HL7 Terminology
1.0.0 - Publication

This page is part of the HL7 Terminology (v1.0.0: Release) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

AmericanIndianAlaskaNativeLanguages - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:CodeSystem;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "v3-AmericanIndianAlaskaNativeLanguages"];
  fhir:Resource.language [ fhir:value "en"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><h2>AmericanIndianAlaskaNativeLanguages</h2><div><p>American Indian and Alaska Native languages currently being used in the United States.</p>\n</div><p><b>Properties</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>URL</b></td><td><b>Description</b></td><td><b>Type</b></td></tr><tr><td>Specializes</td><td/><td>The child code is a more narrow version of the concept represented by the parent code.  I.e. Every child concept is also a valid parent concept.  Used to allow determination of subsumption.  Must be transitive, irreflexive, antisymmetric.</td><td>Coding</td></tr><tr