed Forces"/>
            <code code="PWAF" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A situation in which an individual works for a national government organization, not including armed forces, and receives a paid salary or wage.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23904"/>
            <printName language="en" preferredForLanguage="true"
                       text="Paid work, national government, not armed forces"/>
            <code code="PWFG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A situation in which an individual works for a government organization with jurisdiction below the level of state/provincial/territorial/tribal government (e.g., city, town, township), not armed forces, and receives a paid salary or wage.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23902"/>
            <printName language="en" preferredForLanguage="true"
                       text="Paid work, local government, not armed forces"/>
            <code code="PWLG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A situation in which an individual works for a business (not government) that they do not own and receives a paid salary or wage.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23899"/>
            <printName language="en" preferredForLanguage="true"
                       text="Paid non-governmental work, not self-employed"/>
            <code code="PWNSE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A situation in which an individual earns a salary or wage working for himself or herself instead of working for an employer.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23898"/>
            <printName language="en" preferredForLanguage="true" text="Paid work, self-employed"/>
            <code code="PWSE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A situation in which an individual works for a government organization with jurisdiction immediately below the level of national government (between national government and local government), not armed forces and receives a paid salary or wage. Often called a state, provincial, territorial, or tribal government.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23903"/>
            <printName language="en" preferredForLanguage="true"
                       text="Paid work, state government, not armed forces"/>
            <code code="PWSG" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A situation in which an individual works for a business (not government) that they do not own without receiving a paid salary or wage.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23900"/>
            <printName language="en" preferredForLanguage="true"
                       text="Unpaid non-governmental work, not self-employed"/>
            <code code="UWNSE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A situation in which an individual works for himself or herself without receiving a paid salary or wage.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23901"/>
            <printName language="en" preferredForLanguage="true" text="Unpaid work, self-employed"/>
            <code code="UWSE" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A situation in which an individual chooses to do something, especially for other people or for an organization, willingly and without being forced or compensated to do it. This can include formal activity undertaken through public, private and voluntary organizations as well as informal community participation.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="23906"/>
            <printName language="en" preferredForLanguage="true"
                       text="Volunteer work (20 or more hours/week and not Disaster Response/ First Responder)"/>
            <code code="VW" status="active"/>
         </concept>
         <concept>
            <annotations>
               <documentation>
                  <definition>
                     <text>
                        <p>A situation in which an individual chooses to donate their time to perform activities (work) in disaster response or as a first responder, without being forced and with no expectation of compensation. This can include formal activity undertaken through a government agency or a public or private organization, as well as informal community participation.</p>
                     </text>
                  </definition>
               </documentation>
            </annotations>
            <conceptProperty name="internalId" value="239060"/>
            <printName language="en" preferredForLanguage="true"
                       text="Voluntary Disaster Response/First Responder"/>
            <code code="VWDR" status="active"/>
         </concept>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="SNOMED_CT_INT" title="SNOMED CT International Edition"
               codeSystemId="2.16.840.1.113883.6.96">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>SNOMED CT is a core clinical healthcare terminology that contains concepts with unique meanings and formal logic based definitions organized into hierarchies.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2020-11-03" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="RxNorm" title="RxNorm" codeSystemId="2.16.840.1.113883.6.88">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>RxNorm provides normalized names for clinical drugs and links its names to many of the drug vocabularies commonly used in pharmacy management and drug interaction software, including those of First Databank, Micromedex, and Gold Standard Drug Database. By providing links between these vocabularies, RxNorm can mediate messages between systems not using the same software and vocabulary. RxNorm now includes the United States Pharmacopeia (USP) Compendial Nomenclature from the United States Pharmacopeial Convention. USP is a cumulative data set of all Active Pharmaceutical Ingredients (API).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2020-11-03" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="UCUM" title="Unified Code for Units of Measure (UCUM)"
               codeSystemId="2.16.840.1.113883.6.8">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The Unified Code for Units of Measure (UCUM) is a code system intended to include all units of measures being contemporarily used in international science, engineering, and business. The purpose is to facilitate unambiguous electronic communication of quantities together with their units. The focus is on electronic communication, as opposed to communication between humans. A typical application of The Unified Code for Units of Measure are electronic data interchange (EDI) protocols, but there is nothing that prevents it from being used in other types of machine communication.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2020-11-03" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="LOINC" title="Logical Observation Identifiers, Names and Codes (LOINC)"
               codeSystemId="2.16.840.1.113883.6.1">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>LOINC provides a set of universal names and ID codes for identifying laboratory and clinical test results.1,2 LOINC facilitates the exchange and pooling of results, such as blood hemoglobin, serum potassium, or vital signs, for clinical care, outcomes management, and research. LOINC's universal identifiers (names and codes) can be used in the context of order and observation exchanges between information systems that use syntax standards such as HL73, CEN TC251, ISO TC215, ASTM4, and DICOM. Specifically, the identifier can be used as the coded value for an observation in any other standard that uses the observation/observation value paradigm, whether messages, documents, application programming interface (API), etc. For example, LOINC codes are used widely in the OBX segment Observation Identifier field (OBX-3) of an ORU HL7 (HL7 version 2.x or ASTM 1238-9410) message that may be sent between a Clinical Laboratory Information Management Systems (LIMS) and Electronic Health Record Systems (EHR).5, 6 In this way, LOINC codes provide universal identifiers that allow the exchange of clinical data between heterogeneous computing environments.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2022-11-22" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true">
         <supportedLanguage>en</supportedLanguage>
      </releasedVersion>
   </codeSystem>
   <codeSystem name="X123" title="X12.3 Data Elementary Dictionary"
               codeSystemId="2.16.840.1.113883.6.255">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>X12.3 Data Elementary Dictionary</p>
                  <p>This is the root OID for vocabulary defined internally by X12N. OIDS for each vocabulary will be assigned underneath this oid by appending the X12N data element id to the root OID. Data Element 1336 is Insurance Type Code, so the OID for the X12N Insurance Type Code vocabulary will be 2.16.840.1.113883.6.255.1336</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <releasedVersion releaseDate="2019-03-20" completeCodesIndicator="false"
                       hl7MaintainedIndicator="true"
                       hl7ApprovedIndicator="true"/>
   </codeSystem>
   <valueSet name="AdministrativeGender" id="2.16.840.1.113883.1.11.1">
      <historyItem dateTime="2020-05-06" id="v3-AdministrativeGender-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The gender of a person used for adminstrative purposes (as opposed to clinical gender)</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1"/>
      </version>
   </valueSet>
   <valueSet name="HL7UpdateMode" id="2.16.840.1.113883.1.11.10018">
      <historyItem dateTime="2020-05-06" id="v3-HL7UpdateMode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The possible modes of updating that occur when an attribute is received by a system that already contains values for that attribute.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.57</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.57"/>
      </version>
   </valueSet>
   <valueSet name="MobilityImpaired" id="2.16.840.1.113883.1.11.10186">
      <historyItem dateTime="2020-05-06" id="v3-MobilityImpaired-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.93</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.93">
            <codeBasedContent code="5">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="Institution" id="2.16.840.1.113883.1.11.10189">
      <historyItem dateTime="2020-05-06" id="v3-Institution-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Institution</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.63</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.63">
            <codeBasedContent code="I">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActMood" id="2.16.840.1.113883.1.11.10196" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActMood-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A code distinguishing whether an Act is conceived of as a factual statement or in some other manner as a command, possibility, goal, etc.</p>
                  <i>Constraints:</i>An Act-instance must have one and only one moodCode value.<p>The moodCode of a single Act-instance never changes. Mood is not state.</p>
                  <p>To describe the progression of a business activity from defined to planned to executed, etc. one must instantiate different Act-instances in the different moods and link them using ActRelationship of general type "sequel". (See ActRelationship.type.)</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1001</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1001"/>
      </version>
   </valueSet>
   <valueSet name="ActMoodCompletionTrack" id="2.16.840.1.113883.1.11.10197"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActMoodCompletionTrack-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>These are moods describing activities as they progress in the business cycle, from defined, through planned and ordered to completed.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1001</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.1001">
                  <codeBasedContent code="_ActMoodCompletionTrack">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.1001">
                  <codeBasedContent code="_ActMoodCompletionTrack"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActMoodIntent" id="2.16.840.1.113883.1.11.10199" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActMoodIntent-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An intention or plan to perform a service. Historical note: in previous RIM versions, the intent mood was captured as a separate class hierarchy, called Service\_intent\_or\_order.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1001</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1001">
            <codeBasedContent code="INT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActMoodPredicate" id="2.16.840.1.113883.1.11.10202" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActMoodPredicate-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Any of the above service moods (e.g., event, intent, or goal) can be turned into a predicate used as a criterion to express conditionals (or queries.) However, currently we allow only criteria on service events.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1001</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.1001">
                  <codeBasedContent code="_ActMoodPredicate">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.1001">
                  <codeBasedContent code="_ActMoodPredicate"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ObservationInterpretationNormality" id="2.16.840.1.113883.1.11.10206">
      <historyItem dateTime="2020-05-06" id="v3-ObservationInterpretationNormality-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Interpretation of normality or degree of abnormality (including critical or "alert" level). Concepts in this category are mutually exclusive, i.e., at most one is allowed.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.83</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.83">
                  <codeBasedContent code="_ObservationInterpretationNormality">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.83">
                  <codeBasedContent code="_ObservationInterpretationNormality"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ObservationInterpretationNormalityAbnormal"
             id="2.16.840.1.113883.1.11.10208">
      <historyItem dateTime="2020-05-06"
                   id="v3-ObservationInterpretationNormalityAbnormal-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Interpretation of degree of abnormality (including critical or "alert" level). Concepts in this category are mutually exclusive, i.e., at most one is allowed.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.83</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.83">
            <codeBasedContent code="A">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ObservationInterpretationNormalityLow" id="2.16.840.1.113883.1.11.10209">
      <historyItem dateTime="2020-05-06" id="v3-ObservationInterpretationNormalityLow-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Interpretation for a quantitative observation of degree of abnormality (including critical or "alert" level) below the lower limit of the reference range.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.83</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.83">
            <codeBasedContent code="L">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ObservationInterpretationNormalityHigh" id="2.16.840.1.113883.1.11.10210">
      <historyItem dateTime="2020-05-06" id="v3-ObservationInterpretationNormalityHigh-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Interpretation for a quantitative observation of degree of abnormality (including critical or "alert" level) above the upper limit of the reference range.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.83</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.83">
            <codeBasedContent code="H">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ObservationInterpretationNormalityCriticallyAbnormal"
             id="2.16.840.1.113883.1.11.10211">
      <historyItem dateTime="2020-05-06"
                   id="v3-ObservationInterpretationNormalityCriticallyAbnormal-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Interpretation of a critical (or "alert") degree of abnormality. Concepts in this category are mutually exclusive, i.e., at most one is allowed.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2019-03-20">
         <supportedCodeSystem>2.16.840.1.113883.5.83</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.83">
            <codeBasedContent code="AA">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ObservationInterpretationChange" id="2.16.840.1.113883.1.11.10214">
      <historyItem dateTime="2020-05-06" id="v3-ObservationInterpretationChange-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Interpretations of change of quantity and/or severity, such as "better", "worse", "increased", etc. At most one of B or W and one of U or D allowed.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.83</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.83">
                  <codeBasedContent code="_ObservationInterpretationChange">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.83">
                  <codeBasedContent code="_ObservationInterpretationChange"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ObservationInterpretationSusceptibility"
             id="2.16.840.1.113883.1.11.10219">
      <historyItem dateTime="2020-05-06" id="v3-ObservationInterpretationSusceptibility-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Interpretations of anti-microbial susceptibility testing results (microbiology). At most one allowed.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.83</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.83">
                  <codeBasedContent code="_ObservationInterpretationSusceptibility">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.83">
                  <codeBasedContent code="_ObservationInterpretationSusceptibility"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ObservationInterpretationExceptions" id="2.16.840.1.113883.1.11.10225">
      <historyItem dateTime="2020-05-06" id="v3-ObservationInterpretationExceptions-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Technical exceptions resulting in the inability to provide an interpretation. At most one allowed. Does not imply normality or severity.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.83</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.83">
                  <codeBasedContent code="_ObservationInterpretationExceptions">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.83">
                  <codeBasedContent code="_ObservationInterpretationExceptions"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="Confidentiality" id="2.16.840.1.113883.1.11.10228" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-Confidentiality-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Set of codes used to value Act.Confidentiality and Role.Confidentiality attribute in accordance with the definition for concept domain "Confidentiality".</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.25</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.25">
            <codeBasedContent code="L"/>
            <codeBasedContent code="M"/>
            <codeBasedContent code="N"/>
            <codeBasedContent code="R"/>
            <codeBasedContent code="U"/>
            <codeBasedContent code="V"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="ConfidentialityModifiers" id="2.16.840.1.113883.1.11.10236">
      <historyItem dateTime="2020-05-06" id="v3-ConfidentialityModifiers-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Modifiers of role based access rights (multiple allowed)</p>
                  <i>Usage Note:</i>All codes that are referenced by this value set were retired as of the November 2013 Harmonization cycle. Guidance for what to use instead of the v:ConfidentialityModifers leaf concepts: celebrity, sensitive, and taboo: These codes have been revised and are now included under v:ActCode at:<p>* V:ActInformationSensitivityPolicy:2.16.840.1.113883.1.11.20429 - taboo * V:InformationSensitivityPolicy:2.16.840.1.113883.1.11.20428 - celebrity/VIP and patient requested sensitivity</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.25</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.25">
                  <codeBasedContent code="_ConfidentialityModifiers">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.25">
                  <codeBasedContent code="_ConfidentialityModifiers"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ParticipationAncillary" id="2.16.840.1.113883.1.11.10247"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ParticipationAncillary-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Participations related, but not primary to an act. The Referring, Admitting, and Discharging practitioners must be the same person as those authoring the ControlAct event for their respective trigger events.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.90">
                  <codeBasedContent code="_ParticipationAncillary">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.90">
                  <codeBasedContent code="_ParticipationAncillary"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ParticipationPhysicalPerformer" id="2.16.840.1.113883.1.11.10248"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ParticipationPhysicalPerformer-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A person who actually and principally carries out the action. Need not be the principal responsible actor, e.g. a surgery resident operating under supervision of attending surgeon, and may be the patient in self-care, e.g. fingerstick blood sugar. The traditional order filler is a performer. This information should accompany every service event.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.90">
            <codeBasedContent code="PRF">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ParticipationInformationGenerator" id="2.16.840.1.113883.1.11.10251"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ParticipationInformationGenerator-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Parties that may or should contribute or have contributed information to the Act. Such information includes information leading to the decision to perform the Act and how to perform the Act (e.g., consultant), information that the Act itself seeks to reveal (e.g., informant of clinical history), or information about what Act was performed (e.g., informant witness).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.90">
                  <codeBasedContent code="_ParticipationInformationGenerator">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.90">
                  <codeBasedContent code="_ParticipationInformationGenerator"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ParticipationVerifier" id="2.16.840.1.113883.1.11.10259"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ParticipationVerifier-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A person who verifies the correctness and appropriateness of the service (plan, order, event, etc.) and hence takes on accountability.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.90">
            <codeBasedContent code="VRF">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ParticipationInformationRecipient" id="2.16.840.1.113883.1.11.10263"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ParticipationInformationRecipient-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A party, who may or should receive or who has recieved the Act or subsequent or derivative information of that Act. Information recipient is inert, i.e., independent of mood." Rationale: this is a generalization of a too diverse family that the definition can't be any more specific, and the concept is abstract so one of the specializations should be used.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.90">
            <codeBasedContent code="IRCP">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ParticipationFunction" id="2.16.840.1.113883.1.11.10267">
      <historyItem dateTime="2020-05-06" id="v3-ParticipationFunction-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>This code is used to specify the exact function an actor had in a service in all necessary detail. This domain may include local extensions (CWE).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.88</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.88"/>
      </version>
   </valueSet>
   <valueSet name="ParticipationSignature" id="2.16.840.1.113883.1.11.10282">
      <historyItem dateTime="2020-05-06" id="v3-ParticipationSignature-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A code specifying whether and how the participant has attested his participation through a signature and or whether such a signature is needed.</p>
                  <i>Examples:</i>A surgical Procedure act object (representing a procedure report) requires a signature of the performing and responsible surgeon, and possibly other participants. (See also: Participation.signatureText.)</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.89</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.89"/>
      </version>
   </valueSet>
   <valueSet name="ParticipationTargetDirect" id="2.16.840.1.113883.1.11.10286"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ParticipationTargetDirect-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Target that is substantially present in the service and which is directly affected by the service action (includes consumed material, devices, etc.).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.90">
            <codeBasedContent code="DIR">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ParticipationTargetDevice" id="2.16.840.1.113883.1.11.10298"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ParticipationTargetDevice-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Something used in delivering the service without being substantially affected by the service (i.e. durable or inert with respect to that particular service.) Examples are: monitoring equipment, tools, but also access/drainage lines, prostheses, pace maker, etc.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.90">
            <codeBasedContent code="DEV">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ProcessingID" id="2.16.840.1.113883.1.11.103">
      <historyItem dateTime="2020-05-06" id="v3-ProcessingID-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>This attribute defines whether the message is part of a production, training, or debugging system.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.100</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.100"/>
      </version>
   </valueSet>
   <valueSet name="ParticipationTargetLocation" id="2.16.840.1.113883.1.11.10302"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ParticipationTargetLocation-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The facility where the service is done. May be a static building (or room therein) or a moving location (e.g., ambulance, helicopter, aircraft, train, truck, ship, etc.)</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.90">
            <codeBasedContent code="LOC">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="TargetAwareness" id="2.16.840.1.113883.1.11.10310">
      <historyItem dateTime="2020-05-06" id="v3-TargetAwareness-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A code specifying the extent to which the Entity playing the participating Role (usually as a target Participation) is aware of the associated Act.</p>
                  <i>Examples:</i>For diagnostic observations, is the patient, family member or other participant aware of his terminal illness?<i>Discussion:</i>If the awareness, denial, unconsciousness, etc. is the subject of medical considerations (e.g., part of the problem list), one should use explicit observations in these matters as well, and should not solely rely on this simple attribute in the Participation.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.137</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.137"/>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipType" id="2.16.840.1.113883.1.11.10317" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A code specifying the meaning and purpose of every ActRelationship instance. Each of its values implies specific constraints to what kinds of Act objects can be related and in which way.</p>
                  <i>Discussion:</i>The types of act relationships fall under one of 5 categories:<p>1.) (De)-composition, with composite (source) and component (target)</p>
                  <p>2.) Sequel which includes follow-up, fulfillment, instantiation, replacement, transformation, etc. that all have in common that source and target are Acts of essentially the same kind but with variances in mood and other attributes, and where the target exists before the source and the source refers to the target that it links back to.</p>
                  <p>3.) Pre-condition, trigger, reason, contraindication, with the conditioned Act at the source and the condition or reason at the target.</p>
                  <p>4.) Post-condition, outcome, goal and risk, with the Act at the source having the outcome or goal at the target.</p>
                  <p>5.) A host of functional relationships including support, cause, derivation, etc. generalized under the notion of "pertinence".</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002"/>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipHasComponent" id="2.16.840.1.113883.1.11.10318"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipHasComponent-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A collection of sub-services as steps or subtasks performed for the source service. Services may be performed sequentially or concurrently.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="COMP">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipOutcome" id="2.16.840.1.113883.1.11.10324"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipOutcome-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An observation that should follow or does actually follow as a result or consequence of a condition or action (sometimes called "post-condition".) Target must be an observation as a goal, risk or any criterion. For complex outcomes a conjunction attribute</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="OUTC">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipPertains" id="2.16.840.1.113883.1.11.10329"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipPertains-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>This is a very unspecific relationship from one item of clinical information to another. It does not judge about the role the pertinent information plays.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="PERT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipHasSupport" id="2.16.840.1.113883.1.11.10330"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipHasSupport-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Used to indicate that an existing service is suggesting evidence for a new observation. The assumption of support is attributed to the same actor who asserts the observation. Source must be an observation, target may be any service (e.g., to indicate a status post.)</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="SPRT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipSequel" id="2.16.840.1.113883.1.11.10337"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipSequel-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An act relationship indicating that the source act follows the target act. The source act should in principle represent the same kind of act as the target. Source and target need not have the same mood code (mood will often differ). The target of a sequel is called antecedent. Examples for sequel relationships are: revision, transformation, derivation from a prototype (as a specialization is a derivation of a generalization), followup, realization, instantiation.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="SEQL">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipFulfills" id="2.16.840.1.113883.1.11.10342"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipFulfills-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The source act fulfills (in whole or in part) the target act. Source act must be in a mood equal or more actual than the target act.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="FLFS">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipCheckpoint" id="2.16.840.1.113883.1.11.10349"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipCheckpoint-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A code specifying when in the course of an Act a precondition for the Act is evaluated (e.g., before the Act starts for the first time, before every repetition, after each repetition but not before the first, or throughout the entire time of the Act.)</p>
                  <i>Discussion:</i>This attribute is part of the workflow control suite of attributes. An action plan is a composite Act with component Acts. In a sequential plan, each component has a sequenceNumber that specifies the ordering of the plan steps. Before each step is executed and has preconditions these conditions are tested and if the test is positive, the Act has clearance for execution. The repeatNumber may indicate that an Act may be repeatedly executed. The checkpointCode is specifies when the precondition is checked and is analogous to the various conditional statements and loop constructs in programming languages "while-do" vs. "do-while" or "repeat-until" vs. "loop-exit".<p>For all checkpointCodes, except "end", preconditions are being checked at the time when the preceding step of the plan has terminated and this step would be next in the sequence established by the sequenceNumber attribute.</p>
                  <p>When the checkpointCode for a criterion of a repeatable Act is "end", the criterion is tested only at the end of each repetition of that Act. When the condition holds true, the next repetition is ready for execution.</p>
                  <p>When the checkpointCode is "entry" the criterion is checked at the beginning of each repetition (if any) whereas "beginning" means the criterion is checked only once before the repetition "loop" starts.</p>
                  <p>The checkpointCode "through" is special in that it requires the condition to hold throughout the execution of the Act, even throughout a single execution. As soon as the condition turns false, the Act should receive an interrupt event (see interruptibleInd) and will eventually terminate.</p>
                  <p>The checkpointCode "exit" is only used on a special plan step that represents a loop exit step. This allows an action plan to exit due to a condition tested inside the execution of this plan. Such exit criteria are sequenced with the other plan components using the ActRelationship.sequenceNumber.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.10</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.10"/>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipSplit" id="2.16.840.1.113883.1.11.10355"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipSplit-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A code specifying how branches in an action plan are selected among other branches.</p>
                  <i>Discussion:</i>This attribute is part of the workflow control suite of attributes. An action plan is a composite Act with component Acts. In a sequential plan, each component has a sequenceNumber that specifies the ordering of the plan steps. Branches exist when multiple components have the same sequenceNumber. The splitCode specifies whether a branch is executed exclusively (case-switch) or inclusively, i.e., in parallel with other branches.<p>In addition to exlusive and inclusive split the splitCode specifies how the pre-condition (also known as "guard conditions" on the branch) are evaluated. A guard condition may be evaluated once when the branching step is entered and if the conditions do not hold at that time, the branch is abandoned. Conversely execution of a branch may wait until the guard condition turns true.</p>
                  <p>In exclusive wait branches, the first branch whose guard conditions turn true will be executed and all other branches abandoned. In inclusive wait branches some branches may already be executed while other branches still wait for their guard conditions to turn true.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.13</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.13"/>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipJoin" id="2.16.840.1.113883.1.11.10360" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipJoin-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A code specifying how concurrent Acts are resynchronized in a parallel branch construct.</p>
                  <i>Discussion:</i>This attribute is part of the workflow control suite of attributes. An action plan is a composite Act with component Acts. In a sequential plan, each component has a sequenceNumber that specifies the ordering of the plan steps. Branches exist when multiple components have the same sequenceNumber. Branches are parallel if the splitCode specifies that more than one branch can be executed at the same time. The joinCode then specifies if and how the braches are resynchronized.<p>The principal re-synchronization actions are (1) the control flow waits for a branch to terminate (wait-branch), (2) the branch that is not yet terminated is aborted (kill-branch), (3) the branch is not re-synchronized at all and continues in parallel (detached branch).</p>
                  <p>A kill branch is only executed if there is at least one active wait (or exclusive wait) branch. If there is no other wait branch active, a kill branch is not started at all (rather than being aborted shortly after it is started.) Since a detached branch is unrelated to all other branches, active detached branches do not protect a kill-branch from being aborted.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.12</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.12"/>
      </version>
   </valueSet>
   <valueSet name="RelationshipConjunction" id="2.16.840.1.113883.1.11.10365">
      <historyItem dateTime="2020-05-06" id="v3-RelationshipConjunction-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A code specifying the logical conjunction of the criteria among all the condition-links of Acts (e.g., and, or, exclusive-or.)</p>
                  <i>Constraints:</i>All AND criteria must be true. If OR and AND criteria occur together, one criterion out of the OR-group must be true and all AND criteria must be true also. If XOR criteria occur together with OR and AND criteria, exactly one of the XOR criteria must be true, and at least one of the OR criteria and all AND criteria must be true. In other words, the sets of AND, OR, and XOR criteria are in turn combined by a logical AND operator (all AND criteria and at least one OR criterion and exactly one XOR criterion.) To overcome this ordering, Act criteria can be nested in any way necessary.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.106</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.106"/>
      </version>
   </valueSet>
   <valueSet name="ActDietCode" id="2.16.840.1.113883.1.11.10376">
      <historyItem dateTime="2020-05-06" id="v3-ActDietCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Code set to define specialized/allowed diets</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="DIET">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="EntityRisk" id="2.16.840.1.113883.1.11.10405">
      <historyItem dateTime="2020-05-06" id="v3-EntityRisk-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The vocabulary table for the Entity.riskCode attribute</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.46</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.46">
                  <codeBasedContent code="AGG"/>
                  <codeBasedContent code="BIO"/>
                  <codeBasedContent code="COR"/>
                  <codeBasedContent code="ESC"/>
                  <codeBasedContent code="INJ"/>
                  <codeBasedContent code="POI"/>
                  <codeBasedContent code="RAD"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.10407"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.10412"/>
               </unionWithContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="MaterialDangerInfectious" id="2.16.840.1.113883.1.11.10407">
      <historyItem dateTime="2020-05-06" id="v3-MaterialDangerInfectious-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Material known to be infectious with human pathogenic microorganisms. Those who handle this material must take precautions for their protection.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.46</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.46">
            <codeBasedContent code="INF">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="MaterialDangerInflammable" id="2.16.840.1.113883.1.11.10412">
      <historyItem dateTime="2020-05-06" id="v3-MaterialDangerInflammable-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Material is highly inflammable and in certain mixtures (with air) may lead to explosions. Keep away from fire, sparks and excessive heat.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.46</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.46">
            <codeBasedContent code="IFL">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassRelationshipFormal" id="2.16.840.1.113883.1.11.10416"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassRelationshipFormal-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A relationship between two entities that is formally recognized, frequently by a contract or similar agreement.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.110">
                  <codeBasedContent code="_RoleClassRelationshipFormal">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.110">
                  <codeBasedContent code="_RoleClassRelationshipFormal"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassDistributedMaterial" id="2.16.840.1.113883.1.11.10418"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassDistributedMaterial-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A material (player) distributed by a distributor (scoper) who functions between a manufacturer and a buyer or retailer.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="DST">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassOntological" id="2.16.840.1.113883.1.11.10428"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassOntological-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A relationship in which the scoping Entity defines or specifies what the playing Entity is. Thus, the player's "being" (Greek: ontos) is specified.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.110">
                  <codeBasedContent code="_RoleClassOntological">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.110">
                  <codeBasedContent code="_RoleClassOntological"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassPartitive" id="2.16.840.1.113883.1.11.10429" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassPartitive-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An association between two Entities where the playing Entity is considered in some way "part" of the scoping Entity, e.g., as a member, component, ingredient, or content. Being "part" in the broadest sense of the word can mean anything from being an integral structural component to a mere incidental temporary association of a playing Entity with a (generally larger) scoping Entity.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.110">
                  <codeBasedContent code="_RoleClassPartitive">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.110">
                  <codeBasedContent code="_RoleClassPartitive"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassIngredientEntity" id="2.16.840.1.113883.1.11.10430"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassIngredientEntity-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Relates a component (player) to a mixture (scoper). E.g., Glucose and Water are ingredients of D5W, latex may be an ingredient in a tracheal tube.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="INGR">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassIsSpeciesEntity" id="2.16.840.1.113883.1.11.10441"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassIsSpeciesEntity-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Relates a specialized material concept (player) to its generalization (scoper).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="GEN">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="DocumentStorageActive" id="2.16.840.1.113883.1.11.10584">
      <historyItem dateTime="2020-05-06" id="v3-DocumentStorageActive-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A storage status in which a document is available on-line.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.34</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.34">
            <codeBasedContent code="AC">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="DedicatedClinicalLocationRoleType" id="2.16.840.1.113883.1.11.10588">
      <historyItem dateTime="2020-05-06" id="v3-DedicatedClinicalLocationRoleType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A role of a place that further classifies the clinical setting (e.g., cardiology clinic, primary care clinic, rehabilitation hospital, skilled nursing facility) in which care is delivered during an encounter.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.111">
                  <codeBasedContent code="_DedicatedClinicalLocationRoleType">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.111">
                  <codeBasedContent code="_DedicatedClinicalLocationRoleType"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="OutpatientFacilityPracticeSetting" id="2.16.840.1.113883.1.11.10589">
      <historyItem dateTime="2020-05-06" id="v3-OutpatientFacilityPracticeSetting-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="OF">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="CardClinPracticeSetting" id="2.16.840.1.113883.1.11.10590">
      <historyItem dateTime="2020-05-06" id="v3-CardClinPracticeSetting-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="CARD">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
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      </version>
   </valueSet>
   <valueSet name="RheumClinPracticeSetting" id="2.16.840.1.113883.1.11.10593">
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
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         <content codeSystem="2.16.840.1.113883.5.111">
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            </codeBasedContent>
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      </version>
   </valueSet>
   <valueSet name="HospitalUnitPracticeSetting" id="2.16.840.1.113883.1.11.10596">
      <historyItem dateTime="2020-05-06" id="v3-HospitalUnitPracticeSetting-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="HU">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ERPracticeSetting" id="2.16.840.1.113883.1.11.10598">
      <historyItem dateTime="2020-05-06" id="v3-ERPracticeSetting-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The section of a health care facility for providing rapid treatment to victims of sudden illness or trauma.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="ER">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ICUPracticeSetting" id="2.16.840.1.113883.1.11.10599">
      <historyItem dateTime="2020-05-06" id="v3-ICUPracticeSetting-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="ICU">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="HospitalPracticeSetting" id="2.16.840.1.113883.1.11.10602">
      <historyItem dateTime="2020-05-06" id="v3-HospitalPracticeSetting-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An acute care institution that provides medical, surgical, or psychiatric care and treatment for the sick or the injured.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
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               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="GeneralAcuteCareHospital" id="2.16.840.1.113883.1.11.10603">
      <historyItem dateTime="2020-05-06" id="v3-GeneralAcuteCareHospital-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>(X12N 282N00000N)</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="GACH">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RehabilitationHospital" id="2.16.840.1.113883.1.11.10604">
      <historyItem dateTime="2020-05-06" id="v3-RehabilitationHospital-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>(X12N 283X00000N)</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="RH">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="NursingOrCustodialCarePracticeSetting" id="2.16.840.1.113883.1.11.10605">
      <historyItem dateTime="2020-05-06" id="v3-NursingOrCustodialCarePracticeSetting-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="NCCF">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ResidentialTreatmentPracticeSetting" id="2.16.840.1.113883.1.11.10607">
      <historyItem dateTime="2020-05-06" id="v3-ResidentialTreatmentPracticeSetting-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="RTF">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="NullFlavor" id="2.16.840.1.113883.1.11.10609">
      <historyItem dateTime="2020-05-06" id="v3-NullFlavor-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1008</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1008"/>
      </version>
   </valueSet>
   <valueSet name="NoInformation" id="2.16.840.1.113883.1.11.10610">
      <historyItem dateTime="2020-05-06" id="v3-NoInformation-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**The value is exceptional (missing, omitted, incomplete, improper). No information as to the reason for being an exceptional value is provided. This is the most general exceptional value. It is also the default exceptional value.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1008</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1008">
            <codeBasedContent code="NI">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="Unknown" id="2.16.840.1.113883.1.11.10612">
      <historyItem dateTime="2020-05-06" id="v3-Unknown-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A proper value is applicable, but not known.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1008</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1008">
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="AskedButUnknown" id="2.16.840.1.113883.1.11.10614">
      <historyItem dateTime="2020-05-06" id="v3-AskedButUnknown-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Information was sought but not found (e.g., patient was asked but didn't know)</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1008</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1008">
            <codeBasedContent code="ASKU">
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      </version>
   </valueSet>
   <valueSet name="Other" id="2.16.840.1.113883.1.11.10616">
      <historyItem dateTime="2020-05-06" id="v3-Other-vs-1-0-0" responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The actual value is not an element in the value domain of a variable. (e.g., concept not provided by required code system).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1008</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1008">
            <codeBasedContent code="OTH">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="CompressionAlgorithm" id="2.16.840.1.113883.1.11.10620">
      <historyItem dateTime="2020-05-06" id="v3-CompressionAlgorithm-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1009</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1009"/>
      </version>
   </valueSet>
   <valueSet name="PostalAddressUse" id="2.16.840.1.113883.1.11.10637">
      <historyItem dateTime="2020-05-06" id="v3-PostalAddressUse-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1119</supportedCodeSystem>
         <supportedCodeSystem>2.16.840.1.113883.5.45</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.1119">
                  <codeBasedContent code="BAD"/>
                  <codeBasedContent code="DIR"/>
                  <codeBasedContent code="H"/>
                  <codeBasedContent code="HP"/>
                  <codeBasedContent code="HV"/>
                  <codeBasedContent code="PHYS"/>
                  <codeBasedContent code="PST"/>
                  <codeBasedContent code="PUB"/>
                  <codeBasedContent code="TMP"/>
                  <codeBasedContent code="WP"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.17860"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.20294"/>
               </unionWithContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="AddressPartType" id="2.16.840.1.113883.1.11.10642">
      <historyItem dateTime="2020-05-06" id="v3-AddressPartType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Discussion: The hierarchical nature of these concepts shows composition. E.g. "Street Name" is part of "Street Address Line"</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.16</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.16"/>
      </version>
   </valueSet>
   <valueSet name="StreetName" id="2.16.840.1.113883.1.11.10648">
      <historyItem dateTime="2020-05-06" id="v3-StreetName-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.16</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.16">
            <codeBasedContent code="STR">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="BuildingNumber" id="2.16.840.1.113883.1.11.10649">
      <historyItem dateTime="2020-05-06" id="v3-BuildingNumber-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The number of a building, house or lot alongside the street. Also known as "primary street number". This does not number the street but rather the building.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.16</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.16">
            <codeBasedContent code="BNR">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="AdditionalLocator" id="2.16.840.1.113883.1.11.10651">
      <historyItem dateTime="2020-05-06" id="v3-AdditionalLocator-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>This can be a unit designator, such as apartment number, suite number, or floor. There may be several unit designators in an address (e.g., "3rd floor, Appt. 342".) This can also be a designator pointing away from the location (e.g. Across the street from).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.16</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.16">
            <codeBasedContent code="ADL">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="x_PersonNamePartType" id="2.16.840.1.113883.1.11.10653">
      <historyItem dateTime="2020-05-06" id="v3-xPersonNamePartType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.44</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.44">
            <codeBasedContent code="DEL"/>
            <codeBasedContent code="FAM"/>
            <codeBasedContent code="GIV"/>
            <codeBasedContent code="PFX"/>
            <codeBasedContent code="SFX"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="CalendarType" id="2.16.840.1.113883.1.11.10682">
      <historyItem dateTime="2020-05-06" id="v3-CalendarType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1017</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1017"/>
      </version>
   </valueSet>
   <valueSet name="CalendarCycle" id="2.16.840.1.113883.1.11.10684">
      <historyItem dateTime="2020-05-06" id="v3-CalendarCycle-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.9</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.10685"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.10701"/>
               </unionWithContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.9"/>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="CalendarCycleTwoLetter" id="2.16.840.1.113883.1.11.10685">
      <historyItem dateTime="2020-05-06" id="v3-CalendarCycleTwoLetter-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Two letter calendar cycle abbreviations (Temporary - remove when RoseTree is fixed)</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.9</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.9">
            <codeBasedContent code="CD"/>
            <codeBasedContent code="CH"/>
            <codeBasedContent code="CM"/>
            <codeBasedContent code="CN"/>
            <codeBasedContent code="CS"/>
            <codeBasedContent code="CW"/>
            <codeBasedContent code="CY"/>
            <codeBasedContent code="DM"/>
            <codeBasedContent code="DW"/>
            <codeBasedContent code="DY"/>
            <codeBasedContent code="HD"/>
            <codeBasedContent code="MY"/>
            <codeBasedContent code="NH"/>
            <codeBasedContent code="SN"/>
            <codeBasedContent code="WM"/>
            <codeBasedContent code="WY"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="CalendarCycleOneLetter" id="2.16.840.1.113883.1.11.10701">
      <historyItem dateTime="2020-05-06" id="v3-CalendarCycleOneLetter-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>One letter calendar cycle abbreviations (Temporary - remove when RoseTree is fixed)</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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            <codeBasedContent code="S"/>
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      </version>
   </valueSet>
   <valueSet name="TimingEvent" id="2.16.840.1.113883.1.11.10706">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.139"/>
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   </valueSet>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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                  <codeBasedContent code="PM"/>
                  <codeBasedContent code="QID"/>
                  <codeBasedContent code="TID"/>
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   </valueSet>
   <valueSet name="GTSAbbreviationHolidays" id="2.16.840.1.113883.1.11.10725">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Holidays</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1022</supportedCodeSystem>
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         <content codeSystem="2.16.840.1.113883.5.1022">
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   </valueSet>
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Christian Holidays (Roman/Gregorian "Western" Tradition.)</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1022</supportedCodeSystem>
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         <content>
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            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="GTSAbbreviationHolidaysUSNational" id="2.16.840.1.113883.1.11.10733">
      <historyItem dateTime="2020-05-06" id="v3-GTSAbbreviationHolidaysUSNational-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>United States National Holidays (public holidays for federal employees established by U.S. Federal law 5 U.S.C. 6103.)</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1022">
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      </version>
   </valueSet>
   <valueSet name="ProbabilityDistributionType" id="2.16.840.1.113883.1.11.10747">
      <historyItem dateTime="2020-05-06" id="v3-ProbabilityDistributionType-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1020"/>
      </version>
   </valueSet>
   <valueSet name="GregorianCalendarCycle" id="2.16.840.1.113883.1.11.10758">
      <historyItem dateTime="2020-05-06" id="v3-GregorianCalendarCycle-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.9</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
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      </version>
   </valueSet>
   <valueSet name="DocumentSectionType" id="2.16.840.1.113883.1.11.10871">
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The type of document section. Possible values: review of systems, medical history, family history, microscopic findings, etc.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.6.1</supportedCodeSystem>
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         <content>
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      </version>
   </valueSet>
   <valueSet name="EntityDeterminer" id="2.16.840.1.113883.1.11.10878" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-EntityDeterminer-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>EntityDeterminer in natural language grammar is the class of words that comprises articles, demonstrative pronouns, and quantifiers. In the RIM, determiner is a structural code in the Entity class to distinguish whether any given Entity object stands for some, any one, or a specific thing.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
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   </valueSet>
   <valueSet name="EntityDeterminerDetermined" id="2.16.840.1.113883.1.11.10879"
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      <historyItem dateTime="2020-05-06" id="v3-EntityDeterminerDetermined-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The described determiner is used to indicate that the given Entity is taken as a general description of a kind of thing that can be taken in whole, in part, or in multiples.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.30</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.30">
            <codeBasedContent code="KIND">
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="EntityClass" id="2.16.840.1.113883.1.11.10882" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-EntityClass-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Classifies the Entity class and all of its subclasses. The terminology is hierarchical. At the top is this HL7-defined domain of high-level categories (such as represented by the Entity subclasses). Each of these terms must be harmonized and is specializable.</p>
                  <p>The value sets beneath are encoded in Entity.code and are drawn from multiple, frequently external, domains that reflect much more fine-grained typing.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.41</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.41"/>
      </version>
   </valueSet>
   <valueSet name="EntityClassMaterial" id="2.16.840.1.113883.1.11.10883" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-EntityClassMaterial-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Any thing that has extension in space and mass, may be of living or non-living origin.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.41</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.41">
            <codeBasedContent code="MAT">
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      </version>
   </valueSet>
   <valueSet name="EntityClassLivingSubject" id="2.16.840.1.113883.1.11.10884"
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      <historyItem dateTime="2020-05-06" id="v3-EntityClassLivingSubject-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Anything that essentially has the property of life, independent of current state (a dead human corpse is still essentially a living subject.)</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.41</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.41">
            <codeBasedContent code="LIV">
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="EntityClassOrganization" id="2.16.840.1.113883.1.11.10889"
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      <historyItem dateTime="2020-05-06" id="v3-EntityClassOrganization-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A social or legal structure formed by human beings.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.41</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.41">
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               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="EntityClassPlace" id="2.16.840.1.113883.1.11.10892" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-EntityClassPlace-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A physicial place or site with its containing structure. May be natural or man-made. The geographic position of a place may or may not be constant.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.41</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.41">
            <codeBasedContent code="PLC">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="LocalRemoteControlState" id="2.16.840.1.113883.1.11.10893">
      <historyItem dateTime="2020-05-06" id="v3-LocalRemoteControlState-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A value representing the current state of control associated with the device.</p>
                  <i>Examples:</i>A device can either work autonomously (localRemoteControlStateCode="Local") or it can be controlled by another system (localRemoteControlStateCode="Remote").<i>Rationale:</i>The control status of a device must be communicated between devices prior to remote commands being transmitted. If the device is not in "Remote" status then external commands will be ignored.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.66</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.66"/>
      </version>
   </valueSet>
   <valueSet name="EquipmentAlertLevel" id="2.16.840.1.113883.1.11.10896">
      <historyItem dateTime="2020-05-06" id="v3-EquipmentAlertLevel-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.49</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.49"/>
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   </valueSet>
   <valueSet name="ParticipationType" id="2.16.840.1.113883.1.11.10901" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ParticipationType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A code specifying the meaning and purpose of every Participation instance. Each of its values implies specific constraints on the Roles undertaking the participation.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.90"/>
      </version>
   </valueSet>
   <valueSet name="DiagTherPracticeSetting" id="2.16.840.1.113883.1.11.10902">
      <historyItem dateTime="2020-05-06" id="v3-DiagTherPracticeSetting-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A practice setting where diagnostic procedures or therapeutic interventions are performed</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="DX">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="CVDiagTherPracticeSetting" id="2.16.840.1.113883.1.11.10903">
      <historyItem dateTime="2020-05-06" id="v3-CVDiagTherPracticeSetting-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A practice setting where cardiovascular diagnostic procedures or therapeutic interventions are performed (e.g., cardiac catheterization lab, echocardiography suite)</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
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      </version>
   </valueSet>
   <valueSet name="GIDiagTherPracticeSetting" id="2.16.840.1.113883.1.11.10906">
      <historyItem dateTime="2020-05-06" id="v3-GIDiagTherPracticeSetting-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A practice setting where GI procedures (such as endoscopies) are performed</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="GIDX">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RadDiagTherPracticeSetting" id="2.16.840.1.113883.1.11.10908">
      <historyItem dateTime="2020-05-06" id="v3-RadDiagTherPracticeSetting-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A practice setting where radiology services (diagnostic or therapeutic) are provided (X12N 261QR0200N)</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="RADDX">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="PedsICUPracticeSetting" id="2.16.840.1.113883.1.11.10916">
      <historyItem dateTime="2020-05-06" id="v3-PedsICUPracticeSetting-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="PEDICU">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="PedsPracticeSetting" id="2.16.840.1.113883.1.11.10920">
      <historyItem dateTime="2020-05-06" id="v3-PedsPracticeSetting-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="PEDU">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <content codeSystem="2.16.840.1.113883.5.111">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <content codeSystem="2.16.840.1.113883.5.111">
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      </version>
   </valueSet>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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   </valueSet>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
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      </version>
   </valueSet>
   <valueSet name="MedOncClinPracticeSetting" id="2.16.840.1.113883.1.11.10947">
      <historyItem dateTime="2020-05-06" id="v3-MedOncClinPracticeSetting-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
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   </valueSet>
   <valueSet name="OrthoClinPracticeSetting" id="2.16.840.1.113883.1.11.10949">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="ORTHO">
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            </codeBasedContent>
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      </version>
   </valueSet>
   <valueSet name="PedsClinPracticeSetting" id="2.16.840.1.113883.1.11.10953">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
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   </valueSet>
   <valueSet name="SurgClinPracticeSetting" id="2.16.840.1.113883.1.11.10968">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
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   </valueSet>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Tells a receiver to ignore just the local markup tags (local\_markup, local\_header, local\_attr) when value="markup", or to ignore the local markup tags and all contained content when value="all"</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.65</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>These values are defined within the XHTML 4.0 Table Model</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.131</supportedCodeSystem>
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      <historyItem dateTime="2020-05-06" id="v3-TableCellVerticalAlign-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>These values are defined within the XHTML 4.0 Table Model</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.133</supportedCodeSystem>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>These values are defined within the XHTML 4.0 Table Model</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.134</supportedCodeSystem>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>These values are defined within the XHTML 4.0 Table Model</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.136</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
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   <valueSet name="TableCellScope" id="2.16.840.1.113883.1.11.11012">
      <historyItem dateTime="2020-05-06" id="v3-TableCellScope-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>These values are defined within the XHTML 4.0 Table Model</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.132</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.132"/>
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   </valueSet>
   <valueSet name="HtmlLinkType" id="2.16.840.1.113883.1.11.11017">
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>HtmlLinkType values are drawn from HTML 4.0 and describe the relationship between the current document and the anchor that is the target of the link</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.58</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.58"/>
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   </valueSet>
   <valueSet name="MapRelationship" id="2.16.840.1.113883.1.11.11052">
      <historyItem dateTime="2020-05-06" id="v3-MapRelationship-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The closeness or quality of the mapping between the HL7 concept (as represented by the HL7 concept identifier) and the source coding system. The values are patterned after the similar relationships used in the UMLS Metathesaurus. Because the HL7 coding sy</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.67</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.67"/>
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   </valueSet>
   <valueSet name="GenderStatus" id="2.16.840.1.113883.1.11.11523">
      <historyItem dateTime="2020-05-06" id="v3-GenderStatus-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A value representing whether the primary reproductive organs of NonPersonLivingSubject are present.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.51</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.51"/>
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      <historyItem dateTime="2020-05-06" id="v3-HumanLanguage-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Codes for the representation of the names of human languages.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.6.121</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.6.121"/>
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   </valueSet>
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A code specifying the major type of Act that this Act-instance represents.</p>
                  <i>Constraints:</i>The classCode domain is a tightly controlled vocabulary, not an external or user-defined vocabulary.<p>Every Act-instance must have a classCode. If the act class is not further specified, the most general Act.classCode (ACT) is used.</p>
                  <p>The Act.classCode must be a generalization of the specific Act concept (e.g., as expressed in Act.code), in other words, the Act concepts conveyed in an Act must be specializations of the Act.classCode. Especially, Act.code is not a "modifier" that can alter the meaning of a class code. (See Act.code for contrast.)</p>
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            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6"/>
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   </valueSet>
   <valueSet name="ActClassObservation" id="2.16.840.1.113883.1.11.11529" isImmutable="true">
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>**Description:**An act that is intended to result in new information about a subject. The main difference between Observations and other Acts is that Observations have a value attribute. The<b>code</b>attribute of Observation and the<b>value</b>attribute of Observation must be considered in combination to determine the semantics of the observation.<b>Discussion:</b>
                  <p>Structurally, many observations are name-value-pairs, where the Observation.code (inherited from Act) is the name and the Observation.value is the value of the property. Such a construct is also known as a variable (a named feature that can assume a value) hence, the Observation class is always used to hold generic name-value-pairs or variables, even though the variable valuation may not be the result of an elaborate observation method. It may be a simple answer to a question or it may be an assertion or setting of a parameter.</p>
                  <p>As with all Act statements, Observation statements describe what was done, and in the case of Observations, this includes a description of what was actually observed (results or answers); and those results or answers are part of the observation and not split off into other objects.</p>
                  <p>The method of action is asserted by the Observation classCode or its subclasses at the least granular level, by the Observation.code attribute value at the medium level of granularity, and by the attribute value of observation.methodCode when a finer level of granularity is required. The method in whole or in part may also appear in the attribute value of Observation.value when using coded data types to express the value of the attribute. Relevant aspects of methodology may also be restated in value when the results themselves imply or state a methodology.</p>
                  <p>An observation may consist of component observations each having their own Observation.code and Observation.value. In this case, the composite observation may not have an Observation.value for itself. For instance, a white blood cell count consists of the sub-observations for the counts of the various granulocytes, lymphocytes and other normal or abnormal blood cells (e.g., blasts). The overall white blood cell count Observation itself may therefore not have a value by itself (even though it could have one, e.g., the sum total of white blood cells). Thus, as long as an Act is essentially an Act of recognizing and noting information about a subject, it is an Observation, regardless of whether it has a simple value by itself or whether it has sub-observations.</p>
                  <p>Even though observations are professional acts (see Act) and as such are intentional actions, this does not require that every possible outcome of an observation be pondered in advance of it being actually made. For instance, differential white blood cell counts (WBC) rarely show blasts, but if they do, this is part of the WBC observation even though blasts might not be predefined in the structure of a normal WBC.</p>
                  <p>Clinical documents commonly have Subjective and Objective findings, both of which are kinds of Observations. In addition, clinical documents commonly contain Assessments, which are also kinds of Observations. Thus, the establishment of a diagnosis is an Observation.</p>
                  <b>Examples:</b>
                  <p>* Recording the results of a Family History Assessment * Laboratory test and associated result * Physical exam test and associated result * Device temperature * Soil lead level</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="OBS">
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         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassPublicHealthCase" id="2.16.840.1.113883.1.11.11530"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassPublicHealthCase-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A public health case is an Observation representing a condition or event that has a specific significance for public health. Typically it involves an instance or instances of a reportable infectious disease or other condition. The public health case can include a health-related event concerning a single individual or it may refer to multiple health-related events that are occurrences of the same disease or condition of interest to public health. An outbreak involving multiple individuals may be considered as a type of public health case. A public health case definition (Act.moodCode = "definition") includes the description of the clinical, laboratory, and epidemiologic indicators associated with a disease or condition of interest to public health. There are case definitions for conditions that are reportable, as well as for those that are not. There are also case definitions for outbreaks. A public health case definition is a construct used by public health for the purpose of counting cases, and should not be used as clinical indications for treatment. Examples include AIDS, toxic-shock syndrome, and salmonellosis and their associated indicators that are used to define a case.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="CASE">
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassControlAct" id="2.16.840.1.113883.1.11.11534" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassControlAct-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An act representing a system action such as the change of state of another act or the initiation of a query. All control acts represent trigger events in the HL7 context. ControlActs may occur in different moods.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="CACT">
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      </version>
   </valueSet>
   <valueSet name="ActClassSupply" id="2.16.840.1.113883.1.11.11535" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassSupply-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Supply orders and deliveries are simple Acts that focus on the delivered product. The product is associated with the Supply Act via Participation.typeCode="product". With general Supply Acts, the precise identification of the Material (manufacturer, serial numbers, etc.) is important. Most of the detailed information about the Supply should be represented using the Material class. If delivery needs to be scheduled, tracked, and billed separately, one can associate a Transportation Act with the Supply Act. Pharmacy dispense services are represented as Supply Acts, associated with a SubstanceAdministration Act. The SubstanceAdministration class represents the administration of medication, while dispensing is supply.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="SPLY">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClass" id="2.16.840.1.113883.1.11.11555" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClass-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>This table includes codes for the Role class hierarchy. The values in this hierarchy, represent a Role which is an association or relationship between two entities - the entity that plays the role and the entity that scopes the role. Roles names are derived from the name of the playing entity in that role.</p>
                  <p>The role hierarchy stems from three core concepts, or abstract domains:</p>
                  <p>* **RoleClassOntological** is an abstract domain that collects roles in which the playing entity is defined or specified by the scoping entity. * **RoleClassPartitive** collects roles in which the playing entity is in some sense a "part" of the scoping entity. * **RoleClassAssociative** collects all of the remaining forms of association between the playing entity and the scoping entity. This set of roles is further partitioned between: * **RoleClassPassive** which are roles in which the playing entity is used, known, treated, handled, built, or destroyed, etc. under the auspices of the scoping entity. The playing entity is passive in these roles in that the role exists without an agreement from the playing entity. * **RoleClassMutualRelationship** which are relationships based on mutual behavior of the two entities. The basis of these relationship may be formal agreements or they may be *de facto* behavior. Thus, this sub-domain is further divided into: * **RoleClassRelationshipFormal** in which the relationship is formally defined, frequently by a contract or agreement. * **Personal relationship** which inks two people in a personal relationship.</p>
                  <p>The hierarchy discussed above is represented In the current vocabulary tables as a set of abstract domains, with the exception of the "Personal relationship" which is a leaf concept.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110"/>
      </version>
   </valueSet>
   <valueSet name="Sibling" id="2.16.840.1.113883.1.11.11567">
      <historyItem dateTime="2020-05-06" id="v3-Sibling-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>One person who shares a parent or parents with another.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="SIB">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassEmployee" id="2.16.840.1.113883.1.11.11569" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassEmployee-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A relationship between a person or organization and a person or organization formed for the purpose of exchanging work for compensation. The purpose of the role is to identify the type of relationship the employee has to the employer, rather than the nature of the work actually performed. (Contrast with AssignedEntity.)</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="EMP">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassManufacturedProduct" id="2.16.840.1.113883.1.11.11580"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassManufacturedProduct-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Scoped by the manufacturer</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="MANU">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassSpecimen" id="2.16.840.1.113883.1.11.11591" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassSpecimen-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A role played by a material entity that is a specimen for an act. It is scoped by the source of the specimen.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="SPEC">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassAssignedEntity" id="2.16.840.1.113883.1.11.11595">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassAssignedEntity-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An agent role in which the agent is an Entity acting in the employ of an organization. The focus is on functional role on behalf of the organization, unlike the Employee role where the focus is on the 'Human Resources' relationship between the employee and the organization.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.110">
                  <codeBasedContent code="ASSIGNED">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.12205"/>
               </unionWithContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleLinkType" id="2.16.840.1.113883.1.11.11603" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleLinkType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A code specifying the meaning and purpose of every RoleLink instance. Each of its values implies specific constraints to what kinds of Role objects can be related and in which way.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.107</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.107"/>
      </version>
   </valueSet>
   <valueSet name="x_ActRelationshipDocument" id="2.16.840.1.113883.1.11.11610">
      <historyItem dateTime="2020-05-06" id="v3-xActRelationshipDocument-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Used to enumerate the relationships between two clinical documents for document management.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <associatedConceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="relatedTo"/>
         <associatedConceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="relatedDocument"/>
         <associatedConceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="BI_______"/>
         <associatedConceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="BI_______"/>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="APND"/>
            <codeBasedContent code="RPLC"/>
            <codeBasedContent code="XFRM"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="EntityClassNonPersonLivingSubject" id="2.16.840.1.113883.1.11.11621"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-EntityClassNonPersonLivingSubject-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.41</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.41">
            <codeBasedContent code="NLIV">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="EntityClassContainer" id="2.16.840.1.113883.1.11.11622"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-EntityClassContainer-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A container of other entities.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.41</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.41">
            <codeBasedContent code="CONT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="EntityClassDevice" id="2.16.840.1.113883.1.11.11623" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-EntityClassDevice-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A subtype of ManufacturedMaterial used in an activity, without being substantially changed through that activity. The kind of device is identified by the code attribute inherited from Entity.</p>
                  <i>Usage:</i>This includes durable (reusable) medical equipment as well as disposable equipment.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.41</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.41">
            <codeBasedContent code="DEV">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="TribalEntityUS" id="2.16.840.1.113883.1.11.11631">
      <historyItem dateTime="2020-05-06" id="v3-TribalEntityUS-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>INDIAN ENTITIES RECOGNIZED AND ELIGIBLE TO RECEIVE SERVICES FROM THE UNITED STATES BUREAU OF INDIAN AFFAIRS</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.140</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.140"/>
               <excludeContent codeSystem="2.16.840.1.113883.5.140">
                  <codeBasedContent code="_NativeEntityContiguous"/>
                  <codeBasedContent code="_NativeEntityAlaska"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="NativeEntityAlaska" id="2.16.840.1.113883.1.11.11969">
      <historyItem dateTime="2020-05-06" id="v3-NativeEntityAlaska-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>NATIVE ENTITIES WITHIN THE STATE OF ALASKA RECOGNIZED AND ELIGIBLE TO RECEIVE SERVICES FROM THE UNITED STATES BUREAU OF INDIAN AFFAIRS</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.140</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.140">
                  <codeBasedContent code="_NativeEntityAlaska">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.140">
                  <codeBasedContent code="_NativeEntityAlaska"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="LanguageAbilityProficiency" id="2.16.840.1.113883.1.11.12199">
      <historyItem dateTime="2020-05-06" id="v3-LanguageAbilityProficiency-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A value representing the level of proficiency in a language.</p>
                  <p>*Example:*Excellent, good, fair, poor.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.61</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.61"/>
      </version>
   </valueSet>
   <valueSet name="RoleClassContact" id="2.16.840.1.113883.1.11.12205" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassContact-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A person or an organization (player) which provides or receives information regarding another entity (scoper). Examples; patient NOK and emergency contacts; guarantor contact; employer contact.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="CON">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="MaritalStatus" id="2.16.840.1.113883.1.11.12212">
      <historyItem dateTime="2020-05-06" id="v3-MaritalStatus-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The domestic partnership status of a person.</p>
                  <p>*Example:*Married, separated, divorced, widowed, common-law marriage.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.2</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.2"/>
      </version>
   </valueSet>
   <valueSet name="EncounterAdmissionSource" id="2.16.840.1.113883.1.11.12234">
      <historyItem dateTime="2020-05-06" id="v3-EncounterAdmissionSource-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.37</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.37"/>
      </version>
   </valueSet>
   <valueSet name="EncounterSpecialCourtesy" id="2.16.840.1.113883.1.11.12242">
      <historyItem dateTime="2020-05-06" id="v3-EncounterSpecialCourtesy-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A code identifying special courtesies extended to the patient. For example, no courtesies, extended courtesies, professional courtesy, VIP courtesies.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.40</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.40"/>
      </version>
   </valueSet>
   <valueSet name="LanguageAbilityMode" id="2.16.840.1.113883.1.11.12249">
      <historyItem dateTime="2020-05-06" id="v3-LanguageAbilityMode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A value representing the method of expression of the language.</p>
                  <p>*Example:*Expressed spoken, expressed written, expressed signed, received spoken, received written, received signed.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.60</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.60"/>
      </version>
   </valueSet>
   <valueSet name="NativeEntityContiguous" id="2.16.840.1.113883.1.11.12548">
      <historyItem dateTime="2020-05-06" id="v3-NativeEntityContiguous-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>NATIVE ENTITIES WITHIN THE CONTIGUOUS 48 STATES</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.140</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.140">
                  <codeBasedContent code="_NativeEntityContiguous">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.140">
                  <codeBasedContent code="_NativeEntityContiguous"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="UnitsOfMeasureCaseSensitive" id="2.16.840.1.113883.1.11.12839">
      <historyItem dateTime="2020-05-06" id="v3-UnitsOfMeasureCaseSensitive-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>All units of measure.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.6.8</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.6.8"/>
      </version>
   </valueSet>
   <valueSet name="ChronicCareFacility" id="2.16.840.1.113883.1.11.13792">
      <historyItem dateTime="2020-05-06" id="v3-ChronicCareFacility-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>(1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="CHR">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="MilitaryHospital" id="2.16.840.1.113883.1.11.13799">
      <historyItem dateTime="2020-05-06" id="v3-MilitaryHospital-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A health care facility operated by the Department of Defense or other military operation.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
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   <valueSet name="ActClassRoot" id="2.16.840.1.113883.1.11.13856" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassRoot-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A record of something that is being done, has been done, can be done, or is intended or requested to be done.</p>
                  <p>*Examples:*The kinds of acts that are common in health care are (1) a clinical observation, (2) an assessment of health condition (such as problems and diagnoses), (3) healthcare goals, (4) treatment services (such as medication, surgery, physical and psychological therapy), (5) assisting, monitoring or attending, (6) training and education services to patients and their next of kin, (7) and notary services (such as advanced directives or living will), (8) editing and maintaining documents, and many others.</p>
                  <i>Discussion and Rationale:</i>Acts are the pivot of the RIM; all domain information and processes are represented primarily in Acts. Any profession or business, including healthcare, is primarily constituted of intentional and occasionally non-intentional actions, performed and recorded by responsible actors. An Act-instance is a record of such an action.<p>Acts connect to Entities in their Roles through Participations and connect to other Acts through ActRelationships. Participations are the authors, performers and other responsible parties as well as subjects and beneficiaries (which includes tools and material used in the performance of the act, which are also subjects). The moodCode distinguishes between Acts that are meant as factual records, vs. records of intended or ordered services, and the other modalities in which act can appear.</p>
                  <p>One of the Participations that all acts have (at least implicitly) is a primary author, who is responsible of the Act and who "owns" the act. Responsibility for the act means responsibility for what is being stated in the Act and as what it is stated. Ownership of the act is assumed in the sense of who may operationally modify the same act. Ownership and responsibility of the Act is not the same as ownership or responsibility of what the Act-object refers to in the real world. The same real world activity can be described by two people, each being the author of their Act, describing the same real world activity. Yet one can be a witness while the other can be a principal performer. The performer has responsibilities for the physical actions; the witness only has responsibility for making a true statement to the best of his or her ability. The two Act-instances may even disagree, but because each is properly attributed to its author, such disagreements can exist side by side and left to arbitration by a recipient of these Act-instances.</p>
                  <p>In this sense, an Act-instance represents a "statement" according to Rector and Nowlan (1991) \[Foundations for an electronic medical record. Methods Inf Med. 30.\] Rector and Nowlan have emphasized the importance of understanding the medical record not as a collection of facts, but "a faithful record of what clinicians have heard, seen, thought, and done." Rector and Nowlan go on saying that "the other requirements for a medical record, e.g., that it be attributable and permanent, follow naturally from this view." Indeed the Act class is this attributable statement, and the rules of updating acts (discussed in the state-transition model, see Act.statusCode) versus generating new Act-instances are designed according to this principle of permanent attributable statements.</p>
                  <p>Rector and Nolan focus on the electronic medical record as a collection of statements, while attributed statements, these are still mostly factual statements. However, the Act class goes beyond this limitation to attributed factual statements, representing what is known as "speech-acts" in linguistics and philosophy. The notion of speech-act includes that there is pragmatic meaning in language utterances, aside from just factual statements; and that these utterances interact with the real world to change the state of affairs, even directly cause physical activities to happen. For example, an order is a speech act that (provided it is issued adequately) will cause the ordered action to be physically performed. The speech act theory has culminated in the seminal work by Austin (1962) \[How to do things with words. Oxford University Press\].</p>
                  <p>An activity in the real world may progress from defined, through planned and ordered to executed, which is represented as the mood of the Act. Even though one might think of a single activity as progressing from planned to executed, this progression is reflected by multiple Act-instances, each having one and only one mood that will not change along the Act-instance life cycle. This is because the attribution and content of speech acts along this progression of an activity may be different, and it is often critical that a permanent and faithful record be maintained of this progression. The specification of orders or promises or plans must not be overwritten by the specification of what was actually done, so as to allow comparing actions with their earlier specifications. Act-instances that describe this progression of the same real world activity are linked through the ActRelationships (of the relationship category "sequel").</p>
                  <p>Act as statements or speech-acts are the only representation of real world facts or processes in the HL7 RIM. The truth about the real world is constructed through a combination (and arbitration) of such attributed statements only, and there is no class in the RIM whose objects represent "objective state of affairs" or "real processes" independent from attributed statements. As such, there is no distinction between an activity and its documentation. Every Act includes both to varying degrees. For example, a factual statement made about recent (but past) activities, authored (and signed) by the performer of such activities, is commonly known as a procedure report or original documentation (e.g., surgical procedure report, clinic note etc.). Conversely, a status update on an activity that is presently in progress, authored by the performer (or a close observer) is considered to capture that activity (and is later superceded by a full procedure report). However, both status update and procedure report are acts of the same kind, only distinguished by mood and state (see statusCode) and completeness of the information.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
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               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="EntityClassRoot" id="2.16.840.1.113883.1.11.13922" isImmutable="true">
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Corresponds to the Entity class</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.41</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.41">
            <codeBasedContent code="ENT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="EntityClassManufacturedMaterial" id="2.16.840.1.113883.1.11.13934"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-EntityClassManufacturedMaterial-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Corresponds to the ManufacturedMaterial class</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.41</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.41">
            <codeBasedContent code="MMAT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassRoot" id="2.16.840.1.113883.1.11.13940" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassRoot-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Corresponds to the Role class</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="ROL">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
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         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassClinicalDocument" id="2.16.840.1.113883.1.11.13948"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassClinicalDocument-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A clinical document is a documentation of clinical observations and services, with the following characteristics: (1) Persistence - A clinical document continues to exist in an unaltered state, for a time period defined by local and regulatory requirements; (2) Stewardship - A clinical document is maintained by a person or organization entrusted with its care; (3) Potential for authentication - A clinical document is an assemblage of information that is intended to be legally authenticated; (4) Wholeness - Authentication of a clinical document applies to the whole and does not apply to portions of the document without the full context of the document; (5) Human readability - A clinical document is human readable."</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="DOCCLIN">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActEncounterCode" id="2.16.840.1.113883.1.11.13955">
      <historyItem dateTime="2020-05-06" id="v3-ActEncounterCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Domain provides codes that qualify the ActEncounterClass (ENC)</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActEncounterCode">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActEncounterCode"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActSpecObsCode" id="2.16.840.1.113883.1.11.13957">
      <historyItem dateTime="2020-05-06" id="v3-ActSpecObsCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Identifies the type of observation that is made about a specimen that may affect its processing, analysis or further result interpretation</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActSpecObsCode">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActSpecObsCode"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="EntityHandling" id="2.16.840.1.113883.1.11.13988">
      <historyItem dateTime="2020-05-06" id="v3-EntityHandling-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Special handling requirements for an Entity.</p>
                  <p>*Example:*Keep at room temperature; Keep frozen below 0 C; Keep in a dry environment; Keep upright, do not turn upside down.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.42</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.42"/>
      </version>
   </valueSet>
   <valueSet name="ActClassContract" id="2.16.840.1.113883.1.11.14002" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassContract-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An agreement of obligation between two or more parties that is subject to contractual law and enforcement.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="CNTRCT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassFinancialContract" id="2.16.840.1.113883.1.11.14003"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassFinancialContract-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A contract whose value is measured in monetary terms.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="FCNTRCT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassAgent" id="2.16.840.1.113883.1.11.14006" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassAgent-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An entity (player) that acts or is authorized to act on behalf of another entity (scoper).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="AGNT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="x_RoleClassCoverage" id="2.16.840.1.113883.1.11.14008">
      <historyItem dateTime="2020-05-06" id="v3-xRoleClassCoverage-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An abstract domain that encompasses the roles that arise in the context of providing, purchasing, and managing health care coverage and insurance.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <associatedConceptProperty name="Name:Class" value="planCoverage"/>
         <associatedConceptProperty name="Name:Role:player:Entity" value="covered&amp;"/>
         <associatedConceptProperty name="Name:Role:scoper:Entity" value="coverageSponsor"/>
         <associatedConceptProperty name="Sort:Entity:playedRole:Role" value="AAAAI____"/>
         <associatedConceptProperty name="Sort:Entity:scopedRole:Role" value="AAAAI____"/>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="COVPTY"/>
            <codeBasedContent code="POLHOLD"/>
            <codeBasedContent code="SPNSR"/>
            <codeBasedContent code="UNDWRT"/>
         </content>
      </version>
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      <historyItem dateTime="2020-05-06" id="v3-xRoleClassCoverageInvoice-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An abstract domain that encompasses the roles involved in submitting, responding to and managing invoices or claims for health care coverage.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <associatedConceptProperty name="Name:Class" value="invoiceRole"/>
         <associatedConceptProperty name="Name:Role:player:Entity" value="invoicePlayer"/>
         <associatedConceptProperty name="Name:Role:scoper:Entity" value="invoiceSubmitter"/>
         <associatedConceptProperty name="Sort:Entity:playedRole:Role" value="AAAAK____"/>
         <associatedConceptProperty name="Sort:Entity:scopedRole:Role" value="AAAAK____"/>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="PAYEE"/>
            <codeBasedContent code="PAYOR"/>
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      </version>
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      <historyItem dateTime="2020-05-06" id="v3-ActSpecimenTreatmentCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Set of codes related to specimen treatments</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActSpecimenTreatmentCode">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActSpecimenTreatmentCode"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ContainerCap" id="2.16.840.1.113883.1.11.14049">
      <historyItem dateTime="2020-05-06" id="v3-ContainerCap-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The type of cap associated with a container</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.26</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.26">
                  <codeBasedContent code="FILM"/>
                  <codeBasedContent code="FOIL"/>
                  <codeBasedContent code="PUSH"/>
                  <codeBasedContent code="SCR"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.16184"/>
               </unionWithContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ContainerSeparator" id="2.16.840.1.113883.1.11.14054">
      <historyItem dateTime="2020-05-06" id="v3-ContainerSeparator-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A material in a blood collection container that facilites the separation of of blood cells from serum or plasma</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.27</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.27"/>
      </version>
   </valueSet>
   <valueSet name="ActContainerRegistrationCode" id="2.16.840.1.113883.1.11.14058">
      <historyItem dateTime="2020-05-06" id="v3-ActContainerRegistrationCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Constrains the ActCode to the domain of Container Registration</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActContainerRegistrationCode">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActContainerRegistrationCode"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="DeviceAlertLevel" id="2.16.840.1.113883.1.11.14066">
      <historyItem dateTime="2020-05-06" id="v3-DeviceAlertLevel-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Domain values for the Device.Alert\_levelCode</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.31</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.31"/>
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   </valueSet>
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      <historyItem dateTime="2020-05-06" id="v3-ObservationMethod-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
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      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.85">
            <codeBasedContent code="TOPSOL">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="LiquidSolidSuspension" id="2.16.840.1.113883.1.11.14441">
      <historyItem dateTime="2020-05-06" id="v3-LiquidSolidSuspension-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A liquid preparation which consists of solid particles dispersed throughout a liquid phase in which the particles are not soluble.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.85">
                  <codeBasedContent code="_LiquidSolidSuspension">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.85">
                  <codeBasedContent code="_LiquidSolidSuspension"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="GelDrugForm" id="2.16.840.1.113883.1.11.14442">
      <historyItem dateTime="2020-05-06" id="v3-GelDrugForm-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A semisolid system consisting of either suspensions made up of small inorganic particles or large organic molecules interpenetrated by a liquid.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.85">
            <codeBasedContent code="GEL">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="VaginalGel" id="2.16.840.1.113883.1.11.14449">
      <historyItem dateTime="2020-05-06" id="v3-VaginalGel-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.85">
            <codeBasedContent code="VAGGEL">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="PasteDrugForm" id="2.16.840.1.113883.1.11.14451">
      <historyItem dateTime="2020-05-06" id="v3-PasteDrugForm-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A semisolid dosage form that contains one or more drug substances intended for topical application.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.85">
            <codeBasedContent code="PASTE">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="SuspensionDrugForm" id="2.16.840.1.113883.1.11.14454">
      <historyItem dateTime="2020-05-06" id="v3-SuspensionDrugForm-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.85">
            <codeBasedContent code="SUSP">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="OralSuspension" id="2.16.840.1.113883.1.11.14457">
      <historyItem dateTime="2020-05-06" id="v3-OralSuspension-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.85">
            <codeBasedContent code="ORSUSP">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ExtendedReleaseSuspension" id="2.16.840.1.113883.1.11.14458">
      <historyItem dateTime="2020-05-06" id="v3-ExtendedReleaseSuspension-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.85">
            <codeBasedContent code="ERSUSP">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="LiquidLiquidEmulsion" id="2.16.840.1.113883.1.11.14463">
      <historyItem dateTime="2020-05-06" id="v3-LiquidLiquidEmulsion-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A two-phase system in which one liquid is dispersed throughout another liquid in the form of small droplets.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.85">
                  <codeBasedContent code="_LiquidLiquidEmulsion">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.85">
                  <codeBasedContent code="_LiquidLiquidEmulsion"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="LotionDrugForm" id="2.16.840.1.113883.1.11.14464">
      <historyItem dateTime="2020-05-06" id="v3-LotionDrugForm-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The term "lotion" has been used to categorize many topical suspensions, solutions and emulsions intended for application to the skin.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.85">
            <codeBasedContent code="LTN">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="CreamDrugForm" id="2.16.840.1.113883.1.11.14466">
      <historyItem dateTime="2020-05-06" id="v3-CreamDrugForm-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A semisolid dosage form containing one or more drug substances dissolved or dispersed in a suitable base; more recently, the term has been restricted to products consisting of oil-in-water emulsions or aqueous microcrystalline dispersions of long chain fatty acids or alcohols that are water washable and more cosmetically and aesthetically acceptable.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.85">
            <codeBasedContent code="CRM">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="VaginalCream" id="2.16.840.1.113883.1.11.14473">
      <historyItem dateTime="2020-05-06" id="v3-VaginalCream-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.85">
            <codeBasedContent code="VAGCRM">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="OintmentDrugForm" id="2.16.840.1.113883.1.11.14475">
      <historyItem dateTime="2020-05-06" id="v3-OintmentDrugForm-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A semisolid preparation intended for external application to the skin or mucous membranes.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.85">
            <codeBasedContent code="OINT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="VaginalOintment" id="2.16.840.1.113883.1.11.14482">
      <historyItem dateTime="2020-05-06" id="v3-VaginalOintment-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.85">
            <codeBasedContent code="VAGOINT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="SolidDrugForm" id="2.16.840.1.113883.1.11.14484">
      <historyItem dateTime="2020-05-06" id="v3-SolidDrugForm-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.85">
                  <codeBasedContent code="_SolidDrugForm">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.85">
                  <codeBasedContent code="_SolidDrugForm"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="BarDrugForm" id="2.16.840.1.113883.1.11.14485">
      <historyItem dateTime="2020-05-06" id="v3-BarDrugForm-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.85">
            <codeBasedContent code="BAR">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="BarSoapDrugForm" id="2.16.840.1.113883.1.11.14486">
      <historyItem dateTime="2020-05-06" id="v3-BarSoapDrugForm-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.85">
            <codeBasedContent code="BARSOAP">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="PadDrugForm" id="2.16.840.1.113883.1.11.14497">
      <historyItem dateTime="2020-05-06" id="v3-PadDrugForm-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.85">
            <codeBasedContent code="PAD">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="PatchDrugForm" id="2.16.840.1.113883.1.11.14499">
      <historyItem dateTime="2020-05-06" id="v3-PatchDrugForm-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A drug delivery system that contains an adhesived backing and that permits its ingredients to diffuse from some portion of it (e.g., the backing itself, a reservoir, the adhesive, or some other component) into the body from the external site where it is applied.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.85">
            <codeBasedContent code="PATCH">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="TransdermalPatch" id="2.16.840.1.113883.1.11.14500">
      <historyItem dateTime="2020-05-06" id="v3-TransdermalPatch-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.85">
            <codeBasedContent code="TPATCH">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="PillDrugForm" id="2.16.840.1.113883.1.11.14506">
      <historyItem dateTime="2020-05-06" id="v3-PillDrugForm-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A small, round solid dosage form containing a medicinal agent intended for oral administration.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.85">
            <codeBasedContent code="PILL">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="CapsuleDrugForm" id="2.16.840.1.113883.1.11.14507">
      <historyItem dateTime="2020-05-06" id="v3-CapsuleDrugForm-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A solid dosage form in which the drug is enclosed within either a hard or soft soluble container or "shell" made from a suitable form of gelatin.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.85">
            <codeBasedContent code="CAP">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="OralCapsule" id="2.16.840.1.113883.1.11.14508">
      <historyItem dateTime="2020-05-06" id="v3-OralCapsule-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.85">
            <codeBasedContent code="ORCAP">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="EntericCoatedCapsule" id="2.16.840.1.113883.1.11.14509">
      <historyItem dateTime="2020-05-06" id="v3-EntericCoatedCapsule-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.85">
            <codeBasedContent code="ENTCAP">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ExtendedReleaseCapsule" id="2.16.840.1.113883.1.11.14511">
      <historyItem dateTime="2020-05-06" id="v3-ExtendedReleaseCapsule-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A solid dosage form in which the drug is enclosed within either a hard or soft soluble container made from a suitable form of gelatin, and which releases a drug (or drugs) in such a manner to allow a reduction in dosing frequency as compared to that drug (or drugs) presented as a conventional dosage form.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.85">
            <codeBasedContent code="ERCAP">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="TabletDrugForm" id="2.16.840.1.113883.1.11.14515">
      <historyItem dateTime="2020-05-06" id="v3-TabletDrugForm-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A solid dosage form containing medicinal substances with or without suitable diluents.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.85">
            <codeBasedContent code="TAB">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="OralTablet" id="2.16.840.1.113883.1.11.14516">
      <historyItem dateTime="2020-05-06" id="v3-OralTablet-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.85">
            <codeBasedContent code="ORTAB">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="BuccalTablet" id="2.16.840.1.113883.1.11.14518">
      <historyItem dateTime="2020-05-06" id="v3-BuccalTablet-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.85">
            <codeBasedContent code="BUCTAB">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="EntericCoatedTablet" id="2.16.840.1.113883.1.11.14524">
      <historyItem dateTime="2020-05-06" id="v3-EntericCoatedTablet-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.85">
            <codeBasedContent code="ECTAB">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ExtendedReleaseTablet" id="2.16.840.1.113883.1.11.14526">
      <historyItem dateTime="2020-05-06" id="v3-ExtendedReleaseTablet-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A solid dosage form containing a drug which allows at least a reduction in dosing frequency as compared to that drug presented in conventional dosage form.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.85">
            <codeBasedContent code="ERTAB">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="PowderDrugForm" id="2.16.840.1.113883.1.11.14534">
      <historyItem dateTime="2020-05-06" id="v3-PowderDrugForm-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An intimate mixture of dry, finely divided drugs and/or chemicals that may be intended for internal or external use.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.85">
            <codeBasedContent code="POWD">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="TopicalPowder" id="2.16.840.1.113883.1.11.14535">
      <historyItem dateTime="2020-05-06" id="v3-TopicalPowder-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.85">
            <codeBasedContent code="TOPPWD">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="SuppositoryDrugForm" id="2.16.840.1.113883.1.11.14538">
      <historyItem dateTime="2020-05-06" id="v3-SuppositoryDrugForm-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A solid body of various weights and shapes, adapted for introduction into the rectal, vaginal, or urethral orifice of the human body; they usually melt, soften, or dissolve at body temperature.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.85">
            <codeBasedContent code="SUPP">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="SwabDrugForm" id="2.16.840.1.113883.1.11.14542">
      <historyItem dateTime="2020-05-06" id="v3-SwabDrugForm-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A wad of absorbent material usually wound around one end of a small stick and used for applying medication or for removing material from an area.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.85">
            <codeBasedContent code="SWAB">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="GasLiquidMixture" id="2.16.840.1.113883.1.11.14545">
      <historyItem dateTime="2020-05-06" id="v3-GasLiquidMixture-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.85">
                  <codeBasedContent code="_GasLiquidMixture">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.85">
                  <codeBasedContent code="_GasLiquidMixture"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="FoamDrugForm" id="2.16.840.1.113883.1.11.14546">
      <historyItem dateTime="2020-05-06" id="v3-FoamDrugForm-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.85">
            <codeBasedContent code="FOAM">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="VaginalFoam" id="2.16.840.1.113883.1.11.14549">
      <historyItem dateTime="2020-05-06" id="v3-VaginalFoam-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.85">
            <codeBasedContent code="VAGFOAM">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="AerosolDrugForm" id="2.16.840.1.113883.1.11.14551">
      <historyItem dateTime="2020-05-06" id="v3-AerosolDrugForm-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.85">
            <codeBasedContent code="AER">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="GasSolidSpray" id="2.16.840.1.113883.1.11.14559">
      <historyItem dateTime="2020-05-06" id="v3-GasSolidSpray-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.85">
                  <codeBasedContent code="_GasSolidSpray">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.85">
                  <codeBasedContent code="_GasSolidSpray"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="InhalantDrugForm" id="2.16.840.1.113883.1.11.14560">
      <historyItem dateTime="2020-05-06" id="v3-InhalantDrugForm-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.85">
            <codeBasedContent code="INHL">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="GasDrugForm" id="2.16.840.1.113883.1.11.14568">
      <historyItem dateTime="2020-05-06" id="v3-GasDrugForm-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Any elastic aeriform fluid in which the molecules are separated from one another and have free paths.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.85">
                  <codeBasedContent code="_GasDrugForm">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.85">
                  <codeBasedContent code="_GasDrugForm"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="AdministrableDrugForm" id="2.16.840.1.113883.1.11.14570">
      <historyItem dateTime="2020-05-06" id="v3-AdministrableDrugForm-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Indicates the form in which the drug product should be administered.</p>
                  <p>This element only needs to be specified when (a) the form in which the drug is measured for dispensing differs from the form in which the drug is administered; and (b) the form in which the quantity of the administered drug being administered is not expressed as a discrete measured mass or volume.*Usage:*</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.85">
                  <codeBasedContent code="APPFUL"/>
                  <codeBasedContent code="PUFF"/>
                  <codeBasedContent code="SCOOP"/>
                  <codeBasedContent code="SPRY"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.14420"/>
               </unionWithContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RouteOfAdministration" id="2.16.840.1.113883.1.11.14581">
      <historyItem dateTime="2020-05-06" id="v3-RouteOfAdministration-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The path the administered medication takes to get into the body or into contact with the body.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.112</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.16931"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.17021"/>
               </unionWithContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.112"/>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="Chew" id="2.16.840.1.113883.1.11.14582">
      <historyItem dateTime="2020-05-06" id="v3-Chew-vs-1-0-0" responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Chew</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.112</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.112">
                  <codeBasedContent code="_Chew">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.112">
                  <codeBasedContent code="_Chew"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="Diffusion" id="2.16.840.1.113883.1.11.14584">
      <historyItem dateTime="2020-05-06" id="v3-Diffusion-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Diffusion</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.112</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.112">
                  <codeBasedContent code="_Diffusion">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.112">
                  <codeBasedContent code="_Diffusion"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="Dissolve" id="2.16.840.1.113883.1.11.14586">
      <historyItem dateTime="2020-05-06" id="v3-Dissolve-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Dissolve</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.112</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.112">
                  <codeBasedContent code="_Dissolve">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.112">
                  <codeBasedContent code="_Dissolve"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="Douche" id="2.16.840.1.113883.1.11.14589">
      <historyItem dateTime="2020-05-06" id="v3-Douche-vs-1-0-0" responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Douche</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.112</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.112">
                  <codeBasedContent code="_Douche">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.112">
                  <codeBasedContent code="_Douche"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="Enema" id="2.16.840.1.113883.1.11.14591">
      <historyItem dateTime="2020-05-06" id="v3-Enema-vs-1-0-0" responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Enema</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.112</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.112">
                  <codeBasedContent code="_Enema">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.112">
                  <codeBasedContent code="_Enema"/>
               </excludeContent>
            </combinedContent>
         </content>
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   </valueSet>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Flush</p>
               </text>
            </description>
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      </annotations>
      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Implantation</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Infusion</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Infusion, intravenous</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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   </valueSet>
   <valueSet name="Inhalation" id="2.16.840.1.113883.1.11.14615">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Inhalation</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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   </valueSet>
   <valueSet name="NasalInhalation" id="2.16.840.1.113883.1.11.14617">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Inhalation, nasal</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.112</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
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   </valueSet>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Inhalation, nebulization</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.112</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.112">
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   </valueSet>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Inhalation, oral</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.112</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.112">
            <codeBasedContent code="ORINHL">
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   </valueSet>
   <valueSet name="Injection" id="2.16.840.1.113883.1.11.14628">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Injection</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.112</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
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         </content>
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   </valueSet>
   <valueSet name="IntraarterialInjection" id="2.16.840.1.113883.1.11.14639">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Injection, intraarterial</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.112</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.112">
            <codeBasedContent code="IAINJ">
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   </valueSet>
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      <historyItem dateTime="2020-05-06" id="v3-IntracardiacInjection-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Injection, intracardiac</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.112</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.112">
            <codeBasedContent code="ICARDINJ">
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         </content>
      </version>
   </valueSet>
   <valueSet name="IntracoronaryInjection" id="2.16.840.1.113883.1.11.14650">
      <historyItem dateTime="2020-05-06" id="v3-IntracoronaryInjection-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Injection, intracoronary</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.112</supportedCodeSystem>
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         <content codeSystem="2.16.840.1.113883.5.112">
            <codeBasedContent code="ICORONINJ">
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            </codeBasedContent>
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   </valueSet>
   <valueSet name="IntramuscularInjection" id="2.16.840.1.113883.1.11.14657">
      <historyItem dateTime="2020-05-06" id="v3-IntramuscularInjection-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Injection, intramuscular</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.112</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.112">
            <codeBasedContent code="IM">
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            </codeBasedContent>
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   </valueSet>
   <valueSet name="IntravenousInjection" id="2.16.840.1.113883.1.11.14670">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Injection, intravenous</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.112</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
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            <codeBasedContent code="IVINJ">
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   </valueSet>
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      <historyItem dateTime="2020-05-06" id="v3-Insertion-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Insertion</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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                  <codeBasedContent code="_Insertion"/>
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   </valueSet>
   <valueSet name="Instillation" id="2.16.840.1.113883.1.11.14696">
      <historyItem dateTime="2020-05-06" id="v3-Instillation-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Instillation</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.112</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
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               <excludeContent codeSystem="2.16.840.1.113883.5.112">
                  <codeBasedContent code="_Instillation"/>
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            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RectalInstillation" id="2.16.840.1.113883.1.11.14715">
      <historyItem dateTime="2020-05-06" id="v3-RectalInstillation-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Instillation, rectal</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.112</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
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            <codeBasedContent code="RECINSTL">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Irrigation</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.112</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Irrigation, urinary bladder</p>
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         </documentation>
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      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Nebulization</p>
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      </annotations>
      <version versionDate="2014-03-26">
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         <content>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Rinse</p>
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            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <content>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Swish</p>
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            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <content>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Topical application</p>
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            </description>
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      </annotations>
      <version versionDate="2014-03-26">
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         <content>
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      <historyItem dateTime="2020-05-06" id="v3-ResponseLevel-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Specifies whether a response is expected from the addressee of this interaction and what level of detail that response should include</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.108</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.108"/>
      </version>
   </valueSet>
   <valueSet name="ActFinancialTransactionCode" id="2.16.840.1.113883.1.11.14804">
      <historyItem dateTime="2020-05-06" id="v3-ActFinancialTransactionCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActFinancialTransactionCode">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActFinancialTransactionCode"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActAccountCode" id="2.16.840.1.113883.1.11.14809">
      <historyItem dateTime="2020-05-06" id="v3-ActAccountCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An account represents a grouping of financial transactions that are tracked and reported together with a single balance. Examples of account codes (types) are Patient billing accounts (collection of charges), Cost centers; Cash.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActAccountCode">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActAccountCode"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="CreditCard" id="2.16.840.1.113883.1.11.14811">
      <historyItem dateTime="2020-05-06" id="v3-CreditCard-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="CC">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="CC"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="StreetAddressLine" id="2.16.840.1.113883.1.11.14822">
      <historyItem dateTime="2020-05-06" id="v3-StreetAddressLine-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.16</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.16">
            <codeBasedContent code="SAL">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="MediaType" id="2.16.840.1.113883.1.11.14824">
      <historyItem dateTime="2020-05-06" id="v3-MediaType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Internet Assigned Numbers Authority (IANA) Mime Media Types</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.79</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.79"/>
      </version>
   </valueSet>
   <valueSet name="TextMediaType" id="2.16.840.1.113883.1.11.14825">
      <historyItem dateTime="2020-05-06" id="v3-TextMediaType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>For any text</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.79</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.79">
            <codeBasedContent code="text">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ApplicationMediaType" id="2.16.840.1.113883.1.11.14832">
      <historyItem dateTime="2020-05-06" id="v3-ApplicationMediaType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Application specific media type.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.79</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.79">
            <codeBasedContent code="application">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="AudioMediaType" id="2.16.840.1.113883.1.11.14835">
      <historyItem dateTime="2020-05-06" id="v3-AudioMediaType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Audio media type.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.79</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.79">
            <codeBasedContent code="audio">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ImageMediaType" id="2.16.840.1.113883.1.11.14839">
      <historyItem dateTime="2020-05-06" id="v3-ImageMediaType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Image media type.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.79</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.79">
            <codeBasedContent code="image">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="VideoMediaType" id="2.16.840.1.113883.1.11.14845">
      <historyItem dateTime="2020-05-06" id="v3-VideoMediaType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Video media type.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.79</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.79">
            <codeBasedContent code="video">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ModelMediaType" id="2.16.840.1.113883.1.11.14848">
      <historyItem dateTime="2020-05-06" id="v3-ModelMediaType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Model media type.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.79</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.79">
            <codeBasedContent code="model">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="MultipartMediaType" id="2.16.840.1.113883.1.11.14850">
      <historyItem dateTime="2020-05-06" id="v3-MultipartMediaType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Multipart Media Type</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.79</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.79">
            <codeBasedContent code="multipart">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="Charset" id="2.16.840.1.113883.1.11.14853">
      <historyItem dateTime="2020-05-06" id="v3-Charset-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Internet Assigned Numbers Authority (IANA) Charset Types</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.21</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.21"/>
      </version>
   </valueSet>
   <valueSet name="URLScheme" id="2.16.840.1.113883.1.11.14866">
      <historyItem dateTime="2020-05-06" id="v3-URLScheme-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A Universal Resource Locator (URL) is a type of telecommunications address specified as Internet standard RFC 1738 \[http://www.ietf.org/rfc/rfc1738.txt\]. The URL specifies the protocol and the contact point defined by that protocol for the resource.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.143</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.143"/>
      </version>
   </valueSet>
   <valueSet name="SchedulingActReason" id="2.16.840.1.113883.1.11.14879">
      <historyItem dateTime="2020-05-06" id="v3-SchedulingActReason-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Reasons for cancelling or rescheduling an Appointment</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.8</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.8">
                  <codeBasedContent code="_SchedulingActReason">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.8">
                  <codeBasedContent code="_SchedulingActReason"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipAccounting" id="2.16.840.1.113883.1.11.14900"
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      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipAccounting-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Codes that describe the relationship between an Act and a financial instrument such as a financial transaction, account or invoice element.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.1002">
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               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.1002">
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   </valueSet>
   <valueSet name="PaymentTerms" id="2.16.840.1.113883.1.11.14908">
      <historyItem dateTime="2020-05-06" id="v3-PaymentTerms-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Describes payment terms for a financial transaction, used in an invoice.</p>
                  <p>This is typically expressed as a responsibility of the acceptor or payor of an invoice.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.91"/>
      </version>
   </valueSet>
   <valueSet name="Race" id="2.16.840.1.113883.1.11.14914">
      <historyItem dateTime="2020-05-06" id="v3-Race-vs-1-0-0" responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>In the United States, federal standards for classifying data on race determine the categories used by federal agencies and exert a strong influence on categorization by state and local agencies and private sector organizations. The federal standards do not conceptually define race, and they recognize the absence of an anthropological or scientific basis for racial classification. Instead, the federal standards acknowledge that race is a social-political construct in which an individual's own identification with one more race categories is preferred to observer identification. The standards use a variety of features to define five minimum race categories. Among these features are descent from "the original peoples" of a specified region or nation. The minimum race categories are American Indian or Alaska Native, Asian, Black or African American, Native Hawaiian or Other Pacific Islander, and White. The federal standards stipulate that race data need not be limited to the five minimum categories, but any expansion must be collapsible to those categories.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content>
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               <unionWithContent>
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               </unionWithContent>
               <unionWithContent>
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      </version>
   </valueSet>
   <valueSet name="RaceNativeAmerican" id="2.16.840.1.113883.1.11.14915">
      <historyItem dateTime="2020-05-06" id="v3-RaceNativeAmerican-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.104</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.104">
            <codeBasedContent code="1002-5">
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RaceAmericanIndian" id="2.16.840.1.113883.1.11.14916">
      <historyItem dateTime="2020-05-06" id="v3-RaceAmericanIndian-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.104</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.104">
            <codeBasedContent code="1004-1">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RaceAmericanIndianApache" id="2.16.840.1.113883.1.11.14919">
      <historyItem dateTime="2020-05-06" id="v3-RaceAmericanIndianApache-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.104</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.104">
            <codeBasedContent code="1010-8">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RaceAmericanIndianArapaho" id="2.16.840.1.113883.1.11.14929">
      <historyItem dateTime="2020-05-06" id="v3-RaceAmericanIndianArapaho-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.104</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.104">
            <codeBasedContent code="1021-5">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RaceAmericanIndianAssiniboineSioux" id="2.16.840.1.113883.1.11.14935">
      <historyItem dateTime="2020-05-06" id="v3-RaceAmericanIndianAssiniboineSioux-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.104</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.104">
            <codeBasedContent code="1030-6">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RaceAmericanIndianCaddo" id="2.16.840.1.113883.1.11.14941">
      <historyItem dateTime="2020-05-06" id="v3-RaceAmericanIndianCaddo-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
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      <annotations>
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      <annotations>
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      <annotations>
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               <text>
                  <b>No description</b>
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                  <codeBasedContent code="_OrganizationNameUse">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.17860"/>
               </unionWithContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ContactRoleType" id="2.16.840.1.113883.1.11.15920">
      <historyItem dateTime="2020-05-06" id="v3-ContactRoleType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Types of contact for Role code "CON"</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.17622"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.20279"/>
               </unionWithContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.111"/>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="MemberRoleType" id="2.16.840.1.113883.1.11.15925">
      <historyItem dateTime="2020-05-06" id="v3-MemberRoleType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A role type that is used to further qualify an entity playing a role where the role class attribute is set to RoleClassMember.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.111">
                  <codeBasedContent code="_MemberRoleType">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.111">
                  <codeBasedContent code="_MemberRoleType"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="EmploymentStatusUB92" id="2.16.840.1.113883.1.11.15930">
      <historyItem dateTime="2020-05-06" id="v3-EmploymentStatusUB92-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.6.21</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.6.21"/>
      </version>
   </valueSet>
   <valueSet name="DiagnosisICD9CM" id="2.16.840.1.113883.1.11.15931">
      <historyItem dateTime="2020-05-06" id="v3-DiagnosisICD9CM-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.6.2</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.6.2"/>
      </version>
   </valueSet>
   <valueSet name="ActStatus" id="2.16.840.1.113883.1.11.15933" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActStatus-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Contains the names (codes) for each of the states in the state-machine of the RIM Act class.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.14</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.14"/>
      </version>
   </valueSet>
   <valueSet name="ActStatusNormal" id="2.16.840.1.113883.1.11.15936" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActStatusNormal-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Encompasses the expected states of an Act, but excludes "nullified" and "obsolete" which represent unusual terminal states for the life-cycle.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.14</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.14">
            <codeBasedContent code="normal">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="TransferActReason" id="2.16.840.1.113883.1.11.15983">
      <historyItem dateTime="2020-05-06" id="v3-TransferActReason-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The explanation for why a patient is moved from one location to another within the organization</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.8</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.8">
                  <codeBasedContent code="_TransferActReason">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.8">
                  <codeBasedContent code="_TransferActReason"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ManagedParticipationStatus" id="2.16.840.1.113883.1.11.15992"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ManagedParticipationStatus-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Codes representing the defined possible states of a Managed Participation, as defined by the Managed Participation class state machine.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1062</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1062"/>
      </version>
   </valueSet>
   <valueSet name="ManagedParticipationStatusNormal" id="2.16.840.1.113883.1.11.15993"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ManagedParticipationStatusNormal-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The 'typical' state. Excludes "nullified" which represents the termination state of a participation instance that was created in error.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1062</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1062">
            <codeBasedContent code="normal">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleStatus" id="2.16.840.1.113883.1.11.15999" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleStatus-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Codes representing the defined possible states of an Role, as defined by the Role class state machine.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1068</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1068"/>
      </version>
   </valueSet>
   <valueSet name="RoleStatusNormal" id="2.16.840.1.113883.1.11.16000" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleStatusNormal-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The 'typical' state. Excludes "nullified" which represents the termination state of a Role instance that was created in error.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1068</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1068">
            <codeBasedContent code="normal">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="EntityStatus" id="2.16.840.1.113883.1.11.16005" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-EntityStatus-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Codes representing the defined possible states of an Entity, as defined by the Entity class state machine.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1061</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1061"/>
      </version>
   </valueSet>
   <valueSet name="EntityStatusNormal" id="2.16.840.1.113883.1.11.16006" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-EntityStatusNormal-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The 'typical' state. Excludes "nullified" which represents the termination state of an Entity record instance that was created in error.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1061</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1061">
            <codeBasedContent code="normal">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="CommunicationFunctionType" id="2.16.840.1.113883.1.11.16031">
      <historyItem dateTime="2020-05-06" id="v3-CommunicationFunctionType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Describes the type of communication function that the associated entity plays in the associated transmission.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1056</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1056"/>
      </version>
   </valueSet>
   <valueSet name="EmployeeJobClass" id="2.16.840.1.113883.1.11.16036">
      <historyItem dateTime="2020-05-06" id="v3-EmployeeJobClass-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A code qualifying the employment in various ways, such as, full-time vs. part time, etc.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1059</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1059"/>
      </version>
   </valueSet>
   <valueSet name="IndustryClassificationSystem" id="2.16.840.1.113883.1.11.16039">
      <historyItem dateTime="2020-05-06" id="v3-IndustryClassificationSystem-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.6.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.6.85"/>
      </version>
   </valueSet>
   <valueSet name="EntityCode" id="2.16.840.1.113883.1.11.16040">
      <historyItem dateTime="2020-05-06" id="v3-EntityCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A value representing the specific kind of Entity the instance represents.</p>
                  <i>Examples:</i>A medical building, a Doberman Pinscher, a blood collection tube, a tissue biopsy.<i>Rationale:</i>For each Entity, the value for this attribute is drawn from one of several coding systems depending on the Entity classCode, such as living subjects (animal and plant taxonomies), chemical substance (e.g., IUPAC code), organizations, insurance company, government agency, hospital, park, lake, syringe, etc. It is possible that Entity.code may be so fine grained that it represents a single instance. An example is the CDC vaccine manufacturer code, modeled as a concept vocabulary, when in fact each concept refers to a single instance.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1060</supportedCodeSystem>
         <supportedCodeSystem>2.16.840.1.113883.5.129</supportedCodeSystem>
         <supportedCodeSystem>1.0.3166.1</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.16041"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.16100"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.19608"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.19652"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.19667"/>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.1060">
                  <codeBasedContent code="_OrganizationEntityType"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="MaterialEntityClassType" id="2.16.840.1.113883.1.11.16041">
      <historyItem dateTime="2020-05-06" id="v3-MaterialEntityClassType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Types of Material for EntityClass "MAT"</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1060</supportedCodeSystem>
         <supportedCodeSystem>2.16.840.1.113883.5.129</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.1060">
                  <codeBasedContent code="_MaterialEntityClassType">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.16042"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.16143"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.16188"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.19464"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.19722"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.19867"/>
               </unionWithContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="SpecimenAdditiveEntity" id="2.16.840.1.113883.1.11.16042">
      <historyItem dateTime="2020-05-06" id="v3-SpecimenAdditiveEntity-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Set of codes related to specimen additives</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1060</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.1060">
                  <codeBasedContent code="_SpecimenAdditiveEntity">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.1060">
                  <codeBasedContent code="_SpecimenAdditiveEntity"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="PlaceEntityType" id="2.16.840.1.113883.1.11.16100">
      <historyItem dateTime="2020-05-06" id="v3-PlaceEntityType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Types of places for EntityClass "PLC"</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1060</supportedCodeSystem>
         <supportedCodeSystem>1.0.3166.1</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.1060">
                  <codeBasedContent code="_PlaceEntityType">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.19675"/>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.1060">
                  <codeBasedContent code="_PlaceEntityType"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ROIOverlayShape" id="2.16.840.1.113883.1.11.16117">
      <historyItem dateTime="2020-05-06" id="v3-ROIOverlayShape-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Shape of the region on the object being referenced</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ROIOverlayShape">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ROIOverlayShape"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActDetectedIssueCode" id="2.16.840.1.113883.1.11.16124">
      <historyItem dateTime="2020-05-06" id="v3-ActDetectedIssueCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Identifies types of detected issues for Act class "ALRT"</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="ISSUE">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <unionWithContent>
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      <annotations>
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      <annotations>
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      <annotations>
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      <annotations>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
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      <annotations>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
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      <annotations>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
         <documentation>
            <description>
               <text>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
         <documentation>
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               <text>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
         <documentation>
            <description>
               <text>
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      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="RF">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="EmergencyPharmacySupplyType" id="2.16.840.1.113883.1.11.16220">
      <historyItem dateTime="2020-05-06" id="v3-EmergencyPharmacySupplyType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A supply action where there is no 'valid' order for the supplied medication. E.g. Emergency vacation supply, weekend supply (when prescriber is unavailable to provide a renewal prescription)</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="EM">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ObservationType" id="2.16.840.1.113883.1.11.16226">
      <historyItem dateTime="2020-05-06" id="v3-ObservationType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Identifies the kinds of observations that can be performed</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedCodeSystem>2.16.840.1.113883.6.1</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ObservationType">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.16228"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.16492"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.19321"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.19325"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.19329"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.19700"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.19712"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.19751"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.19757"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.20293"/>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ObservationType"/>
               </excludeContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ObservationIssueTriggerCodedObservationType"/>
               </excludeContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_GeneticObservationType"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ObservationDiagnosisTypes" id="2.16.840.1.113883.1.11.16228">
      <historyItem dateTime="2020-05-06" id="v3-ObservationDiagnosisTypes-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An observation about the presence (or absence) of a particular disease state in a subject.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="DX">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="DX"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActMonitoringProtocolCode" id="2.16.840.1.113883.1.11.16231">
      <historyItem dateTime="2020-05-06" id="v3-ActMonitoringProtocolCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Identifies types of monitoring programs</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActMonitoringProtocolCode">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActMonitoringProtocolCode"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ControlledSubstanceMonitoringProtocol" id="2.16.840.1.113883.1.11.16232">
      <historyItem dateTime="2020-05-06" id="v3-ControlledSubstanceMonitoringProtocol-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A monitoring program that focuses on narcotics and/or commonly abused substances that are subject to legal restriction.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="CTLSUB">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="Parent" id="2.16.840.1.113883.1.11.16346">
      <historyItem dateTime="2020-05-06" id="v3-Parent-vs-1-0-0" responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>one that begets or brings forth offspring or a person who brings up and cares for another (Webster's Collegiate Dictionary)</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="PRN">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="Grandparent" id="2.16.840.1.113883.1.11.16349">
      <historyItem dateTime="2020-05-06" id="v3-Grandparent-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>parent of a parent of the subject</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="GRPRN">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="Child" id="2.16.840.1.113883.1.11.16360">
      <historyItem dateTime="2020-05-06" id="v3-Child-vs-1-0-0" responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The player of the role is a child of the scoping entity.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="CHILD">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="LivingSubjectProductionClass" id="2.16.840.1.113883.1.11.16368">
      <historyItem dateTime="2020-05-06" id="v3-LivingSubjectProductionClass-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Code indicating the primary use for which a living subject is bred or grown</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.111">
                  <codeBasedContent code="_LivingSubjectProductionClass">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.111">
                  <codeBasedContent code="_LivingSubjectProductionClass"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RaceAlaskanNativeAleutBristolBay" id="2.16.840.1.113883.1.11.16466">
      <historyItem dateTime="2020-05-06" id="v3-RaceAlaskanNativeAleutBristolBay-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.104</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.104">
            <codeBasedContent code="1972-9">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ContextControl" id="2.16.840.1.113883.1.11.16478">
      <historyItem dateTime="2020-05-06" id="v3-ContextControl-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A code that specifies how an ActRelationship or Participation contributes to the context of an Act, and whether it may be propagated to descendent Acts whose association allows such propagation (see also attributes Participation.contextControlCode, ActRelationship.contextControlCode, ActRelationship.contextConductionInd).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1057</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1057"/>
      </version>
   </valueSet>
   <valueSet name="LogicalObservationIdentifierNamesAndCodes"
             id="2.16.840.1.113883.1.11.16492">
      <historyItem dateTime="2020-05-06"
                   id="v3-LogicalObservationIdentifierNamesAndCodes-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The LOINC database provides a set of universal names and ID codes for identifying laboratory and clinical test results. The purpose is to facilitate the exchange and pooling of results, such as blood hemoglobin, serum potassium, or vital signs, for clinical care, outcomes management, and research. The LOINC codes are not intended to transmit all possible information about a test or observation. They are only intended to identify the test result or clinical observation. http://www.regenstrief.org/LOINC/LOINC.htm</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.6.1</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.6.1"/>
      </version>
   </valueSet>
   <valueSet name="ActIncidentCode" id="2.16.840.1.113883.1.11.16508">
      <historyItem dateTime="2020-05-06" id="v3-ActIncidentCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Set of codes indicating the type of incident or accident.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActIncidentCode">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActIncidentCode"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="SpecimenRoleType" id="2.16.840.1.113883.1.11.16515">
      <historyItem dateTime="2020-05-06" id="v3-SpecimenRoleType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.111">
                  <codeBasedContent code="_SpecimenRoleType">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.111">
                  <codeBasedContent code="_SpecimenRoleType"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="QualitySpecimenRoleType" id="2.16.840.1.113883.1.11.16521">
      <historyItem dateTime="2020-05-06" id="v3-QualitySpecimenRoleType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A specimen specifically used to verify the sensitivity, specificity, accuracy or other perfomance parameter of a diagnostic test.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="Q">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="HumanActSite" id="2.16.840.1.113883.1.11.16538">
      <historyItem dateTime="2020-05-06" id="v3-HumanActSite-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An anatomical location on a human which can be the focus of an act.</p>
                  <i>OpenIssue:</i>This value set was approved for<b>deletion</b>in November 2008, and was deleted at release \#762. Subsequently, however, it was found that this deletion caused the legacy software embedded in the RMIM Designer in Visio to fail to show appropriate options for concepts in the subject area of this value set. For that reason, the value set was<b>re-added in releasse 813 and DEPRECATED from general use</b>at the same time. This value set should be deleted as soon as it is no longer required to support of the legacy software.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1052</supportedCodeSystem>
         <supportedCodeSystem>2.16.840.1.113883.5.1080</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.1052">
                  <codeBasedContent code="_HumanActSite">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.19346"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.19724"/>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.1052">
                  <codeBasedContent code="_HumanActSite"/>
               </excludeContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.1052">
                  <codeBasedContent code="_HumanSubstanceAdministrationSite"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ParticipationMode" id="2.16.840.1.113883.1.11.16543">
      <historyItem dateTime="2020-05-06" id="v3-ParticipationMode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Identifies the primary means by which an Entity participates in an Act.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1064</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.1064">
                  <codeBasedContent code="PHYSICAL"/>
                  <codeBasedContent code="REMOTE"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.16544"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.16549"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.16554"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.19739"/>
               </unionWithContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ParticipationModeVerbal" id="2.16.840.1.113883.1.11.16544">
      <historyItem dateTime="2020-05-06" id="v3-ParticipationModeVerbal-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Participation by voice communication</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1064</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1064">
            <codeBasedContent code="VERBAL">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ParticipationModeWritten" id="2.16.840.1.113883.1.11.16549">
      <historyItem dateTime="2020-05-06" id="v3-ParticipationModeWritten-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Participation by human language recorded on a physical material</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1064</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1064">
            <codeBasedContent code="WRITTEN">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ParticipationModeElectronicData" id="2.16.840.1.113883.1.11.16554">
      <historyItem dateTime="2020-05-06" id="v3-ParticipationModeElectronicData-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Participation by non-human-languaged based electronic signal</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1064</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1064">
            <codeBasedContent code="ELECTRONIC">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Substitution occurred or is permitted with another product in the same generic ingredient.</p>
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            </description>
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      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1070</supportedCodeSystem>
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      <historyItem dateTime="2020-05-06" id="v3-SeverityObservation-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Potential values for observations of severity.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Identifies types of detected issues regarding the administration or supply of an item to a patient.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Administration of the proposed therapy may be inappropriate or contraindicated as proposed</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
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            </description>
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      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Proposed therapy may be inappropriate or contraindicated due to conditions or characteristics of the patient</p>
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            </description>
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      </annotations>
      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Proposed therapy may be inappropriate or contraindicated due to an existing/recent patient condition or diagnosis</p>
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            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
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      <historyItem dateTime="2020-05-06" id="v3-AgeDetectedIssueCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Proposed therapy may be inappropriate or contraindicated due to patient age</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Proposed therapy may be inappropriate or contraindicated based on the potential for a patient reaction to the proposed product</p>
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            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Proposed therapy may be inappropriate or contraindicated because of a potential patient reaction to a cross-sensitivity related product.</p>
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            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Proposed dosage instructions for therapy differ from standard practice.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Proposed dosage exceeds standard practice</p>
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      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Proposed dosage is below suggested therapeutic levels</p>
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      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Proposed dosage interval/timing differs from standard practice</p>
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      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Proposed length of therpay differs from standard practice</p>
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      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Proposed length of therapy is shorter than that necessary for therapeutic effect</p>
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      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Proposed length of therapy is longer than standard practice</p>
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      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>There may be an issue with the patient complying with the intentions of the proposed therapy</p>
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      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
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      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Codes dealing with the management of Detected Issue observations</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActDetectedIssueManagementCode">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActDetectedIssueManagementCode"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="TherapyAppropriateManagementCode" id="2.16.840.1.113883.1.11.16696">
      <historyItem dateTime="2020-05-06" id="v3-TherapyAppropriateManagementCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Confirmed drug therapy appropriate</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="1">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ConsultedPrescriberManagementCode" id="2.16.840.1.113883.1.11.16700">
      <historyItem dateTime="2020-05-06" id="v3-ConsultedPrescriberManagementCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Consulted prescriber, therapy confirmed</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="5">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="OtherActionTakenManagementCode" id="2.16.840.1.113883.1.11.16703">
      <historyItem dateTime="2020-05-06" id="v3-OtherActionTakenManagementCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Order is performed as issued, but other action taken to mitigate potential adverse effects</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="8">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="SupplyAppropriateManagementCode" id="2.16.840.1.113883.1.11.16709">
      <historyItem dateTime="2020-05-06" id="v3-SupplyAppropriateManagementCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Confirmed supply action appropriate</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="14">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="x_ActMoodOrdPrmsEvn" id="2.16.840.1.113883.1.11.16730" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-xActMoodOrdPrmsEvn-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A grouping of Order, Promise and Event moods.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1001</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <associatedConceptProperty name="Name:Class" value="ProcessPromise"/>
         <content codeSystem="2.16.840.1.113883.5.1001">
            <codeBasedContent code="EVN"/>
            <codeBasedContent code="PRMS"/>
            <codeBasedContent code="RQO"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="x_ActMoodOrdPrms" id="2.16.840.1.113883.1.11.16735" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-xActMoodOrdPrms-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A grouping of Order, Promise. These specific moods are used in orders.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1001</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <associatedConceptProperty name="Name:Class" value="OrderPromise"/>
         <content codeSystem="2.16.840.1.113883.5.1001">
            <codeBasedContent code="PRMS"/>
            <codeBasedContent code="RQO"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="x_ActMoodIntentEvent" id="2.16.840.1.113883.1.11.16742"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-xActMoodIntentEvent-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A constraint domain for RMIM design.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1001</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <associatedConceptProperty name="Name:Class" value="Process"/>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.1001">
                  <codeBasedContent code="EVN"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.10199"/>
               </unionWithContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="x_EncounterPerformerParticipation" id="2.16.840.1.113883.1.11.16764">
      <historyItem dateTime="2020-05-06" id="v3-xEncounterPerformerParticipation-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Used to enumerate the ways in which a clinician can directly participate during an encounter which generates a clinical document.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <associatedConceptProperty name="Name:Act:participation:Participation" value="encounterPerformer"/>
         <associatedConceptProperty name="Name:Role:participation:Participation" value="performance"/>
         <associatedConceptProperty name="Sort:Act:participation:Participation" value="D________"/>
         <associatedConceptProperty name="Sort:Role:participation:Participation" value="D________"/>
         <content codeSystem="2.16.840.1.113883.5.90">
            <codeBasedContent code="CON"/>
            <codeBasedContent code="PRF"/>
            <codeBasedContent code="SPRF"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="x_InformationRecipientRole" id="2.16.840.1.113883.1.11.16772">
      <historyItem dateTime="2020-05-06" id="v3-xInformationRecipientRole-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Used to represent the role(s) of those who should receive a copy of a document.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <associatedConceptProperty name="Name:Class" value="informationRecipient"/>
         <associatedConceptProperty name="Name:Role:player:Entity" value="informationRecipient"/>
         <associatedConceptProperty name="Name:Role:scoper:Entity" value="received&amp;"/>
         <associatedConceptProperty name="Sort:Entity:playedRole:Role" value="AAAADA___"/>
         <associatedConceptProperty name="Sort:Entity:scopedRole:Role" value="AAAADA___"/>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="ASSIGNED"/>
            <codeBasedContent code="CAREGIVER"/>
            <codeBasedContent code="GUAR"/>
            <codeBasedContent code="PROV"/>
            <codeBasedContent code="PRS"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassLicensedEntity" id="2.16.840.1.113883.1.11.16773"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassLicensedEntity-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A relationship in which the scoper certifies the player ( e. g. a medical care giver, a medical device or a provider organization) to perform certain activities that fall under the jurisdiction of the scoper (e.g., a health authority licensing healthcare prlviders, a medical quality authority certifying healthcare professionals,)</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="LIC">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassLocatedEntity" id="2.16.840.1.113883.1.11.16815"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassLocatedEntity-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Relates an entity (player) to a location (scoper) at which it is present in some way. This presence may be limited in time.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="LOCE">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActInpatientEncounterCode" id="2.16.840.1.113883.1.11.16847">
      <historyItem dateTime="2020-05-06" id="v3-ActInpatientEncounterCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An inpatient encounter is an encounter in which the patient is admitted to a hospital or equivalent facility.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="IMP">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActControlVariable" id="2.16.840.1.113883.1.11.16857">
      <historyItem dateTime="2020-05-06" id="v3-ActControlVariable-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An observation form that determines parameters or attributes of an Act. Examples are the settings of a ventilator machine as parameters of a ventilator treatment act; the controls on dillution factors of a chemical analyzer as a parameter of a laboratory observation act; the settings of a physiologic measurement assembly (e.g., time skew) or the position of the body while measuring blood pressure.</p>
                  <p>Control variables are forms of observations because just as with clinical observations, the Observation.code determines the parameter and the Observation.value assigns the value. While control variables sometimes can be observed (by noting the control settings or an actually measured feedback loop) they are not primary observations, in the sense that a control variable without a primary act is of no use (e.g., it makes no sense to record a blood pressure position without recording a blood pressure, whereas it does make sense to record a systolic blood pressure without a diastolic blood pressure).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActControlVariable">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActControlVariable"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActPriority" id="2.16.840.1.113883.1.11.16866">
      <historyItem dateTime="2020-05-06" id="v3-ActPriority-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A code or set of codes (e.g., for routine, emergency,) specifying the urgency under which the Act happened, can happen, is happening, is intended to happen, or is requested/demanded to happen.</p>
                  <i>Discussion:</i>This attribute is used in orders to indicate the ordered priority, and in event documentation it indicates the actual priority used to perform the act. In definition mood it indicates the available priorities.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.7</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.7">
                  <codeBasedContent code="A"/>
                  <codeBasedContent code="CR"/>
                  <codeBasedContent code="EL"/>
                  <codeBasedContent code="EM"/>
                  <codeBasedContent code="P"/>
                  <codeBasedContent code="PRN"/>
                  <codeBasedContent code="R"/>
                  <codeBasedContent code="RR"/>
                  <codeBasedContent code="S"/>
                  <codeBasedContent code="T"/>
                  <codeBasedContent code="UD"/>
                  <codeBasedContent code="UR"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.16871"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.19457"/>
               </unionWithContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActPriorityCallback" id="2.16.840.1.113883.1.11.16871">
      <historyItem dateTime="2020-05-06" id="v3-ActPriorityCallback-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Filler should contact the placer (or target) to schedule the service. (Was "C" in HL7 version 2.3's TQ-priority component.)</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.7</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.7">
            <codeBasedContent code="CS">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActUncertainty" id="2.16.840.1.113883.1.11.16899">
      <historyItem dateTime="2020-05-06" id="v3-ActUncertainty-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A code indicating whether the Act statement as a whole, with its subordinate components has been asserted to be uncertain in any way.</p>
                  <i>Examples:</i>Patient might have had a cholecystectomy procedure in the past (but isn't sure).<i>Constraints:</i>Uncertainty asserted using this attribute applies to the combined meaning of the Act statement established by all descriptive attributes (e.g., Act.code, Act.effectiveTime, Observation.value, SubstanceAdministration.doseQuantity, etc.), and the meanings of any components.<p>*Discussion:*This is not intended for use to replace or compete with uncertainty associated with a Observation.values alone or other individual attributes of the class. Such pointed indications of uncertainty should be specified by applying the PPD, UVP or UVN data type extensions to the specific attribute. Particularly if the uncertainty is uncertainty of a quantitative measurement value, this must still be represented by a PPD&lt;PQ&gt; in the value and NOT using the uncertaintyCode. Also, when differential diagnoses are enumerated or weighed for probability, the UVP&lt;CD&gt; or UVN&lt;CD&gt; must be used, not the uncertaintyCode. The use of the uncertaintyCode is appropriate only if the entirety of the Act and its dependent Acts is questioned.</p>
                  <p>Note that very vague uncertainty may be thought related to negationInd, however, the two concepts are really independent. One may be very uncertain about an event, but that does not mean that one is certain about the negation of the event.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1053</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1053"/>
      </version>
   </valueSet>
   <valueSet name="x_DocumentStatus" id="2.16.840.1.113883.1.11.16916">
      <historyItem dateTime="2020-05-06" id="v3-xDocumentStatus-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Status of a clinical document.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.14</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.14">
            <codeBasedContent code="active"/>
            <codeBasedContent code="cancelled"/>
            <codeBasedContent code="new"/>
            <codeBasedContent code="obsolete"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="x_BasicConfidentialityKind" id="2.16.840.1.113883.1.11.16926">
      <historyItem dateTime="2020-05-06" id="v3-xBasicConfidentialityKind-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>Used to enumerate the typical confidentiality constraints placed upon a clinical document.<p>*Usage Note:*x\_BasicConfidentialityKind is a subset of Confidentiality codes that are used as metadata indicating the receiver responsibility to comply with normally applicable jurisdictional privacy law or disclosure authorization; that the receiver may not disclose this information except as directed by the information custodian, who may be the information subject; or that the receiver may not disclose this information except as directed by the information custodian, who may be the information subject.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.25</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.25">
            <codeBasedContent code="N"/>
            <codeBasedContent code="R"/>
            <codeBasedContent code="V"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassServiceDeliveryLocation" id="2.16.840.1.113883.1.11.16927"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassServiceDeliveryLocation-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A role played by a place at which services may be provided.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="SDLOC">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="x_RoleClassCredentialedEntity" id="2.16.840.1.113883.1.11.16930">
      <historyItem dateTime="2020-05-06" id="v3-xRoleClassCredentialedEntity-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A role played by an entity that receives credentials from the scoping entity.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <associatedConceptProperty name="Name:Class" value="credentialedEntity"/>
         <associatedConceptProperty name="Name:Role:player:Entity" value="subject&amp;"/>
         <associatedConceptProperty name="Name:Role:scoper:Entity" value="(issuing&amp;)|issuer"/>
         <associatedConceptProperty name="Sort:Entity:playedRole:Role" value="AAAADA___"/>
         <associatedConceptProperty name="Sort:Entity:scopedRole:Role" value="AAAADA___"/>
         <content>
            <combinedContent>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
         <documentation>
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               <text>
                  <p>Includes coded responses that will occur as a result of the adjudication of an electronic invoice at a summary level and provides guidance on interpretation of the referenced adjudication results.</p>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A role type that is used to further qualify an entity playing a role where the role class attribute is set to RoleClassCommissioningParty.</p>
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      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A role of a place that further classifies the setting (e.g., accident site, road side, work site, community location) in which services are delivered.</p>
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      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Processing consideration and clarification codes.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Identifies what sort of change is permitted or has occurred between the item that was ordered/requested and the one that was/will be provided.</p>
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      </annotations>
      <version versionDate="2014-03-26">
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         <content>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Some conditions may be attached to an allowable substitution. An allowable substitution is based on a match to any other attributes that may be specified.</p>
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      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Proposed therapy may be inappropriate based on the patient's weight</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Proposed therapy may be inappropriate based on the patient's height or body surface area</p>
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            </description>
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      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Proposed therapy may interact with an existing or recent therapeutic product</p>
               </text>
            </description>
         </documentation>
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      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**Identifies the different representations of a Address. The representation may affect how the address is used. (E.g. use of Ideographic for formal communications.)</p>
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      </annotations>
      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A delivery address line is frequently used instead of breaking out delivery mode, delivery installation, etc. An address generally has only a delivery address line or a street address line, but not both.</p>
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      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
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               <text>
                  <p>Regions of Interest (ROI) within a subject Act. Primarily used for making secondary observations on a subset of a subject observation. The relationship between a ROI and its referenced Act is specified through an ActRelationship of type "subject" (SUBJ), which must always be present.</p>
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      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Type of bounded ROI.</p>
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      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A child as determined by birth.</p>
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      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The method that a product is obtained for use by the subject of the supply act (e.g. patient). Product examples are consumable or durable goods.</p>
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      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
         <documentation>
            <description>
               <text>
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      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Temporary supply of a product without transfer of ownership for the product.</p>
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      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
         <documentation>
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               <text>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
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               <text>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
         <documentation>
            <description>
               <text>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
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      </version>
   </valueSet>
   <valueSet name="ContextControlNonPropagating" id="2.16.840.1.113883.1.11.18937">
      <historyItem dateTime="2020-05-06" id="v3-ContextControlNonPropagating-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The association applies only to the current Act and will not propagate to any child Acts that are related via a conducting ActRelationship (refer to contextConductionInd).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1057</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.1057">
                  <codeBasedContent code="_ContextControlNonPropagating">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.1057">
                  <codeBasedContent code="_ContextControlNonPropagating"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassDocument" id="2.16.840.1.113883.1.11.18938" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassDocument-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Specialization of Act to add the characteristics unique to document management services.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="DOC">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="x_ActMoodDocumentObservation" id="2.16.840.1.113883.1.11.18943">
      <historyItem dateTime="2020-05-06" id="v3-xActMoodDocumentObservation-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Used to enumerate the moods that an observation can take within the body of a clinical document.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1001</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <associatedConceptProperty name="Name:Class" value="DocumentProcess"/>
         <content codeSystem="2.16.840.1.113883.5.1001">
            <codeBasedContent code="APT"/>
            <codeBasedContent code="ARQ"/>
            <codeBasedContent code="DEF"/>
            <codeBasedContent code="EVN"/>
            <codeBasedContent code="GOL"/>
            <codeBasedContent code="INT"/>
            <codeBasedContent code="PRMS"/>
            <codeBasedContent code="PRP"/>
            <codeBasedContent code="RQO"/>
            <codeBasedContent code="RSK"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="x_ActMoodEvnOrdPrmsPrp" id="2.16.840.1.113883.1.11.18965"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-xActMoodEvnOrdPrmsPrp-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1001</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <associatedConceptProperty name="Name:Class" value="ProposeProcess"/>
         <content codeSystem="2.16.840.1.113883.5.1001">
            <codeBasedContent code="EVN"/>
            <codeBasedContent code="PRMS"/>
            <codeBasedContent code="PRP"/>
            <codeBasedContent code="RQO"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipConditional" id="2.16.840.1.113883.1.11.18977"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipConditional-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Specifies under what circumstances (target Act) the source-Act may, must, must not or has occurred</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.1002">
                  <codeBasedContent code="_ActRelationshipConditional">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.1002">
                  <codeBasedContent code="_ActRelationshipConditional"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="AddressUse" id="2.16.840.1.113883.1.11.190">
      <historyItem dateTime="2020-05-06" id="v3-AddressUse-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1119</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1119"/>
      </version>
   </valueSet>
   <valueSet name="x_ActRelationshipExternalReference" id="2.16.840.1.113883.1.11.19000">
      <historyItem dateTime="2020-05-06" id="v3-xActRelationshipExternalReference-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Used to enumerate the relationships between a CDA entry and an externally referenced act.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <associatedConceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="referencedBy"/>
         <associatedConceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="reference"/>
         <associatedConceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="BG_______"/>
         <associatedConceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="BG_______"/>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="ELNK"/>
            <codeBasedContent code="REFR"/>
            <codeBasedContent code="RPLC"/>
            <codeBasedContent code="SPRT"/>
            <codeBasedContent code="SUBJ"/>
            <codeBasedContent code="XCRPT"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="x_ActRelationshipPatientTransport" id="2.16.840.1.113883.1.11.19005">
      <historyItem dateTime="2020-05-06" id="v3-xActRelationshipPatientTransport-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Relates a patient encounter act (source) to the transportation act (target) representing the patient"s arrival at or departure from the site of a patient encounter.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <associatedConceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="transportationFor"/>
         <associatedConceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="transportedBy"/>
         <associatedConceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="EB_______"/>
         <associatedConceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="EB_______"/>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="ARR"/>
            <codeBasedContent code="DEP"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="ParticipationIndirectTarget" id="2.16.840.1.113883.1.11.19032"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ParticipationIndirectTarget-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Target that is not substantially present in the act and which is not directly affected by the act, but which will be a focus of the record or documentation of the act.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.90">
            <codeBasedContent code="IND">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="x_ParticipationAuthorPerformer" id="2.16.840.1.113883.1.11.19080"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-xParticipationAuthorPerformer-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>One who initiates the control act event, either as its author or its physical performer.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <associatedConceptProperty name="Name:Act:participation:Participation" value="authorOrPerformer"/>
         <associatedConceptProperty name="Name:Role:participation:Participation" value="production"/>
         <associatedConceptProperty name="Sort:Act:participation:Participation" value="D________"/>
         <associatedConceptProperty name="Sort:Role:participation:Participation" value="D________"/>
         <content codeSystem="2.16.840.1.113883.5.90">
            <codeBasedContent code="AUT"/>
            <codeBasedContent code="PRF"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="x_ParticipationVrfRespSprfWit" id="2.16.840.1.113883.1.11.19083"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-xParticipationVrfRespSprfWit-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>One who oversees a control act event. Includes either a type of accountability, as in responsible party, verifier (and its children) and witness; or being an assistant to the control act event, as in secondary performer.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <associatedConceptProperty name="Name:Act:participation:Participation" value="overseer"/>
         <associatedConceptProperty name="Name:Role:participation:Participation" value="oversight"/>
         <associatedConceptProperty name="Sort:Act:participation:Participation" value="C________"/>
         <associatedConceptProperty name="Sort:Role:participation:Participation" value="C________"/>
         <content codeSystem="2.16.840.1.113883.5.90">
            <codeBasedContent code="RESP"/>
            <codeBasedContent code="SPRF"/>
            <codeBasedContent code="VRF"/>
            <codeBasedContent code="WIT"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassInactiveIngredient" id="2.16.840.1.113883.1.11.19089"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassInactiveIngredient-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="IACT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassPassive" id="2.16.840.1.113883.1.11.19105" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassPassive-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An association for a playing Entity that is used, known, treated, handled, built, or destroyed, etc. under the auspices of the scoping Entity. The playing Entity is passive in these roles (even though it may be active in other roles), in the sense that the kinds of things done to it in this role happen without an agreement from the playing Entity.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.110">
                  <codeBasedContent code="_RoleClassPassive">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.110">
                  <codeBasedContent code="_RoleClassPassive"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="EducationLevel" id="2.16.840.1.113883.1.11.19175">
      <historyItem dateTime="2020-05-06" id="v3-EducationLevel-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1077</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1077"/>
      </version>
   </valueSet>
   <valueSet name="ReligiousAffiliation" id="2.16.840.1.113883.1.11.19185">
      <historyItem dateTime="2020-05-06" id="v3-ReligiousAffiliation-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Assigment of spiritual faith affiliation</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1076</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1076"/>
      </version>
   </valueSet>
   <valueSet name="CodingRationale" id="2.16.840.1.113883.1.11.19250">
      <historyItem dateTime="2020-05-06" id="v3-CodingRationale-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Identifies how to interpret the instance of the code, codeSystem value in a set of translations. Since HL7 (or a government body) may mandate that codes from certain code systems be sent in conformant messages, other synonyms that are sent in the translation set need to be distinguished among the originally captured source, the HL7 specified code, or some future role. When this code is NULL, it indicates that the translation is an undefined type. When valued, this property must contain one of the following values:</p>
                  <p>SRC - Source (or original) code HL7 - HL7 Specified or Mandated SH - both HL7 mandated and the original code (precoordination)</p>
                  <p>There may be additional values added to this value set as we work through the use of codes in messages and determine other Use Cases requiring special interpretation of the translations.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1074</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1074"/>
      </version>
   </valueSet>
   <valueSet name="PatientImportance" id="2.16.840.1.113883.1.11.19265">
      <historyItem dateTime="2020-05-06" id="v3-PatientImportance-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Patient VIP code</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1075</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1075"/>
      </version>
   </valueSet>
   <valueSet name="OrganizationIndustryClassNAICS" id="2.16.840.1.113883.1.11.19298">
      <historyItem dateTime="2020-05-06" id="v3-OrganizationIndustryClassNAICS-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.6.85</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.6.85"/>
      </version>
   </valueSet>
   <valueSet name="RoleClassAssociative" id="2.16.840.1.113883.1.11.19313"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassAssociative-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A general association between two entities that is neither partitive nor ontological.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.110">
                  <codeBasedContent code="_RoleClassAssociative">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.110">
                  <codeBasedContent code="_RoleClassAssociative"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassMutualRelationship" id="2.16.840.1.113883.1.11.19316"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassMutualRelationship-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>A relationship that is based on mutual behavior of the two Entities as being related. The basis of such relationship may be agreements (e.g., spouses, contract parties) or they may be<i>de facto</i>behavior (e.g. friends) or may be an incidental involvement with each other (e.g. parties over a dispute, siblings, children).</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.110">
                  <codeBasedContent code="_RoleClassMutualRelationship">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.110">
                  <codeBasedContent code="_RoleClassMutualRelationship"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ObservationSeriesType" id="2.16.840.1.113883.1.11.19321">
      <historyItem dateTime="2020-05-06" id="v3-ObservationSeriesType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ObservationSeriesType">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ObservationSeriesType"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ECGObservationSeriesType" id="2.16.840.1.113883.1.11.19322">
      <historyItem dateTime="2020-05-06" id="v3-ECGObservationSeriesType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ECGObservationSeriesType">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ECGObservationSeriesType"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ObservationSequenceType" id="2.16.840.1.113883.1.11.19325">
      <historyItem dateTime="2020-05-06" id="v3-ObservationSequenceType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ObservationSequenceType">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ObservationSequenceType"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="AnnotationType" id="2.16.840.1.113883.1.11.19329">
      <historyItem dateTime="2020-05-06" id="v3-AnnotationType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_AnnotationType">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_AnnotationType"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="PermanentDentition" id="2.16.840.1.113883.1.11.19342">
      <historyItem dateTime="2020-05-06" id="v3-PermanentDentition-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Permanent dentition, the natural teeth of adulthood that replace or are added to the deciduous teeth</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1080</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.1080">
                  <codeBasedContent code="PermanentDentition">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.1080">
                  <codeBasedContent code="PermanentDentition"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="SupernumeraryTooth" id="2.16.840.1.113883.1.11.19343">
      <historyItem dateTime="2020-05-06" id="v3-SupernumeraryTooth-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Supernumerary tooth, any tooth in addition to the normal permanent and primary dentition</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1080</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.1080">
                  <codeBasedContent code="SupernumeraryTooth">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.1080">
                  <codeBasedContent code="SupernumeraryTooth"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="PrimaryDentition" id="2.16.840.1.113883.1.11.19344">
      <historyItem dateTime="2020-05-06" id="v3-PrimaryDentition-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Primary dentition, the first teeth to errupt and usually replaced with permanent dentition</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1080</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.1080">
                  <codeBasedContent code="PrimaryDentition">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.1080">
                  <codeBasedContent code="PrimaryDentition"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ArtificialDentition" id="2.16.840.1.113883.1.11.19345">
      <historyItem dateTime="2020-05-06" id="v3-ArtificialDentition-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Artificial dentition, artificial subsitutes for the natural dentition</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1080</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.1080">
                  <codeBasedContent code="ArtificialDentition">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.1080">
                  <codeBasedContent code="ArtificialDentition"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="Dentition" id="2.16.840.1.113883.1.11.19346">
      <historyItem dateTime="2020-05-06" id="v3-Dentition-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1080</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.19342"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.19343"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.19344"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.19345"/>
               </unionWithContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.1080"/>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="AdjudicatedWithAdjustments" id="2.16.840.1.113883.1.11.19347">
      <historyItem dateTime="2020-05-06" id="v3-AdjudicatedWithAdjustments-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The invoice element has been accepted for payment but one or more adjustment(s) have been made to one or more invoice element line items (component charges).</p>
                  <p>Also includes the concept 'Adjudicate as zero' and items not covered under a particular Policy.</p>
                  <p>Invoice element can be reversed (nullified).</p>
                  <p>Recommend that the invoice element is saved for DUR (Drug Utilization Reporting).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="AA">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActInjuryCodeCSA" id="2.16.840.1.113883.1.11.19348">
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.6.235</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.6.235"/>
      </version>
   </valueSet>
   <valueSet name="Act Procedure Code CCI" id="2.16.840.1.113883.1.11.19349">
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**** MISSING DESCRIPTION ****</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.6.95</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.6.95"/>
      </version>
   </valueSet>
   <valueSet name="ActInsurancePolicyCode" id="2.16.840.1.113883.1.11.19350">
      <historyItem dateTime="2020-05-06" id="v3-ActInsurancePolicyCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Set of codes indicating the type of insurance policy or other source of funds to cover healthcare costs.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActInsurancePolicyCode">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActInsurancePolicyCode"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="x_AccommodationRequestorRole" id="2.16.840.1.113883.1.11.19352">
      <historyItem dateTime="2020-05-06" id="v3-xAccommodationRequestorRole-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <associatedConceptProperty name="Name:Class" value="accommodationRequestor"/>
         <associatedConceptProperty name="Name:Role:player:Entity" value="requesting&amp;"/>
         <associatedConceptProperty name="Name:Role:scoper:Entity" value="(scoping&amp;)|scoper"/>
         <associatedConceptProperty name="Sort:Entity:playedRole:Role" value="AAAAA____"/>
         <associatedConceptProperty name="Sort:Entity:scopedRole:Role" value="AAAAA____"/>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="AGNT"/>
            <codeBasedContent code="PAT"/>
            <codeBasedContent code="PROV"/>
            <codeBasedContent code="PRS"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActIneligibilityReason" id="2.16.840.1.113883.1.11.19355">
      <historyItem dateTime="2020-05-06" id="v3-ActIneligibilityReason-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Identifies the reason or rational for why a person is not eligibile for benefits under an insurance policy.</p>
                  <p>Examples are client deceased &amp; adopted client has been given a new policy identifier.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.8</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.8">
                  <codeBasedContent code="_ActIneligibilityReason">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.8">
                  <codeBasedContent code="_ActIneligibilityReason"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="AcknowledgementDetailType" id="2.16.840.1.113883.1.11.19358">
      <historyItem dateTime="2020-05-06" id="v3-AcknowledgementDetailType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A code identifying the specific message to be provided.</p>
                  <p>A textual value may be specified as the print name, or for non-coded messages, as the original text.*Discussion:*</p>
                  <p>'Required attribute xxx is missing', 'System will be unavailable March 19 from 0100 to 0300'*Examples:*</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1082</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1082"/>
      </version>
   </valueSet>
   <valueSet name="CodeSystemType" id="2.16.840.1.113883.1.11.19359">
      <historyItem dateTime="2020-05-06" id="v3-CodeSystemType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>How a code system is maintained by HL7</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1085</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1085"/>
      </version>
   </valueSet>
   <valueSet name="ConceptPropertyId" id="2.16.840.1.113883.1.11.19361">
      <historyItem dateTime="2020-05-06" id="v3-ConceptPropertyId-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Property identifiers for a concept code</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1087</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1087"/>
      </version>
   </valueSet>
   <valueSet name="ActListCode" id="2.16.840.1.113883.1.11.19364">
      <historyItem dateTime="2020-05-06" id="v3-ActListCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Provides codes associated with ActClass value of LIST (working list)</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActListCode">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActListCode"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="x_InformationRecipient" id="2.16.840.1.113883.1.11.19366">
      <historyItem dateTime="2020-05-06" id="v3-xInformationRecipient-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Used to represent participant(s) who should receive a copy of a document.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <associatedConceptProperty name="Name:Act:participation:Participation" value="informationRecipient"/>
         <associatedConceptProperty name="Name:Role:participation:Participation" value="informationReceived"/>
         <associatedConceptProperty name="Sort:Act:participation:Participation" value="HA_______"/>
         <associatedConceptProperty name="Sort:Role:participation:Participation" value="HA_______"/>
         <content codeSystem="2.16.840.1.113883.5.90">
            <codeBasedContent code="PRCP"/>
            <codeBasedContent code="TRC"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="x_DocumentEntrySubject" id="2.16.840.1.113883.1.11.19367">
      <historyItem dateTime="2020-05-06" id="v3-xDocumentEntrySubject-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Used to represent the role(s) of those who can serve as subjects of the contents of a clinical document.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <associatedConceptProperty name="Name:Class" value="documentEntrySubject"/>
         <associatedConceptProperty name="Name:Role:player:Entity" value="documentEntrySubject&amp;"/>
         <associatedConceptProperty name="Name:Role:scoper:Entity" value="scoping&amp;"/>
         <associatedConceptProperty name="Sort:Entity:playedRole:Role" value="AAAAA____"/>
         <associatedConceptProperty name="Sort:Entity:scopedRole:Role" value="AAAAA____"/>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="PAT"/>
            <codeBasedContent code="PRS"/>
            <codeBasedContent code="SPEC"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="x_DocumentSubject" id="2.16.840.1.113883.1.11.19368">
      <historyItem dateTime="2020-05-06" id="v3-xDocumentSubject-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <associatedConceptProperty name="Name:Class" value="subject"/>
         <associatedConceptProperty name="Name:Role:player:Entity" value="subject"/>
         <associatedConceptProperty name="Name:Role:scoper:Entity" value="scoping&amp;"/>
         <associatedConceptProperty name="Sort:Entity:playedRole:Role" value="AAAAA____"/>
         <associatedConceptProperty name="Sort:Entity:scopedRole:Role" value="AAAAA____"/>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="PAT"/>
            <codeBasedContent code="PRS"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActMedicationList" id="2.16.840.1.113883.1.11.19369">
      <historyItem dateTime="2020-05-06" id="v3-ActMedicationList-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>List of medications.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="MEDLIST">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActObservationList" id="2.16.840.1.113883.1.11.19370">
      <historyItem dateTime="2020-05-06" id="v3-ActObservationList-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4">
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                  </codeBasedContent>
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               <excludeContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActObservationList"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="x_ActMoodDefEvnRqoPrmsPrp" id="2.16.840.1.113883.1.11.19371"
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      <historyItem dateTime="2020-05-06" id="v3-xActMoodDefEvnRqoPrmsPrp-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1001</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <associatedConceptProperty name="Name:Class" value="DefinitionEventOrder"/>
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            <codeBasedContent code="EVN"/>
            <codeBasedContent code="PRMS"/>
            <codeBasedContent code="PRP"/>
            <codeBasedContent code="RQO"/>
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      </version>
   </valueSet>
   <valueSet name="x_ActMoodRqoPrpAptArq" id="2.16.840.1.113883.1.11.19372"
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      <historyItem dateTime="2020-05-06" id="v3-xActMoodRqoPrpAptArq-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1001</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <associatedConceptProperty name="Name:Class" value="AppointmentCycle"/>
         <content codeSystem="2.16.840.1.113883.5.1001">
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            <codeBasedContent code="PRP"/>
            <codeBasedContent code="RQO"/>
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   </valueSet>
   <valueSet name="HL7StandardVersionCode" id="2.16.840.1.113883.1.11.19373">
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>This is the domain of HL7 version codes for the Version 3 standards. Values are to be determined by HL7 and added with each new version of the HL7 Standard.</p>
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            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A grouping of Definition, Event. These specific moods are used in control wrapper override acts. The domain is restricted to acts that are possible to occur or have already occurred.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <associatedConceptProperty name="Name:Class" value="DefinitionOrEvent"/>
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The reason or rationale for a service. A reason link is weaker than a trigger, it only suggests that some service may be or might have been a reason for some action, but not that this reason requires/required the action to be taken. Also, as opposed to the trigger, there is no strong timely relation between the reason and the action.</p>
                  <i>Discussion:</i>In prior releases, the code "SUGG" (suggests) was expressed as "an inversion of the reason link." That code has been retired in favor of the inversion indicator that is an attribute of ActRelationship.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
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   </valueSet>
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Provides codes for decision methods, initially for assessing the causality of events.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.84</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Reaching a decision through the application of an algorithm designed to weigh the different factors involved.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.84</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.84">
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               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
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      </version>
   </valueSet>
   <valueSet name="x_AdverseEventCausalityAssessmentMethods"
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      <historyItem dateTime="2020-05-06" id="v3-xAdverseEventCausalityAssessmentMethods-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Value set provides methods used to assess the causality of adverse events. New codes should not be added to the domain without first checking with its steward - the Regulated Clinical Research Information Management (RCRIM) technical committee.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.84</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.84">
            <codeBasedContent code="ALGM"/>
            <codeBasedContent code="BYCL"/>
            <codeBasedContent code="GINT"/>
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      </version>
   </valueSet>
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      <historyItem dateTime="2020-05-06" id="v3-xRoleClassAccommodationRequestor-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The requestor for the accommodation. Steward is Financial Management Technical Committee</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <associatedConceptProperty name="Name:Class" value="accommodationRequestor"/>
         <associatedConceptProperty name="Name:Role:player:Entity" value="accommodationRequestor"/>
         <associatedConceptProperty name="Name:Role:scoper:Entity" value="scoping&amp;"/>
         <associatedConceptProperty name="Sort:Entity:playedRole:Role" value="AAAAA____"/>
         <associatedConceptProperty name="Sort:Entity:scopedRole:Role" value="AAAAA____"/>
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            <codeBasedContent code="PAT"/>
            <codeBasedContent code="PROV"/>
            <codeBasedContent code="PRS"/>
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      </version>
   </valueSet>
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>This value set includes all HCPCS Level II codes.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2023-10-11">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.6.285"/>
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   </valueSet>
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      <historyItem dateTime="2020-05-06" id="v3-xRoleClassPayeePolicyRelationship-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The specification of the relationship of the Payee to the invoice. Can be used in cases when an insurer is not directly paying the healthcare provider (as payee) but reimbursing the party that paid the invoice/claim.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
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            <codeBasedContent code="GUAR"/>
            <codeBasedContent code="POLHOLD"/>
            <codeBasedContent code="PROV"/>
            <codeBasedContent code="PRS"/>
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content>
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               <unionWithContent codeSystem="2.16.840.1.113883.5.4">
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
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                  <p>Invoice elements of this type signify a grouping of one or more children (detail) invoice elements. They do not have intrinsic costing associated with them, but merely reflect the sum of all costing for it's immediate children invoice elements.</p>
               </text>
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         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content>
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               <excludeContent codeSystem="2.16.840.1.113883.5.4">
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
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                  <p>Invoice elements of this type signify a grouping of one or more children (detail) invoice elements. They do not have intrinsic costing associated with them, but merely reflect the sum of all costing for it's immediate children invoice elements.</p>
                  <p>Codes from this domain reflect the type of Invoice such as Pharmacy Dispense, Clinical Service and Clinical Product. The domain is only specified for the root (top level) invoice element group for an Invoice.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
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                  <p>Invoice elements of this type signify a grouping of one or more children (detail) invoice elements. They do not have intrinsic costing associated with them, but merely reflect the sum of all costing for it's immediate children invoice elements.</p>
                  <p>The domain is only specified for an intermediate invoice element group (non-root or non-top level) for an Invoice.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
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                  </codeBasedContent>
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               </excludeContent>
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      <historyItem dateTime="2020-05-06" id="v3-ActInvoiceDetailCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Codes representing a service or product that is being invoiced (billed). The code can represent such concepts as "office visit", "drug X", "wheelchair" and other billable items such as taxes, service charges and discounts.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
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                  </codeBasedContent>
               </unionWithContent>
               <unionWithContent>
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               <unionWithContent>
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               <unionWithContent>
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               <unionWithContent>
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               <unionWithContent>
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               <excludeContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActInvoiceDetailCode"/>
               </excludeContent>
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      <historyItem dateTime="2020-05-06" id="v3-ActInvoiceDetailDrugProductCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An identifying data string for A substance used as a medication or in the preparation of medication.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4">
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                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.4">
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      <historyItem dateTime="2020-05-06" id="v3-ActInvoiceDetailClinicalProductCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An identifying data string for healthcare products.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
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               <excludeContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActInvoiceDetailClinicalProductCode"/>
               </excludeContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="UNSPSC"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActInvoiceDetailPreferredAccommodationCode"
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      <historyItem dateTime="2020-05-06"
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An identifying data string for medical facility accommodations.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActInvoiceDetailPreferredAccommodationCode">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActInvoiceDetailPreferredAccommodationCode"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActInvoiceDetailGenericCode" id="2.16.840.1.113883.1.11.19407">
      <historyItem dateTime="2020-05-06" id="v3-ActInvoiceDetailGenericCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The detail item codes to identify charges or changes to the total billing of a claim due to insurance rules and payments.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActInvoiceDetailGenericCode">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActInvoiceDetailGenericCode"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActInvoiceDetailGenericProviderCode" id="2.16.840.1.113883.1.11.19408">
      <historyItem dateTime="2020-05-06" id="v3-ActInvoiceDetailGenericProviderCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The billable item codes to identify provider supplied charges or changes to the total billing of a claim.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActInvoiceDetailGenericProviderCode">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActInvoiceDetailGenericProviderCode"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActInvoiceDetailTaxCode" id="2.16.840.1.113883.1.11.19409">
      <historyItem dateTime="2020-05-06" id="v3-ActInvoiceDetailTaxCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The billable item codes to identify modifications to a billable item charge by a tax factor applied to the amount. As for example 7% provincial sales tax.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActInvoiceDetailTaxCode">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActInvoiceDetailTaxCode"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActInvoiceDetailGenericModifierCode" id="2.16.840.1.113883.1.11.19410">
      <historyItem dateTime="2020-05-06" id="v3-ActInvoiceDetailGenericModifierCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The billable item codes to identify modifications to a billable item charge. As for example after hours increase in the office visit fee.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActInvoiceDetailGenericModifierCode">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActInvoiceDetailGenericModifierCode"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActInvoiceDetailGenericAdjudicatorCode" id="2.16.840.1.113883.1.11.19411">
      <historyItem dateTime="2020-05-06" id="v3-ActInvoiceDetailGenericAdjudicatorCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The billable item codes to identify adjudicator specified components to the total billing of a claim.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActInvoiceDetailGenericAdjudicatorCode">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActInvoiceDetailGenericAdjudicatorCode"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActInvoiceAdjudicationPaymentCode" id="2.16.840.1.113883.1.11.19412">
      <historyItem dateTime="2020-05-06" id="v3-ActInvoiceAdjudicationPaymentCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Codes representing a grouping of invoice elements (totals, sub-totals), reported through a Payment Advice or a Statement of Financial Activity (SOFA). The code can represent summaries by day, location, payee and other cost elements such as bonus, retroactive adjustment and transaction fees.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActInvoiceAdjudicationPaymentCode">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActInvoiceAdjudicationPaymentCode"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActInvoiceAdjudicationPaymentSummaryCode"
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      <historyItem dateTime="2020-05-06" id="v3-ActInvoiceAdjudicationPaymentSummaryCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Codes representing a grouping of invoice elements (totals, sub-totals), reported through a Payment Advice or a Statement of Financial Activity (SOFA). The code can represent summaries by day, location, payee, etc.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActInvoiceAdjudicationPaymentSummaryCode">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActInvoiceAdjudicationPaymentSummaryCode"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActInvoiceAdjudicationPaymentGroupCode" id="2.16.840.1.113883.1.11.19414">
      <historyItem dateTime="2020-05-06" id="v3-ActInvoiceAdjudicationPaymentGroupCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Codes representing adjustments to a Payment Advice such as retroactive, clawback, garnishee, etc.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="_ActInvoicePaymentCode">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="x_ActInvoiceDetailPharmacyCode" id="2.16.840.1.113883.1.11.19415">
      <historyItem dateTime="2020-05-06" id="v3-xActInvoiceDetailPharmacyCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The billable codes selected for use for Pharmacy Invoices. Steward is Financial Management.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.19402"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.19404"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.19407"/>
               </unionWithContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4"/>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="x_ActInvoiceDetailPreferredAccommodationCode"
             id="2.16.840.1.113883.1.11.19416">
      <historyItem dateTime="2020-05-06"
                   id="v3-xActInvoiceDetailPreferredAccommodationCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The billable codes selected for use for Preferred Accommodation Invoices. Steward is Financial Management.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.19406"/>
               </unionWithContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4"/>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ResearchSubjectRoleBasis" id="2.16.840.1.113883.1.11.19417">
      <historyItem dateTime="2020-05-06" id="v3-ResearchSubjectRoleBasis-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Specifies the administrative functionality within a formal experimental design for which the ResearchSubject role was established. Examples: screening - role is used for pre-enrollment evaluation portion of the design; enrolled - role is used for subjects admitted to the active treatment portion of the design.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.111">
                  <codeBasedContent code="_ResearchSubjectRoleBasis">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.111">
                  <codeBasedContent code="_ResearchSubjectRoleBasis"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActAdministrativeDetectedIssueCode" id="2.16.840.1.113883.1.11.19429">
      <historyItem dateTime="2020-05-06" id="v3-ActAdministrativeDetectedIssueCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Identifies types of detectyed issues for Act class "ALRT" for the administrative and patient administrative acts domains.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActAdministrativeDetectedIssueCode">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActAdministrativeDetectedIssueCode"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActAdministrativeDetectedIssueManagementCode"
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      <historyItem dateTime="2020-05-06"
                   id="v3-ActAdministrativeDetectedIssueManagementCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Codes dealing with the management of Detected Issue observations for the administrative and patient administrative acts domains.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActAdministrativeDetectedIssueManagementCode">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActAdministrativeDetectedIssueManagementCode"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassExtract" id="2.16.840.1.113883.1.11.19441" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassExtract-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>This context represents the part of a patient record conveyed in a single communication. It is drawn from a providing system for the purposes of communication to a requesting process (which might be another repository, a client application or a middleware service such as an electronic guideline engine), and supporting the faithful inclusion of the communicated data in the receiving system.</p>
                  <p>An extract may be the entirety of the patient record as held by the sender or it may be a part of that record (e.g. changes since a specified date).</p>
                  <p>An extract contains folders or compositions.</p>
                  <p>An extract cannot contain another extract.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="EXTRACT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassComposition" id="2.16.840.1.113883.1.11.19442" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassComposition-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A context representing a grouped commitment of information to the EHR. It is considered the unit of modification of the record, the unit of transmission in record extracts, and the unit of attestation by authorizing clinicians.</p>
                  <p>A composition represents part of a patient record originating from a single interaction between an authenticator and the record.</p>
                  <p>Unless otherwise stated all statements within a composition have the same authenticator, apply to the same patient and were recorded in a single session of use of a single application.</p>
                  <p>A composition contains organizers and entries.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="COMPOSITION">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassContainer" id="2.16.840.1.113883.1.11.19445" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassContainer-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Used to group a set of acts sharing a common context. Container structures can nest within other context structures - such as where a document is contained within a folder, or a folder is contained within an EHR extract.</p>
                  <b>Open issue:</b>There is a clear conflict between this act and the use of the more general "component" ActRelationship. The question that must be resolved is what should be the class code of the parent (or containing) Act.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="CONTAINER">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="x_ActRelationshipEntry" id="2.16.840.1.113883.1.11.19446">
      <historyItem dateTime="2020-05-06" id="v3-xActRelationshipEntry-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Used to enumerate the relationships between a CDA section and its contained entries.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <associatedConceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="entryIn"/>
         <associatedConceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="entry"/>
         <associatedConceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="DF_______"/>
         <associatedConceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="DF_______"/>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="COMP"/>
            <codeBasedContent code="DRIV"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="x_ActRelationshipEntryRelationship" id="2.16.840.1.113883.1.11.19447">
      <historyItem dateTime="2020-05-06" id="v3-xActRelationshipEntryRelationship-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Used to enumerate the relationships between two CDA entries.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <associatedConceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="entryRelationshipOf"/>
         <associatedConceptProperty name="Name:Act:outboundRelationship:ActRelationship" value="entryRelationship"/>
         <associatedConceptProperty name="Sort:Act:inboundRelationship:ActRelationship" value="BD_______"/>
         <associatedConceptProperty name="Sort:Act:outboundRelationship:ActRelationship" value="BD_______"/>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="CAUS"/>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ChildInLaw" id="2.16.840.1.113883.1.11.19566">
      <historyItem dateTime="2020-05-06" id="v3-ChildInLaw-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The player of the role is the spouse of scoping person's child.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="CHLDINLAW">
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            </codeBasedContent>
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      </version>
   </valueSet>
   <valueSet name="StepChild" id="2.16.840.1.113883.1.11.19567">
      <historyItem dateTime="2020-05-06" id="v3-StepChild-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The player of the role is a child of the scoping person's spouse by a previous union.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="STPCHLD">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="NaturalParent" id="2.16.840.1.113883.1.11.19568">
      <historyItem dateTime="2020-05-06" id="v3-NaturalParent-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="NPRN">
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ParentInLaw" id="2.16.840.1.113883.1.11.19569">
      <historyItem dateTime="2020-05-06" id="v3-ParentInLaw-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The player of the role is the parent of scoping person's husband or wife.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
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            </codeBasedContent>
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      </version>
   </valueSet>
   <valueSet name="StepParent" id="2.16.840.1.113883.1.11.19570">
      <historyItem dateTime="2020-05-06" id="v3-StepParent-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The player of the role is the spouse of the scoping person's parent and not the scoping person's natural parent.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="STPPRN">
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         </content>
      </version>
   </valueSet>
   <valueSet name="GreatGrandparent" id="2.16.840.1.113883.1.11.19571">
      <historyItem dateTime="2020-05-06" id="v3-GreatGrandparent-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The player of the role is a parent of the scoping person's grandparent.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="GGRPRN">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="Spouse" id="2.16.840.1.113883.1.11.19572">
      <historyItem dateTime="2020-05-06" id="v3-Spouse-vs-1-0-0" responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**A relationship between two people characterizing their "familial" relationship</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="SPS">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="GrandChild" id="2.16.840.1.113883.1.11.19573">
      <historyItem dateTime="2020-05-06" id="v3-GrandChild-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The player of the role is a child of the scoping person's son or daughter.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="GRNDCHILD">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="NieceNephew" id="2.16.840.1.113883.1.11.19574">
      <historyItem dateTime="2020-05-06" id="v3-NieceNephew-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The player of the role is a child of scoping person's brother or sister or of the brother or sister of the scoping person's spouse.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="NIENEPH">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="NaturalSibling" id="2.16.840.1.113883.1.11.19575">
      <historyItem dateTime="2020-05-06" id="v3-NaturalSibling-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The player of the role has both biological parents in common with the scoping entity.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="NSIB">
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="HalfSibling" id="2.16.840.1.113883.1.11.19576">
      <historyItem dateTime="2020-05-06" id="v3-HalfSibling-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The player of the role is related to the scoping entity by sharing only one biological parent.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="HSIB">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="StepSibling" id="2.16.840.1.113883.1.11.19577">
      <historyItem dateTime="2020-05-06" id="v3-StepSibling-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The player of the role is a child of the scoping person's stepparent.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="STPSIB">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="SiblingInLaw" id="2.16.840.1.113883.1.11.19578">
      <historyItem dateTime="2020-05-06" id="v3-SiblingInLaw-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The player of the role is: (1) a sibling of the scoping person's spouse, or (2) the spouse of the scoping person's sibling, or (3) the spouse of a sibling of the scoping person's spouse.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="SIBINLAW">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="FamilyMember" id="2.16.840.1.113883.1.11.19579">
      <historyItem dateTime="2020-05-06" id="v3-FamilyMember-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A relationship between two people characterizing their "familial" relationship</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="FAMMEMB">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassCondition" id="2.16.840.1.113883.1.11.19580" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassCondition-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An observable finding or state that persists over time and tends to require intervention or management, and, therefore, distinguished from an Observation made at a point in time; may exist before an Observation of the Condition is made or after interventions to manage the Condition are undertaken. Examples: equipment repair status, device recall status, a health risk, a financial risk, public health risk, pregnancy, health maintenance, chronic illness</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="COND">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="MessageWaitingPriority" id="2.16.840.1.113883.1.11.19581">
      <historyItem dateTime="2020-05-06" id="v3-MessageWaitingPriority-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Indicates the highest importance level of the set of messages the acknowledging application has waiting on a queue for the receiving application.</p>
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               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1083</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1083">
            <codeBasedContent code="H"/>
            <codeBasedContent code="L"/>
            <codeBasedContent code="M"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="ParticipationTargetSubject" id="2.16.840.1.113883.1.11.19584"
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      <historyItem dateTime="2020-05-06" id="v3-ParticipationTargetSubject-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The principle target that the service acts on. E.g. the patient in physical examination, a specimen in a lab observation. May also be a patient's family member (teaching) or a device or room (cleaning, disinfecting, housekeeping). Note: not all direct targets are subjects, consumables, and devices used as tools for a service are not subjects. However, a device may be a subject of a maintenance service.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.90">
            <codeBasedContent code="SBJ">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="MobileUnit" id="2.16.840.1.113883.1.11.19585">
      <historyItem dateTime="2020-05-06" id="v3-MobileUnit-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Location (mobile) where healthcare service was delivered.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="MOBL">
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipTemporallyPertains" id="2.16.840.1.113883.1.11.19587"
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      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipTemporallyPertains-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.1002">
                  <codeBasedContent code="_ActClassTemporallyPertains">
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                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.1002">
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               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="x_ParticipationEntVrf" id="2.16.840.1.113883.1.11.19588"
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      <historyItem dateTime="2020-05-06" id="v3-xParticipationEntVrf-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A person that contributed to recording or validating the act.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <associatedConceptProperty name="Name:Act:participation:Participation" value="recorder-validator"/>
         <associatedConceptProperty name="Name:Role:participation:Participation" value="recording"/>
         <associatedConceptProperty name="Sort:Act:participation:Participation" value="EBB______"/>
         <associatedConceptProperty name="Sort:Role:participation:Participation" value="EBB______"/>
         <content codeSystem="2.16.840.1.113883.5.90">
            <codeBasedContent code="ENT"/>
            <codeBasedContent code="VRF"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="x_ParticipationPrfEntVrf" id="2.16.840.1.113883.1.11.19589"
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      <historyItem dateTime="2020-05-06" id="v3-xParticipationPrfEntVrf-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A person that performed, contributed in recording or validating the act.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <associatedConceptProperty name="Name:Act:participation:Participation" value="performer-validator"/>
         <associatedConceptProperty name="Name:Role:participation:Participation" value="performance"/>
         <associatedConceptProperty name="Sort:Act:participation:Participation" value="D________"/>
         <associatedConceptProperty name="Sort:Role:participation:Participation" value="D________"/>
         <content codeSystem="2.16.840.1.113883.5.90">
            <codeBasedContent code="ENT"/>
            <codeBasedContent code="PRF"/>
            <codeBasedContent code="VRF"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="x_ActClassDocumentEntryOrganizer" id="2.16.840.1.113883.1.11.19598">
      <historyItem dateTime="2020-05-06" id="v3-xActClassDocumentEntryOrganizer-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <associatedConceptProperty name="Name:Class" value="DocumentOrganizer"/>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="BATTERY"/>
            <codeBasedContent code="CLUSTER"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="x_ActClassDocumentEntryAct" id="2.16.840.1.113883.1.11.19599">
      <historyItem dateTime="2020-05-06" id="v3-xActClassDocumentEntryAct-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The set of Act class codes allowed for the ACT class clone in the CDA Clinical Statement model. The scope of this value set are those Act class codes not otherwise covered by specific classes in the CDA Clinical Statement model and required to enable representation of Clinical Statement in CDA.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <associatedConceptProperty name="Name:Class" value="DocumentEntry"/>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="ACCM"/>
            <codeBasedContent code="ACSN"/>
            <codeBasedContent code="ACT"/>
            <codeBasedContent code="AEXPOS"/>
            <codeBasedContent code="CONS"/>
            <codeBasedContent code="CONTREG"/>
            <codeBasedContent code="CTTEVENT"/>
            <codeBasedContent code="DISPACT"/>
            <codeBasedContent code="EXPOS"/>
            <codeBasedContent code="INC"/>
            <codeBasedContent code="INFRM"/>
            <codeBasedContent code="LIST"/>
            <codeBasedContent code="MPROT"/>
            <codeBasedContent code="PCPR"/>
            <codeBasedContent code="REG"/>
            <codeBasedContent code="REV"/>
            <codeBasedContent code="SPCTRT"/>
            <codeBasedContent code="STORE"/>
            <codeBasedContent code="TEXPOS"/>
            <codeBasedContent code="TRFR"/>
            <codeBasedContent code="TRNS"/>
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      </version>
   </valueSet>
   <valueSet name="x_EncounterParticipant" id="2.16.840.1.113883.1.11.19600">
      <historyItem dateTime="2020-05-06" id="v3-xEncounterParticipant-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Clones using this x\_domain should have a name "encounterParticipant".</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <associatedConceptProperty name="Name:Act:participation:Participation" value="encounterParticipant"/>
         <associatedConceptProperty name="Name:Role:participation:Participation" value="participation"/>
         <associatedConceptProperty name="Sort:Act:participation:Participation" value="FA_______"/>
         <associatedConceptProperty name="Sort:Role:participation:Participation" value="FA_______"/>
         <content codeSystem="2.16.840.1.113883.5.90">
            <codeBasedContent code="ADM"/>
            <codeBasedContent code="ATND"/>
            <codeBasedContent code="CON"/>
            <codeBasedContent code="DIS"/>
            <codeBasedContent code="REF"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="x_ServiceEventPerformer" id="2.16.840.1.113883.1.11.19601">
      <historyItem dateTime="2020-05-06" id="v3-xServiceEventPerformer-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Clones using this x\_domain should have a name "performer".</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <associatedConceptProperty name="Name:Act:participation:Participation" value="performer"/>
         <associatedConceptProperty name="Name:Role:participation:Participation" value="performance"/>
         <associatedConceptProperty name="Sort:Act:participation:Participation" value="D________"/>
         <associatedConceptProperty name="Sort:Role:participation:Participation" value="D________"/>
         <content codeSystem="2.16.840.1.113883.5.90">
            <codeBasedContent code="PPRF"/>
            <codeBasedContent code="PRF"/>
            <codeBasedContent code="SPRF"/>
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      </version>
   </valueSet>
   <valueSet name="StyleType" id="2.16.840.1.113883.1.11.19602">
      <historyItem dateTime="2020-05-06" id="v3-StyleType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>(abstract) Used within an instance to give the author some control over various aspects of rendering</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1095</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
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               <unionWithContent>
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               <unionWithContent>
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                  <codeBasedContent code="_TableRuleStyle"/>
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               <excludeContent codeSystem="2.16.840.1.113883.5.1095">
                  <codeBasedContent code="_ListStyle"/>
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               <excludeContent codeSystem="2.16.840.1.113883.5.1095">
                  <codeBasedContent code="_FontStyle"/>
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            </combinedContent>
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   </valueSet>
   <valueSet name="FontStyle" id="2.16.840.1.113883.1.11.19603">
      <historyItem dateTime="2020-05-06" id="v3-FontStyle-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>(abstract) Defines font rendering characteristics</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1095</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1095">
            <codeBasedContent code="_FontStyle">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="TableRuleStyle" id="2.16.840.1.113883.1.11.19604">
      <historyItem dateTime="2020-05-06" id="v3-TableRuleStyle-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>(abstract) Defines table cell rendering characteristics</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1095</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1095">
            <codeBasedContent code="_TableRuleStyle">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ListStyle" id="2.16.840.1.113883.1.11.19605">
      <historyItem dateTime="2020-05-06" id="v3-ListStyle-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Defines list rendering characteristics</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1095</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1095">
            <codeBasedContent code="_ListStyle">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="OrderedListStyle" id="2.16.840.1.113883.1.11.19606">
      <historyItem dateTime="2020-05-06" id="v3-OrderedListStyle-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Defines rendering characteristics for ordered lists</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1095</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1095">
            <codeBasedContent code="_OrderedListStyle">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="UnorderedListStyle" id="2.16.840.1.113883.1.11.19607">
      <historyItem dateTime="2020-05-06" id="v3-UnorderedListStyle-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Defines rendering characteristics for unordered lists</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1095</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1095">
            <codeBasedContent code="_UnorderedListStyle">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="OrganizationEntityType" id="2.16.840.1.113883.1.11.19608">
      <historyItem dateTime="2020-05-06" id="v3-OrganizationEntityType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Further classifies entities of classCode ORG.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1060</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1060">
            <codeBasedContent code="_OrganizationEntityType">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipPosting" id="2.16.840.1.113883.1.11.19609"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipPosting-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Expresses values for describing the relationship between a FinancialTransaction and an Account.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.1002">
                  <codeBasedContent code="_ActRelationshipPosting">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.1002">
                  <codeBasedContent code="_ActRelationshipPosting"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipCostTracking" id="2.16.840.1.113883.1.11.19610"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipCostTracking-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Expresses values for describing the relationship relationship between an InvoiceElement or InvoiceElementGroup and a billable act.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.1002">
                  <codeBasedContent code="_ActRelationshipCostTracking">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.1002">
                  <codeBasedContent code="_ActRelationshipCostTracking"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="SignificantOtherRoleType" id="2.16.840.1.113883.1.11.19612">
      <historyItem dateTime="2020-05-06" id="v3-SignificantOtherRoleType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A person who is important to one's well being; especially a spouse or one in a similar relationship. (The player is the one who is important)</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="SIGOTHR">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipSubset" id="2.16.840.1.113883.1.11.19613">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipSubset-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Used to indicate that the target of the relationship will be a filtered subset of the total related set of targets.</p>
                  <p>Used when there is a need to limit the number of components to the first, the last, the next, the total, the average or some other filtered or calculated subset.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1099</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1099"/>
      </version>
   </valueSet>
   <valueSet name="PastSubset" id="2.16.840.1.113883.1.11.19614">
      <historyItem dateTime="2020-05-06" id="v3-PastSubset-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An occurrence that occurred or was scheduled to occur in the past. An Act whose effective time is less than 'now'. ('now' is the time the instance is authored.)</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1099</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1099">
            <codeBasedContent code="PAST">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ExpectedSubset" id="2.16.840.1.113883.1.11.19615">
      <historyItem dateTime="2020-05-06" id="v3-ExpectedSubset-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An occurrence that is scheduled to occur in the future. An Act whose effective time is greater than 'now', where 'now' is the time the instance is authored.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1099</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1099">
            <codeBasedContent code="FUTURE">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipObjective" id="2.16.840.1.113883.1.11.19617"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipObjective-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The target act is a desired outcome of the source act. Source is any act (typically an intervention). Target must be an observation in criterion mood.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.1002">
                  <codeBasedContent code="_ActRelationsipObjective">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.1002">
                  <codeBasedContent code="_ActRelationsipObjective"/>
               </excludeContent>
            </combinedContent>
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      </version>
   </valueSet>
   <valueSet name="AuthorizationIssueManagementCode" id="2.16.840.1.113883.1.11.19619">
      <historyItem dateTime="2020-05-06" id="v3-AuthorizationIssueManagementCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="_AuthorizationIssueManagementCode">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActAdministrativeAuthorizationDetectedIssueCode"
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      <historyItem dateTime="2020-05-06"
                   id="v3-ActAdministrativeAuthorizationDetectedIssueCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
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         </content>
      </version>
   </valueSet>
   <valueSet name="ActAdministrativeRuleDetectedIssueCode" id="2.16.840.1.113883.1.11.19621">
      <historyItem dateTime="2020-05-06" id="v3-ActAdministrativeRuleDetectedIssueCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="_ActAdministrativeRuleDetectedIssueCode">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="AcknowledgementDetailCode" id="2.16.840.1.113883.1.11.19638">
      <historyItem dateTime="2020-05-06" id="v3-AcknowledgementDetailCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A site specific problem code</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1100</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.1100">
                  <codeBasedContent code="INTERR"/>
                  <codeBasedContent code="NOSTORE"/>
                  <codeBasedContent code="RTEDEST"/>
                  <codeBasedContent code="RTUDEST"/>
                  <codeBasedContent code="RTWDEST"/>
               </unionWithContent>
               <unionWithContent>
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               <unionWithContent>
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               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.1100">
                  <codeBasedContent code="_AcknowledgementDetailNotSupportedCode"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="AcknowledgementDetailSyntaxErrorCode" id="2.16.840.1.113883.1.11.19639">
      <historyItem dateTime="2020-05-06" id="v3-AcknowledgementDetailSyntaxErrorCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Reflects errors in the syntax or structure of the communication.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1100</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1100">
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               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
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   </valueSet>
   <valueSet name="AcknowledgementDetailNotSupportedCode" id="2.16.840.1.113883.1.11.19640">
      <historyItem dateTime="2020-05-06" id="v3-AcknowledgementDetailNotSupportedCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Refelects rejections because elements of the communication are not supported in the current context.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1100</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1100">
            <codeBasedContent code="_AcknowledgementDetailNotSupportedCode">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
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      <annotations>
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               <text>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
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               <text>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
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      <annotations>
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               <text>
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      <annotations>
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               <text>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
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               <text>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
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            <description>
               <text>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
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      <annotations>
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               <text>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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               <text>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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               <text>
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               </unionWithContent>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Identifies the specific hierarchical relationship between the playing and scoping medications.</p>
                  <i>Examples:</i>Generic, Generic Formulation, Therapeutic Class, etc.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="VaccineEntityType" id="2.16.840.1.113883.1.11.19722">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A Type of medicine that creates an immune protection without the recipient experiencing the disease.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1060">
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      </version>
   </valueSet>
   <valueSet name="HumanSubstanceAdministrationSite" id="2.16.840.1.113883.1.11.19724">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The set of body locations to or through which a drug product may be administered.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1052</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1052">
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               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A "helper" vocabulary used to construct complex query filters based on how and whether a prescription has been dispensed.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1096</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1096">
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      </version>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Characterizes how a transportation act was or will be carried out.</p>
                  <i>Examples:</i>Via private transport, via public transit, via courier.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Definition: Characterizes how a patient was or will be transported to the site of a patient encounter.</p>
                  <i>Examples:</i>Via ambulance, via public transit, on foot.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
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      <historyItem dateTime="2020-05-06" id="v3-Ambulance-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**Identifies the reason or rational for why a person is eligible for benefits under an insurance policy or program.</p>
                  <b>Examples:</b>A new employee is eligible for health insurance as an employment benefit. A person meets eligibility criteria for government program coverage based on financial, age or health status.</text>
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         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.8">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
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                  <p>Used when there is a need to limit the participations to the first, the last, the next or some other filtered subset.</p>
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            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**Limits confidentiality to effectively a yes/no decision.</p>
                  <p>*Usage Note:*x\_VeryBasicConfidentialityKind is a subset of Confidentiality codes that are used as metadata indicating the receiver responsibility to comply with normally applicable jurisdictional privacy law or disclosure authorization or that the receiver may not disclose this information except as directed by the information custodian, who may be the information subject.</p>
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            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.25">
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   </valueSet>
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      <historyItem dateTime="2020-05-06" id="v3-xPhysicalVerbalParticipationMode-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Restricts participation to either physical or verbal</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1064</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1064">
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   </valueSet>
   <valueSet name="x_SubstitutionConditionNoneOrUnconditional"
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      <historyItem dateTime="2020-05-06"
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Restricts substitution to effectively a yes/no decision</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Restricts scheme to e-mail or phone numbers at which a human can be reached</p>
               </text>
            </description>
         </documentation>
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      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Restricts scheme to phone numbers at which a human can be reached</p>
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            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
         <documentation>
            <description>
               <text>
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      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
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      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
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            <codeBasedContent code="homeHealth"/>
            <codeBasedContent code="laboratory"/>
            <codeBasedContent code="pathologist"/>
            <codeBasedContent code="phlebotomist"/>
            <codeBasedContent code="subject"/>
            <codeBasedContent code="thirdParty"/>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
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      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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            <codeBasedContent code="SPLSCORING"/>
            <codeBasedContent code="SPLSHAPE"/>
            <codeBasedContent code="SPLSIZE"/>
            <codeBasedContent code="SPLSYMBOL"/>
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   <valueSet name="ActInformationCategoryCode" id="2.16.840.1.113883.1.11.19752">
      <historyItem dateTime="2020-05-06" id="v3-ActInformationCategoryCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Definition:**Indicates the set of information types which may be manipulated or referenced, such as for recommending access restrictions.</p>
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            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
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            <codeBasedContent code="COBSCAT"/>
            <codeBasedContent code="DEMOCAT"/>
            <codeBasedContent code="DICAT"/>
            <codeBasedContent code="IMMUCAT"/>
            <codeBasedContent code="LABCAT"/>
            <codeBasedContent code="MEDCCAT"/>
            <codeBasedContent code="PSVCCAT"/>
            <codeBasedContent code="RXCAT"/>
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      </version>
   </valueSet>
   <valueSet name="x_SUCC_REPL_PREV" id="2.16.840.1.113883.1.11.19753" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-xSUCCREPLPREV-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
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            <codeBasedContent code="RPLC"/>
            <codeBasedContent code="SUCC"/>
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   </valueSet>
   <valueSet name="ClinicalResearchReason" id="2.16.840.1.113883.1.11.19754">
      <historyItem dateTime="2020-05-06" id="v3-ClinicalResearchReason-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Definition:**Contains domains for act reasons used in clinical research.</p>
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            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content>
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               <unionWithContent>
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   <valueSet name="ClinicalResearchEventReason" id="2.16.840.1.113883.1.11.19755">
      <historyItem dateTime="2020-05-06" id="v3-ClinicalResearchEventReason-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Definition:**Specifies the reason that an event occurred in a clinical research study.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.8</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.8">
            <codeBasedContent code="RET"/>
            <codeBasedContent code="SCH"/>
            <codeBasedContent code="TRM"/>
            <codeBasedContent code="UNS"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="ClinicalResearchObservationReason" id="2.16.840.1.113883.1.11.19756">
      <historyItem dateTime="2020-05-06" id="v3-ClinicalResearchObservationReason-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Definition:**SSpecifies the reason that a test was performed or observation collected in a clinical research study.</p>
                  <p>**Note:**This set of codes are not strictly reasons, but are used in the currently Normative standard. Future revisions of the specification will model these as ActRelationships and thes codes may subsequently be retired. Thus, these codes should not be used for new specifications.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.8</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.8">
            <codeBasedContent code="NPT"/>
            <codeBasedContent code="PPT"/>
            <codeBasedContent code="UPT"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="ObservationActContextAgeType" id="2.16.840.1.113883.1.11.19757">
      <historyItem dateTime="2020-05-06" id="v3-ObservationActContextAgeType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Definition:**The ways the age of an entity involved in an act can be measured, calculated or otherwise expressed in order to provide context for another act.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.19758"/>
               </unionWithContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4"/>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="LOINCObservationActContextAgeType" id="2.16.840.1.113883.1.11.19758">
      <historyItem dateTime="2020-05-06" id="v3-LOINCObservationActContextAgeType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Definition:**The set of LOINC codes for the act of determining the period of time that has elapsed since an entity was born or created.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="21611-9"/>
            <codeBasedContent code="21612-7"/>
            <codeBasedContent code="29553-5"/>
            <codeBasedContent code="30525-0"/>
            <codeBasedContent code="30972-4"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="ObservationInterpretationProtocolInclusion"
             id="2.16.840.1.113883.1.11.19759">
      <historyItem dateTime="2020-05-06"
                   id="v3-ObservationInterpretationProtocolInclusion-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The observation/test result is interpreted as being outside the inclusion range for a particular protocol within which the result is being reported.</p>
                  <b>Example:</b>A positive result on a Hepatitis screening test.<i>Open Issue:</i>We are not deprecating this value set at this time, but instead are leaving open the consideration of deprecation in the future. \[Note: The concepts included in this value set have also been suggested for future deprecation, and there are no associated concept subdomains or bindings.\]</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.83</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.19760"/>
               </unionWithContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.83"/>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ObservationInterpretationOustsideThreshold"
             id="2.16.840.1.113883.1.11.19760">
      <historyItem dateTime="2020-05-06"
                   id="v3-ObservationInterpretationOustsideThreshold-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The observation/test result is interpreted as being outside the inclusion range for a particular protocol within which the result is being reported.</p>
                  <b>Example:</b>A positive result on a Hepatitis screening test.<i>Open Issue:</i>We are not deprecating this value set at this time, but instead are leaving open the consideration of deprecation in the future. \[Note: The concepts included in this value set have also been suggested for future deprecation, and there are no associated concept subdomains or bindings. Note also that the name of the value set appears to have a typo in it from the old cycle when it was originally added.\]</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.83</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.83">
            <codeBasedContent code="EX">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="NameLegalUse" id="2.16.840.1.113883.1.11.19761">
      <historyItem dateTime="2020-05-06" id="v3-NameLegalUse-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.45</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.45">
            <codeBasedContent code="L">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="x_ActMoodDefEvnRqo" id="2.16.840.1.113883.1.11.19762" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-xActMoodDefEvnRqo-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1001</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1001">
            <codeBasedContent code="DEF"/>
            <codeBasedContent code="EVN"/>
            <codeBasedContent code="RQO"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="x_ActMoodRequestEvent" id="2.16.840.1.113883.1.11.19763"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-xActMoodRequestEvent-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1001</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1001">
            <codeBasedContent code="EVN"/>
            <codeBasedContent code="RQO"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="x_ActReplaceOrRevise" id="2.16.840.1.113883.1.11.19764"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-xActReplaceOrRevise-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="MOD"/>
            <codeBasedContent code="RPLC"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipSucceeds" id="2.16.840.1.113883.1.11.19765"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipSucceeds-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Definition:</b>A new act that carries forward the intention of the original act, but does not completely replace it. The status of the predecessor act must be 'completed'. The original act is the target act and the successor is the source act.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="SUCC">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassPosition" id="2.16.840.1.113883.1.11.19766" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassPosition-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An observation denoting the physical location of a person or thing based on a reference coordinate system.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="POS">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="EPSG-GeodeticParameterDataset" id="2.16.840.1.113883.1.11.19767">
      <historyItem dateTime="2020-05-06" id="v3-EPSG-GeodeticParameterDataset-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>The EPSG (European Petroleum Survey Group) dataset represents all Datums, coordinate references (projected and 2D geographic) and coordinate systems (including Cartesian coordinate systems) used in surveying worldwide. Each record includes a 4-8 digit unique identifier. The current version is available from http://www.epsg.org/. The database contains over 4000 records covering spatial data applications worldwide.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.6.242</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.6.242"/>
      </version>
   </valueSet>
   <valueSet name="SCDHEC-GISSpatialAccuracyTiers" id="2.16.840.1.113883.1.11.19768">
      <historyItem dateTime="2020-05-06" id="v3-SCDHEC-GISSpatialAccuracyTiers-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>The South Carolina Department of Health and Environmental Control GIS Spatial Data Accuracy Tiers have been derived from the National Standard for Spatial Data Accuracy as a means to categorize the accuracy of spatial data assignment utilizing a variety of tools for capturing coordinates including digitizers, geocoding software and global positioning system devices.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.6.241</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.6.241"/>
      </version>
   </valueSet>
   <valueSet name="ValidationIssue" id="2.16.840.1.113883.1.11.19769">
      <historyItem dateTime="2020-05-06" id="v3-ValidationIssue-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="KEY204"/>
                  <codeBasedContent code="KEY205"/>
               </unionWithContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="VALIDAT">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="LengthOutOfRange" id="2.16.840.1.113883.1.11.19770">
      <historyItem dateTime="2020-05-06" id="v3-LengthOutOfRange-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="LEN_RANGE">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="CodeIsNotValid" id="2.16.840.1.113883.1.11.19771">
      <historyItem dateTime="2020-05-06" id="v3-CodeIsNotValid-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="CODE_INVAL">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RepetitionsOutOfRange" id="2.16.840.1.113883.1.11.19772">
      <historyItem dateTime="2020-05-06" id="v3-RepetitionsOutOfRange-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="REP_RANGE">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ObservationAlert" id="2.16.840.1.113883.1.11.19773">
      <historyItem dateTime="2020-05-06" id="v3-ObservationAlert-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="OBSA">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ComplianceAlert" id="2.16.840.1.113883.1.11.19774">
      <historyItem dateTime="2020-05-06" id="v3-ComplianceAlert-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="COMPLY">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="DuplicateTherapyAlert" id="2.16.840.1.113883.1.11.19775">
      <historyItem dateTime="2020-05-06" id="v3-DuplicateTherapyAlert-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="DUPTHPY">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="DosageProblem" id="2.16.840.1.113883.1.11.19776">
      <historyItem dateTime="2020-05-06" id="v3-DosageProblem-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="DOSE">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="GenericUpdateReasonCode" id="2.16.840.1.113883.1.11.19777">
      <historyItem dateTime="2020-05-06" id="v3-GenericUpdateReasonCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**Identifies why a change is being made to a record.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.8</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.8">
                  <codeBasedContent code="_GenericUpdateReasonCode">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.8">
                  <codeBasedContent code="_GenericUpdateReasonCode"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActNonObservationIndicationCode" id="2.16.840.1.113883.1.11.19778">
      <historyItem dateTime="2020-05-06" id="v3-ActNonObservationIndicationCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**Concepts representing indications (reasons for clinical action) other than diagnosis and symptoms.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="IND01"/>
            <codeBasedContent code="IND02"/>
            <codeBasedContent code="IND03"/>
            <codeBasedContent code="IND04"/>
            <codeBasedContent code="IND05"/>
         </content>
      </version>
   </valueSet>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**Indicates why the prescription should be suspended.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.8</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.8">
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            <codeBasedContent code="CLARIF"/>
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            <codeBasedContent code="LABINT"/>
            <codeBasedContent code="NON-AVAIL"/>
            <codeBasedContent code="PREG"/>
            <codeBasedContent code="SALG"/>
            <codeBasedContent code="SDDI"/>
            <codeBasedContent code="SDUPTHER"/>
            <codeBasedContent code="SINTOL"/>
            <codeBasedContent code="SURG"/>
            <codeBasedContent code="WASHOUT"/>
         </content>
      </version>
   </valueSet>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="ENDLATE"/>
                  <codeBasedContent code="STRTLATE"/>
               </unionWithContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="TIME">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="MedicationOrderAbortReasonCode" id="2.16.840.1.113883.1.11.19781">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.8</supportedCodeSystem>
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         <content>
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                  </codeBasedContent>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.16124"/>
               </unionWithContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="MedicationOrderReleaseReasonCode" id="2.16.840.1.113883.1.11.19782">
      <historyItem dateTime="2020-05-06" id="v3-MedicationOrderReleaseReasonCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Definition:**A collection of concepts that indicate why the prescription should be released from suspended state.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.8</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.8">
            <codeBasedContent code="_MedicationOrderReleaseReasonCode">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="PatientProfileQueryReasonCode" id="2.16.840.1.113883.1.11.19784">
      <historyItem dateTime="2020-05-06" id="v3-PatientProfileQueryReasonCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.8</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.8">
            <codeBasedContent code="ADMREV"/>
            <codeBasedContent code="LEGAL"/>
            <codeBasedContent code="PATCAR"/>
            <codeBasedContent code="PATREQ"/>
            <codeBasedContent code="PRCREV"/>
            <codeBasedContent code="REGUL"/>
            <codeBasedContent code="RSRCH"/>
            <codeBasedContent code="VALIDATION"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="PharmacySupplyEventStockReasonCode" id="2.16.840.1.113883.1.11.19785">
      <historyItem dateTime="2020-05-06" id="v3-PharmacySupplyEventStockReasonCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.8</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.8">
            <codeBasedContent code="_PharmacySupplyEventStockReasonCode">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="PharmacySupplyRequestRenewalRefusalReasonCode"
             id="2.16.840.1.113883.1.11.19786">
      <historyItem dateTime="2020-05-06"
                   id="v3-PharmacySupplyRequestRenewalRefusalReasonCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Definition:**A collection of concepts that identifies why a renewal prescription has been refused.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.8</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.8">
            <codeBasedContent code="_PharmacySupplyRequestRenewalRefusalReasonCode">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="SupplyOrderAbortReasonCode" id="2.16.840.1.113883.1.11.19787">
      <historyItem dateTime="2020-05-06" id="v3-SupplyOrderAbortReasonCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Definition:**A collection of concepts that indicates why the prescription should no longer be allowed to be dispensed (but can still administer what is already being dispensed).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.8</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.8">
            <codeBasedContent code="_SupplyOrderAbortReasonCode">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActMedicationTherapyDurationWorkingListCode"
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      <historyItem dateTime="2020-05-06"
                   id="v3-ActMedicationTherapyDurationWorkingListCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="_ActMedicationTherapyDurationWorkingListCode">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActCareProvisionCode" id="2.16.840.1.113883.1.11.19789">
      <historyItem dateTime="2020-05-06" id="v3-ActCareProvisionCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**The type and scope of responsibility taken-on by the performer of the Act for a specific subject of care.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="_ActCareProvisionCode">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActCredentialedCareCode" id="2.16.840.1.113883.1.11.19790">
      <historyItem dateTime="2020-05-06" id="v3-ActCredentialedCareCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by a credentialing agency, i.e. government or non-government agency. Failure in executing this Act may result in loss of credential to the person or organization who participates as performer of the Act. Excludes employment agreements.</p>
                  <p>**Example:**Hospital license; physician license; clinic accreditation.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="_ActCredentialedCareCode">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActCredentialedCareProvisionPersonCode" id="2.16.840.1.113883.1.11.19791">
      <historyItem dateTime="2020-05-06" id="v3-ActCredentialedCareProvisionPersonCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by an agency for credentialing individuals.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="_ActCredentialedCareProvisionPersonCode">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActCredentialedCareProvisionProgramCode"
             id="2.16.840.1.113883.1.11.19792">
      <historyItem dateTime="2020-05-06" id="v3-ActCredentialedCareProvisionProgramCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by an agency for credentialing individuals.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="_ActCredentialedCareProvisionProgramCode">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="VerificationOutcomeValue" id="2.16.840.1.113883.1.11.19793">
      <historyItem dateTime="2020-05-06" id="v3-VerificationOutcomeValue-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Values for observations of verification act results</p>
                  <b>Examples:</b>Verified, not verified, verified with warning.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1063</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1063">
            <codeBasedContent code="_VerificationOutcomeValue">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActObservationVerificationType" id="2.16.840.1.113883.1.11.19794">
      <historyItem dateTime="2020-05-06" id="v3-ActObservationVerificationType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Identifies the type of verification investigation being undertaken with respect to the subject of the verification activity.</p>
                  <b>Examples:</b>
                  <ul>
                     <li>
                        <p>Verification of eligibility for coverage under a policy or program - aka enrolled/covered by a policy or program</p>
                     </li>
                     <li>
                        <p>Verification of record - e.g., person has record in an immunization registry</p>
                     </li>
                     <li>
                        <p>Verification of enumeration - e.g. NPI</p>
                     </li>
                     <li>
                        <p>Verification of Board Certification - provider specific</p>
                     </li>
                     <li>
                        <p>Verification of Certification - e.g. JAHCO, NCQA, URAC</p>
                     </li>
                     <li>
                        <p>Verification of Conformance - e.g. entity use with HIPAA, conformant to the CCHIT EHR system criteria</p>
                     </li>
                     <li>
                        <p>Verification of Provider Credentials</p>
                     </li>
                     <li>
                        <p>Verification of no adverse findings - e.g. on National Provider Data Bank, Health Integrity Protection Data Base (HIPDB)</p>
                     </li>
                  </ul>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="_ActObservationVerificationType">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
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      <historyItem dateTime="2020-05-06" id="v3-CaseTransmissionMode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Code for the mechanism by which disease was acquired by the living subject involved in the public health case. Includes sexually transmitted, airborne, bloodborne, vectorborne, foodborne, zoonotic, nosocomial, mechanical, dermal, congenital, environmental exposure, indeterminate.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="_CaseTransmissionMode">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassSubjectPhysicalPosition" id="2.16.840.1.113883.1.11.19796"
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      <historyItem dateTime="2020-05-06" id="v3-ActClassSubjectPhysicalPosition-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The spatial relationship of a subject whether human, other animal, or plant, to a frame of reference such as gravity or a collection device.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.6">
                  <codeBasedContent code="_SubjectPhysicalPosition">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.6">
                  <codeBasedContent code="_SubjectPhysicalPosition"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassSubjectBodyPosition" id="2.16.840.1.113883.1.11.19798"
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      <historyItem dateTime="2020-05-06" id="v3-ActClassSubjectBodyPosition-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Deprecation Comment:</b>This value set has been deprecated because its root code was deprecated in an earlier vocabulary release.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.6">
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                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.6">
                  <codeBasedContent code="_SubjectBodyPosition"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassSupine" id="2.16.840.1.113883.1.11.19799" isImmutable="true">
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Deprecation Comment:</b>This value set has been deprecated because its root code was deprecated in an earlier vocabulary release.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="SUP">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="CoveredPartyRoleType" id="2.16.840.1.113883.1.11.19805">
      <historyItem dateTime="2020-05-06" id="v3-CoveredPartyRoleType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A role recognized through the eligibility of an identified living subject for benefits covered under an insurance policy or a program. Eligibility as a covered party may be conditioned on a relationship with (1) the policy holder such as the policy holder who is covered as an individual under a poliy or as a party sponsored for coverage by the policy holder.</p>
                  <p>**Example:**An employee as a subscriber; or (2) on being scoped another covered party such as the subscriber, as in the case of a dependent.</p>
                  <b>Discussion:</b>The Abstract Value Set "CoverageRoleType", which was developed for use in the Canadian realm "pre-coordinate" coverage roles with other roles that a covered party must play in order to be eligible for coverage, e.g., "handicapped dependent". Other codes in the Abstract Value Set CoveredPartyRoleType domain can be "post-coordinated" with the EligiblePartyRoleType codes to denote comparable concepts. Decoupling the concepts is intended to support a wider range of concepts and semantic comparability of coded concepts.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.111">
                  <codeBasedContent code="_CoveredPartyRoleType">
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                  </codeBasedContent>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.19810"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.19811"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.19813"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.19814"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.19815"/>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.111">
                  <codeBasedContent code="_ClaimantCoveredPartyRoleType"/>
               </excludeContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.111">
                  <codeBasedContent code="_ProgramEligiblePartyRoleType"/>
               </excludeContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.111">
                  <codeBasedContent code="_IndividualInsuredPartyRoleType"/>
               </excludeContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.111">
                  <codeBasedContent code="_SubscriberCoveredPartyRoleType"/>
               </excludeContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.111">
                  <codeBasedContent code="_DependentCoveredPartyRoleType"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassCoveredParty" id="2.16.840.1.113883.1.11.19807"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassCoveredParty-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>A relationship between a party that receives benefit coverage under the terms of an insurance policy or program and the underwriter of the policy or program. The role is played by the party that receives benefit coverage under the terms of a particular insurance policy or program. The organization playing the underwriter of that policy or program is the scoping entity.<p>A covered party receives coverage under a policy because of some contractual or other relationship with the policy holder. In most cases, the policy holder has discretion over which parties may be covered under a policy, unless the policy holder assigns or is required by a court to assign this right.</p>
                  <p>A covered party receives coverage under a program by being determined eligible based on program eligibility criteria specified by the program sponsor.</p>
                  <b>Discussion:</b>This reason for coverage is specified by use of a role type code from either of the abstract value sets beneath the PolicyOrProgramCoverageRoleType abstract value set.<p>The CoverageRoleType abstract value set can only be used when the role class is the concept code "covered party" (COVPTY) because this value set contains precoordinated coded concepts relating to coverage criteria that was developed for the Canadian realm. This is to avoid overlapping concepts, e.g., the DEPEN role.class cannot be used with the FAMDEP Role.code</p>
                  <p>The CoveredPartyRoleType abstract value set may be used with any of the covered party role class codes to support post coordination of coverage criteria. Where coverage under a policy depends on the concurrence of a policy holder, a relationship link with type code of indirect authority should be included using the policy holder role as the source, and the covered party role as the target.</p>
                  <b>Note:</b>A particular policy may cover several parties, one of whom may be, but need not be, the policy holder. Thus the notion of covered party is a role that is distinct from that of the policy holder.<b>Note:</b>The entity playing the role of covered party is an organization, a non-person living subject or a group of persons, the role class codes Subscriber and Dependent may not be used.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="COVPTY">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassNamedInsured" id="2.16.840.1.113883.1.11.19808"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassNamedInsured-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>A role played by a party to an insurance policy to which the insurer agrees to indemnify for losses, provides benefits for, or renders services. A named insured may be either a person, non-person living subject, or an organization, or a group of persons, non-person living subjects, or organizations.<b>Discussion:</b>The coded concept NAMED should not be used where a more specific child concept in this Specializable value set applies. In some cases, the named insured may not be the policy holder, e.g., where a policy holder purchases life insurance policy in which another party is the named insured and the policy holder is the beneficiary of the policy.<b>Note:</b>The party playing the role of a named insured is not a claimant in the sense conveyed by the RoleClassCoveredParty CLAIM (claimant). However, a named insured may make a claim under a policy, e.g., e.g., a party that is the named insured and policy holder under a comprehensive automobile insurance policy may become the claimant for coverage under that policy e.g., if injured in an automobile accident and there is no liable third party. In the case of a named insured making a claim, a role type code INSCLM (insured claimant) subtypes the class to indicate that a named insured has filed a claim for a loss.<b>Example:</b>The named insured under a comprehensive automobile, disability, or property and casualty policy that is the named insured and may or may not be the policy holder.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="NAMED">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="PolicyOrProgramCoverageRoleType" id="2.16.840.1.113883.1.11.19809">
      <historyItem dateTime="2020-05-06" id="v3-PolicyOrProgramCoverageRoleType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>A role recognized through the eligibility of an identified party for benefits covered under an insurance policy or a program based on meeting eligibility criteria.<p>Eligibility as a covered party may be conditioned on the party meeting criteria to qualify for coverage under a policy or program, which may be mandated by law. These criteria may be:</p>
                  <ul>
                     <li>
                        <p>The sole basis for coverage, e.g., being differently abled may qualify a person for disability coverage</p>
                     </li>
                     <li>
                        <p>May more fully qualify a covered party role e.g, being differently abled may qualify an adult child as a dependent</p>
                     </li>
                     <li>
                        <p>May impact the level of coverage for a covered party under a policy or program, e.g., being differently abled may qualify a program eligible for additional benefits.</p>
                     </li>
                  </ul>
                  <b>Discussion:</b>The Abstract Value Set "CoverageRoleType", which was developed for use in the Canadian realm "pre-coordinate" coverage roles with other roles that a covered party must play in order to be eligible for coverage, e.g., "handicapped dependent". These role.codes may only be used with COVPTY to avoid overlapping concepts that would result from using them to specify the specializations of COVPTY, e.g., the role.class DEPEN should not be used with the role.code family dependent because that relationship has overlapping concepts due to the role.code precoodination and is conveyed in FICO with the personal relationship role that has a PART role link to the covered party role. For the same reasons, the role.class DEPEN should not be used with the role.code HANDIC (handicapped dependent); the role.code DIFFABLE (differently abled) should be used instead.<p>In summary, the coded concepts in the Abstract Value Set "CoveredPartyRoleType" can be "post-coordinated" with the "RoleClassCoveredParty" Abstract Value Set. Decoupling these concepts is intended to support an expansive range of covered party concepts and their semantic comparability.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="_PolicyOrProgramCoverageRoleType">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ClaimantCoveredPartyRoleType" id="2.16.840.1.113883.1.11.19810">
      <historyItem dateTime="2020-05-06" id="v3-ClaimantCoveredPartyRoleType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description**A role recognized through the eligibility of a party play a claimant for benefits covered or provided under an insurance policy.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.111">
                  <codeBasedContent code="INJ"/>
               </unionWithContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.111">
                  <codeBasedContent code="_ClaimantCoveredPartyRoleType">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ProgramEligibleCoveredPartyRoleType" id="2.16.840.1.113883.1.11.19811">
      <historyItem dateTime="2020-05-06" id="v3-ProgramEligibleCoveredPartyRoleType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**A role recognized through the eligibility of a party to play a program eligible for benefits covered or provided under a program.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="_ProgramEligiblePartyRoleType">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="MilitaryRoleType" id="2.16.840.1.113883.1.11.19812">
      <historyItem dateTime="2020-05-06" id="v3-MilitaryRoleType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Definition:</b>A person playing the role of program eligible under a program based on military status.<b>Discussion:</b>This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the person's status as a member of the military meets jurisdictional or program criteria</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="MIL">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="IndividualInsuredCoveredPartyRoleType" id="2.16.840.1.113883.1.11.19813">
      <historyItem dateTime="2020-05-06" id="v3-IndividualInsuredCoveredPartyRoleType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description**A role recognized through the eligibility of a party to play an individual insured for benefits covered or provided under an insurance policy where the party is also the policy holder.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.111">
                  <codeBasedContent code="_IndividualInsuredPartyRoleType">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.19671"/>
               </unionWithContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="SubscriberCoveredPartyRoleType" id="2.16.840.1.113883.1.11.19814">
      <historyItem dateTime="2020-05-06" id="v3-SubscriberCoveredPartyRoleType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>A role recognized through the eligibility of a party to play a subscriber for benefits covered or provided under a health insurance policy.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="_SubscriberCoveredPartyRoleType">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="DependentCoveredPartyRoleType" id="2.16.840.1.113883.1.11.19815">
      <historyItem dateTime="2020-05-06" id="v3-DependentCoveredPartyRoleType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>A role recognized through the eligibility of a party to play a dependent for benefits covered or provided under a health insurance policy because of an association with the subscriber that is recognized by the policy underwriter.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.111">
                  <codeBasedContent code="_DependentCoveredPartyRoleType">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.19671"/>
               </unionWithContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ParticipationExposureparticipation" id="2.16.840.1.113883.1.11.19816"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ParticipationExposureparticipation-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**Direct participation in an exposure act where it is unknown that the participant is the source or subject of the exposure. If the participant is known to be the contact of an exposure then the EXPTRGT participation type should be used. If the participant is known to be the source then the EXSRC participation type should be used.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.90">
            <codeBasedContent code="EXPART">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassPolicy" id="2.16.840.1.113883.1.11.19818" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassPolicy-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**A mandate, regulation, obligation, requirement, rule, or expectation unilaterally imposed by one party on:</p>
                  <p>* The activity of another party * The behavior of another party * The manner in which an act is executed</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="POLICY">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="IssueFilterCode" id="2.16.840.1.113883.1.11.19819">
      <historyItem dateTime="2020-05-06" id="v3-IssueFilterCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**Indicates how result sets should be filtered based on whether they have associated issues.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1096</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1096">
            <codeBasedContent code="_QueryParameterValue">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="x_ActBillableCode" id="2.16.840.1.113883.1.11.19820">
      <historyItem dateTime="2020-05-06" id="v3-xActBillableCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedCodeSystem>2.16.840.1.113883.6.1</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.13955"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.16130"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.16226"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.19732"/>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActTransportationModeCode"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActBillableModifierCode" id="2.16.840.1.113883.1.11.19821">
      <historyItem dateTime="2020-05-06" id="v3-ActBillableModifierCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Definition:**An identifying modifier code for healthcare interventions or procedures.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="_ActBillableModifierCode">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="x_ActOrderableOrBillable" id="2.16.840.1.113883.1.11.19822">
      <historyItem dateTime="2020-05-06" id="v3-xActOrderableOrBillable-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.6">
                  <codeBasedContent code="ACCM"/>
                  <codeBasedContent code="ENC"/>
                  <codeBasedContent code="PCPR"/>
                  <codeBasedContent code="SBADM"/>
                  <codeBasedContent code="TRNS"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.11529"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.19665"/>
               </unionWithContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ContentProcessingMode" id="2.16.840.1.113883.1.11.19823">
      <historyItem dateTime="2020-05-06" id="v3-ContentProcessingMode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**Identifies the order in which content should be processed.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1110"/>
      </version>
   </valueSet>
   <valueSet name="ActClassGenomicObservation" id="2.16.840.1.113883.1.11.19824"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassGenomicObservation-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**An observation of genomic phenomena.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="GEN">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="x_ActRelationshipRelatedAuthorizations" id="2.16.840.1.113883.1.11.19825">
      <historyItem dateTime="2020-05-06" id="v3-xActRelationshipRelatedAuthorizations-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="AUTH"/>
            <codeBasedContent code="REFR"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="ControlActNullificationReasonCode" id="2.16.840.1.113883.1.11.19826">
      <historyItem dateTime="2020-05-06" id="v3-ControlActNullificationReasonCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**Identifies reasons for nullifying (retracting) a particular control act.</p>
                  <p>**Examples:**"Entered in error", "altered decision", etc.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.8</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.8">
            <codeBasedContent code="ALTD"/>
            <codeBasedContent code="EIE"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="ResponsibleParty" id="2.16.840.1.113883.1.11.19830">
      <historyItem dateTime="2020-05-06" id="v3-ResponsibleParty-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The role played by a party who has legal responsibility for another party.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="RESPRSN">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
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         </content>
      </version>
   </valueSet>
   <valueSet name="PowerOfAttorney" id="2.16.840.1.113883.1.11.19831">
      <historyItem dateTime="2020-05-06" id="v3-PowerOfAttorney-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A relationship between two people in which one person authorizes another to act for him in a manner which is a legally binding upon the person giving such authority as if he or she personally were to do the acts.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="POWATT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
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      </version>
   </valueSet>
   <valueSet name="ActClassExposure" id="2.16.840.1.113883.1.11.19832" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassExposure-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The action of coming into sufficient physical proximity to allow physical or chemical interaction. Examples include: exposure to radiation, inhalation of peanut aerosol or viral particles. This includes intended exposure (e.g. administering a drug product) as well as accidental or environmental exposure. Actual vs. potential exposure can be differentiated using Act.uncertaintyCode.</p>The agent to which the subject was exposed is conveyed as a<i>Direct</i>participation or specialization there-of.<i>Constraints:</i>The following Participations should be used with the following Roles and Entities to distinguish the specific entities:<p>* The ***exposed entity*** is the entity of interest that is the recipient of the exposure and potentially affected. This is conveyed through the subject (SBJ) Participation. * An entity that has carried the agent transmitted in the exposure is the "***exposure source***" (EXSRC). For example: * a person or animal who carried an infectious disease and interacts (EXSRC) with another person or animal (SBJ) transmitting the disease agent; or * a place or other environment (EXSRC) and a person or animal (SBJ) who is exposed in the presence of this environment. * When it is unknown whether a participating entity is the source of the agent (EXSRC) or the target of the transmission (SBJ), also known as "***exposure contact***", the "participant" (PART) is used. * The substance to which the subject is exposed that carries the exposure agent or the chemical substance of interest itself, participates as a "consumable" (CSM). There are at least two configurations: (a) the player of the Role that participates as CSM is the chemical or biological substance mixed or carried by the scoper-entity of the Role (e.g., ingredient role); or (b) the player of the Role that participates as CSM is a mixture known to contain the chemical, radiological or biological substance of interest. * The device specifically used to administer the substance is associated using the device (DEV) Participation. This may be a device intentionally used (such as applicator device) or it may be a thing that accidentally carried this substance; for instance, an infected needle or knife. The same entity may be related in the act as both EXSRC and DEV.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="EXPOS">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="TransmissionRelationshipTypeCode" id="2.16.840.1.113883.1.11.19833">
      <historyItem dateTime="2020-05-06" id="v3-TransmissionRelationshipTypeCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**A code specifying the meaning and purpose of every TransmissionRelationship instance. Each of its values implies specific constraints to what kinds of Transmission objects can be related and in which way.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1111"/>
      </version>
   </valueSet>
   <valueSet name="ActMoodCriterion" id="2.16.840.1.113883.1.11.19835" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActMoodCriterion-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A criterion or condition over actual and potential services that must apply for an associated service to be considered. Matches records any ActMoodCompletionTrack moods.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1001</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1001">
            <codeBasedContent code="CRT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActTaskMicrobiologyResultsReviewCode" id="2.16.840.1.113883.1.11.19838">
      <historyItem dateTime="2020-05-06" id="v3-ActTaskMicrobiologyResultsReviewCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A person reviews a list of microbiology results of a given patient.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="MICRORREV">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActTaskOrderEntryCode" id="2.16.840.1.113883.1.11.19839">
      <historyItem dateTime="2020-05-06" id="v3-ActTaskOrderEntryCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="OE">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActTaskMedicationListReviewCode" id="2.16.840.1.113883.1.11.19840">
      <historyItem dateTime="2020-05-06" id="v3-ActTaskMedicationListReviewCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A person reviews a list of medication orders submitted to a given patient</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="MLREV">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActTaskRiskAssessmentInstrumentCode" id="2.16.840.1.113883.1.11.19841">
      <historyItem dateTime="2020-05-06" id="v3-ActTaskRiskAssessmentInstrumentCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A person reviews a Risk Assessment Instrument report of a given patient.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="RISKASSESS">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActTaskClinicalNoteReviewCode" id="2.16.840.1.113883.1.11.19842">
      <historyItem dateTime="2020-05-06" id="v3-ActTaskClinicalNoteReviewCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A person reviews a clinical note of a given patient.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="CLINNOTEREV">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActTaskPatientInformationReviewCode" id="2.16.840.1.113883.1.11.19843">
      <historyItem dateTime="2020-05-06" id="v3-ActTaskPatientInformationReviewCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A person (e.g., clinician, the patient herself) reviews patient information in the electronic medical record.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="PATINFO">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActTaskClinicalNoteEntryCode" id="2.16.840.1.113883.1.11.19844">
      <historyItem dateTime="2020-05-06" id="v3-ActTaskClinicalNoteEntryCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A clinician enters a clinical note about a given patient</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="CLINNOTEE">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActTaskPatientDocumentationCode" id="2.16.840.1.113883.1.11.19845">
      <historyItem dateTime="2020-05-06" id="v3-ActTaskPatientDocumentationCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A person enters documentation about a given patient.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="PATDOC">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActTaskCode" id="2.16.840.1.113883.1.11.19846">
      <historyItem dateTime="2020-05-06" id="v3-ActTaskCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>A task or action that a user may perform in a clinical information system.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="_ActTaskCode">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="PayorRoleType" id="2.16.840.1.113883.1.11.19853">
      <historyItem dateTime="2020-05-06" id="v3-PayorRoleType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**PayorRoleType for a particular type of policy or program benefit package or plan where more detail about the coverage administration role of the Payor is required. The functions performed by a Payor qualified by a PayorRoleType may be specified by the PayorParticpationFunction value set.</p>
                  <p>**Examples:**A Payor that is a TPA may administer a managed care plan without underwriting the risk.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="_PayorRoleType">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActCoverageTypeCode" id="2.16.840.1.113883.1.11.19855">
      <historyItem dateTime="2020-05-06" id="v3-ActCoverageTypeCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Definition:</b>Set of codes indicating the type of insurance policy or program that pays for the cost of benefits provided to covered parties.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="_ActCoverageTypeCode">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActInsuranceTypeCode" id="2.16.840.1.113883.1.11.19856">
      <historyItem dateTime="2020-05-06" id="v3-ActInsuranceTypeCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Definition:</b>Set of codes indicating the type of insurance policy. Insurance, in law and economics, is a form of risk management primarily used to hedge against the risk of potential financial loss. Insurance is defined as the equitable transfer of the risk of a potential loss, from one entity to another, in exchange for a premium and duty of care. A policy holder is an individual or an organization enters into a contract with an underwriter which stipulates that, in exchange for payment of a sum of money (a premium), one or more covered parties (insureds) is guaranteed compensation for losses resulting from certain perils under specified conditions. The underwriter analyzes the risk of loss, makes a decision as to whether the risk is insurable, and prices the premium accordingly. A policy provides benefits that indemnify or cover the cost of a loss incurred by a covered party, and may include coverage for services required to remediate a loss. An insurance policy contains pertinent facts about the policy holder, the insurance coverage, the covered parties, and the insurer. A policy may include exemptions and provisions specifying the extent to which the indemnification clause cannot be enforced for intentional tortious conduct of a covered party, e.g., whether the covered parties are jointly or severably insured.<i>Discussion:</i>In contrast to programs, an insurance policy has one or more policy holders, who own the policy. The policy holder may be the covered party, a relative of the covered party, a partnership, or a corporation, e.g., an employer. A subscriber of a self-insured health insurance policy is a policy holder. A subscriber of an employer sponsored health insurance policy is holds a certificate of coverage, but is not a policy holder; the policy holder is the employer. See CoveredRoleType.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="_ActInsuranceTypeCode">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActHealthInsuranceTypeCode" id="2.16.840.1.113883.1.11.19857">
      <historyItem dateTime="2020-05-06" id="v3-ActHealthInsuranceTypeCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Definition:</b>Set of codes indicating the type of health insurance policy that covers health services provided to covered parties. A health insurance policy is a written contract for insurance between the insurance company and the policyholder, and contains pertinent facts about the policy owner (the policy holder), the health insurance coverage, the insured subscribers and dependents, and the insurer. Health insurance is typically administered in accordance with a plan, which specifies (1) the type of health services and health conditions that will be covered under what circumstances (e.g., exclusion of a pre-existing condition, service must be deemed medically necessary; service must not be experimental; service must provided in accordance with a protocol; drug must be on a formulary; service must be prior authorized; or be a referral from a primary care provider); (2) the type and affiliation of providers (e.g., only allopathic physicians, only in network, only providers employed by an HMO); (3) financial participations required of covered parties (e.g., co-pays, coinsurance, deductibles, out-of-pocket); and (4) the manner in which services will be paid (e.g., under indemnity or fee-for-service health plans, the covered party typically pays out-of-pocket and then file a claim for reimbursement, while health plans that have contractual relationships with providers, i.e., network providers, typically do not allow the providers to bill the covered party for the cost of the service until after filing a claim with the payer and receiving reimbursement).</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="EHCPOL"/>
                  <codeBasedContent code="HSAPOL"/>
               </unionWithContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActHealthInsuranceTypeCode">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActProgramTypeCode" id="2.16.840.1.113883.1.11.19858">
      <historyItem dateTime="2020-05-06" id="v3-ActProgramTypeCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Definition:</b>A set of codes used to indicate coverage under a program. A program is an organized structure for administering and funding coverage of a benefit package for covered parties meeting eligibility criteria, typically related to employment, health, financial, and demographic status. Programs are typically established or permitted by legislation with provisions for ongoing government oversight. Regulations may mandate the structure of the program, the manner in which it is funded and administered, covered benefits, provider types, eligibility criteria and financial participation. A government agency may be charged with implementing the program in accordance to the regulation. Risk of loss under a program in most cases would not meet what an underwriter would consider an insurable risk, i.e., the risk is not random in nature, not financially measurable, and likely requires subsidization with government funds.<i>Discussion:</i>Programs do not have policy holders or subscribers. Program eligibles are enrolled based on health status, statutory eligibility, financial status, or age. Program eligibles who are covered parties under the program may be referred to as members, beneficiaries, eligibles, or recipients. Programs risk are underwritten by not for profit organizations such as governmental entities, and the beneficiaries typically do not pay for any or some portion of the cost of coverage. See CoveredPartyRoleType.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="_ActProgramTypeCode">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="AutomobileInsurancePolicy" id="2.16.840.1.113883.1.11.19859">
      <historyItem dateTime="2020-05-06" id="v3-AutomobileInsurancePolicy-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Definition:</b>An insurance policy for losses sustained in an automobile accident that typically covers losses incurred by the named insured and parties who may be claimants for losses, such as pedestrians and passengers.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="AUTOPOL">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ManagedCarePolicy" id="2.16.840.1.113883.1.11.19860">
      <historyItem dateTime="2020-05-06" id="v3-ManagedCarePolicy-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Definition:</b>Government mandated program providing coverage, disability income, and vocational rehabilitation for injuries sustained in the work place or in the course of employment. Employers may either self-fund the program, purchase commercial coverage, or pay a premium to a government entity that administers the program. Employees may be required to pay premiums toward the cost of coverage as well.<p>Managed care policies specifically exclude coverage for losses insured under a disability policy, workers' compensation program, liability insurance (including automobile insurance); or for medical expenses, coverage for on-site medical clinics or for limited dental or vision benefits when these are provided under a separate policy.</p>
                  <i>Discussion:</i>Managed care policies are offered by managed care plans that contract with selected providers or health care organizations to provide comprehensive health care at a discount to covered parties and coordinate the financing and delivery of health care. Managed care uses medical protocols and procedures agreed on by the medical profession to be cost effective, also known as medical practice guidelines. Providers are typically reimbursed for covered services by a capitated amount on a per member per month basis that may reflect difference in the health status and level of services anticipated to be needed by the member.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="MCPOL">
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="LifeInsurancePolicy" id="2.16.840.1.113883.1.11.19861">
      <historyItem dateTime="2020-05-06" id="v3-LifeInsurancePolicy-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Definition:</b>A policy under which the insurer agrees to pay a sum of money upon the occurrence of the covered partys death. In return, the policyholder agrees to pay a stipulated amount called a premium at regular intervals. Life insurance indemnifies the beneficiary for the loss of the insurable interest that a beneficiary has in the life of a covered party. For persons related by blood, a substantial interest established through love and affection, and for all other persons, a lawful and substantial economic interest in having the life of the insured continue. An insurable interest is required when purchasing life insurance on another person. Specific exclusions are often written into the contract to limit the liability of the insurer; for example claims resulting from suicide or relating to war, riot and civil commotion.<p>*Discussion:*A life insurance policy may be used by the covered party as a source of health care coverage in the case of a viatical settlement, which is the sale of a life insurance policy by the policy owner, before the policy matures. Such a sale, at a price discounted from the face amount of the policy but usually in excess of the premiums paid or current cash surrender value, provides the seller an immediate cash settlement. Generally, viatical settlements involve insured individuals with a life expectancy of less than two years. In countries without state-subsidized healthcare and high healthcare costs (e.g. United States), this is a practical way to pay extremely high health insurance premiums that severely ill people face. Some people are also familiar with life settlements, which are similar transactions but involve insureds with longer life expectancies (two to fifteen years).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="LIFE">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="PublicHealthcareProgram" id="2.16.840.1.113883.1.11.19862">
      <historyItem dateTime="2020-05-06" id="v3-PublicHealthcareProgram-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Definition:</b>A a public or governmental health program with an organized structure for administering and funding coverage of a benefit package for covered parties meeting eligibility criteria, typically related to employment, health and financial status. These programs are established by legislation with provisions for ongoing government oversight. Regulations mandate the structure of the program, the manner in which it is funded and administered, covered benefits, provider types, eligibility criteria and financial participation. A government agency may be charged with implementing the program in accordance to the regulation.<p>For example, A Canadian provincial or national health plan such as the BC MSP (British Columbia Medical Services Plan) OHIP (Ontario Health Insurance Plan), NHS (National Health Service). Examples of U.S. government funded health programs include those for maternity case management, behavioral health, and HIV-AIDs, such as the Ryan White program.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="PUBLICPOL">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="DiseaseProgram" id="2.16.840.1.113883.1.11.19863">
      <historyItem dateTime="2020-05-06" id="v3-DiseaseProgram-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Definition:</b>A public or government health program that administers and funds coverage for health and social services to assist program eligible who meet financial and health status criteria related to a particular disease.<b>Example:</b>Reproductive health, sexually transmitted disease, and end renal disease programs.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="DISEASEPRG">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="SubsidizedHealthProgram" id="2.16.840.1.113883.1.11.19864">
      <historyItem dateTime="2020-05-06" id="v3-SubsidizedHealthProgram-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Definition:</b>A government health program that provides coverage for health services to persons meeting eligibility criteria such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="SUBSIDIZ">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="HL7AccommodationCode" id="2.16.840.1.113883.1.11.19866">
      <historyItem dateTime="2020-05-06" id="v3-HL7AccommodationCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**Accommodation type. In Intent mood, represents the accommodation type requested. In Event mood, represents accommodation assigned/used. In Definition mood, represents the available accommodation type.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="_HL7AccommodationCode">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="x_BillableProduct" id="2.16.840.1.113883.1.11.19867">
      <historyItem dateTime="2020-05-06" id="v3-xBillableProduct-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**The billable codes selected for Clinical Product Invoices. Steward is Financial Management.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1060</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.1060">
                  <codeBasedContent code="_x_BillableProduct">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.16042"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.16143"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.16188"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.19722"/>
               </unionWithContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="BiotherapeuticNon-personLivingSubjectRoleType"
             id="2.16.840.1.113883.1.11.19868">
      <historyItem dateTime="2020-05-06"
                   id="v3-BiotherapeuticNon-personLivingSubjectRoleType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**Animals, including fish and insects, and microorganisms which may participate as assigned entities in biotherapies.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="BIOTH">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="AssignedNonPersonLivingSubjectRoleType" id="2.16.840.1.113883.1.11.19869">
      <historyItem dateTime="2020-05-06" id="v3-AssignedNonPersonLivingSubjectRoleType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**A role type that is used to further qualify a non-person subject playing a role where the role class attribute is set to RoleClass AssignedEntity</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="_AssignedNonPersonLivingSubjectRoleType">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActCoverageReason" id="2.16.840.1.113883.1.11.19871">
      <historyItem dateTime="2020-05-06" id="v3-ActCoverageReason-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**Codes used to specify reasons or criteria relating to coverage provided under a policy or program. May be used to convey reasons pertaining to coverage contractual provisions, including criteria for eligibility, coverage limitations, coverage maximums, or financial participation required of covered parties.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.8</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.8">
            <codeBasedContent code="_ActCoverageReason">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="CoverageSponsorRoleType" id="2.16.840.1.113883.1.11.19877">
      <historyItem dateTime="2020-05-06" id="v3-CoverageSponsorRoleType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**Codes that indicate a specific type of sponsor. Used when the sponsor's role is only either as a fully insured sponsor or only as a self-insured sponsor. NOTE: Where a sponsor may be either, use the SponsorParticipationFunction.code (fully insured or self insured) to indicate the type of responsibility. (CO6-0057)</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.111</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.111">
            <codeBasedContent code="_CoverageSponsorRoleType">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="UNSPSC" id="2.16.840.1.113883.1.11.19883">
      <historyItem dateTime="2020-05-06" id="v3-UNSPSC-vs-1-0-0" responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**United Nations Standard Products and Services Classification, managed by Uniform Code Council (UCC): www.unspsc.org</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="UNSPSC">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="UPC" id="2.16.840.1.113883.1.11.19884">
      <historyItem dateTime="2020-05-06" id="v3-UPC-vs-1-0-0" responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**Universal Product Code is one of a wide variety of bar code languages widely used in the United States and Canada for items in stores.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="UPC">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActPolicyType" id="2.16.840.1.113883.1.11.19886">
      <historyItem dateTime="2020-05-06" id="v3-ActPolicyType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**Types of policies that further specify the ActClassPolicy value set.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="_ActPolicyType">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="x_ActClassCareProvisionEncounter" id="2.16.840.1.113883.1.11.19887"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-xActClassCareProvisionEncounter-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Definition:</b>When identifying the "request" that resulted in an encounter, there is a need to distinguish whether the "request" was a general referral (CareProvisionRequest) or a more specific ordered or scheduled encounter (PatientEncounter).</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="ENC"/>
            <codeBasedContent code="PCPR"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="x_ActClassCareProvisionObservation" id="2.16.840.1.113883.1.11.19888"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-xActClassCareProvisionObservation-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="OBS"/>
            <codeBasedContent code="PCPR"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="x_ActClassCareProvisionProcedure" id="2.16.840.1.113883.1.11.19889"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-xActClassCareProvisionProcedure-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="PCPR"/>
            <codeBasedContent code="PROC"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="x_ActStatusActiveComplete" id="2.16.840.1.113883.1.11.19890"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-xActStatusActiveComplete-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.14</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.14">
            <codeBasedContent code="active"/>
            <codeBasedContent code="completed"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="x_ActStatusActiveSuspended" id="2.16.840.1.113883.1.11.19891"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-xActStatusActiveSuspended-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.14</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.14">
            <codeBasedContent code="active"/>
            <codeBasedContent code="suspended"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="PrivateResidence" id="2.16.840.1.113883.1.11.19892">
      <historyItem dateTime="2020-05-06" id="v3-PrivateResidence-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Definition:</b>A living arrangement within a private residence for single family.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.63</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.63">
            <codeBasedContent code="PR">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="Homeless" id="2.16.840.1.113883.1.11.19893">
      <historyItem dateTime="2020-05-06" id="v3-Homeless-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Definition:</b>Living arrangements lacking a permanent residence.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.63</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.63">
            <codeBasedContent code="HL">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActConsentInformationAccessOverrideReason"
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      <historyItem dateTime="2020-05-06"
                   id="v3-ActConsentInformationAccessOverrideReason-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Definition:</b>Use to convey the reason that a provider may or has accessed personal healthcare information. Typically, this involves overriding the subject's consent directives.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.8</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.8">
            <codeBasedContent code="_ActConsentInformationAccessOverrideReason">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActInformationAccess" id="2.16.840.1.113883.1.11.19895">
      <historyItem dateTime="2020-05-06" id="v3-ActInformationAccess-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Definition:</b>Consent to access healthcare information.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="INFA">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActResearchInformationAccess" id="2.16.840.1.113883.1.11.19896">
      <historyItem dateTime="2020-05-06" id="v3-ActResearchInformationAccess-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Definition:</b>Consent to have healthcare information in an electronic health record accessed for research purposes.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="RESEARCH">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActConsentType" id="2.16.840.1.113883.1.11.19897">
      <historyItem dateTime="2020-05-06" id="v3-ActConsentType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Definition:</b>The type of consent directive, e.g., to consent or dissent to collect, access, or use in specific ways within an EHRS or for health information exchange; or to disclose health information for purposes such as research.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="_ActConsentType">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="CoverageParticipationFunction" id="2.16.840.1.113883.1.11.19903">
      <historyItem dateTime="2020-05-06" id="v3-CoverageParticipationFunction-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Definition:</b>Set of codes indicating the manner in which sponsors, underwriters, and payers participate in a policy or program.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.88</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.88">
            <codeBasedContent code="_CoverageParticipationFunction">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="UnderwriterParticipationFunction" id="2.16.840.1.113883.1.11.19904">
      <historyItem dateTime="2020-05-06" id="v3-UnderwriterParticipationFunction-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Definition:</b>Set of codes indicating the manner in which underwriters participate in a policy or program.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.88</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.88">
            <codeBasedContent code="_UnderwriterParticipationFunction">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="SponsorParticipationFunction" id="2.16.840.1.113883.1.11.19905">
      <historyItem dateTime="2020-05-06" id="v3-SponsorParticipationFunction-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Definition:</b>Set of codes indicating the manner in which sponsors participate in a policy or program. NOTE: use only when the Sponsor is not further specified with a SponsorRoleType as being either a fully insured sponsor or a self insured sponsor.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.88</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.88">
            <codeBasedContent code="_SponsorParticipationFunction">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="PayorParticipationFunction" id="2.16.840.1.113883.1.11.19906">
      <historyItem dateTime="2020-05-06" id="v3-PayorParticipationFunction-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Definition:</b>Set of codes indicating the manner in which payors participate in a policy or program.&lt;/</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.88</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.88">
            <codeBasedContent code="_PayorParticipationFunction">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActCoverageMaximaCodes" id="2.16.840.1.113883.1.11.19907">
      <historyItem dateTime="2020-05-06" id="v3-ActCoverageMaximaCodes-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Definition:</b>Codes representing the maximum coverate or financial participation requirements.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="COVMX">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActInformationAccessCode" id="2.16.840.1.113883.1.11.19910">
      <historyItem dateTime="2020-05-06" id="v3-ActInformationAccessCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The type of personal health information to which the subject of the information, or the delegate of the subject, consents or dissents to authorize access.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="_ActInformationAccessCode">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="QueryRequestLimit" id="2.16.840.1.113883.1.11.19911">
      <historyItem dateTime="2020-05-06" id="v3-QueryRequestLimit-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Definition:</b>The number of matching instances (number of focal classes). The document header class is the focal class of a document, a record would therefore be equal to a document.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1112</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1112">
            <codeBasedContent code="_QueryRequestLimit">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActCoverageAssessmentObservationValue" id="2.16.840.1.113883.1.11.19918">
      <historyItem dateTime="2020-05-06" id="v3-ActCoverageAssessmentObservationValue-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Codes specify the category of observation, evidence, or document used to assess for services, e.g., discharge planning, or to establish eligibility for coverage under a policy or program. The type of evidence is coded as observation values.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1063</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1063">
            <codeBasedContent code="_ActCoverageAssessmentObservationValue">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ObservationSocioEconomicStatusValue" id="2.16.840.1.113883.1.11.19919">
      <historyItem dateTime="2020-05-06" id="v3-ObservationSocioEconomicStatusValue-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Code specifying observations or indicators related to socio-economic status used to assess to assess for services, e.g., discharge planning, or to establish eligibility for coverage under a policy or program.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1063</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1063">
            <codeBasedContent code="SOECSTAT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ObservationLivingSituationValue" id="2.16.840.1.113883.1.11.19920">
      <historyItem dateTime="2020-05-06" id="v3-ObservationLivingSituationValue-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Code specifying observations related to living situation for a person in a private residence.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1063</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1063">
            <codeBasedContent code="LIVSIT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ObservationLivingDependencyValue" id="2.16.840.1.113883.1.11.19921">
      <historyItem dateTime="2020-05-06" id="v3-ObservationLivingDependencyValue-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Continued living in private residence requires functional and health care assistance from spouse or life partner.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1063</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1063">
            <codeBasedContent code="LIVDEP">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ObservationHealthStatusValue" id="2.16.840.1.113883.1.11.19922">
      <historyItem dateTime="2020-05-06" id="v3-ObservationHealthStatusValue-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Code specifying non-clinical indicators related to health status used to assess or establish eligibility for coverage under a policy or program, e.g., pregnancy, disability, drug use, mental health issues.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1063</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1063">
            <codeBasedContent code="HLSTAT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ObservationEligibilityIndicatorValue" id="2.16.840.1.113883.1.11.19923">
      <historyItem dateTime="2020-05-06" id="v3-ObservationEligibilityIndicatorValue-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Code specifying eligibility indicators used to assess or establish eligibility for coverage under a policy or program eligibility status, e.g., certificates of creditable coverage; student enrollment; adoption, marriage or birth certificate.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1063</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1063">
            <codeBasedContent code="ELSTAT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActFinancialStatusObservationValue" id="2.16.840.1.113883.1.11.19924">
      <historyItem dateTime="2020-05-06" id="v3-ActFinancialStatusObservationValue-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Code specifying financial indicators used to assess or establish eligibility for coverage under a policy or program; e.g., pay stub; tax or income document; asset document; living expenses.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1063</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1063">
            <codeBasedContent code="_ActFinancialStatusObservationValue">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ObservationIncomeValue" id="2.16.840.1.113883.1.11.19925">
      <historyItem dateTime="2020-05-06" id="v3-ObservationIncomeValue-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Code specifying financial indicators used to assess or establish eligibility for coverage under a policy or program; e.g., pay stub; tax or income document; asset document; living expenses.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1063</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1063">
            <codeBasedContent code="INCOME">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ObservationAssetValue" id="2.16.840.1.113883.1.11.19926">
      <historyItem dateTime="2020-05-06" id="v3-ObservationAssetValue-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Codes specifying asset indicators used to assess or establish eligibility for coverage under a policy or program.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1063</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1063">
            <codeBasedContent code="ASSET">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ObservationLivingExpenseValue" id="2.16.840.1.113883.1.11.19927">
      <historyItem dateTime="2020-05-06" id="v3-ObservationLivingExpenseValue-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Codes specifying living expense indicators used to assess or establish eligibility for coverage under a policy or program.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1063</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1063">
            <codeBasedContent code="LIVEXP">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="AuthorizedParticipationFunction" id="2.16.840.1.113883.1.11.19929">
      <historyItem dateTime="2020-05-06" id="v3-AuthorizedParticipationFunction-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>This code is used to specify the exact function an actor is authorized to have in a service in all necessary detail.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.88</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.88">
            <codeBasedContent code="_AuthorizedParticipationFunction">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ConsenterParticipationFunction" id="2.16.840.1.113883.1.11.19930">
      <historyItem dateTime="2020-05-06" id="v3-ConsenterParticipationFunction-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>This code is used to specify the exact function an actor is authorized to have in authoring a consent directive.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.88</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.88">
            <codeBasedContent code="_ConsenterParticipationFunction">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="OverriderParticipationFunction" id="2.16.840.1.113883.1.11.19931">
      <historyItem dateTime="2020-05-06" id="v3-OverriderParticipationFunction-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>This code is used to specify the exact function an actor is authorized to have in authoring a consent override.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.88</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.88">
            <codeBasedContent code="_OverriderParticipationFunction">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="AuthorizedReceiverParticipationFunction"
             id="2.16.840.1.113883.1.11.19932">
      <historyItem dateTime="2020-05-06" id="v3-AuthorizedReceiverParticipationFunction-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>This code is used to specify the exact function an actor is authorized to have as a receiver of information that is the subject of a consent directive or consent override.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.88</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.88">
            <codeBasedContent code="_AuthorizedReceiverParticipationFunction">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Maximum amount paid or maximum number of services/products covered; or maximum amount or number covered during a specified time period under the policy or program.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="COVPRD"/>
                  <codeBasedContent code="NETAMT"/>
                  <codeBasedContent code="UNITPRICE"/>
                  <codeBasedContent code="UNITQTY"/>
               </unionWithContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.4">
                  <codeBasedContent code="_ActCoverageQuantityLimitCode">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassExposureAgentCarrier" id="2.16.840.1.113883.1.11.19937"
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      <historyItem dateTime="2020-05-06" id="v3-RoleClassExposureAgentCarrier-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An exposure agent carrier is an entity that is capable of conveying an exposure agent from one entity to another. The scoper of the role must be the exposure agent (e.g., pathogen).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
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         </content>
      </version>
   </valueSet>
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Concepts that identify the type or nature of exposure interaction. Examples include "household", "care giver", "intimate partner", "common space", "common substance", etc. to further describe the nature of interaction.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="_ActExposureCode">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActExposureLevelCode" id="2.16.840.1.113883.1.11.19939">
      <historyItem dateTime="2020-05-06" id="v3-ActExposureLevelCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A qualitative measure of the degree of exposure to the causative agent. This includes concepts such as "low", "medium" and "high". This quantifies how the quantity that was available to be administered to the target differs from typical or background levels of the substance.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1114">
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ExposureMode" id="2.16.840.1.113883.1.11.19940">
      <historyItem dateTime="2020-05-06" id="v3-ExposureMode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Code for the mechanism by which the exposure agent was exchanged or potentially exchanged by the participants involved in the exposure.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1113</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1113">
            <codeBasedContent code="_ExposureMode">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActMoodGoal" id="2.16.840.1.113883.1.11.19941" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActMoodGoal-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Definition:**An observation that is considered to be desirable to occur in the future. The essential feature of a goal is that if it occurs it would be considered as a marker of a positive outcome or of progress towards a positive outcome.</p>
                  <p>**Examples:**Target weight below 80Kg, Stop smoking, Regain ability to walk, goal is to administer thrombolytics to candidate patients presenting with acute myocardial infarction.</p>
                  <b>Discussion:</b>INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with goal which doesn't represent an intention to act, merely a hope for an eventual result. A goal is distinct from the intended actions to reach that goal. "I will reduce the dose of drug x to 20mg" is an intent. "I hope to be able to get the patient to the point where I can reduce the dose of drug x to 20mg" is a goal. EXPEC (expectation) reflects a prediction rather than a hope. RSK (risk) reflects a potential negative event rather than a hope.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1001</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1001">
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActMoodOption" id="2.16.840.1.113883.1.11.19942" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActMoodOption-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An option is an alternative set of property-value bindings. Options specify alternative sets of values, typically used in definitions or orders to describe alternatives. An option can only be used as a group, that is, all assigned values must be used together.</p>
                  <p>Historical note: in HL7 v2.x option existed in the special case for alternative medication routes (RXR segment).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1001</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1001">
            <codeBasedContent code="OPT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActMoodPermission" id="2.16.840.1.113883.1.11.19943" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActMoodPermission-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A kind of service which is authorized to be performed.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1001</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1001">
            <codeBasedContent code="PERM">
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActMoodPermissionRequest" id="2.16.840.1.113883.1.11.19944"
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      <historyItem dateTime="2020-05-06" id="v3-ActMoodPermissionRequest-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A request for authorization to perform a kind of service.</p>
                  <p>This is distinct from RQO which is a request for an actual act. PERMRQ is merely a request for permission to perform an act.*Discussion:*</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1001</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1001">
            <codeBasedContent code="PERMRQ">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActMoodPromise" id="2.16.840.1.113883.1.11.19945" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActMoodPromise-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An intent to perform a service that has the strength of a commitment, i.e., other parties may rely on the originator of such promise that said originator will see to it that the promised act will be fulfilled. A promise can be either solicited or unsolicited.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1001</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1001">
            <codeBasedContent code="PRMS">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActMoodRecommendation" id="2.16.840.1.113883.1.11.19946"
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      <historyItem dateTime="2020-05-06" id="v3-ActMoodRecommendation-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A non-mandated intent to perform an act where a level of professional responsibility is being accepted by making the proposal.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1001</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1001">
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActMoodRequest" id="2.16.840.1.113883.1.11.19947" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActMoodRequest-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A request or order for a service is an intent directed from a placer (request author) to a fulfiller (service performer).</p>
                  <i>Rationale:</i>The concepts of a "request" and an "order" are viewed as different, because there is an implication of a mandate associated with order. In practice, however, this distinction has no general functional value in the inter-operation of health care computing. "Orders" are commonly refused for a variety of clinical and business reasons, and the notion of a "request" obligates the recipient (the fulfiller) to respond to the sender (the author). Indeed, in many regions, including Australia and Europe, the common term used is "request."<p>Thus, the concept embodies both notions, as there is no useful distinction to be made. If a mandate is to be associated with a request, this will be embodied in the "local" business rules applied to the transactions. Should HL7 desire to provide a distinction between these in the future, the individual concepts could be added as specializations of this concept.</p>
                  <p>The critical distinction here, is the difference between this concept and an "intent", of which it is a specialization. An intent involves decisions by a single party, the author. A request, however, involves decisions by two parties, the author and the fulfiller, with an obligation on the part of the fulfiller to respond to the request indicating that the fulfiller will indeed fulfill the request.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1001">
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            </codeBasedContent>
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      </version>
   </valueSet>
   <valueSet name="ActMoodRisk" id="2.16.840.1.113883.1.11.19948" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActMoodRisk-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Definition:**An act that may occur in the future and which is regarded as undesirable. The essential feature of a risk is that if it occurs this would be regarded as a marker of a negative outcome or of deterioration towards a negative outcome. Recording a risk indicates that it is seen as more likely to occur in the subject than in a general member of the population but does not mean it is expected to occur.</p>
                  <p>**Examples:**Increased risk of DVT, at risk for sub-acute bacterial endocarditis.</p>
                  <p>**Discussion:**Note: An observation in RSK mood expresses the undesirable act, and not the underlying risk factor. A risk factor that is present (e.g. obesity, smoking, etc) should be expressed in event mood. INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with RSK (risk), which is the potential that something negative will occur that may or may not ever happen. GOL (goal) reflects a hope to achieve something. EXPEC (expectation) is the prediction of a positive or negative event. This contrasts with RSK (risk), which is the potential that something negative will occur that may or may not ever happen, and may not be expected to happen.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1001</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1001">
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         </content>
      </version>
   </valueSet>
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      <historyItem dateTime="2020-05-06" id="v3-ActMoodResourceSlot-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Periods of time on a schedule for a resource. Appointments occupy sets of one or more booked slots. A slot that is open for appointments is considered available and a slot that is held back for administrative purposes is considered blocked. A Resource slot that is "tentatively" booked is referred to as reserved.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1001">
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         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipCheckpointBeginning" id="2.16.840.1.113883.1.11.19950"
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      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipCheckpointBeginning-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Condition is tested every time before execution of the service (WHILE condition DO service).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.10">
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         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipCheckpointEnd" id="2.16.840.1.113883.1.11.19951"
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Condition is tested at the end of a repeated service execution. The service is repeated only if the condition is true (DO service WHILE condition).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.10</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.10">
            <codeBasedContent code="E">
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            </codeBasedContent>
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      </version>
   </valueSet>
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Condition is tested once before the service is executed (IF condition THEN service).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.10</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.10">
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      </version>
   </valueSet>
   <valueSet name="ActRelationshipCheckpointThrough" id="2.16.840.1.113883.1.11.19953"
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Condition must be true throughout the execution and the service is interrupted (asynchronously) as soon as the condition turns false (asynchronous WHILE loop). The service must be interruptible.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.10">
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Condition is a loop checkpoint, i.e. it is a step of an activity plan and, if negative causes the containing loop to exit.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.10">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Detach this branch from the other branches so it will not be resynchronized with the other branches.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.12">
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>When all other concurrent branches are terminated, interrupt and discontinue this branch.</p>
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            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.12</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Wait for this branch to terminate.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.12</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.12">
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            </codeBasedContent>
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      </version>
   </valueSet>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Wait for any one of the branches in the set of exclusive wait branches to terminate, then discontinue all the other exclusive wait branches.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.12</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.12">
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipSplitExclusiveTryOnce" id="2.16.840.1.113883.1.11.19959"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The pre-condition associated with the branch is evaluated once and if true the branch may be entered. All other exclusive branches compete with each other and only one will be selected. This implements a COND, IF and CASE conditionals, or "XOR-split." The order in which the branches are considered may be specified in the priorityNumber attribute.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.13</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.13">
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   </valueSet>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A branch is selected as soon as the pre-condition associated with the branch evaluates to true. If the condition is false, the branch may be entered later, when the condition turns true. All other exclusive branches compete with each other and only one will be selected. Each waiting branch executes in parallel with the default join code wait (see below). The order in which the branches are considered may be specified in the Service\_relationship.priority\_nmb.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.13</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.13">
            <codeBasedContent code="EW">
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            </codeBasedContent>
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      </version>
   </valueSet>
   <valueSet name="ActRelationshipSplitInclusiveTryOnce" id="2.16.840.1.113883.1.11.19961"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A branch is executed if its associated preconditions permit. If associated preconditions do not permit, the branch is dropped. Inclusive branches are not suppressed and do not suppress other branches.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.13</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.13">
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   </valueSet>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A branch is executed as soon as its associated conditions permit. If the condition is false, the branch may be entered later, when the condition turns true. Inclusive branches are not suppressed and do not suppress other branches. Each waiting branch executes in parallel with the default join code wait (see below).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.13</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.13">
            <codeBasedContent code="IW">
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipIsAppendage" id="2.16.840.1.113883.1.11.19963"
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      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipIsAppendage-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An addendum (source) to an existing service object (target), containing supplemental information. The addendum is itself an original service object linked to the supplemented service object. The supplemented service object remains in place and its content and status are unaltered.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="APND">
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipArrival" id="2.16.840.1.113883.1.11.19964"
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      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipArrival-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The relationship that links to a Transportation Act (target) from another Act (source) indicating that the subject of the source Act entered into the source Act by means of the target Transportation act.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="ARR">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipAuthorizedBy" id="2.16.840.1.113883.1.11.19965"
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      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipAuthorizedBy-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A relationship in which the target act authorizes or certifies the source act.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipBlocks" id="2.16.840.1.113883.1.11.19966"
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      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipBlocks-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Definition:</b>The source act is performed to block the effects of the target act. This act relationship should be used when describing near miss type incidents where potential harm could have occurred, but the action described in the source act blocked the potential harmful effects of the incident actually occurring.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipIsEtiologyFor" id="2.16.840.1.113883.1.11.19967"
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      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipIsEtiologyFor-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An assertion that a new observation was assumed to be the cause for another existing observation. The assumption is attributed to the same actor who asserts the observation. This is stronger and more specific than the support link. For example, a growth of Staphylococcus aureus may be considered the cause of an abscess. The source (cause) is typically an observation, but may be any service, while the target must be an observation.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="CAUS">
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipHasCharge" id="2.16.840.1.113883.1.11.19968"
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      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipHasCharge-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A relationship that provides an ability to associate a financial transaction (target) as a charge to a clinical act (source). A clinical act may have a charge associated with the execution or delivery of the service.</p>
                  <p>The financial transaction will define the charge (bill) for delivery or performance of the service.</p>
                  <p>Charges and costs are distinct terms. A charge defines what is charged or billed to another organization or entity within an organization. The cost defines what it costs an organization to perform or deliver a service or product.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
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      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipHasContra-indication-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A contraindication is just a negation of a reason, i.e. it gives a condition under which the action is not to be done. Both, source and target can be any kind of service; target service is in criterion mood. How the strength of a contraindication is expressed (e.g., relative, absolute) is left as an open issue. The priorityNumber attribute could be used.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipHasCost" id="2.16.840.1.113883.1.11.19970"
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      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipHasCost-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A relationship that provides an ability to associate a financial transaction (target) as a cost to a clinical act (source). A clinical act may have an inherit cost associated with the execution or delivery of the service.</p>
                  <p>The financial transaction will define the cost of delivery or performance of the service.</p>
                  <p>Charges and costs are distinct terms. A charge defines what is charged or billed to another organization or entity within an organization. The cost defines what it costs an organization to perform or deliver a service or product.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
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            </codeBasedContent>
         </content>
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   </valueSet>
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      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipCoveredBy-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A relationship in which the source act is covered by or is under the authority of a target act. A financial instrument such as an Invoice Element is covered by one or more specific instances of an Insurance Policy.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipHasCredit" id="2.16.840.1.113883.1.11.19972"
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      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipHasCredit-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A credit relationship ties a financial transaction (target) to an account (source). A credit, once applied (posted), may have either a positive or negative effect on the account balance, depending on the type of account. An asset account credit will decrease the account balance. A non-asset account credit will decrease the account balance.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipHasControlVariable" id="2.16.840.1.113883.1.11.19973"
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      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipHasControlVariable-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A relationship from an Act to a Control Variable. For example, if a Device makes an Observation, this relates the Observation to its Control Variables documenting the device's settings that influenced the observation.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipCurativeIndication" id="2.16.840.1.113883.1.11.19974"
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      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipCurativeIndication-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2012-03-15">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipAdjunctCurativeIndication"
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             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipAdjunctCurativeIndication-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2012-03-15">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="CURE.ADJ">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipHasDebit" id="2.16.840.1.113883.1.11.19976"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipHasDebit-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A debit relationship ties a financial transaction (target) to an account (source). A debit, once applied (posted), may have either a positive or negative effect on the account balance, depending on the type of account. An asset account debit will increase the account balance. A non-asset account debit will decrease the account balance.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="DEBIT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipDeparture" id="2.16.840.1.113883.1.11.19977"
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      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipDeparture-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The relationship that links to a Transportation Act (target) from another Act (source) indicating that the subject of the source Act departed from the source Act by means of the target Transportation act.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="DEP">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipDiagnosis" id="2.16.840.1.113883.1.11.19978"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipDiagnosis-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="DIAG">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipDocuments" id="2.16.840.1.113883.1.11.19979"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipDocuments-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The source act documents the target act.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="DOC">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipIsDerivedFrom" id="2.16.840.1.113883.1.11.19980"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipIsDerivedFrom-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Associates a derived Act with its input parameters. E.G., an anion-gap observation can be associated as being derived from given sodium-, (potassium-,), chloride-, and bicarbonate-observations. The narrative content (Act.text) of a source act is wholly machine-derived from the collection of target acts.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="DRIV">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipEpisodelink" id="2.16.840.1.113883.1.11.19981"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipEpisodelink-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Expresses an association that links two instances of the same act over time, indicating that the instance are part of the same episode, e.g. linking two condition nodes for episode of illness; linking two encounters for episode of encounter.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="ELNK">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipProvidesEvidenceFor" id="2.16.840.1.113883.1.11.19982"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipProvidesEvidenceFor-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Indicates that the target Act provides evidence in support of the action represented by the source Act. The target is not a 'reason' for the source act, but rather gives supporting information on why the source act is an appropriate course of action. Possible targets might be clinical trial results, journal articles, similar successful therapies, etc.</p>
                  <i>Rationale:</i>Provides a mechanism for conveying clinical justification for non-approved or otherwise non-traditional therapies.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="EVID">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipHasExplanation" id="2.16.840.1.113883.1.11.19983"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipHasExplanation-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>This is the inversion of support. Used to indicate that a given observation is explained by another observation or condition.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="EXPL">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipHasGeneralization" id="2.16.840.1.113883.1.11.19984"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipHasGeneralization-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The generalization relationship can be used to express categorical knowledge about services (e.g., amilorid, triamterene, and spironolactone have the common generalization potassium sparing diuretic).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="GEN">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipEvaluatesGoal" id="2.16.840.1.113883.1.11.19985"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipEvaluatesGoal-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A goal-evaluation links an observation (intent or actual) to a goal to indicate that the observation evaluates the goal. Given the goal and the observation, a "goal distance" (e.g., goal to observation) can be "calculated" and need not be sent explicitly.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="GEVL">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipHasGoal" id="2.16.840.1.113883.1.11.19986"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipHasGoal-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A goal that one defines given a patient's health condition. Subsequently planned actions aim to meet that goal. Source is an observation or condition node, target must be an observation in goal mood.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="GOAL">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipInstantiatesMaster" id="2.16.840.1.113883.1.11.19987"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipInstantiatesMaster-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Used to capture the link between a potential service ("master" or plan) and an actual service, where the actual service instantiates the potential service. The instantiation may override the master's defaults.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="INST">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipItemsLocated" id="2.16.840.1.113883.1.11.19988"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipItemsLocated-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Items located</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="ITEMSLOC">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipLimitedBy" id="2.16.840.1.113883.1.11.19989"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipLimitedBy-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A relationship that limits or restricts the source act by the elements of the target act. For example, an authorization may be limited by a financial amount (up to $500). Target Act must be in EVN.CRIT mood.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="LIMIT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipIsManifestationOf" id="2.16.840.1.113883.1.11.19990"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipIsManifestationOf-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An assertion that a new observation may be the manifestation of another existing observation or action. This assumption is attributed to the same actor who asserts the manifestation. This is stronger and more specific than an inverted support link. For example, an agitated appearance can be asserted to be the manifestation (effect) of a known hyperthyroxia. This expresses that one might not have realized a symptom if it would not be a common manifestation of a known condition. The target (cause) may be any service, while the source (manifestation) must be an observation.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="MFST">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipMitigates" id="2.16.840.1.113883.1.11.19991"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipMitigates-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The source act removes or lessens the occurrence or effect of the target act.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="MITGT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipModifies" id="2.16.840.1.113883.1.11.19992"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipModifies-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Definition: Used to link a newer version or 'snapshot' of a business object (source) to an older version or 'snapshot' of the same business object (target).</p>
                  <p>*Usage:*The identifier of the Act should be the same for both source and target. If the identifiers are distinct, RPLC should be used instead.</p>
                  <p>Name from source to target = "modifiesPrior"</p>
                  <p>Name from target to source = "modifiesByNew"</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="MOD">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipMatchesTrigger" id="2.16.840.1.113883.1.11.19993"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipMatchesTrigger-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A trigger-match links an actual service (e.g., an observation or procedure that took place) with a service in criterion mood. For example if the trigger is "observation of pain" and pain is actually observed, and if that pain-observation caused the trigger to fire, that pain-observation can be linked with the trigger.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="MTCH">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipAdjunctMitigation" id="2.16.840.1.113883.1.11.19994"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipAdjunctMitigation-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2012-03-15">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="MTGT.ADJ">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipAssignsName" id="2.16.840.1.113883.1.11.19995"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipAssignsName-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Used to assign a "name" to a condition thread. Source is a condition node, target can be any service.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="NAME">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipHasContinuingObjective" id="2.16.840.1.113883.1.11.19996"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipHasContinuingObjective-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A desired state that a service action aims to maintain. E.g., keep systolic blood pressure between 90 and 110 mm Hg. Source is an intervention service. Target must be an observation in criterion mood.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="OBJC">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipHasFinalObjective" id="2.16.840.1.113883.1.11.19997"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipHasFinalObjective-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A desired outcome that a service action aims to meet finally. Source is any service (typically an intervention). Target must be an observation in criterion mood.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="OBJF">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipOccurrence" id="2.16.840.1.113883.1.11.19998"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipOccurrence-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The source act is a single occurrence of a repeatable target act. The source and target act can be in any mood on the "completion track" but the source act must be as far as or further along the track than the target act (i.e., the occurrence of an intent can be an event but not vice versa).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="OCCR">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipHasOption" id="2.16.840.1.113883.1.11.19999"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipHasOption-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A relationship between a source Act that provides more detailed properties to the target Act.</p>
                  <p>The source act thus is a specialization of the target act, but instead of mentioning all the inherited properties it only mentions new property bindings or refinements.</p>
                  <p>The typical use case is to specify certain alternative variants of one kind of Act. The priorityNumber attribute is used to weigh refinements as preferred over other alternative refinements.</p>
                  <p>Example: several routing options for a drug are specified as one SubstanceAdministration for the general treatment with attached refinements for the various routing options.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="OPTN">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="PersonNameUse" id="2.16.840.1.113883.1.11.200">
      <historyItem dateTime="2020-05-06" id="v3-PersonNameUse-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A code indicating the type of name (e.g. nickname, alias, maiden name, legal, adopted)</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.45</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.45">
                  <codeBasedContent code="_PersonNameUse">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.17860"/>
               </unionWithContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipReferencesOrder" id="2.16.840.1.113883.1.11.20000"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipReferencesOrder-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Relates either an appointment request or an appointment to the order for the service being scheduled.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="OREF">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipHasPre-condition" id="2.16.840.1.113883.1.11.20001"
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      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipHasPre-condition-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A requirement to be true before a service is performed. The target can be any service in criterion mood. For multiple pre-conditions a conjunction attribute (AND, OR, XOR) is applicable.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="PRCN">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipHasPreviousInstance" id="2.16.840.1.113883.1.11.20002"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipHasPreviousInstance-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A relationship in which the target act is a predecessor instance to the source act. Generally each of these instances is similar, but no identical. In healthcare coverage it is used to link a claim item to a previous claim item that might have claimed for the same set of services.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="PREV">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipRe-challenge" id="2.16.840.1.113883.1.11.20003"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipRe-challenge-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**A relationship in which the target act is carried out to determine whether an effect attributed to the source act can be recreated.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="RCHAL">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipRecovery" id="2.16.840.1.113883.1.11.20004"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipRecovery-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Definition:</b>The source act is performed to recover from the effects of the target act.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="RCVY">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipRefersTo" id="2.16.840.1.113883.1.11.20005"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipRefersTo-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A relationship in which the target act is referred to by the source act. This permits a simple reference relationship that distinguishes between the referent and the referee.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="REFR">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipHasReferenceValues" id="2.16.840.1.113883.1.11.20006"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipHasReferenceValues-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Reference ranges are essentially descriptors of a class of result values assumed to be "normal", "abnormal", or "critical." Those can vary by sex, age, or any other criterion. Source and target are observations, the target is in criterion mood. This link type can act as a trigger in case of alarms being triggered by critical results.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="REFV">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipReverses" id="2.16.840.1.113883.1.11.20007"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipReverses-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A relationship between a source Act that seeks to reverse or undo the action of the prior target Act.</p>
                  <p>Example: A posted financial transaction (e.g., a debit transaction) was applied in error and must be reversed (e.g., by a credit transaction) the credit transaction is identified as an undo (or reversal) of the prior target transaction.</p>
                  <p>Constraints: the "completion track" mood of the target Act must be equally or more "actual" than the source act. I.e., when the target act is EVN the source act can be EVN, or any INT. If the target act is INT, the source act can be INT.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="REV">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipHasRisk" id="2.16.840.1.113883.1.11.20008"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipHasRisk-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A noteworthy undesired outcome of a patient's condition that is either likely enough to become an issue or is less likely but dangerous enough to be addressed.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="RISK">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipReplaces" id="2.16.840.1.113883.1.11.20009"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipReplaces-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A replacement source act replaces an existing target act. The state of the target act being replaced becomes obselete, but the act is typically still retained in the system for historical reference. The source and target must be of the same type.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="RPLC">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipStartsAfterEndOf" id="2.16.840.1.113883.1.11.20010"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipStartsAfterEndOf-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**A relationship in which the target act takes place with a defined temporal relationship with respect to the time at which the source act terminates.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="SAE">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipStartsAfterStartOf" id="2.16.840.1.113883.1.11.20011"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipStartsAfterStartOf-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The source Act starts after the start of the target Act (i.e. if we say "ActOne SAS ActTwo", it means that ActOne starts after the start of ActTwo, therefore ActOne is the source and ActTwo is the target).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="SAS">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipSchedulesRequest" id="2.16.840.1.113883.1.11.20012"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipSchedulesRequest-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Associates a specific time (and associated resources) with a scheduling request or other intent.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="SCH">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipHasBoundedSupport" id="2.16.840.1.113883.1.11.20013"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipHasBoundedSupport-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A specialization of "has support" (SPRT), used to relate a secondary observation to a Region of Interest on a multidimensional observation, if the ROI specifies the true boundaries of the secondary observation as opposed to only marking the approximate area. For example, if the start and end of an ST elevation episode is visible in an EKG, this relation would indicate the ROI bounds the "ST elevation" observation -- the ROI defines the true beginning and ending of the episode. Conversely, if a ROI simply contains ST elevation, but it does not define the bounds (start and end) of the episode, the more general "has support" relation is used. Likewise, if a ROI on an image defines the true bounds of a "1st degree burn", the relation "has bounded support" is used; but if the ROI only points to the approximate area of the burn, the general "has support" relation is used.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="SPRTBND">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipHasSubject" id="2.16.840.1.113883.1.11.20014"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipHasSubject-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Relates an Act to its subject Act that the first Act is primarily concerned with.</p>
                  <p>Examples</p>
                  <ul>
                     <li>
                        <p>The first Act may be a ControlAct manipulating the subject Act</p>
                     </li>
                     <li>
                        <p>The first act is a region of interest (ROI) that defines a region within the subject Act.</p>
                     </li>
                     <li>
                        <p>The first act is a reporting or notification Act, that echos the subject Act for a specific new purpose.</p>
                     </li>
                  </ul>
                  <p>Constraints</p>
                  <p>An Act may have multiple subject acts.</p>
                  <p>Rationale</p>
                  <p>The ActRelationshipType "has subject" is similar to the ParticipationType "subject", Acts that primarily operate on physical subjects use the Participation, those Acts that primarily operate on other Acts (other information) use the ActRelationship.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="SUBJ">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipSummarizedBy" id="2.16.840.1.113883.1.11.20016"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipSummarizedBy-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An act that contains summary values for a list or set of subordinate acts. For example, a summary of transactions for a particular accounting period.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="SUMM">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipSymptomaticRelief" id="2.16.840.1.113883.1.11.20017"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipSymptomaticRelief-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Used in the diagnosis of the indicated disease.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="SYMP">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipHasTrigger" id="2.16.840.1.113883.1.11.20018"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipHasTrigger-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A pre-condition that if true should result in the source Act being executed. The target is in typically in criterion mood. When reported after the fact (i.e. the criterion has been met) it may be in Event mood. A delay between the trigger and the triggered action can be specified.</p>
                  <i>Discussion:</i>This includes the concept of a required act for a service or financial instrument such as an insurance plan or policy. In such cases, the trigger is the occurrence of a specific condition such as coverage limits being exceeded.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="TRIG">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipUpdatesCondition" id="2.16.840.1.113883.1.11.20019"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipUpdatesCondition-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A condition thread relationship specifically links condition nodes together to form a condition thread. The source is the new condition node and the target links to the most recent node of the existing condition thread.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="UPDT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipExcerptVerbatim" id="2.16.840.1.113883.1.11.20020"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipExcerptVerbatim-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The source is a direct quote from the target.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="VRXCRPT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipTransformation" id="2.16.840.1.113883.1.11.20021"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipTransformation-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Used when the target Act is a transformation of the source Act. (For instance, used to show that a CDA document is a transformation of a DICOM SR document.)</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="XFRM">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActStatusAborted" id="2.16.840.1.113883.1.11.20022" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActStatusAborted-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The Act has been terminated prior to the originally intended completion.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.14</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.14">
            <codeBasedContent code="aborted">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActStatusActive" id="2.16.840.1.113883.1.11.20023" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActStatusActive-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The Act can be performed or is being performed</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.14</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.14">
            <codeBasedContent code="active">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActStatusCancelled" id="2.16.840.1.113883.1.11.20024" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActStatusCancelled-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The Act has been abandoned before activation.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.14</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.14">
            <codeBasedContent code="cancelled">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
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   </valueSet>
   <valueSet name="ActStatusCompleted" id="2.16.840.1.113883.1.11.20025" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActStatusCompleted-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An Act that has terminated normally after all of its constituents have been performed.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.14</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.14">
            <codeBasedContent code="completed">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActStatusHeld" id="2.16.840.1.113883.1.11.20026" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActStatusHeld-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An Act that is still in the preparatory stages has been put aside. No action can occur until the Act is released.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.14</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.14">
            <codeBasedContent code="held">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
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      </version>
   </valueSet>
   <valueSet name="ActStatusNew" id="2.16.840.1.113883.1.11.20027" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActStatusNew-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An Act that is in the preparatory stages and may not yet be acted upon</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.14</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.14">
            <codeBasedContent code="new">
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActStatusNullified" id="2.16.840.1.113883.1.11.20028" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActStatusNullified-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>This Act instance was created in error and has been 'removed' and is treated as though it never existed. A record is retained for audit purposes only.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.14</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.14">
            <codeBasedContent code="nullified">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActStatusObsolete" id="2.16.840.1.113883.1.11.20029" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActStatusObsolete-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>This Act instance has been replaced by a new instance.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.14</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.14">
            <codeBasedContent code="obsolete">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActStatusSuspended" id="2.16.840.1.113883.1.11.20030" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActStatusSuspended-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An Act that has been activated (actions could or have been performed against it), but has been temporarily disabled. No further action should be taken against it until it is released</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.14</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.14">
            <codeBasedContent code="suspended">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ContextControlAdditiveNon-propagating" id="2.16.840.1.113883.1.11.20031">
      <historyItem dateTime="2020-05-06" id="v3-ContextControlAdditiveNon-propagating-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The association adds to the existing context associated with the Act, but will not propagate to any descendant Acts reached by conducting ActRelationships (see contextControlCode). Examples: If an 'Author' Participation were marked as "Additive, Non-Propagating" it means that the author will be added to the set of author participations that have propagated from ancestor Acts for the purpose of this Act. However only the previously propagated authors will propagate to any child Acts that allow context to be propagated.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1057</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1057">
            <codeBasedContent code="AN">
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ContextControlAdditivePropagating" id="2.16.840.1.113883.1.11.20032">
      <historyItem dateTime="2020-05-06" id="v3-ContextControlAdditivePropagating-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The association adds to the existing context associated with the Act, and will propagate to any descendant Acts reached by conducting ActRelationships (see contextControlCode). Examples: If an 'Author' Participation were marked as "Additive, Propagating" it means that the author will be added to the set of author participations that have propagated from ancestor Acts, and will itself propagate with the other authors to any child Acts that allow context to be propagated.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1057</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1057">
            <codeBasedContent code="AP">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ContextControlOverridingNon-propagating"
             id="2.16.840.1.113883.1.11.20033">
      <historyItem dateTime="2020-05-06" id="v3-ContextControlOverridingNon-propagating-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The association is added to the existing context associated with the Act, but overrides an association with the same typeCode. However, this overriding association will not propagate to any descendant Acts reached by conducting ActRelationships (see contextControlCode). Examples: If an 'Author' Participation were marked as "Overriding, Non-Propagating" it means that the author will replace the set of author participations that have propagated from ancestor Acts. Furthermore, no author participations whatsoever will propagate to any child Acts that allow context to be propagated.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1057</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1057">
            <codeBasedContent code="ON">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ContextControlOverridingPropagating" id="2.16.840.1.113883.1.11.20034">
      <historyItem dateTime="2020-05-06" id="v3-ContextControlOverridingPropagating-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The association is added to the existing context associated with the Act, but overrides an association with the same typeCode. This overriding association will propagate to any descendant Acts reached by conducting ActRelationships (see contextControlCode). Examples: If an 'Author' Participation were marked as "Overriding, Propagating" it means that the author will replace the set of author participations that have propagated from ancestor Acts, and will itself be the only author to propagate to any child Acts that allow context to be propagated.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1057</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1057">
            <codeBasedContent code="OP">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="EntityClassAnimal" id="2.16.840.1.113883.1.11.20035" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-EntityClassAnimal-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A living subject from the animal kingdom.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.41</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.41">
            <codeBasedContent code="ANM">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="EntityClassCertificateRepresentation" id="2.16.840.1.113883.1.11.20036"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-EntityClassCertificateRepresentation-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A physical artifact that stores information about the granting of authorization.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.41</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.41">
            <codeBasedContent code="CER">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="EntityClassChemicalSubstance" id="2.16.840.1.113883.1.11.20037"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-EntityClassChemicalSubstance-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A substance that is fully defined by an organic or inorganic chemical formula, includes mixtures of other chemical substances. Refine using, e.g., IUPAC codes.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.41</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.41">
            <codeBasedContent code="CHEM">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="EntityClassCityOrTown" id="2.16.840.1.113883.1.11.20038"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-EntityClassCityOrTown-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The territory of a city, town or other municipality.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.41</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.41">
            <codeBasedContent code="CITY">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="EntityClassCountry" id="2.16.840.1.113883.1.11.20039" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-EntityClassCountry-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The territory of a sovereign nation.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.41</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.41">
            <codeBasedContent code="COUNTRY">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="EntityClassCountyOrParish" id="2.16.840.1.113883.1.11.20040"
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      <historyItem dateTime="2020-05-06" id="v3-EntityClassCountyOrParish-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The territory of a county, parish or other division of a state or province.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.41</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.41">
            <codeBasedContent code="COUNTY">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="EntityClassFood" id="2.16.840.1.113883.1.11.20041" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-EntityClassFood-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Naturally occurring, processed or manufactured entities that are primarily used as food for humans and animals.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.41</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.41">
            <codeBasedContent code="FOOD">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="EntityClassHealthChartEntity" id="2.16.840.1.113883.1.11.20042"
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      <historyItem dateTime="2020-05-06" id="v3-EntityClassHealthChartEntity-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A health chart included to serve as a document receiving entity in the management of medical records.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.41</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.41">
            <codeBasedContent code="HCE">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
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      </version>
   </valueSet>
   <valueSet name="EntityClassHolder" id="2.16.840.1.113883.1.11.20043" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-EntityClassHolder-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A type of container that can hold other containers or other holders.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.41</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.41">
            <codeBasedContent code="HOLD">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
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         </content>
      </version>
   </valueSet>
   <valueSet name="EntityClassMicroorganism" id="2.16.840.1.113883.1.11.20044"
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      <historyItem dateTime="2020-05-06" id="v3-EntityClassMicroorganism-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>All single celled living organisms including protozoa, bacteria, yeast, viruses, etc.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.41</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.41">
            <codeBasedContent code="MIC">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
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         </content>
      </version>
   </valueSet>
   <valueSet name="EntityClassImagingModality" id="2.16.840.1.113883.1.11.20045"
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      <historyItem dateTime="2020-05-06" id="v3-EntityClassImagingModality-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Class to contain unique attributes of diagnostic imaging equipment.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.41</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.41">
            <codeBasedContent code="MODDV">
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         </content>
      </version>
   </valueSet>
   <valueSet name="EntityClassNation" id="2.16.840.1.113883.1.11.20046" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-EntityClassNation-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A politically organized body of people bonded by territory and known as a nation.</p>
               </text>
            </description>
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               <text>
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               <text>
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An advisor participating in the service by performing evaluations and making recommendations.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The target participation for an individual in a health care coverage act in which the target role is either the policy holder of the coverage, or a covered party under the coverage.</p>
               </text>
            </description>
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      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.90">
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Target that is taken up, is diminished, and disappears in the service.</p>
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            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.90">
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   <valueSet name="ParticipationCustodian" id="2.16.840.1.113883.1.11.20073"
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An entity (person, organization or device) that is in charge of maintaining the information of this act (e.g., who maintains the report or the master service catalog item, etc.).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.90">
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   <valueSet name="ParticipationDischarger" id="2.16.840.1.113883.1.11.20074"
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The practitioner who is responsible for the discharge of a patient from a patient encounter.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.90">
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   </valueSet>
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      <historyItem dateTime="2020-05-06" id="v3-ParticipationDistributor-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Distributes material used in or generated during the act.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.90">
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      </version>
   </valueSet>
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      <historyItem dateTime="2020-05-06" id="v3-ParticipationDonor-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>In some organ transplantation services and rarely in transfusion services a donor will be a target participant in the service. However, in most cases transplantation is decomposed in three services: explantation, transport, and implantation. The identity of the donor (recipient) is often irrelevant for the explantation (implantation) service.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.90">
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            </codeBasedContent>
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      </version>
   </valueSet>
   <valueSet name="ParticipationDestination" id="2.16.840.1.113883.1.11.20077"
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      <historyItem dateTime="2020-05-06" id="v3-ParticipationDestination-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The destination for services. May be a static building (or room therein) or a movable facility (e.g., ship).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.90">
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      <historyItem dateTime="2020-05-06" id="v3-ParticipationEntryLocation-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A location where data about an Act was entered.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.90">
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   <valueSet name="ParticipationDataEntryPerson" id="2.16.840.1.113883.1.11.20079"
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      <historyItem dateTime="2020-05-06" id="v3-ParticipationDataEntryPerson-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A person entering the data into the originating system. The data entry person is collected optionally for internal quality control purposes. This includes the transcriptionist for dictated text.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.90">
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            </codeBasedContent>
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   </valueSet>
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Only with Transportation services. A person who escorts the patient.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>The entity playing the associated role is the physical (including energy), chemical or biological substance that is participating in the exposure. For example in communicable diseases, the associated playing entity is the disease causing pathogen.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>The entity playing the associated role is the target (contact) of exposure.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**The entity playing the associated role is the source of exposure.</p>
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            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.90">
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      <historyItem dateTime="2020-05-06" id="v3-ParticipationGuarantorParty-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The target person or organization contractually recognized by the issuer as a participant who has assumed fiscal responsibility for another personaTMs financial obligations by guaranteeing to pay for amounts owed to a particular account</p>
                  <p>*Example:*The subscriber of the patientaTMs health insurance policy signs a contract with the provider to be fiscally responsible for the patient billing account balance amount owed.</p>
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            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.90">
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   </valueSet>
   <valueSet name="ParticipationHolder" id="2.16.840.1.113883.1.11.20085" isImmutable="true">
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Participant who posses an instrument such as a financial contract (insurance policy) usually based on some agreement with the author.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.90">
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      <historyItem dateTime="2020-05-06" id="v3-ParticipationInformant-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A source of reported information (e.g., a next of kin who answers questions about the patient's history). For history questions, the patient is logically an informant, yet the informant of history questions is implicitly the subject.</p>
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            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A verifier who legally authenticates the accuracy of an act. An example would be a staff physician who sees a patient and dictates a note, then later signs it. Their signature constitutes a legal authentication.</p>
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            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An information recipient to notify for urgent matters about this Act. (e.g., in a laboratory order, critical results are being called by phone right away, this is the contact to call; or for an inpatient encounter, a next of kin to notify when the patient becomes critically ill).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A device that changes ownership due to the service, e.g., a pacemaker, a prosthesis, an insulin injection equipment (pen), etc. Such material may need to be restocked after he service.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.90">
            <codeBasedContent code="NRD">
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      </version>
   </valueSet>
   <valueSet name="ParticipationOrigin" id="2.16.840.1.113883.1.11.20090" isImmutable="true">
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The location of origin for services. May be a static building (or room therein) or a movable facility (e.g., ship).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
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      <historyItem dateTime="2020-05-06" id="v3-ParticipationPrimaryPerformer-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The principal or primary performer of the act.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.90">
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   </valueSet>
   <valueSet name="ParticipationPrimaryInformationRecipient"
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      <historyItem dateTime="2020-05-06" id="v3-ParticipationPrimaryInformationRecipient-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Information recipient to whom an act statement is primarily directed. E.g., a primary care provider receiving a discharge letter from a hospitalist, a health department receiving information on a suspected case of infectious disease. Multiple of these participations may exist on the same act without requiring that recipients be ranked as primary vs. secondary.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.90">
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      <historyItem dateTime="2020-05-06" id="v3-ParticipationProduct-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A material target that is brought forth (produced) in the service (e.g., specimen in a specimen collection, access or drainage in a placement service, medication package in a dispense service). It doesn't matter whether the material produced had existence prior to the service, or whether it is created in the service (e.g., in supply services the product is taken from a stock).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.90">
            <codeBasedContent code="PRD">
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ParticipationRecordTarget" id="2.16.840.1.113883.1.11.20094"
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      <historyItem dateTime="2020-05-06" id="v3-ParticipationRecordTarget-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The record target indicates whose medical record holds the documentation of this act. This is especially important when the subject of a service is not the patient himself.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.90">
            <codeBasedContent code="RCT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
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      </version>
   </valueSet>
   <valueSet name="ParticipationReceiver" id="2.16.840.1.113883.1.11.20095"
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      <historyItem dateTime="2020-05-06" id="v3-ParticipationReceiver-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The person (or organization) who receives the product of an Act.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.90">
            <codeBasedContent code="RCV">
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            </codeBasedContent>
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      </version>
   </valueSet>
   <valueSet name="ParticipationReusableDevice" id="2.16.840.1.113883.1.11.20096"
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      <historyItem dateTime="2020-05-06" id="v3-ParticipationReusableDevice-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A device that does not change ownership due to the service, i.e., a surgical instrument or tool or an endoscope. The distinction between reuseable and non-reuseable must be made in order to know whether material must be re-stocked.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.90">
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         </content>
      </version>
   </valueSet>
   <valueSet name="ParticipationReferrer" id="2.16.840.1.113883.1.11.20097"
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      <historyItem dateTime="2020-05-06" id="v3-ParticipationReferrer-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A person having referred the subject of the service to the performer (referring physician). Typically, a referring physician will receive a report.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.90">
            <codeBasedContent code="REF">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ParticipationReferredBy" id="2.16.840.1.113883.1.11.20098"
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      <historyItem dateTime="2020-05-06" id="v3-ParticipationReferredBy-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A participant (e.g. provider) who has referred the subject of an act (e.g. patient).</p>
                  <p>Typically, a referred by participant will provide a report (e.g. referral).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.90">
            <codeBasedContent code="REFB">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ParticipationReferredTo" id="2.16.840.1.113883.1.11.20099"
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      <historyItem dateTime="2020-05-06" id="v3-ParticipationReferredTo-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The person who receives the patient</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.90">
            <codeBasedContent code="REFT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="TelecommunicationAddressUse" id="2.16.840.1.113883.1.11.201">
      <historyItem dateTime="2020-05-06" id="v3-TelecommunicationAddressUse-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1119</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1119">
            <codeBasedContent code="AS"/>
            <codeBasedContent code="BAD"/>
            <codeBasedContent code="DIR"/>
            <codeBasedContent code="EC"/>
            <codeBasedContent code="H"/>
            <codeBasedContent code="HP"/>
            <codeBasedContent code="HV"/>
            <codeBasedContent code="MC"/>
            <codeBasedContent code="PG"/>
            <codeBasedContent code="PUB"/>
            <codeBasedContent code="TMP"/>
            <codeBasedContent code="WP"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="ParticipationResponsibleParty" id="2.16.840.1.113883.1.11.20100"
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      <historyItem dateTime="2020-05-06" id="v3-ParticipationResponsibleParty-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The person or organization that has primary responsibility for the act. The responsible party is not necessarily present in an action, but is accountable for the action through the power to delegate, and the duty to review actions with the performing actor after the fact. This responsibility may be ethical, legal, contractual, fiscal, or fiduciary in nature.</p>
                  <i>Example:</i>A person who is the head of a biochemical laboratory; a sponsor for a policy or government program.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.90">
            <codeBasedContent code="RESP">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ParticipationRemote" id="2.16.840.1.113883.1.11.20101" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ParticipationRemote-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Some services take place at multiple concurrent locations (e.g., telemedicine, telephone consultation). The location where the principal performing actor is located is taken as the primary location (LOC) while the other location(s) are considered "remote."</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.90">
            <codeBasedContent code="RML">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ParticipationSpecimen" id="2.16.840.1.113883.1.11.20102"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ParticipationSpecimen-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The subject of non-clinical (e.g. laboratory) observation services is a specimen.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.90">
            <codeBasedContent code="SPC">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ParticipationSecondaryPerformer" id="2.16.840.1.113883.1.11.20103"
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      <historyItem dateTime="2020-05-06" id="v3-ParticipationSecondaryPerformer-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A person assisting in an act through his substantial presence and involvement This includes: assistants, technicians, associates, or whatever the job titles may be.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.90">
            <codeBasedContent code="SPRF">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ParticipationTracker" id="2.16.840.1.113883.1.11.20104"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ParticipationTracker-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A secondary information recipient, who receives copies (e.g., a primary care provider receiving copies of results as ordered by specialist).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.90">
            <codeBasedContent code="TRC">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ParticipationVia" id="2.16.840.1.113883.1.11.20105" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ParticipationVia-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>For services, an intermediate location that specifies a path between origin an destination.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.90">
            <codeBasedContent code="VIA">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ParticipationWitness" id="2.16.840.1.113883.1.11.20106"
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      <historyItem dateTime="2020-05-06" id="v3-ParticipationWitness-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Only with service events. A person witnessing the action happening without doing anything. A witness is not necessarily aware, much less approves of anything stated in the service event. Example for a witness is students watching an operation or an advanced directive witness.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.90">
            <codeBasedContent code="WIT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassAccess" id="2.16.840.1.113883.1.11.20107" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassAccess-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A role in which the playing entity (material) provides access to another entity. The principal use case is intravenous (or other bodily) access lines that preexist and need to be referred to for medication routing instructions.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="ACCESS">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassActiveIngredient" id="2.16.840.1.113883.1.11.20108"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassActiveIngredient-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A therapeutically active ingredient (player) in a mixture (scoper), where the mixture is typically a manufactured pharmaceutical.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="ACTI">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
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         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassActiveMoiety" id="2.16.840.1.113883.1.11.20109"
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      <historyItem dateTime="2020-05-06" id="v3-RoleClassActiveMoiety-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The molecule or ion that is responsible for the intended pharmacological action of the drug substance, excluding those appended or associated parts of the molecule that make the molecule an ester, salt (including a salt with hydrogen or coordination bonds), or other noncovalent derivative (such as a complex, chelate, or clathrate).</p>
                  <p>Examples: heparin-sodium and heparin-potassium have the same active moiety, heparin; the active moiety of morphine-hydrochloride is morphine.</p>
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            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="ACTM">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassAdministerableMaterial" id="2.16.840.1.113883.1.11.20110"
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      <historyItem dateTime="2020-05-06" id="v3-RoleClassAdministerableMaterial-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A material (player) that can be administered to an Entity (scoper).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="ADMM">
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         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassAdditive" id="2.16.840.1.113883.1.11.20111" isImmutable="true">
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An ingredient (player) that is added to a base (scoper), that amounts to a minor part of the overall mixture.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="ADTV">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassAffiliate" id="2.16.840.1.113883.1.11.20112" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassAffiliate-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Player of the Affiliate role has a business/professional relationship with scoper. Player and scoper may be persons or organization. The Affiliate relationship does not imply membership in a group, nor does it exist for resource scheduling purposes.</p>
                  <i>Example:</i>A healthcare provider is affiliated with another provider as a business associate.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
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               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassAliquot" id="2.16.840.1.113883.1.11.20113" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassAliquot-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A portion (player) of an original or source specimen (scoper) used for testing or transportation.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="ALQT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassBase" id="2.16.840.1.113883.1.11.20114" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassBase-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A base ingredient (player) is what comprises the major part of a mixture (scoper). E.g., Water in most i.v. solutions, or Vaseline in salves. Among all ingredients of a material, there should be only one base. A base substance can, in turn, be a mixture.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="BASE">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassBirthplace" id="2.16.840.1.113883.1.11.20115" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassBirthplace-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Relates a place (playing Entity) as the location where a living subject (scoping Entity) was born.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="BIRTHPL">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassCaregiver" id="2.16.840.1.113883.1.11.20116" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassCaregiver-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A person responsible for the primary care of a patient at home.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="CAREGIVER">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassCaseSubject" id="2.16.840.1.113883.1.11.20117"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassCaseSubject-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A person, non-person living subject, or place that is the subject of an investigation related to a notifiable condition (health circumstance that is reportable within the applicable public health jurisdiction)</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="CASEBJ">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassChild" id="2.16.840.1.113883.1.11.20118" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassChild-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The player of the role is a child of the scoping entity, in a generic sense.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2012-03-15">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="CHILD">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassCitizen" id="2.16.840.1.113883.1.11.20119" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassCitizen-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Citizen of apolitical entity</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="CIT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassClaimant" id="2.16.840.1.113883.1.11.20120" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassClaimant-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>A role played by a party making a claim for coverage under a policy or program. A claimant must be either a person or organization, or a group of persons or organizations. A claimant is not a named insured or a program eligible.<b>Discussion:</b>With respect to liability insurance such as property and casualty insurance, a claimant must file a claim requesting indemnification for a loss that the claimant considers covered under the policy of a named insured. The claims adjuster for the policy underwriter will review the claim to determine whether the loss meets the benefit coverage criteria under a policy, and base any indemnification or coverage payment on that review. If a third party is liable in whole or part for the loss, the underwriter may pursue third party liability recovery. A claimant may be involved in civil or criminal legal proceedings involving claims against a defendant party that is indemnified by an insurance policy or to protest the finding of a claims adjustor. With respect to life insurance, a beneficiary designated by a named insured becomes a claimant of the proceeds of coverage, as in the case of a life insurance policy. However, a claimant for coverage under life insurance is not necessarily a designated beneficiary.<b>Note:</b>A claimant is not a named insured. However, a named insured may make a claim under a policy, e.g., an insured driver may make a claim for an injury under his or her comprehensive automobile insurance policy. Similarly, a program eligible may make a claim under program, e.g., an unemployed worker may claim benefits under an unemployment insurance program, but parties playing these covered party role classes are not, for purposes of this vocabulary and in an effort to clearly distinguish role classes, considered claimants.<p>In the case of a named insured making a claim, a role type code INSCLM (insured claimant) subtypes the class to indicate that either a named insured or an individual insured has filed a claim for a loss. In the case of a program eligible, a role type code INJWKR (injured worker) subtypes the class to indicate that the covered party in a workers compensation program is an injured worker, and as such, has filed a "claim" under the program for benefits. Likewise, a covered role type code UNEMP (unemployed worker) subtypes the program eligible class to indicate that the covered party in an unemployment insurance program has filed a claim for unemployment benefits.</p>
                  <b>Example:</b>A claimant under automobile policy that is not the named insured.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="CLAIM">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassColorAdditive" id="2.16.840.1.113883.1.11.20121"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassColorAdditive-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A substance (player) influencing the optical aspect of material (scoper).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="COLR">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassCommissioningParty" id="2.16.840.1.113883.1.11.20122"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassCommissioningParty-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An Entity that is authorized to issue or instantiate permissions, privileges, credentials or other formal/legal authorizations.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="COMPAR">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassContent" id="2.16.840.1.113883.1.11.20123" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassContent-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Relates a material as the content (player) to a container (scoper). Unlike ingredients, the content and a container remain separate (not mixed) and the content can be removed from the container. A content is not part of an empty container.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="CONT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassCredentialedEntity" id="2.16.840.1.113883.1.11.20124"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassCredentialedEntity-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A role played by an entity that receives credentials from the scoping entity.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2012-03-15">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="CRED">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassClinicalResearchInvestigator" id="2.16.840.1.113883.1.11.20125"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassClinicalResearchInvestigator-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A role played by a provider, always a person, who has agency authority from a Clinical Research Sponsor to direct the conduct of a clinical research trial or study on behalf of the sponsor.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="CRINV">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassClinicalResearchSponsor" id="2.16.840.1.113883.1.11.20126"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassClinicalResearchSponsor-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A role played by an entity, usually an organization, that is the sponsor of a clinical research trial or study. The sponsor commissions the study, bears the expenses, is responsible for satisfying all legal requirements concerning subject safety and privacy, and is generally responsible for collection, storage and analysis of the data generated during the trial. No scoper is necessary, as a clinical research sponsor undertakes the role on its own authority and declaration. Clinical research sponsors are usually educational or other research organizations, government agencies or biopharmaceutical companies.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="CRSPNSR">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassPlaceOfDeath" id="2.16.840.1.113883.1.11.20127"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassPlaceOfDeath-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Definition: Relates a place (playing Entity) as the location where a living subject (scoping Entity) died.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="DEATHPLC">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassDependent" id="2.16.840.1.113883.1.11.20128" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassDependent-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>A role played by a person covered under a policy or program based on an association with a subscriber, which is recognized by the policy holder.<b>Note:</b>The party playing the role of a dependent is not a claimant in the sense conveyed by the RoleClassCoveredParty CLAIM (claimant). However, a dependent may make a claim under a policy, e.g., a dependent under a health insurance policy may become the claimant for coverage under that policy for wellness examines or if injured and there is no liable third party. In the case of a dependent making a claim, a role type code INSCLM (insured claimant) subtypes the class to indicate that the dependent has filed a claim for services covered under the health insurance policy.<b>Example:</b>The dependent has an association with the subscriber such as a financial dependency or personal relationship such as that of a spouse, or a natural or adopted child. The policy holder may be required by law to recognize certain associations or may have discretion about the associations. For example, a policy holder may dictate the criteria for the dependent status of adult children who are students, such as requiring full time enrollment, or may recognize domestic partners as dependents. Under certain circumstances, the dependent may be under the indirect authority of a responsible party acting as a surrogate for the subscriber, for example, if the subscriber is differently abled or deceased, a guardian ad Lidem or estate executor may be appointed to assume the subscriberaTMs legal standing in the relationship with the dependent.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="DEPEN">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassDedicatedServiceDeliveryLocation"
             id="2.16.840.1.113883.1.11.20129"
             isImmutable="true">
      <historyItem dateTime="2020-05-06"
                   id="v3-RoleClassDedicatedServiceDeliveryLocation-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A role of a place (player) that is intended to house the provision of services. Scoper is the Entity (typically Organization) that provides these services. This is not synonymous with "ownership."</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="DSDLOC">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassEmergencyContact" id="2.16.840.1.113883.1.11.20130"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassEmergencyContact-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An entity to be contacted in the event of an emergency.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="ECON">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassExposedEntity" id="2.16.840.1.113883.1.11.20131"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassExposedEntity-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A role played by an entity that has been exposed to a person or animal suffering a contagious disease, or with a location from which a toxin has been distributed. The player of the role is normally a person or animal, but it is possible that other entity types could become exposed. The role is scoped by the source of the exposure, and it is quite possible for a person playing the role of exposed party to also become the scoper a role played by another person. That is to say, once a person has become infected, it is possible, perhaps likely, for that person to infect others.</p>
                  <p>Management of exposures and tracking exposed parties is a key function within public health, and within most public health contexts - exposed parties are known as "contacts."</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="EXPR">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassExposureVector" id="2.16.840.1.113883.1.11.20132"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassExposureVector-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>A vector is a living subject that carries an exposure agent. The vector does not cause the disease itself, but exposes targets to the exposure agent. A mosquito carrying malaria is an example of a vector. The scoper of the role must be the exposure agent (e.g., pathogen).</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="EXPVECTOR">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassFlavorAdditive" id="2.16.840.1.113883.1.11.20133"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassFlavorAdditive-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A substance (player) added to a mixture (scoper) to make it taste a certain way. In food the use is obvious, in pharmaceuticals flavors can hide disgusting taste of the active ingredient (important in pediatric treatments).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="FLVR">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassFomite" id="2.16.840.1.113883.1.11.20134" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassFomite-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>A fomite is a non-living entity that is capable of conveying exposure agent from one entity to another. A doorknob contaminated with a Norovirus is an example of a fomite. Anyone touching the doorknob would be exposed to the virus. The scoper of the role must be the exposure agent (e.g., pathogen).</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="FOMITE">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassHasGeneric" id="2.16.840.1.113883.1.11.20135" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassHasGeneric-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A special link between pharmaceuticals indicating that the target (scoper) is a generic for the source (player).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="GRIC">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassGuarantor" id="2.16.840.1.113883.1.11.20136" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassGuarantor-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A person or organization (player) that serves as a financial guarantor for another person or organization (scoper).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="GUAR">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassGuardian" id="2.16.840.1.113883.1.11.20137" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassGuardian-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Guardian of a ward</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="GUARD">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassHeldEntity" id="2.16.840.1.113883.1.11.20138" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassHeldEntity-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Entity that is currently in the possession of a holder (scoper), who holds, or uses it, usually based on some agreement with the owner.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="HLD">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassHealthChart" id="2.16.840.1.113883.1.11.20139"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassHealthChart-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The role of a material (player) that is the physical health chart belonging to an organization (scoper).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="HLTHCHRT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassIdentifiedEntity" id="2.16.840.1.113883.1.11.20140"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassIdentifiedEntity-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Roles played by entities and scoped by entities that identify them for various purposes.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="IDENT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassIndividual" id="2.16.840.1.113883.1.11.20141" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassIndividual-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>A role played by a party covered under a policy as the policy holder. An individual may be either a person or an organization.<b>Note:</b>The party playing the role of an individual insured is not a claimant in the sense conveyed by the RoleClassCoveredParty CLAIM (claimant). However, a named insured may make a claim under a policy, e.g., a party that is the named insured and policy holder under a comprehensive automobile insurance policy may become the claimant for coverage under that policy if injured in an automobile accident and there is no liable third party. In the case of an individual insured making a claim, a role type code INSCLM (insured claimant) subtypes the class to indicate that an individual insured has filed a claim for a loss.<b>Example:</b>The individual insured under a comprehensive automobile, disability, or property and casualty policy that is the policy holder.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="INDIV">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassInstance" id="2.16.840.1.113883.1.11.20142" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassInstance-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An individual piece of material (player) instantiating a class of material (scoper).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="INST">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassIncidentalServiceDeliveryLocation"
             id="2.16.840.1.113883.1.11.20143"
             isImmutable="true">
      <historyItem dateTime="2020-05-06"
                   id="v3-RoleClassIncidentalServiceDeliveryLocation-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A role played by a place at which health care services may be provided without prior designation or authorization.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="ISDLOC">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassIsolate" id="2.16.840.1.113883.1.11.20144" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassIsolate-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A microorganism that has been isolated from other microorganisms or a source matrix.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="ISLT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassMember" id="2.16.840.1.113883.1.11.20145" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassMember-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A role played by an entity that is a member of a group. The group provides the scope for this role.</p>
                  <p>Among other uses, groups as used in insurance (groups of covered individuals) and in scheduling where resources may be grouped for scheduling and logistical purposes.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="MBR">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassMilitaryPerson" id="2.16.840.1.113883.1.11.20146"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassMilitaryPerson-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A role played by a member of a military service. Scoper is the military service (e.g. Army, Navy, Air Force, etc.) or, more specifically, the unit (e.g. Company C, 3rd Battalion, 4th Division, etc.)</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="MIL">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassMaintainedEntity" id="2.16.840.1.113883.1.11.20147"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassMaintainedEntity-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An entity (player) that is maintained by another entity (scoper). This is typical role held by durable equipment. The scoper assumes responsibility for proper operation, quality, and safety.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="MNT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassNextOfKin" id="2.16.840.1.113883.1.11.20148" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassNextOfKin-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An individual designated for notification as the next of kin for a given entity.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="NOK">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassNotaryPublic" id="2.16.840.1.113883.1.11.20149"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassNotaryPublic-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="NOT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassNursePractitioner" id="2.16.840.1.113883.1.11.20150"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassNursePractitioner-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2012-03-15">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="NURPRAC">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassNurse" id="2.16.840.1.113883.1.11.20151" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassNurse-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2012-03-15">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="NURS">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassOwnedEntity" id="2.16.840.1.113883.1.11.20152"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassOwnedEntity-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An Entity (player) for which someone (scoper) is granted by law the right to call the material (player) his own. This entitles the scoper to make decisions about the disposition of that material.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="OWN">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassPhysicianAssistant" id="2.16.840.1.113883.1.11.20153"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassPhysicianAssistant-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2012-03-15">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="PA">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassPart" id="2.16.840.1.113883.1.11.20154" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassPart-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An association between two Entities where the playing Entity is considered in some way "part" of the scoping Entity, e.g., as a member, component, ingredient, or content. Being "part" in the broadest sense of the word can mean anything from being an integral structural component to a mere incidental temporary association of a playing Entity with a (generally larger) scoping Entity.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="PART">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassPatient" id="2.16.840.1.113883.1.11.20155" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassPatient-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**A Role of a LivingSubject (player) as a recipient of health care services from a healthcare provider (scoper).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="PAT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassPayee" id="2.16.840.1.113883.1.11.20156" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassPayee-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The role of an organization or individual designated to receive payment for a claim against a particular coverage. The scoping entity is the organization that is the submitter of the invoice in question.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="PAYEE">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassInvoicePayor" id="2.16.840.1.113883.1.11.20157"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassInvoicePayor-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The role of an organization that undertakes to accept claims invoices, assess the coverage or payments due for those invoices and pay to the designated payees for those invoices. This role may be either the underwriter or a third-party organization authorized by the underwriter. The scoping entity is the organization that underwrites the claimed coverage.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="PAYOR">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassPhysician" id="2.16.840.1.113883.1.11.20158" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassPhysician-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2012-03-15">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="PHYS">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassPolicyHolder" id="2.16.840.1.113883.1.11.20159"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassPolicyHolder-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A role played by a person or organization that holds an insurance policy. The underwriter of that policy is the scoping entity.</p>
                  <p>*Discussion:*The identifier of the policy is captured in 'Role.id' when the Role is a policy holder.</p>
                  <p>A particular policy may cover several individuals one of whom may be, but need not be, the policy holder. Thus the notion of covered party is a role that is distinct from that of the policy holder.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="POLHOLD">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassProgramEligible" id="2.16.840.1.113883.1.11.20160"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassProgramEligible-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>A role played by a party that meets the eligibility criteria for coverage under a program. A program eligible may be either a person, non-person living subject, or an organization, or a group of persons, non-person living subjects, or organizations.<b>Discussion:</b>A program as typically government administered coverage for parties determined eligible under the terms of the program.<b>Note:</b>The party playing a program eligible is not a claimant in the sense conveyed by the RoleClassCoveredParty CLAIM (claimant). However a program eligible may make a claim under program, e.g., an unemployed worker may claim benefits under an unemployment insurance program, but parties playing these covered party role classes are not, for purposes of this vocabulary and in an effort to clearly distinguish role classes, considered claimants.<p>In the case of a program eligible, a role type code INJWKR (injured worker) subtypes the class to indicate that the covered party in a workers compensation program is an injured worker, and as such, has filed a "claim" under the program for benefits. Likewise, a covered role type code UNEMP (unemployed worker) subtypes the program eligible class to indicate that the covered party in an unemployment insurance program has filed a claim for unemployment benefits.</p>
                  <b>Example:</b>A party meeting eligibility criteria related to health or financial status, e.g., in the U.S., persons meeting health, demographic, or financial criteria established by state and federal law are eligible for Medicaid.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="PROG">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassHealthcareProvider" id="2.16.840.1.113883.1.11.20161"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassHealthcareProvider-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An Entity (player) that is authorized to provide health care services by some authorizing agency (scoper).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="PROV">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassPersonalRelationship" id="2.16.840.1.113883.1.11.20162"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassPersonalRelationship-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Links two people in a personal relationship. The character of the relationship must be defined by a PersonalRelationshipRoleType code. The player and scoper are determined by PersonalRelationshipRoleType code as well.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="PRS">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassPreservative" id="2.16.840.1.113883.1.11.20163"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassPreservative-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A substance (player) added to a mixture (scoper) to prevent microorganisms (fungi, bacteria) to spoil the mixture.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="PRSV">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassQualifiedEntity" id="2.16.840.1.113883.1.11.20164"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassQualifiedEntity-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An entity (player) that has been recognized as having certain training/experience or other characteristics that would make said entity an appropriate performer for a certain activity. The scoper is an organization that educates or qualifies entities.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="QUAL">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassResearchSubject" id="2.16.840.1.113883.1.11.20165"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassResearchSubject-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Definition:**Specifies the administrative functionality within a formal experimental design for which the ResearchSubject role was established.</p>
                  <b>Examples:</b>Screening - role is used for pre-enrollment evaluation portion of the design; enrolled - role is used for subjects admitted to the experimental portion of the design.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="RESBJ">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassRetailedMaterial" id="2.16.840.1.113883.1.11.20166"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassRetailedMaterial-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Material (player) sold by a retailer (scoper), who also give advice to prospective buyers.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="RET">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassRegulatedProduct" id="2.16.840.1.113883.1.11.20167"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassRegulatedProduct-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A product regulated by some governmentatl orgnization. The role is played by Material and scoped by Organization.</p>
                  <p>Rationale: To support an entity clone used to identify the NDC number for a drug product.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="RGPR">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassSame" id="2.16.840.1.113883.1.11.20168" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassSame-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The "same" roleclass asserts an identity between playing and scoping entities: that they are in fact instances of the same entity and, in the case of discrepancies (e.g different DOB, gender), that one or both are in error.</p>
                  <i>Usage:</i>
                  <p>playing and scoping entities must have same classcode, but need not have identical attributes or values.</p>
                  <i>Example:</i>
                  <p>a provider registry maintains sets of conflicting demographic data for what is reported to be the same individual.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="SAME">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassSigningAuthorityOrOfficer" id="2.16.840.1.113883.1.11.20169"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassSigningAuthorityOrOfficer-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The role of a person (player) who is the officer or signature authority for of a scoping entity, usually an organization (scoper).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="SGNOFF">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassCoverageSponsor" id="2.16.840.1.113883.1.11.20170"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassCoverageSponsor-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A role played by an entity, usually an organization that is the sponsor of an insurance plan or a health program. A sponsor is the party that is ultimately accountable for the coverage by employment contract or by law. A sponsor can be an employer, union, government agency, or association. Fully insured sponsors establish the terms of the plan and contract with health insurance plans to assume the risk and to administer the plan. Self-insured sponsors delegate coverage administration, but not risk, to third-party administrators. Program sponsors designate services to be covered in accordance with statute. Program sponsors may administer the coverage themselves, delegate coverage administration, but not risk to third-party administrators, or contract with health insurance plans to assume the risk and administrator a program. Sponsors qualify individuals who may become</p>
                  <ul>
                     <li>
                        <p>a policy holder of the plan;</p>
                     </li>
                     <li>
                        <p>where the sponsor is the policy holder, who may become a subscriber or a dependent to a policy under the plan; or</p>
                     </li>
                     <li>
                        <p>where the sponsor is a government agency, who may become program eligibles under a program.</p>
                     </li>
                  </ul>
                  <p>The sponsor role may be further qualified by the SponsorRole.code. Entities playing the sponsor role may also play the role of a Coverage Administrator.</p>
                  <i>Example:</i>An employer, union, government agency, or association.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="SPNSR">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassStabilizer" id="2.16.840.1.113883.1.11.20171" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassStabilizer-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A stabilizer (player) added to a mixture (scoper) in order to prevent the molecular disintegration of the main substance.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="STBL">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassStudent" id="2.16.840.1.113883.1.11.20172" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassStudent-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A role played by an individual who is a student of a school, which is the scoping entity.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="STD">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassStoredEntity" id="2.16.840.1.113883.1.11.20173"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassStoredEntity-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Relates an entity (player) (e.g. a device) to a location (scoper) at which it is normally found or stored when not used.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="STOR">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassSubsumer" id="2.16.840.1.113883.1.11.20174" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassSubsumer-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An entity that subsumes the identity of another. Used in the context of merging documented entity instances. Both the player and scoper must have the same classCode.</p>The use of this code is<b>deprecated</b>in favor of the term SUBY which is its inverse and is more ontologically correct.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2012-03-15">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="SUBS">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassSubscriber" id="2.16.840.1.113883.1.11.20175" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassSubscriber-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>A role played by a person covered under a policy based on association with a sponsor who is the policy holder, and whose association may provide for the eligibility of dependents for coverage.<b>Discussion:</b>The policy holder holds the contract with the policy or program underwriter. The subscriber holds a certificate of coverage under the contract. In legal proceedings concerning the policy or program, the terms of the contract takes precedence over the terms of the certificate of coverage if there are any inconsistencies.<b>Note:</b>The party playing the role of a subscriber is not a claimant in the sense conveyed by the RoleClassCoveredParty CLAIM (claimant). However, a subscriber may make a claim under a policy, e.g., a subscriber under a health insurance policy may become the claimant for coverage under that policy for wellness examines or if injured and there is no liable third party. In the case of a subscriber making a claim, a role type code INSCLM (insured claimant) subtypes the class to indicate that the subscriber has filed a claim for services covered under the health insurance policy.<b>Example:</b>An employee or a member of an association.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="SUBSCR">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassSubsumedBy" id="2.16.840.1.113883.1.11.20176" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassSubsumedBy-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Relates a prevailing record of an Entity (scoper) with another record (player) that it subsumes.</p>
                  <i>Examples:</i>Show a correct new Person object (scoper) that subsumes one or more duplicate Person objects that had accidentally been created for the same physical person.<i>Constraints:</i>Both the player and scoper must have the same classCode.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="SUBY">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassTerritoryOfAuthority" id="2.16.840.1.113883.1.11.20177"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassTerritoryOfAuthority-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Relates a place entity (player) as the region over which the scoper (typically an Organization) has certain authority (jurisdiction). For example, the Calgary Regional Health Authority (scoper) has authority over the territory "Region 4 of Alberta" (player) in matters of health.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="TERR">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassTherapeuticAgent" id="2.16.840.1.113883.1.11.20178"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassTherapeuticAgent-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A manufactured material (player) that is used for its therapeutic properties. The manufacturer is the scoper.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="THER">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassUnderwriter" id="2.16.840.1.113883.1.11.20179"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassUnderwriter-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A role played by a person or an organization. It is the party that</p>
                  <ul>
                     <li>
                        <p>accepts fiscal responsibility for insurance plans and the policies created under those plans;</p>
                     </li>
                     <li>
                        <p>administers and accepts fiscal responsibility for a program that provides coverage for services to eligible individuals; and/or</p>
                     </li>
                     <li>
                        <p>has the responsibility to assess the merits of each risk and decide a suitable premium for accepting all or part of the risk. If played by an organization, this role may be further specified by an appropriate RoleCode.</p>
                     </li>
                  </ul>
                  <i>Example:</i>
                  <ul>
                     <li>
                        <p>A health insurer;</p>
                     </li>
                     <li>
                        <p>Medicaid Program;</p>
                     </li>
                     <li>
                        <p>Lloyd's of London</p>
                     </li>
                  </ul>
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      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A role a product plays when a guarantee is given to the purchaser by the seller (scoping entity) stating that the product is reliable and free from known defects and that the seller will repair or replace defective parts within a given time limit and under certain conditions.</p>
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            </description>
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      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
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      <version versionDate="2014-03-26">
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The source Role has direct authority over the target role in a chain of authority.</p>
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            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.107</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.107">
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Definition:</b>The source role provides identification for the target role. The source role must be IDENT. The player entity of the source role is constrained to be the same as the player of the target role if present. If the player is absent from the source role, then it is assumed to be the same as the player of the target role.</text>
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         </documentation>
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      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.107">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The source Role has indirect authority over the target role in a chain of authority.</p>
               </text>
            </description>
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      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.107">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The target Role is part of the Source Role.</p>
               </text>
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         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.107</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.107">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>This relationship indicates that the source Role replaces (or subsumes) the target Role. Allows for new identifiers and/or new effective time for a registry entry or a certification, etc.</p>
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            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.107</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.107">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The state representing the fact that the Entity is currently active in the Role.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1068</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1068">
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      </version>
   </valueSet>
   <valueSet name="RoleStatusCancelled" id="2.16.840.1.113883.1.11.20188" isImmutable="true">
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The terminal state resulting from cancellation of the role prior to activation.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1068</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1068">
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         </content>
      </version>
   </valueSet>
   <valueSet name="RoleStatusNullified" id="2.16.840.1.113883.1.11.20189" isImmutable="true">
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The state representing the termination of a Role instance that was created in error.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1068</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1068">
            <codeBasedContent code="nullified">
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         </content>
      </version>
   </valueSet>
   <valueSet name="RoleStatusPending" id="2.16.840.1.113883.1.11.20190" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleStatusPending-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The state representing that fact that the role has not yet become active.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1068</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1068">
            <codeBasedContent code="pending">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleStatusSuspended" id="2.16.840.1.113883.1.11.20191" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleStatusSuspended-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The state that represents a suspension of the Entity playing the Role. This state is arrived at from the "active" state.</p>
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            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1068">
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   </valueSet>
   <valueSet name="RoleStatusTerminated" id="2.16.840.1.113883.1.11.20192"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The state representing the successful termination of the Role.</p>
               </text>
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         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1068</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
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   </valueSet>
   <valueSet name="ActClassAccommodation" id="2.16.840.1.113883.1.11.20193"
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      <historyItem dateTime="2020-05-06" id="v3-ActClassAccommodation-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An accommodation is a service provided for a Person or other LivingSubject in which a place is provided for the subject to reside for a period of time. Commonly used to track the provision of ward, private and semi-private accommodations for a patient.</p>
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            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
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   <valueSet name="ActClassAccount" id="2.16.840.1.113883.1.11.20194" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassAccount-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A financial account established to track the net result of financial acts.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A unit of work, a grouper of work items as defined by the system performing that work. Typically some laboratory order fulfillers communicate references to accessions in their communications regarding laboratory orders. Often one or more specimens are related to an accession such that in some environments the accession number is taken as an identifier for a specimen (group).</p>
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      </annotations>
      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
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      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
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      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>
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                  <b>Constraints:</b>The Acquisition Exposure inherits the participation constraints that apply to Exposure with the following exception. The EXPSRC (exposure source) participation must never be associated with the Transmission Exposure either directly or via context conduction.</text>
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      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
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         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
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                  <b>Examples:</b>"Blood pressure", "Full blood count", "Chemistry panel".</text>
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      <version versionDate="2014-03-26">
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      </version>
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A group of entries within a composition or topic that have a common characteristic - for example, Examination, Diagnosis, Management OR Subjective, Objective, Analysis, Plan.</p>
                  <p>The distinction from Topic relates to value sets. For Category there is a bounded list of things like "Examination", "Diagnosis" or SOAP categories. For Topic the list is wide open to any clinical condition or reason for a part of an encounter.</p>
                  <p>A CATEGORY MAY CONTAIN ENTRIES.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="CATEGORY">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassCdaLevelOneClinicalDocument" id="2.16.840.1.113883.1.11.20202"
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      <historyItem dateTime="2020-05-06" id="v3-ActClassCdaLevelOneClinicalDocument-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A clinical document that conforms to Level One of the HL7 Clinical Document Architecture (CDA)</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="CDALVLONE">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassClinicalTrial" id="2.16.840.1.113883.1.11.20203"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassClinicalTrial-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The set of actions that define an experiment to assess the effectiveness and/or safety of a biopharmaceutical product (food, drug, device, etc.). In definition mood, this set of actions is often embodied in a clinical trial protocol; in event mood, this designates the aggregate act of applying the actions to one or more subjects.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="CLNTRL">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassCluster" id="2.16.840.1.113883.1.11.20204" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassCluster-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A group of entries within a composition, topic or category that have a logical association with one another.</p>
                  <p>The representation of a single observation or action might itself be multi-part. The data might need to be represented as a nested set of values, as a table, list, or as a time series. The Cluster class permits such aggregation within an entry for such compound data.</p>
                  <p>Examples include "Haematology investigations" which might include two or more distinct batteries.</p>
                  <p>A cluster may contain batteries and/or individual entries</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="CLUSTER">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassConditionNode" id="2.16.840.1.113883.1.11.20205"
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      <historyItem dateTime="2020-05-06" id="v3-ActClassConditionNode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Deprecation Comment:</b>This value set has been deprecated because its root code was deprecated in an earlier vocabulary release.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="CNOD">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassConsent" id="2.16.840.1.113883.1.11.20206" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassConsent-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The Consent class represents informed consents and all similar medico-legal transactions between the patient (or his legal guardian) and the provider. Examples are informed consent for surgical procedures, informed consent for clinical trials, advanced beneficiary notice, against medical advice decline from service, release of information agreement, etc.</p>
                  <p>The details of consents vary. Often an institution has a number of different consent forms for various purposes, including reminding the physician about the topics to mention. Such forms also include patient education material. In electronic medical record communication, consents thus are information-generating acts on their own and need to be managed similar to medical activities. Thus, Consent is modeled as a special class of Act.</p>
                  <p>The "signatures" to the consent document are represented electronically through Participation instances to the consent object. Typically an informed consent has Participation.typeCode of "performer", the healthcare provider informing the patient, and "consenter", the patient or legal guardian. Some consent may associate a witness or a notary public (e.g., living wills, advanced directives). In consents where a healthcare provider is not required (e.g. living will), the performer may be the patient himself or a notary public.</p>
                  <p>Some consent has a minimum required delay between the consent and the service, so as to allow the patient to rethink his decisions. This minimum delay can be expressed in the act definition by the ActRelationship.pauseQuantity attribute that delays the service until the pause time has elapsed after the consent has been completed.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="CONS">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassContainerRegistration" id="2.16.840.1.113883.1.11.20207"
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      <historyItem dateTime="2020-05-06" id="v3-ActClassContainerRegistration-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An Act where a container is registered either via an automated sensor, such as a barcode reader, or by manual receipt</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="CONTREG">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassCoverage" id="2.16.840.1.113883.1.11.20208" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassCoverage-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>When used in the EVN mood, this concept means with respect to a covered party:</p>
                  <ul>
                     <li>
                        <p>A health care insurance policy or plan that is contractually binding between two or more parties; or</p>
                     </li>
                     <li>
                        <p>A health care program, usually administered by government entities, that provides coverage to persons determined eligible under the terms of the program.</p>
                     </li>
                  </ul>
                  <p>* When used in the definition (DEF) mood, COV means potential coverage for a patient who may or may not be a covered party. * The concept's meaning is fully specified by the choice of ActCoverageTypeCode (abstract) ActProgramCode or ActInsurancePolicyCode.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="COV">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassClinicalTrialTimepointEvent" id="2.16.840.1.113883.1.11.20209"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassClinicalTrialTimepointEvent-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An identified point during a clinical trial at which one or more actions are scheduled to be performed (definition mood), or are actually performed (event mood). The actions may or may not involve an encounter between the subject and a healthcare professional.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="CTTEVENT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassDeterminantPeptide" id="2.16.840.1.113883.1.11.20210"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassDeterminantPeptide-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**A determinant peptide in a polypeptide as described by polypeptide.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="DETPOL">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassDiagnosticImage" id="2.16.840.1.113883.1.11.20211"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassDiagnosticImage-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Class for holding attributes unique to diagnostic images.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="DGIMG">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassDisciplinaryAction" id="2.16.840.1.113883.1.11.20213"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassDisciplinaryAction-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An action taken with respect to a subject Entity by a regulatory or authoritative body with supervisory capacity over that entity. The action is taken in response to behavior by the subject Entity that body finds to be undesirable.</p>
                  <p>Suspension, license restrictions, monetary fine, letter of reprimand, mandated training, mandated supervision, etc.*Examples:*</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="DISPACT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassDocumentBody" id="2.16.840.1.113883.1.11.20214"
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      <historyItem dateTime="2020-05-06" id="v3-ActClassDocumentBody-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A context that distinguishes the body of a document from the document header. This is seen, for instance, in HTML documents, which have discrete &lt;head&gt; and &lt;body&gt; elements.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="DOCBODY">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassDocumentSection" id="2.16.840.1.113883.1.11.20215"
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      <historyItem dateTime="2020-05-06" id="v3-ActClassDocumentSection-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A context that subdivides the body of a document. Document sections are typically used for human navigation, to give a reader a clue as to the expected content. Document sections are used to organize and provide consistency to the contents of a document body. Document sections can contain document sections and can contain entries.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="DOCSECT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassElectronicHealthRecord" id="2.16.840.1.113883.1.11.20216"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassElectronicHealthRecord-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A context that comprises all compositions. The EHR is an extract that includes the entire chart.</p>
                  <b>NOTE:</b>In an exchange scenario, an EHR is a specialization of an extract.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="EHR">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassEncounter" id="2.16.840.1.113883.1.11.20217" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassEncounter-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An interaction between a patient and healthcare participant(s) for the purpose of providing patient service(s) or assessing the health status of a patient. For example, outpatient visit to multiple departments, home health support (including physical therapy), inpatient hospital stay, emergency room visit, field visit (e.g., traffic accident), office visit, occupational therapy, telephone call.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="ENC">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassExpressionLevel" id="2.16.840.1.113883.1.11.20218"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassExpressionLevel-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**An expression level of genes/proteins or other expressed genomic entities.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="EXP">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassIncident" id="2.16.840.1.113883.1.11.20220" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassIncident-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An event that occurred outside of the control of one or more of the parties involved. Includes the concept of an accident.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="INC">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassInformation" id="2.16.840.1.113883.1.11.20221" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassInformation-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Sender sends payload to addressee as information. Addressee does not have responsibilities beyond serving addressee's own interest (i.e., read and memorize if you see fit). This is equivalent to an FYI on a memo.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="INFO">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassInform" id="2.16.840.1.113883.1.11.20222" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassInform-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The act of transmitting information and understanding about a topic to a subject where the participation association must be SBJ.</p>
                  <b>Discussion:</b>This act may be used to request that a patient or provider be informed about an Act, or to indicate that a person was informed about a particular act.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="INFRM">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassInvoiceElement" id="2.16.840.1.113883.1.11.20223"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassInvoiceElement-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Represents concepts related to invoice processing in health care</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="INVE">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassInvestigation" id="2.16.840.1.113883.1.11.20224"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassInvestigation-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An formalized inquiry into the circumstances surrounding a particular unplanned event or potential event for the purposes of identifying possible causes and contributing factors for the event. This investigation could be conducted at a local institutional level or at the level of a local or national government.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**A mandate, regulation, obligation, requirement, rule, or expectation unilaterally imposed by a jurisdiction on:</p>
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                  <p>**Examples:**A jurisdictional mandate regarding the prescribing and dispensing of a particular medication. A jurisdictional privacy or security regulation dictating the manner in which personal health information is disclosed. A jurisdictional requirement that certain services or health conditions are reported to a monitoring program, e.g., immunizations, methadone treatment, or cancer registries.</p>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Working list collects a dynamic list of individual instances of Act via ActRelationship which reflects the need of an individual worker, team of workers, or an organization to manage lists of acts for many different clinical and administrative reasons. Examples of working lists include problem lists, goal lists, allergy lists, and to-do lists.</p>
               </text>
            </description>
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      </annotations>
      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Deprecation Comment:</b>This value set has been deprecated because its root code was deprecated in an earlier vocabulary release.</text>
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      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**The position of a gene (or other significant sequence) on the genome.</p>
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            </description>
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      </annotations>
      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
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      </annotations>
      <version versionDate="2014-03-26">
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         <content codeSystem="2.16.840.1.113883.5.6">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Container for Observation Sequences (Observations whose values are contained in LIST&lt;&gt;'s) having values correlated with each other. Each contained Observation Sequence LIST&lt;&gt; must be the same length. Values in the LIST&lt;&gt;'s are correlated based on index. E.g. the values in position 2 in all the LIST&lt;&gt;'s are correlated. This is analogous to a table where each column is an Observation Sequence with a LIST&lt;&gt; of values, and each row in the table is a correlation between the columns. For example, a 12-lead ECG would contain 13 sequences: one sequence for time, and a sequence for each of the 12 leads.</p>
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      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
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                  <p>**Examples:**A clinical or research protocols imposed by a payer, a malpractice insurer, or an institution to which a provider must adhere. A mandate imposed by a denominational institution for a provider to provide or withhold certain information from the patient about treatment options.</p>
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      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
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      <version versionDate="2014-03-26">
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>An<b>Act</b>that of taking on whole or partial responsibility for, or attention to, safety and well-being of a subject of care.<i>Discussion:</i>A<b>care provision</b>event may exist without any other care actions taking place. For example, when a patient is assigned to the care of a particular health professional.In<b>request</b>(RQO) mood<b>care provision</b>communicates a referral, which is a request:<p>* from one party (linked as a **participant** of type **author** (AUT)), * to another party (linked as a **participant** of type **performer** (PRF), * to take responsibility for a scope specified by the code attribute, * for an entity (linked as a **participant** of type **subject** (SBJ)).</p>The scope of the care for which responsibility is taken is identified by<i>code</i>attribute.In<b>event</b>(EVN) mood<b>care provision</b>indicates the effective time interval of a specified scope of responsibility by a<b>performer</b>(PRF) or set of<b>performers</b>(PRF) for a<b>subject</b>(SBJ).<i>Examples:</i>
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                        <p>Referral from GP to a specialist.</p>
                     </li>
                     <li>
                        <p>Assignment of a patient or group of patients to the case list of a health professional.</p>
                     </li>
                     <li>
                        <p>Assignment of inpatients to the care of particular nurses for a working shift.</p>
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               </text>
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         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**A genomic phenomenon that is expressed externally in the organism.</p>
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      </annotations>
      <version versionDate="2014-03-26">
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         <content codeSystem="2.16.840.1.113883.5.6">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**A polypeptide resulting from the translation of a gene.</p>
               </text>
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      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**An observation representing the degree to which the assignment of the spatial coordinates, based on a matching algorithm by a geocoding engine against a reference spatial database, matches true or accepted values.</p>
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         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**An observation representing one of a set of numerical values used to determine the position of a place. The name of the coordinate value is determined by the reference coordinate system.</p>
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            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Deprecation Comment:</b>This value set has been deprecated because its root code was deprecated in an earlier vocabulary release.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
         <documentation>
            <description>
               <text>
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                  <p>The registration may have a unique identifier - separate from the unique identification of the subject - as well as a core set of related participations and act relationships that characterize the registration event and aid in the disposition of the subject information by a receiving system.*Usage notes:*</p>
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      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The act of examining and evaluating the subject, usually another act. For example, "This prescription needs to be reviewed in 2 months."</p>
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         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Deprecation Comment:</b>This value set has been deprecated because its root code was deprecated in an earlier vocabulary release.</text>
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         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <content codeSystem="2.16.840.1.113883.5.6">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A Region of Interest (ROI) specified for a multidimensional observation, such as an Observation Series (OBSSER). The ROI is specified using a set of observation criteria, each delineating the boundary of the region in one of the dimensions in the multidimensional observation. The relationship between a ROI and its referenced Act is specified through an ActRelationship of type subject (SUBJ), which must always be present. Each of the boundary criteria observations is connected with the ROI using ActRelationships of type "has component" (COMP). In each boundary criterion, the Act.code names the dimension and the Observation.value specifies the range of values inside the region. Typically the bounded dimension is continuous, and so the Observation.value will be an interval (IVL) data type. The Observation.value need not be specified if the respective dimension is only named but not constrained. For example, an ROI for the QT interval of a certain beat in ECG Lead II would contain 2 boundary criteria, one naming the interval in time (constrained), and the other naming the interval in ECG Lead II (only named, but not constrained).</p>
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      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A Region of Interest (ROI) specified for an image using an overlay shape. Typically used to make reference to specific regions in images, e.g., to specify the location of a radiologic finding in an image or to specify the site of a physical finding by "circling" a region in a schematic picture of a human body. The units of the coordinate values are in pixels. The origin is in the upper left hand corner, with positive X values going to the right and positive Y values going down. The relationship between a ROI and its referenced Act is specified through an ActRelationship of type "subject" (SUBJ), which must always be present.</p>
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         </documentation>
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      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Deprecation Comment:</b>This value set has been deprecated because its root code was deprecated in an earlier vocabulary release.</text>
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         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The act of introducing or otherwise applying a substance to the subject.</p>
                  <i>Discussion:</i>The effect of the substance is typically established on a biochemical basis, however, that is not a requirement. For example, radiotherapy can largely be described in the same way, especially if it is a systemic therapy such as radio-iodine. This class also includes the application of chemical treatments to an area.<i>Examples:</i>Chemotherapy protocol; Drug prescription; Vaccination record</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="SBADM">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassScopeOfPracticePolicy" id="2.16.840.1.113883.1.11.20246"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassScopeOfPracticePolicy-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**An ethical or clinical obligation, requirement, rule, or expectation imposed or strongly encouraged by organizations that oversee particular clinical domains or provider certification which define the boundaries within which a provider may practice and which may have legal basis or ramifications on:</p>
                  <p>* The activity of another party * The behavior of another party * The manner in which an act is executed</p>
                  <p>**Examples:**An ethical obligation for a provider to fully inform a patient about all treatment options. An ethical obligation for a provider not to disclose personal health information that meets certain criteria, e.g., where disclosure might result in harm to the patient or another person. The set of health care services which a provider is credentialed or privileged to provide.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="SCOPOL">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassBioSequence" id="2.16.840.1.113883.1.11.20247" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassBioSequence-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**A sequence of biomolecule like the DNA, RNA, protein and the like.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="SEQ">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassBioSequenceVariation" id="2.16.840.1.113883.1.11.20248"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassBioSequenceVariation-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**A variation in a sequence as described by BioSequence.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="SEQVAR">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassSemiFowlers" id="2.16.840.1.113883.1.11.20249" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassSemiFowlers-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Deprecation Comment:</b>This value set has been deprecated because its root code was deprecated in an earlier vocabulary release.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="SFWL">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassSitting" id="2.16.840.1.113883.1.11.20250" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassSitting-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Deprecation Comment:</b>This value set has been deprecated because its root code was deprecated in an earlier vocabulary release.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="SIT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassSpecimenObservation" id="2.16.840.1.113883.1.11.20251"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassSpecimenObservation-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An observation on a specimen in a laboratory environment that may affect processing, analysis or result interpretation</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="SPCOBS">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassSpecimenTreatment" id="2.16.840.1.113883.1.11.20252"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassSpecimenTreatment-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A procedure or treatment performed on a specimen to prepare it for analysis</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="SPCTRT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassStateTransitionControl" id="2.16.840.1.113883.1.11.20253"
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      <historyItem dateTime="2020-05-06" id="v3-ActClassStateTransitionControl-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Sender transmits a status change pertaining to the focal act of the payload. This status of the focal act is the final state of the state transition. This can be either a request or a command, according to the mood of the control act.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="STC">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassStandardOfPracticePolicy" id="2.16.840.1.113883.1.11.20254"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassStandardOfPracticePolicy-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**A requirement, rule, or expectation typically documented as guidelines, protocols, or formularies imposed or strongly encouraged by an organization that oversees or has authority over the practices within a domain, and which may have legal basis or ramifications on:</p>
                  <p>* The activity of another party * The behavior of another party * The manner in which an act is executed</p>
                  <p>**Examples:**A payer may require a prescribing provider to adhere to formulary guidelines. An institution may adopt clinical guidelines and protocols and implement these within its electronic health record and decision support systems.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="STDPOL">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassStanding" id="2.16.840.1.113883.1.11.20255" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassStanding-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Deprecation Comment:</b>This value set has been deprecated because its root code was deprecated in an earlier vocabulary release.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="STN">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassSubstitution" id="2.16.840.1.113883.1.11.20256"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassSubstitution-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Definition: Indicates that the subject Act has undergone or should undergo substitution of a type indicated by Act.code.</p>
                  <p>Rationale: Used to specify "allowed" substitution when creating orders, "actual" susbstitution when sending events, as well as the reason for the substitution and who was responsible for it.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="SUBST">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassTransmissionExposure" id="2.16.840.1.113883.1.11.20257"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassTransmissionExposure-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>
                  <p>A transmission exposure act describes the proximity (time and location) over which the participating source entity was capable of transmitting a physical (including energy), chemical or biological substance agent to another entity. The transmission exposure act is used in conjunction with acquisition exposure acts as part of an analysis technique for contact tracing. Although an exposure can be decomposed into transmission and acquisition exposures, there is no requirement that all exposures be treated in this fashion.</p>
                  <b>Constraints:</b>The Transmission Exposure inherits the participation constraints that apply to Exposure with the following exception. The EXPTRGT (exposure target) participation must never be associated with the Transmission Exposure either directly or via context conduction.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="TEXPOS">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassTopic" id="2.16.840.1.113883.1.11.20258" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassTopic-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A group of entries within a composition that are related to a common clinical theme - such as a specific disorder or problem, prevention, screening and provision of contraceptive services.</p>
                  <p>A topic may contain categories and entries.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="TOPIC">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassTrendelenburg" id="2.16.840.1.113883.1.11.20259"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassTrendelenburg-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Deprecation Comment:</b>This value set has been deprecated because its root code was deprecated in an earlier vocabulary release.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="TRD">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassTransfer" id="2.16.840.1.113883.1.11.20260" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassTransfer-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Definition:</b>The act of transferring information without the intent of imparting understanding about a topic to the subject that is the recipient or holder of the transferred information where the participation association must be RCV or HLD.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="TRFR">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassTransportation" id="2.16.840.1.113883.1.11.20261"
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      <historyItem dateTime="2020-05-06" id="v3-ActClassTransportation-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Transportation is the moving of a payload (people or material) from a location of origin to a destination location. Thus, any transport service has the three target instances of type payload, origin, and destination, besides the targets that are generally used for any service (i.e., performer, device, etc.)</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="TRNS">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassVerification" id="2.16.840.1.113883.1.11.20262"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassVerification-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An act which describes the process whereby a 'verifying party' validates either the existence of the Role attested to by some Credential or the actual Vetting act and its details.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="VERIF">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassFinancialTransaction" id="2.16.840.1.113883.1.11.20263"
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      <historyItem dateTime="2020-05-06" id="v3-ActClassFinancialTransaction-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A sub-class of Act representing any transaction between two accounts whose value is measured in monetary terms.</p>
                  <p>In the "intent" mood, communicates a request for a transaction to be initiated, or communicates a transfer of value between two accounts.</p>
                  <p>In the "event" mood, communicates the posting of a transaction to an account.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="XACT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActMoodAppointment" id="2.16.840.1.113883.1.11.20264" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActMoodAppointment-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A planned Act for a specific time and place.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1001</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1001">
            <codeBasedContent code="APT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActMoodAppointmentRequest" id="2.16.840.1.113883.1.11.20265"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActMoodAppointmentRequest-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A request for the booking of an appointment.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1001</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1001">
            <codeBasedContent code="ARQ">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActMoodDefinition" id="2.16.840.1.113883.1.11.20266" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActMoodDefinition-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A definition of a service (master).</p>
                  <p>Historical note: in previous RIM versions, the definition mood was captured as a separate class hierarchy, called Master\_service.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1001</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1001">
            <codeBasedContent code="DEF">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActMoodEventOccurrence" id="2.16.840.1.113883.1.11.20267"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActMoodEventOccurrence-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A service that actually happens, may be an ongoing service or a documentation of a past service.</p>
                  <p>Historical note: in previous RIM versions, the event mood was captured as a separate class hierarchy, called Patient\_service\_event, and later Service\_event.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1001</supportedCodeSystem>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A criterion or condition over service events that must apply for an associated service to be considered.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Definition:**An act that is considered likely to occur in the future. The essential feature of an act expressed in expectation mood is that it is likely to occur. An expectation may be desirable, undesirable or neutral in effect.</p>
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            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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      <historyItem dateTime="2020-05-06" id="v3-RoleClassActiveIngredientBasis-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
            <codeBasedContent code="ACTIR">
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            </codeBasedContent>
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      </version>
   </valueSet>
   <valueSet name="HealthcareServiceLocation" id="2.16.840.1.113883.1.11.20275">
      <historyItem dateTime="2020-05-06" id="v3-HealthcareServiceLocation-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A comprehensive classification of locations and settings where healthcare services are provided. This value set is based on the NHSN location code system that has been developed over a number of years through CDCaTMs interaction with a variety of healthcare facilities and is intended to serve a variety of reporting needs where coding of healthcare service locations is required. This valu set is aavailalbe from VSAC at https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.1.11.20275/expansion/Latest</p>
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            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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   </valueSet>
   <valueSet name="IdentifierScope" id="2.16.840.1.113883.1.11.20276">
      <historyItem dateTime="2020-05-06" id="v3-IdentifierScope-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>Codes to specify the scope in which the identifier applies to the object with which it is associated, and used in the datatype property II.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1116</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1116"/>
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   </valueSet>
   <valueSet name="IdentifierReliability" id="2.16.840.1.113883.1.11.20277">
      <historyItem dateTime="2020-05-06" id="v3-IdentifierReliability-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>The identifier was issued by the system responsible for constructing the instance.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1117</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1117"/>
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   </valueSet>
   <valueSet name="AddressLine" id="2.16.840.1.113883.1.11.20278">
      <historyItem dateTime="2020-05-06" id="v3-AddressLine-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>An address line is for either an additional locator, a delivery address or a street address.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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   </valueSet>
   <valueSet name="RoleClassContactCode" id="2.16.840.1.113883.1.11.20279">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassContactCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
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      </version>
   </valueSet>
   <valueSet name="CoverageLimitObservationValue" id="2.16.840.1.113883.1.11.20280">
      <historyItem dateTime="2020-05-06" id="v3-CoverageLimitObservationValue-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**Coded observation values for coverage limitations, for e.g., types of claims or types of parties covered under a policy or program.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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   </valueSet>
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      <historyItem dateTime="2020-05-06" id="v3-CoverageLevelObservationValue-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**Coded observation values for types of covered parties under a policy or program based on their personal relationships or employment status.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1063">
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      </version>
   </valueSet>
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      <historyItem dateTime="2020-05-06" id="v3-xActStatusPrevious-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**Cancelled, nullified and obsolete .</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.14</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.14">
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            <codeBasedContent code="nullified"/>
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   </valueSet>
   <valueSet name="x_ActMoodCompletionCriterion" id="2.16.840.1.113883.1.11.20285">
      <historyItem dateTime="2020-05-06" id="v3-xActMoodCompletionCriterion-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**These are moods describing activities as they progress in the business cycle, from defined, through planned and ordered to completed, and any applicable criterion or condition over actual and potential services that must apply for an associated service to be considered.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1001</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1001">
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            <codeBasedContent code="EVN"/>
            <codeBasedContent code="EVN.CRT"/>
            <codeBasedContent code="INT"/>
            <codeBasedContent code="RQO"/>
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   </valueSet>
   <valueSet name="ActInformationTransferCode" id="2.16.840.1.113883.1.11.20289">
      <historyItem dateTime="2020-05-06" id="v3-ActInformationTransferCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>Conveyance of the type of information transfer protocol.</text>
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         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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            <codeBasedContent code="INFEMER"/>
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   </valueSet>
   <valueSet name="GeneticObservationMethod" id="2.16.840.1.113883.1.11.20290">
      <historyItem dateTime="2020-05-06" id="v3-GeneticObservationMethod-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
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            </description>
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      </annotations>
      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
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      </annotations>
      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>The domain contains genetic analysis specific observation values, e.g. Homozygote, Heterozygote, etc.</text>
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      </annotations>
      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>Identifies the kinds of genetic observations that can be performed.</text>
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      </annotations>
      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.45">
            <codeBasedContent code="SRCH">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
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      </version>
   </valueSet>
   <valueSet name="x_ActRelationshipDocumentSPL" id="2.16.840.1.113883.1.11.20295">
      <historyItem dateTime="2020-05-06" id="v3-xActRelationshipDocumentSPL-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <associatedConceptProperty name="Name:Act:inboundRelationship:ActRelationship" value="relatedTo"/>
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         <content codeSystem="2.16.840.1.113883.5.1002">
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            <codeBasedContent code="DRIV"/>
            <codeBasedContent code="RPLC"/>
            <codeBasedContent code="XCRPT"/>
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   </valueSet>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1001</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1001">
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            <codeBasedContent code="DEF"/>
            <codeBasedContent code="EVN"/>
            <codeBasedContent code="EVN.CRT"/>
            <codeBasedContent code="RSK"/>
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      <historyItem dateTime="2020-05-06" id="v3-RoleClassProductRelated-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**A value set of product related role classCodes</p>
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         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
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   <valueSet name="RoleClassManagedEntity" id="2.16.840.1.113883.1.11.20298">
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**A value set of role classCodes related to entity management.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
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            <codeBasedContent code="MNT"/>
            <codeBasedContent code="OWN"/>
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      </version>
   </valueSet>
   <valueSet name="LabResultTriggerEvents" id="2.16.840.1.113883.1.11.20299">
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**Trigger Event ID as published in the standard.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.1.18</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.1.18">
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            <codeBasedContent code="POLB_TE004102UV"/>
            <codeBasedContent code="POLB_TE004200UV"/>
            <codeBasedContent code="POLB_TE004201UV"/>
            <codeBasedContent code="POLB_TE004202UV"/>
            <codeBasedContent code="POLB_TE004301UV"/>
            <codeBasedContent code="POLB_TE004500UV"/>
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      </version>
   </valueSet>
   <valueSet name="Country2" id="2.16.840.1.113883.1.11.20300">
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Countries of the world. ISO 3166, part 1, alpha-2 set.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>1.0.3166.1</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="1.0.3166.1">
            <codeBasedContent code="[A-Z]{2}">
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassFolder" id="2.16.840.1.113883.1.11.20302" isImmutable="true">
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
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         <content codeSystem="2.16.840.1.113883.5.6">
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         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassGrouper" id="2.16.840.1.113883.1.11.20304" isImmutable="true">
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
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         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassRecordOrganizer" id="2.16.840.1.113883.1.11.20308"
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      <historyItem dateTime="2020-05-06" id="v3-ActClassRecordOrganizer-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.6">
                  <codeBasedContent code="_ActClassRecordOrganizer">
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               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.6">
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               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActStatusAbortedCancelledCompleted" id="2.16.840.1.113883.1.11.20309"
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      <historyItem dateTime="2020-05-06" id="v3-ActStatusAbortedCancelledCompleted-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>The status of an assessment for indications of an abnormal condition.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.14</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.14">
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            <codeBasedContent code="cancelled"/>
            <codeBasedContent code="completed"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="GTSAbbreviationBase" id="2.16.840.1.113883.1.11.20310">
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**Basic abbreviations defined for the General timing Specification data type.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1022</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1022">
            <codeBasedContent code="AM"/>
            <codeBasedContent code="BID"/>
            <codeBasedContent code="JB"/>
            <codeBasedContent code="JE"/>
            <codeBasedContent code="JH"/>
            <codeBasedContent code="PM"/>
            <codeBasedContent code="QID"/>
            <codeBasedContent code="TID"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="GTSAbbreviationOther" id="2.16.840.1.113883.1.11.20311">
      <historyItem dateTime="2020-05-06" id="v3-GTSAbbreviationOther-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**Other, more specific, abbreviations defined for the General timing Specification data type, that are specializations of one of the Base concepts.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1022</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1022">
            <codeBasedContent code="JH">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="TelecommunicationCapabilities" id="2.16.840.1.113883.1.11.20312">
      <historyItem dateTime="2020-05-06" id="v3-TelecommunicationCapabilities-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>Concepts that define the telecommunication capabilities of a particular device. Used to identify the expected capabilities to be found at a particular telecommunication address.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1118</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1118"/>
      </version>
   </valueSet>
   <valueSet name="GeneralAddressUse" id="2.16.840.1.113883.1.11.20315">
      <historyItem dateTime="2020-05-06" id="v3-GeneralAddressUse-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1119</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1119">
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               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="HomeAddress" id="2.16.840.1.113883.1.11.20316">
      <historyItem dateTime="2020-05-06" id="v3-HomeAddress-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1119</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1119">
            <codeBasedContent code="H">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="WorkPlace" id="2.16.840.1.113883.1.11.20317">
      <historyItem dateTime="2020-05-06" id="v3-WorkPlace-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1119</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1119">
            <codeBasedContent code="WP">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassUsedEntity" id="2.16.840.1.113883.1.11.20320" isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassUsedEntity-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**An entity (player) that is used by another entity (scoper)</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="EntityNameUseR2" id="2.16.840.1.113883.1.11.20321">
      <historyItem dateTime="2020-05-06" id="v3-EntityNameUseR2-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**A set of codes advising a system or user which name in a set of names to select for a given purpose.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1120</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1120"/>
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   </valueSet>
   <valueSet name="EntityNamePartTypeR2" id="2.16.840.1.113883.1.11.20322">
      <historyItem dateTime="2020-05-06" id="v3-EntityNamePartTypeR2-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**Indicates whether the name part is a given name, family name, prefix, suffix, etc.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1121</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1121"/>
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   </valueSet>
   <valueSet name="EntityNamePartQualifierR2" id="2.16.840.1.113883.1.11.20323">
      <historyItem dateTime="2020-05-06" id="v3-EntityNamePartQualifierR2-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**The qualifier is a set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type. For example, a given name may be flagged as a nickname, a family name may be a pseudonym or a name of public records.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1122"/>
      </version>
   </valueSet>
   <valueSet name="TriggerEventID" id="2.16.840.1.113883.1.11.20324">
      <historyItem dateTime="2020-05-06" id="v3-TriggerEventID-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.1.18</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.1.18"/>
      </version>
   </valueSet>
   <valueSet name="ObservationCoordinateSystemType" id="2.16.840.1.113883.1.11.20325">
      <historyItem dateTime="2020-05-06" id="v3-ObservationCoordinateSystemType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.6.278</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.6.278"/>
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   </valueSet>
   <valueSet name="ObservationCoordinateAxisType" id="2.16.840.1.113883.1.11.20326">
      <historyItem dateTime="2020-05-06" id="v3-ObservationCoordinateAxisType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.6.279</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.6.279"/>
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   </valueSet>
   <valueSet name="ObservationInterpretationDetected" id="2.16.840.1.113883.1.11.20328">
      <historyItem dateTime="2020-05-06" id="v3-ObservationInterpretationDetected-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Interpretations of the presence or absence of a component / analyte or organism in a test or of a sign in a clinical observation. In keeping with laboratory data processing practice, these concepts provide a categorical interpretation of the "meaning" of the quantitative value for the same observation.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.83</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.83">
            <codeBasedContent code="ObservationInterpretationDetection">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActPatientAnnotationType" id="2.16.840.1.113883.1.11.20329">
      <historyItem dateTime="2020-05-06" id="v3-ActPatientAnnotationType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Provides a categorization for annotations recorded directly against the patient</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="_ActPatientAnnotationType">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassCompositeOrder" id="2.16.840.1.113883.1.11.20338"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-ActClassCompositeOrder-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="GROUPER">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
            <codeBasedContent code="OBS">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
            <codeBasedContent code="PROC">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
            <codeBasedContent code="SPLY">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="LabResultReportingProcessStepCode" id="2.16.840.1.113883.1.11.20339">
      <historyItem dateTime="2020-05-06" id="v3-LabResultReportingProcessStepCode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="C"/>
            <codeBasedContent code="F"/>
            <codeBasedContent code="PRLMN"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActCodeProcessStep" id="2.16.840.1.113883.1.11.20340">
      <historyItem dateTime="2020-05-06" id="v3-ActCodeProcessStep-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="ACID"/>
            <codeBasedContent code="ALK"/>
            <codeBasedContent code="C"/>
            <codeBasedContent code="DEFB"/>
            <codeBasedContent code="F"/>
            <codeBasedContent code="FILT"/>
            <codeBasedContent code="LDLP"/>
            <codeBasedContent code="NEUT"/>
            <codeBasedContent code="PRLMN"/>
            <codeBasedContent code="RECA"/>
            <codeBasedContent code="SREC"/>
            <codeBasedContent code="SSTOR"/>
            <codeBasedContent code="STRAN"/>
            <codeBasedContent code="UFIL"/>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>ActCodeProcessStep</b>\- Property applies to value sets that contain classCode values in structural vocabularies. It identifies by name the Concept Domain(s) that represent(s) the concepts that are sub-types of the concept collection established by the value sets of class codes.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <content codeSystem="2.16.840.1.113883.5.6">
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            <codeBasedContent code="CONTREG">
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            </codeBasedContent>
            <codeBasedContent code="OBS">
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            </codeBasedContent>
            <codeBasedContent code="PROC">
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            </codeBasedContent>
            <codeBasedContent code="SPCTRT">
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            </codeBasedContent>
            <codeBasedContent code="SPECCOLLECT">
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            </codeBasedContent>
            <codeBasedContent code="STORE">
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            </codeBasedContent>
            <codeBasedContent code="TRNS">
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            </codeBasedContent>
         </content>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Definition:**Identifies why the dispense event was not completed</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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   </valueSet>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Definition:**Indicates why the requested authorization to prescribe or dispense a medication has been refused.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.8</supportedCodeSystem>
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         <content codeSystem="2.16.840.1.113883.5.8">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Definition:**Indicates why the request to transfer a prescription from one dispensing facility to another has been refused.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2019-03-20">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
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               <unionWithContent>
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            </combinedContent>
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      </version>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.8</supportedCodeSystem>
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         <supportedLanguage>en</supportedLanguage>
         <content>
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               <unionWithContent>
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      </version>
   </valueSet>
   <valueSet name="ActClassConcern" id="2.16.840.1.113883.1.11.20347" isImmutable="true">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <content codeSystem="2.16.840.1.113883.5.6">
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      </version>
   </valueSet>
   <valueSet name="ActClassSubstanceExtraction" id="2.16.840.1.113883.1.11.20348"
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      <historyItem dateTime="2020-05-06" id="v3-ActClassSubstanceExtraction-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
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            </codeBasedContent>
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      </version>
   </valueSet>
   <valueSet name="ActRelationshipUpdate" id="2.16.840.1.113883.1.11.20349"
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      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipUpdate-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>
                  <b>Deprecation Comment:</b>Was mis-named, and a proper representation has been provided. Replaced by value set ActRelationshipCompliesWith.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipExacerbatredBy" id="2.16.840.1.113883.1.11.20350"
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      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipExacerbatredBy-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
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      </version>
   </valueSet>
   <valueSet name="ActRelationshipRelievedBy" id="2.16.840.1.113883.1.11.20351"
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      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipRelievedBy-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>Subset of null flavors, used for associations as needed for the ITS, and used in InfrastructureRoot.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1008">
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            <codeBasedContent code="NI"/>
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      </version>
   </valueSet>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
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            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
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            <codeBasedContent code="SPRT"/>
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      </version>
   </valueSet>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>The class of the primary role by which the party is identified as the subject of an adverse event assessment.</text>
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         </documentation>
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      <version versionDate="2014-03-26">
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         <content codeSystem="2.16.840.1.113883.5.110">
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      </version>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>All coded binding realms for terminology constraint context binding.</text>
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         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1124"/>
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   </valueSet>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
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               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
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      </version>
   </valueSet>
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
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         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Definition:**A patient encounter that takes place both outside a dedicated service delivery location and outside a patient's residence. Example locations might include an accident site and at a supermarket.</p>
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      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
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      </version>
   </valueSet>
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
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            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
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      </version>
   </valueSet>
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Definition:**An encounter where the patient is admitted to a health care facility for a predetermined length of time, usually less than 24 hours.</p>
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            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="SS"/>
         </content>
      </version>
   </valueSet>
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Definition:**A patient encounter where the patient and the practitioner(s) are not in the same physical location. Examples include telephone conference, email exchange, robotic surgery, and televideo conference.</p>
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            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
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         </content>
      </version>
   </valueSet>
   <valueSet name="ActClaimAttachmentCategoryCode" id="2.16.840.1.113883.1.11.20362">
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="_ActClaimAttachmentCategoryCode">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="StatusRevisionRefusalReasonCode" id="2.16.840.1.113883.1.11.20363">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Indicates why the act revision (status update) is being refused.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.8</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.8">
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            </codeBasedContent>
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      </version>
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      <annotations>
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      <annotations>
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      <annotations>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <associatedConceptProperty name="Name:Class" value="molecularFeature"/>
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         <associatedConceptProperty name="Name:Role:scoper:Entity" value="owning&amp;"/>
         <associatedConceptProperty name="Sort:Entity:playedRole:Role" value="AA_______"/>
         <associatedConceptProperty name="Sort:Entity:scopedRole:Role" value="AA_______"/>
         <content codeSystem="2.16.840.1.113883.5.110">
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            <codeBasedContent code="PART"/>
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      </version>
   </valueSet>
   <valueSet name="RoleLinkHasContact" id="2.16.840.1.113883.1.11.20391" isImmutable="true">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.107</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.107">
            <codeBasedContent code="CONT">
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipHasBaseline" id="2.16.840.1.113883.1.11.20392"
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      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipHasBaseline-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
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            </codeBasedContent>
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      </version>
   </valueSet>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>All codes from code system ActCode.\_IndividualCaseSafetyReportType</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
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      </version>
   </valueSet>
   <valueSet name="ParticipationAnalyte" id="2.16.840.1.113883.1.11.20395"
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      <historyItem dateTime="2020-05-06" id="v3-ParticipationAnalyte-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <content codeSystem="2.16.840.1.113883.5.90">
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      <historyItem dateTime="2020-05-06" id="v3-ParticipationCatalyst-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
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      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
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      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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   </valueSet>
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      <historyItem dateTime="2020-05-06" id="v3-RoleClassMechanicalIngredient-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
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      </version>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
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   </valueSet>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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      </version>
   </valueSet>
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      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipDuring-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipOverlapsWith" id="2.16.840.1.113883.1.11.20406"
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      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipOverlapsWith-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="OVERLAP">
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            </codeBasedContent>
         </content>
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   </valueSet>
   <valueSet name="ActRelationshipEndsConcurrentWith" id="2.16.840.1.113883.1.11.20407"
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      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipEndsConcurrentWith-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
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   </valueSet>
   <valueSet name="ActRelationshipStartsConcurrentWith" id="2.16.840.1.113883.1.11.20408"
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      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipStartsConcurrentWith-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
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         <content codeSystem="2.16.840.1.113883.5.1002">
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         </content>
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   </valueSet>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>Coded reasons why an antigen is considered invalid.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.8</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.8">
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            <codeBasedContent code="COLDCHNBRK"/>
            <codeBasedContent code="EXPLOT"/>
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            <codeBasedContent code="PRODRECALL"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="ImmunizationObservationType" id="2.16.840.1.113883.1.11.20410">
      <historyItem dateTime="2020-05-06" id="v3-ImmunizationObservationType-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>Indicates the valid antigen count.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="PatientImmunizationRelatedObservationType"
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      <historyItem dateTime="2020-05-06"
                   id="v3-PatientImmunizationRelatedObservationType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>Description:</b>Reporting codes that are related to an immunization event.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="_PatientImmunizationRelatedObservationType">
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.9</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.9">
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            <codeBasedContent code="CH"/>
            <codeBasedContent code="CM"/>
            <codeBasedContent code="CN"/>
            <codeBasedContent code="CS"/>
            <codeBasedContent code="CW"/>
            <codeBasedContent code="CY"/>
            <codeBasedContent code="DM"/>
            <codeBasedContent code="DW"/>
            <codeBasedContent code="DY"/>
            <codeBasedContent code="HD"/>
            <codeBasedContent code="MY"/>
            <codeBasedContent code="NH"/>
            <codeBasedContent code="SN"/>
            <codeBasedContent code="WM"/>
            <codeBasedContent code="WY"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleLinkStatus" id="2.16.840.1.113883.1.11.20413" isImmutable="true">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1137"/>
      </version>
   </valueSet>
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      <historyItem dateTime="2020-05-06" id="v3-RoleLinkStatusNormal-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
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      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
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      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
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      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**Describes types of identifiers other than the primary location registry identifier for a service delivery location. Identifiers may be assigned by a local service delivery organization, a formal body capable of accrediting the location for the capability to provide specific services or the identifier may be assigned at a jurisdictional level.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>**Description:**Test methods designed to determine a microorganism's susceptibility to an antibiotic.</p>
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            </description>
         </documentation>
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      <version versionDate="2023-06-02">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>ActPrivacyPolicyType codes support the designation of the 1..\* policies that are applicable to an Act such as a Consent Directive, a Role such as a VIP Patient, or an Entity such as a patient who is a minor. 1..\* ActPrivacyPolicyType values may be associated with an Act or Role to indicate the policies that govern the assignment of an Act or Role confidentialityCode. Use of multiple ActPrivacyPolicyType values enables fine grain specification of applicable policies, but must be carefully assigned to ensure cogency and avoid creation of conflicting policy mandates. Statutory title may be named in the ActClassPolicy Act Act.title to specify which privacy policy is being referenced.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
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               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>ActPrivacyLaw codes may be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialtyCode complies. May be used to further specify rationale for assignment of other ActPrivacyPolicy codes in the US realm, e.g., ETH and 42CFRPart2 can be differentiated from ETH and Title38Part1.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
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         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Sensitivity codes are not useful for interoperability outside of a policy domain because sensitivity policies are typically localized and vary drastically across policy domains even for the same information category because of differing organizational business rules, security policies, and jurisdictional requirements. For example, an "employee" sensitivity code would make little sense for use outside of a policy domain. "Taboo" would rarely be useful outside of a policy domain unless there are jurisdictional requirements requiring that a provider disclose sensitive information to a patient directly.</p>
                  <p>Sensitivity codes may be more appropriate in a legacy system's Master Files in order to notify those who access a patient's orders and observations about the sensitivity policies that apply. Newer systems may have a security engine that uses a sensitivity policy's criteria directly. The specializable Sensitivity Act.code may be useful in some scenarious if used in combination with a sensitivity identifier and/or Act.title.</p>
               </text>
            </description>
         </documentation>
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      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>ActSensitivity codes are used to bind information to an Act.confidentialityCode according to local sensitivity policy so that those confidentiality codes can then govern its handling across enterprises. Internally to a policy domain, however, local policies guide the access control system on how end users in that policy domain are able to use information tagged with these sensitivity values.</p>
               </text>
            </description>
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      <version versionDate="2014-03-26">
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      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
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               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>EntitySensitivity codes are used to convey a policy that is applicable to sensitive information conveyed by an entity attribute. May be used to bind a Role.confidentialityCode associated with an Entity per organizational policy. Role.confidentialityCode is defined in the RIM as "an indication of the appropriate disclosure of information about this Role with respect to the playing Entity."</p>
               </text>
            </description>
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      <version versionDate="2014-03-26">
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   </valueSet>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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      </version>
   </valueSet>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
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               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipHasMetadata" id="2.16.840.1.113883.1.11.20435">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipHasMetadata-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="META">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipImmunizationAgainst" id="2.16.840.1.113883.1.11.20436">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipImmunizationAgainst-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="IMM">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipProphylaxisOf" id="2.16.840.1.113883.1.11.20437">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipProphylaxisOf-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="PRYLX">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipTreats" id="2.16.840.1.113883.1.11.20438">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipTreats-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="TREAT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipAdjunctiveTreatment" id="2.16.840.1.113883.1.11.20439">
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="ADJUNCT">
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipMaintenanceTreatment" id="2.16.840.1.113883.1.11.20440">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipMaintenanceTreatment-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipPalliates" id="2.16.840.1.113883.1.11.20441">
      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipPalliates-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="PALLTREAT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RoleClassEventLocation" id="2.16.840.1.113883.1.11.20442">
      <historyItem dateTime="2020-05-06" id="v3-RoleClassEventLocation-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
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            </codeBasedContent>
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      </version>
   </valueSet>
   <valueSet name="RoleClassContaminantIngredient" id="2.16.840.1.113883.1.11.20443">
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.110</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.110">
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="SecurityPolicy" id="2.16.840.1.113883.1.11.20444">
      <historyItem dateTime="2020-05-06" id="v3-SecurityPolicy-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Types of security policies that further specify the ActClassPolicy value set.</p>
                  <b>Examples:</b>
                  <p>* encrypt * prohibit redisclosure without consent directive</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ObligationPolicy" id="2.16.840.1.113883.1.11.20445">
      <historyItem dateTime="2020-05-06" id="v3-ObligationPolicy-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Conveys the mandated workflow action that an information custodian, receiver, or user must perform.</p>
                  <b>Examples:</b>
                  <p>* encrypt</p>
                  <i>Usage Note:</i>Per OASIS XACML, an obligation is an operation specified in a policy or policy that is performed in conjunction with the enforcement of an access control decision.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
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               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="RefrainPolicy" id="2.16.840.1.113883.1.11.20446">
      <historyItem dateTime="2020-05-06" id="v3-RefrainPolicy-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Conveys prohibited actions which an information custodian, receiver, or user is not permitted to perform unless otherwise authorized or permitted under specified circumstances.</p>
                  <b>Examples:</b>
                  <p>* prohibit redisclosure without consent directive</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
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               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActHealthInformationManagementReason" id="2.16.840.1.113883.1.11.20447">
      <historyItem dateTime="2020-05-06" id="v3-ActHealthInformationManagementReason-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The rationale or purpose for an act relating to health information management, such as archiving information for the purpose of complying with an organization policy or jurisdictional law relating to data retention.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.8</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.8">
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               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="PurposeOfUse" id="2.16.840.1.113883.1.11.20448">
      <historyItem dateTime="2020-05-06" id="v3-PurposeOfUse-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Supports communication of purpose of use at a general level.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.8</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.8">
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                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.8">
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               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="GeneralPurposeOfUse" id="2.16.840.1.113883.1.11.20449">
      <historyItem dateTime="2020-05-06" id="v3-GeneralPurposeOfUse-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Supports communication of purpose of use at a general level.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.8</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.8">
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            <codeBasedContent code="ETREAT"/>
            <codeBasedContent code="HMARKT"/>
            <codeBasedContent code="HOPERAT"/>
            <codeBasedContent code="HPAYMT"/>
            <codeBasedContent code="HRESCH"/>
            <codeBasedContent code="PATRQT"/>
            <codeBasedContent code="PUBHLTH"/>
            <codeBasedContent code="TREAT"/>
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      </version>
   </valueSet>
   <valueSet name="ObservationMethodAggregate" id="2.16.840.1.113883.1.11.20450">
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A set of codes that defines how a set of values are summarized in an aggregated computation, for use with sets of values do describe which aggregated statistic functions are to be applied (e.g., average, mode, min, max, standard deviation, variance).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.84">
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               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
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         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipStartsBeforeEnd" id="2.16.840.1.113883.1.11.20451"
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The source Act starts after the end of the target Act (i.e. if we say "ActOne SBE ActTwo", it means that ActOne starts before the end of ActTwo, therefore ActOne is the source and ActTwo is the target).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
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   </valueSet>
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The source Act ends after the end of the target Act (i.e. if we say "ActOne EBE ActTwo", it means that ActOne ends before the end of ActTwo, therefore ActOne is the source and ActTwo is the target).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
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   </valueSet>
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      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipStartsConcurrentWithEnd-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The source Act starts when the target act ends (i.e. if we say "ActOne SCWE ActTwo", it means that ActOne starts when ActTwo ends, therefore ActOne is the source and ActTwo is the target).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
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            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActRelationshipEndsConcurrentWithStart" id="2.16.840.1.113883.1.11.20454"
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      <historyItem dateTime="2020-05-06" id="v3-ActRelationshipEndsConcurrentWithStart-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The source Act ends when the target act starts (i.e. if we say "ActOne ECWS ActTwo", it means that ActOne ends when ActTwo starts, therefore ActOne is the source and ActTwo is the target).</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1002</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1002">
            <codeBasedContent code="ECWS">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassPublicHealthCase2" id="2.16.840.1.113883.1.11.20455">
      <historyItem dateTime="2020-05-06" id="v3-ActClassPublicHealthCase2-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A public health case is a Concern about an observation or event that has a specific significance for public health. The creation of a PublicHealthCase initiates the tracking of the object of concern. The decision to track is related to but somewhat independent of the underlying event or observation.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
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               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ActClassOutbreak2" id="2.16.840.1.113883.1.11.20456">
      <historyItem dateTime="2020-05-06" id="v3-ActClassOutbreak2-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>An Outbreak is a concern resulting from a series of public health cases.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.6</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.6">
            <codeBasedContent code="OUTBR">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="SecurityObservationType" id="2.16.840.1.113883.1.11.20457"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-SecurityObservationType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Type of security metadata observation made about an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security metadata are used in security labels. According to ISO/TS 22600-3:2009(E) A.9.1.7 SECURITY LABEL MATCHING, Security label matching compares the initiator's clearance to the target's security label. All of the following must be true for authorization to be granted:</p>
                  <p>* The security policy identifiers shall be identical, * The classification level of the initiator shall be greater than or equal to that of the target (that is, there shall be at least one value in the classification list of the clearance greater than or equal to the classification of the target), and * For each security category in the target label, there shall be a security category of the same type in the initiator'ijs clearance and the initiator's classification level shall dominate that of the target.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2023-06-02">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="SECOBS">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="SecurityClassificationObservationType" id="2.16.840.1.113883.1.11.20458"
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      <historyItem dateTime="2020-05-06" id="v3-SecurityClassificationObservationType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Type of security metadata observation made about the classification of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions.</p>
                  <p>Security classification is defined by ISO/IEC 2382-8:1998(E/F)/ T-REC-X.812-1995 as: "The determination of which specific degree of protection against access the data or information requires, together with a designation of that degree of protection." Security classification metadata is based on an analysis of applicable policies and the risk of financial, reputational, or other harm that could result from unauthorized disclosure.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="SECCLASSOBS">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="SecurityCategoryObservationType" id="2.16.840.1.113883.1.11.20459"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-SecurityCategoryObservationType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Type of security metadata observation made about the category of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security category metadata is defined by ISO/IEC 2382-8:1998(E/F)/ T-REC-X.812-1995 as: "A nonhierarchical grouping of sensitive information used to control access to data more finely than with hierarchical security classification alone."</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="SECCATOBS">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="SecurityControlObservationType" id="2.16.840.1.113883.1.11.20460"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-SecurityControlObservationType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Type of security metadata observation made about the control of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security control metadata conveys instructions for secure distribution, transmission, storage or use.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="SECCONOBS">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="SecurityIntegrityObservationType" id="2.16.840.1.113883.1.11.20461"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-SecurityIntegrityObservationType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Type of security metadata observation made about the integrity of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="SECINTOBS">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="SecurityIntegrityStatusObservationType" id="2.16.840.1.113883.1.11.20462"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-SecurityIntegrityStatusObservationType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Type of security metadata observation made about the integrity status of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Indicates the completeness or workflow status of an IT resource, which may impact users that are authorized to access and use the resource.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="SECINTSTOBS">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="SecurityIntegrityConfidenceObservationType"
             id="2.16.840.1.113883.1.11.20463"
             isImmutable="true">
      <historyItem dateTime="2020-05-06"
                   id="v3-SecurityIntegrityConfidenceObservationType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Type of security metadata observation made about the integrity confidence of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="SECINTCONOBS">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="SecurityDataIntegrityObservationType" id="2.16.840.1.113883.1.11.20464"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-SecurityDataIntegrityObservationType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Type of security metadata observation made about the data integrity of an IT resource (data, information object, service, or system capability), which indicates the security mechanism used to preserve resource accuracy and consistency. Data integrity is defined by ISO 22600-23.3.21 as: "The property that data has not been altered or destroyed in an unauthorized manner", and by ISO/IEC 2382-8: The property of data whose accuracy and consistency are preserved regardless of changes made."</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="SECDATINTOBS">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="SecurityAlterationIntegrityObservationType"
             id="2.16.840.1.113883.1.11.20465"
             isImmutable="true">
      <historyItem dateTime="2020-05-06"
                   id="v3-SecurityAlterationIntegrityObservationType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>&lt;pType of security metadata observation made about the alteration integrity of an IT resource (data, information object, service, or system capability), which indicates the mechanism used for authorized transformations of the resource.&lt;/p&gt;</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="SECALTINTOBS">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="SecurityIntegrityProvenanceObservationType"
             id="2.16.840.1.113883.1.11.20466"
             isImmutable="true">
      <historyItem dateTime="2020-05-06"
                   id="v3-SecurityIntegrityProvenanceObservationType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Type of security metadata observation made about the provenance integrity of an IT resource (data, information object, service, or system capability), which indicates the lifecycle completeness or workflow status of an IT resource, such as its creation, modification, suspension, and deletion; locations in which the resource has been collected or archived, from which it may be retrieved, and the history of its distribution and disclosure. Integrity provenance metadata about an IT resource may be used to assess its veracity, reliability, and trustworthiness.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="SECINTPRVOBS">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="SecurityIntegrityProvenanceReportedByObservationType"
             id="2.16.840.1.113883.1.11.20467"
             isImmutable="true">
      <historyItem dateTime="2020-05-06"
                   id="v3-SecurityIntegrityProvenanceReportedByObservationT-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Type of security metadata observation made about the integrity provenance of an IT resource (data, information object, service, or system capability), which indicates the entity that reported the existence of the resource. The reporting entity may not be the original author of the resource.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2019-03-20">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="SECINTPRVRBOBS">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="SecurityIntegrityProvenanceAssertedByObservationType"
             id="2.16.840.1.113883.1.11.20468"
             isImmutable="true">
      <historyItem dateTime="2020-05-06"
                   id="v3-SecurityIntegrityProvenanceAssertedByObservationT-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Type of security metadata observation made about the integrity provenance of an IT resource (data, information object, service, or system capability), which indicates the entity that made assertions about the resource. The asserting entity may not be the original informant about the resource.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2019-03-20">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="SECINTPRVABOBS">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="SecurityObservationValue" id="2.16.840.1.113883.1.11.20469"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-SecurityObservationValue-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Observation values used to indicate security observation metadata.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1063</supportedCodeSystem>
         <supportedCodeSystem>2.16.840.1.113883.5.25</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.1063">
                  <codeBasedContent code="_SecurityObservationValue">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.20479"/>
               </unionWithContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="SecurityCategoryObservationValue" id="2.16.840.1.113883.1.11.20470"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-SecurityCategoryObservationValue-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Security observation values used to indicate security category metadata. V:SecurityCategoryObservationValue is the union of V:PrivacyPolicyType, V:ActPrivacyLaw, V:ActConsentDirective, V:InformationSensitivityPolicy, V:ActInformationSensitivityPolicy, V:RoleInformationSensitivityPolicy, V:EntityInformationSensitivityPolicy, and the V:ActConsentType value used to populate the SecurityCategoryObservationValue attribute in order to convey one or more nonhierarchical categories of sensitivity metadata, which are used to control access to data more finely than with hierarchical security classification alone. Could be bound R1 to a V:ActUSPrivacyPolicy in a future US Realm.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1063</supportedCodeSystem>
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.19897"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.20424"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.20425"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.20426"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.20428"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.20429"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.20430"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.20431"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.20478"/>
               </unionWithContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.1063"/>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="SecurityControlObservationValue" id="2.16.840.1.113883.1.11.20471"
             isImmutable="true">
      <historyItem dateTime="2020-05-06" id="v3-SecurityControlObservationValue-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Security observation values used to indicate security control metadata. V:SecurityControl is the union of V:SecurityPolicy, V:ObligationPolicy, V:RefrainPolicy, V:PurposeOfUse, and V:GeneralPurpose of Use, V:PrivacyMark, V:SecurityLabelMark, and V:ControlledUnclassifiedInformation used to populate the SecurityControlObservationValue attribute in order to convey one or more nonhierarchical security control metadata dictating handling caveats including, purpose of use, obligation policy, refrain policy, dissemination controls and privacy marks to which a custodian or receiver is required to comply.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1063</supportedCodeSystem>
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedCodeSystem>2.16.840.1.113883.5.8</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.20444"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.20445"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.20446"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.20448"/>
               </unionWithContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.20449"/>
               </unionWithContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.1063"/>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ParticipationTypeCDASectionOverride" id="2.16.840.1.113883.1.11.20472">
      <historyItem dateTime="2020-05-06" id="v3-ParticipationTypeCDASectionOverride-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Identifies the set of participation types context that can be blocked (overridden) at the CDA section or sub-section level of a document.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.90</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.90">
            <codeBasedContent code="AUT"/>
            <codeBasedContent code="AUTHEN"/>
            <codeBasedContent code="INF"/>
            <codeBasedContent code="SBJ"/>
         </content>
      </version>
   </valueSet>
   <valueSet name="PopulationInclusionObservationType" id="2.16.840.1.113883.1.11.20476">
      <historyItem dateTime="2020-05-06" id="v3-PopulationInclusionObservationType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Observation types for specifying criteria used to assert that a subject is included in a particular population.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="_PopulationInclusionObservationType">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="ReactivityObservationInterpretation" id="2.16.840.1.113883.1.11.20477">
      <historyItem dateTime="2020-05-06" id="v3-ReactivityObservationInterpretation-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Interpretations of the presence and level of reactivity of the specified component / analyte with the reagent in the performed laboratory test.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.83</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.83">
            <codeBasedContent code="ReactivityObservationInterpretation">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="Compartment" id="2.16.840.1.113883.1.11.20478">
      <historyItem dateTime="2020-05-06" id="v3-Compartment-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A named tag set for metadata used to populate a security category label field that "segments" an IT resource per policy by indicating that access and use is restricted to members of a defined community or project. (HL7 Healthcare Privacy and Security Classification System)</p>
                  <i>Usage Note:</i>This is the healthcare analog to the US Intelligence Community's concept of a Special Access Program. Compartment codes may be used in as a field value in an initiator's clearance to indicate permission to access and use an IT Resource with a security label having the same compartment value in security category label field.<p>Map: Aligns with ISO 2382-8 definition of Compartment - "A division of data into isolated blocks with separate security controls for the purpose of reducing risk."</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="COMPT">
               <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
            </codeBasedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="SecurityClassificationObservationValue" id="2.16.840.1.113883.1.11.20479">
      <historyItem dateTime="2020-05-06" id="v3-SecurityClassificationObservationValue-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Security observation values used to indicate security classification metadata.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.25</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.10228"/>
               </unionWithContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.25"/>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="SecurityIntegrityStatusObservation" id="2.16.840.1.113883.1.11.20480">
      <historyItem dateTime="2020-05-06" id="v3-SecurityIntegrityStatusObservation-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Security observation values used to indicate security integrity status metadata.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.33</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.271"/>
               </unionWithContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.33"/>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="SecurityIntegrityObservationValue" id="2.16.840.1.113883.1.11.20481">
      <historyItem dateTime="2020-05-06" id="v3-SecurityIntegrityObservationValue-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1063</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.1063">
                  <codeBasedContent code="_SECINTOBV">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.1063">
                  <codeBasedContent code="_SECINTOBV"/>
               </excludeContent>
            </combinedContent>
         </content>
      </version>
   </valueSet>
   <valueSet name="SecurityAlterationIntegrityObservationValue"
             id="2.16.840.1.113883.1.11.20482">
      <historyItem dateTime="2020-05-06"
                   id="v3-SecurityAlterationIntegrityObservationValue-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <b>No description</b>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1063</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent codeSystem="2.16.840.1.113883.5.1063">
                  <codeBasedContent code="_SECALTINTOBV">
                     <includeRelatedCodes relationshipName="Generalizes" relationshipTraversal="TransitiveClosure"/>
                  </codeBasedContent>
               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.1063">
                  <codeBasedContent code="_SECALTINTOBV"/>
               </excludeContent>
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      <annotations>
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               <text>
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               <text>
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      <annotations>
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            <description>
               <text>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
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            <description>
               <text>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
         <documentation>
            <description>
               <text>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
         <documentation>
            <description>
               <text>
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      <version versionDate="2014-08-07">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
         <documentation>
            <description>
               <text>
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                  <p>Trust applicable to IT resources is established and maintained in and among security domains, and may be comprised of observations about the domain's trust authority, trust framework, trust policy, trust interaction rules, means for assessing and monitoring adherence to trust policies, mechanisms that enforce trust, and quality and reliability measures of assurance in those mechanisms. \[Based on ISO IEC 10181-1 and NIST SP 800-63-2\]</p>
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      <version versionDate="2023-06-02">
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   <valueSet name="SecurityTrustObservationType" id="2.16.840.1.113883.1.11.20531"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Type of security metadata observation made about aspects of trust applicable to an IT resource (data, information object, service, or system capability). Trust applicable to IT resources is established and maintained in and among security domains, and may be comprised of observations about the domain's trust authority, trust framework, trust policy, trust interaction rules, means for assessing and monitoring adherence to trust policies, mechanisms that enforce trust, and quality and reliability measures of assurance in those mechanisms. \[Based on ISO IEC 10181-1 and NIST SP 800-63-2\]</p>
                  <i>Usage Note:</i>SecurityTrustObservationType may be used as a trust attribute in a computable trust policy, trust credential, trust assertion, or trust label field in a security label and populated with trust observation values. The valued trust attributes may be used for used for authentication, authorization, and access control decisions. These may also be used to negotiate trust relationships, adjudicate or bridge trust policies, and to specify requirements for participation in a Trust Domain or for asserting compliance with a Trust Framework.</text>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
         <documentation>
            <description>
               <text>
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      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The SNODENT identifiers for the recognized grades of tooth mobility according to the Miller Classification system.</p>
                  <p>This value set contains content from SNODENT® Copyright American Dental Association (ADA). All rights reserved. SNODENT is a registered trademark of the ADA.</p>
                  <p>http://www.ada.org/en/member-center/member-benefits/practice-resources/dental-informatics/snodent/licensing-snodent</p>
                  <i>Steward:</i>Attachments WG</text>
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               <text>
                  <p>The SNODENT identifiers for the relative positions around the tooth that are probed and measured in assessing a patient's periodontal health.</p>
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                  <p>http://www.ada.org/en/member-center/member-benefits/practice-resources/dental-informatics/snodent/licensing-snodent</p>
                  <i>Steward:</i>Attachments WG</text>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The SNODENT identifiers for all of the possible human teeth, both adult and adolescent.</p>
                  <p>This value set contains content from SNODENT® Copyright American Dental Association (ADA). All rights reserved. SNODENT is a registered trademark of the ADA.</p>
                  <p>http://www.ada.org/en/member-center/member-benefits/practice-resources/dental-informatics/snodent/licensing-snodent</p>
                  <i>Steward:</i>Attachments WG</text>
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   <valueSet name="SnodentDentalToothFurcationSiteInternational"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
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      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The SNODENT identifiers for the relative location of a human tooth root that is being observed for furcation.</p>
                  <p>This value set contains content from SNODENT® Copyright American Dental Association (ADA). All rights reserved. SNODENT is a registered trademark of the ADA.</p>
                  <p>http://www.ada.org/en/member-center/member-benefits/practice-resources/dental-informatics/snodent/licensing-snodent</p>
                  <i>Steward:</i>Attachments WG</text>
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         </documentation>
      </annotations>
      <version versionDate="2019-03-20">
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   <valueSet name="SnodentDentalFrenumRegionInternational" id="2.16.840.1.113883.1.11.20558">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The SNODENT identifiers for the regions of the human frenum within the mouth.</p>
                  <p>This value set contains content from SNODENT® Copyright American Dental Association (ADA). All rights reserved. SNODENT is a registered trademark of the ADA.</p>
                  <p>http://www.ada.org/en/member-center/member-benefits/practice-resources/dental-informatics/snodent/licensing-snodent</p>
                  <i>Steward:</i>Attachments WG</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2019-03-20">
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   </valueSet>
   <valueSet name="Allergy Status" id="2.16.840.1.113883.1.11.20559">
      <historyItem dateTime="2020-05-06" id="v3-AllergyStatus-vs-1-0-0"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The clinical status of an allergy disposition (Clinical Focus)</p>
                  <p>Used in Program: C-CDA, C-CDA R2.1 2017-06-09 using this value set</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2019-03-20">
         <supportedCodeSystem>2.16.840.1.113883.6.96</supportedCodeSystem>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Provide the concepts for the value element of the C-CDA Work Classification Observation entry template.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2019-03-20">
         <supportedCodeSystem>2.16.840.1.113883.5.1139</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1139"/>
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   </valueSet>
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      <historyItem dateTime="2020-05-06" id="v3-WorkScheduleODH-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Describes an individual's typical arrangement of working hours for an occupation.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2019-03-20">
         <supportedCodeSystem>2.16.840.1.113883.5.1063</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
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               </unionWithContent>
               <excludeContent codeSystem="2.16.840.1.113883.5.1063">
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   </valueSet>
   <valueSet name="employmentStatusODH" id="2.16.840.1.113883.1.11.20562">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Concepts representing whether a person does or does not currently have a job or is not currently in the labor pool seeking employment.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2019-03-20">
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         <content>
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               <excludeContent codeSystem="2.16.840.1.113883.5.1063">
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      </version>
   </valueSet>
   <valueSet name="SnodentOrthodonticTreatmentPreconditionInternational"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The SNODENT identifiers for patient conditions that may preclude starting orthodontic treatment.</p>
                  <p>This value set contains content from SNODENT® Copyright American Dental Association (ADA). All rights reserved. SNODENT is a registered trademark of the ADA.</p>
                  <p>http://www.ada.org/en/member-center/member-benefits/practice-resources/dental-informatics/snodent/licensing-snodent</p>
                  <i>Steward:</i>Attachments WG</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2019-03-20">
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      </version>
   </valueSet>
   <valueSet name="SnodentOrthodonticDiagnosticFeatureInternational"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The SNODENT identifiers for gross patient findings that inform the course of orthodontic treatment to be performed.</p>
                  <p>This value set contains content from SNODENT® Copyright American Dental Association (ADA). All rights reserved. SNODENT is a registered trademark of the ADA.</p>
                  <p>http://www.ada.org/en/member-center/member-benefits/practice-resources/dental-informatics/snodent/licensing-snodent</p>
                  <i>Steward:</i>Attachments WG</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2019-03-20">
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            <codeBasedContent code="210956D"/>
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      </version>
   </valueSet>
   <valueSet name="SnodentCraniofacialAnomalyInternational"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The SNODENT identifiers for the most common craniofacial anomalies that may influence the course of orthodontic treatment to be performed.</p>
                  <p>This value set contains content from SNODENT® Copyright American Dental Association (ADA). All rights reserved. SNODENT is a registered trademark of the ADA.</p>
                  <p>http://www.ada.org/en/member-center/member-benefits/practice-resources/dental-informatics/snodent/licensing-snodent</p>
                  <i>Steward:</i>Attachments WG</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2019-03-20">
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   </valueSet>
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The SNODENT identifiers for tooth-specific abnormalities that impact orthodontic treatment.</p>
                  <p>This value set contains content from SNODENT® Copyright American Dental Association (ADA). All rights reserved. SNODENT is a registered trademark of the ADA.</p>
                  <p>http://www.ada.org/en/member-center/member-benefits/practice-resources/dental-informatics/snodent/licensing-snodent</p>
                  <i>Steward:</i>Attachments WG</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2019-03-20">
         <supportedCodeSystem>2.16.840.1.113883.3.3150</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
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            <codeBasedContent code="116259D"/>
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   </valueSet>
   <valueSet name="SnodentDentitionStateInternational" id="2.16.840.1.113883.1.11.20567">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The SNODENT identifiers for the stages of dentition an individual progresses through during a lifetime.</p>
                  <p>This value set contains content from SNODENT® Copyright American Dental Association (ADA). All rights reserved. SNODENT is a registered trademark of the ADA.</p>
                  <p>http://www.ada.org/en/member-center/member-benefits/practice-resources/dental-informatics/snodent/licensing-snodent</p>
                  <i>Steward:</i>Attachments WG</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2019-03-20">
         <supportedCodeSystem>2.16.840.1.113883.3.3150</supportedCodeSystem>
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      </version>
   </valueSet>
   <valueSet name="SnodentJawTypeInternational" id="2.16.840.1.113883.1.11.20568">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The SNODENT identifiers for the two jaws (mandible and maxilla).</p>
                  <p>This value set contains content from SNODENT® Copyright American Dental Association (ADA). All rights reserved. SNODENT is a registered trademark of the ADA.</p>
                  <p>http://www.ada.org/en/member-center/member-benefits/practice-resources/dental-informatics/snodent/licensing-snodent</p>
                  <i>Steward:</i>Attachments WG</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2019-03-20">
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   <valueSet name="SnodentOralCavityAreaInternational" id="2.16.840.1.113883.1.11.20569">
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The SNODENT identifiers for regions in the mouth utilized to calculate the Salzmann Malocclusion Severity Index.</p>
                  <p>This value set contains content from SNODENT® Copyright American Dental Association (ADA). All rights reserved. SNODENT is a registered trademark of the ADA.</p>
                  <p>http://www.ada.org/en/member-center/member-benefits/practice-resources/dental-informatics/snodent/licensing-snodent</p>
                  <i>Steward:</i>Attachments WG</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2019-03-20">
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            <codeBasedContent code="210965D"/>
            <codeBasedContent code="210966D"/>
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The SNODENT identifiers for dental anterior inter-arch deviations utilized to calculate the Salzmann Malocclusion Severity Index.</p>
                  <p>This value set contains content from SNODENT® Copyright American Dental Association (ADA). All rights reserved. SNODENT is a registered trademark of the ADA.</p>
                  <p>http://www.ada.org/en/member-center/member-benefits/practice-resources/dental-informatics/snodent/licensing-snodent</p>
                  <i>Steward:</i>Attachments WG</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2019-03-20">
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   <valueSet name="SnodentPosteriorInterarchDeviationTypeInternational"
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         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The SNODENT identifiers for dental posterior inter-arch deviations utilized to calculate the Salzmann Malocclusion Severity Index.</p>
                  <p>This value set contains content from SNODENT® Copyright American Dental Association (ADA). All rights reserved. SNODENT is a registered trademark of the ADA.</p>
                  <p>http://www.ada.org/en/member-center/member-benefits/practice-resources/dental-informatics/snodent/licensing-snodent</p>
                  <i>Steward:</i>Attachments WG</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2019-03-20">
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            <codeBasedContent code="210972D"/>
            <codeBasedContent code="210974D"/>
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   <valueSet name="SnodentSalzmannInterarchDeviationMaxillaryToothInternational"
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      <historyItem dateTime="2020-05-06"
                   id="v3-SnodentSalzmannInterarchDeviationMaxillaryToothInt-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The SNODENT identifiers for the teeth in the maxilla assessed for tooth-specific inter-arch deviations as part of calculating the Salzmann Malocclusion Severity Index.</p>
                  <p>This value set contains content from SNODENT® Copyright American Dental Association (ADA). All rights reserved. SNODENT is a registered trademark of the ADA.</p>
                  <p>http://www.ada.org/en/member-center/member-benefits/practice-resources/dental-informatics/snodent/licensing-snodent</p>
                  <i>Steward:</i>Attachments WG</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2019-03-20">
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            <codeBasedContent code="161132D"/>
            <codeBasedContent code="161178D"/>
            <codeBasedContent code="161329D"/>
            <codeBasedContent code="161546D"/>
            <codeBasedContent code="161607D"/>
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   <valueSet name="ProcessingMode" id="2.16.840.1.113883.1.11.207">
      <historyItem dateTime="2020-05-06" id="v3-ProcessingMode-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>This attribute defines whether the message is being sent in current processing, archive mode, initial load mode, restore from archive mode, etc.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.101</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.101"/>
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   </valueSet>
   <valueSet name="QueryResponse" id="2.16.840.1.113883.1.11.208">
      <historyItem dateTime="2020-05-06" id="v3-QueryResponse-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A code classifying the general nature of the response to a given query. Includes whether or not data was found, or whether an error occurred.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.1067</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.1067"/>
      </version>
   </valueSet>
   <valueSet name="RelationalOperator" id="2.16.840.1.113883.1.11.209">
      <historyItem dateTime="2020-05-06" id="v3-RelationalOperator-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Identifies common relational operators used in selection criteria.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.105</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.105"/>
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   </valueSet>
   <valueSet name="LivingArrangement" id="2.16.840.1.113883.1.11.220">
      <historyItem dateTime="2020-05-06" id="v3-LivingArrangement-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A code depicting the living arrangements of a person</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.63</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
               <unionWithContent>
                  <valueSetRef id="2.16.840.1.113883.1.11.10189"/>
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               <unionWithContent>
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               <unionWithContent>
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               <unionWithContent codeSystem="2.16.840.1.113883.5.63"/>
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         </content>
      </version>
   </valueSet>
   <valueSet name="VaccineManufacturer" id="2.16.840.1.113883.1.11.227">
      <historyItem dateTime="2020-05-06" id="v3-VaccineManufacturer-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The manufacturer of a vaccine.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.144</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.144"/>
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   </valueSet>
   <valueSet name="VaccineType" id="2.16.840.1.113883.1.11.228">
      <historyItem dateTime="2020-05-06" id="v3-VaccineType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>The kind of vaccine.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.145</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.145"/>
      </version>
   </valueSet>
   <valueSet name="DocumentCompletion" id="2.16.840.1.113883.1.11.271">
      <historyItem dateTime="2020-05-06" id="v3-DocumentCompletion-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Identifies the current completion state of a clinical document.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.33</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.33"/>
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   </valueSet>
   <valueSet name="DocumentStorage" id="2.16.840.1.113883.1.11.275">
      <historyItem dateTime="2020-05-06" id="v3-DocumentStorage-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Identifies the storage status of a document.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.34</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
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                  <codeBasedContent code="PU"/>
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      <historyItem dateTime="2020-05-06" id="v3-PersonDisabilityType-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A code identifying a person's disability.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.93</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
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                  <codeBasedContent code="3"/>
                  <codeBasedContent code="4"/>
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               <unionWithContent>
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   <valueSet name="Sequencing" id="2.16.840.1.113883.1.11.390">
      <historyItem dateTime="2020-05-06" id="v3-Sequencing-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Specifies sequence of sort order.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.113</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.113"/>
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   <valueSet name="ResponseModality" id="2.16.840.1.113883.1.11.394">
      <historyItem dateTime="2020-05-06" id="v3-ResponseModality-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Defines the timing and grouping of the response instances.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.109</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.109"/>
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   </valueSet>
   <valueSet name="ModifyIndicator" id="2.16.840.1.113883.1.11.395">
      <historyItem dateTime="2020-05-06" id="v3-ModifyIndicator-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Indicates whether the subscription to a query is new or is being modified.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.81</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.81"/>
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Code systems used in HL7 standards.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <content codeSystem="2.16.840.1.113883.5.22"/>
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   <valueSet name="ObservationInterpretation" id="2.16.840.1.113883.1.11.78">
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>One or more codes providing a rough qualitative interpretation of the observation,such as "normal" / "abnormal", "low" / "high", "better" / "worse", "resistant" / "susceptible", "expected" / "not expected". The value set is intended to be for ANY use where coded representation of an interpretation is needed.</p>
                  <i>Usage Note:</i>This is being communicated in v2.x in OBX-8, in v3 in ObservationInterpretation (CWE) in R1 (Representative Realm) and in FHIR Observation.interpretation. Historically these values come from the laboratory domain, and these codes are extensively used.</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.83</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.83"/>
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Acknowledgement code as described in HL7 message processing rules.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
         <supportedCodeSystem>2.16.840.1.113883.5.18</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.18"/>
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   <valueSet name="QueryPriority" id="2.16.840.1.113883.1.11.91">
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Identifies the time frame in which the response is expected.</p>
               </text>
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         </documentation>
      </annotations>
      <version versionDate="2014-03-26">
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         <content codeSystem="2.16.840.1.113883.5.102"/>
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>A ‘personal and legal’ relationship records the role of a person in relation to another person, or a person to himself or herself. This value set is to be used when recording relationships based on personal or family ties or through legal assignment of responsibility.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2023-06-02">
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                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>High level observation categories for the general type of observation being made.</p>
                  <i>Steward:</i>OO WG</text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2019-03-20">
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         <supportedLanguage>en</supportedLanguage>
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      <historyItem dateTime="2020-05-06" id="v3-CUI-vs-1-0-0" responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Information the US Government creates or possesses, or that an entity creates or possesses for or on behalf of the Government, that a law, regulation, or Government-wide policy requires or permits an agency to handle using safeguarding or dissemination controls.</p>
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            </description>
         </documentation>
      </annotations>
      <version versionDate="2019-03-20">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content codeSystem="2.16.840.1.113883.5.4">
            <codeBasedContent code="ControlledUnclassifiedInformation">
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   <valueSet name="CUILabel" id="2.16.840.1.113883.1.11.20575">
      <historyItem dateTime="2020-05-06" id="v3-CUILabel-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Information the US Government creates or possesses, or that an entity creates or possesses for or on behalf of the Government, that a law, regulation, or Government-wide policy requires or permits an agency to handle using safeguarding or dissemination controls</p>
                  <p>Purpose: Supports the selection of ControlledUnclassifiedInformation leaf concepts for use, e.g., in security labels.</p>
               </text>
            </description>
         </documentation>
      </annotations>
      <version versionDate="2019-03-20">
         <supportedCodeSystem>2.16.840.1.113883.5.4</supportedCodeSystem>
         <supportedLanguage>en</supportedLanguage>
         <content>
            <combinedContent>
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   <valueSet name="SecurityLabelMark" id="2.16.840.1.113883.1.11.20576">
      <historyItem dateTime="2020-05-06" id="v3-SecurityLabelMark-vs-1-0-0"
                   responsiblePersonName="Ted Klein">
         <description>UPDATE: Migrated to the UTG maintenance environment and publishing tooling.</description>
      </historyItem>
      <annotations>
         <documentation>
            <description>
               <text>
                  <p>Codes used for displayed Security Label tags. Supports selection of SecurityLabelMark value set with head code for e.g., rules engine policy set purposes.</p>
               </text>
            </description>
         </documentation>
      </annotations>
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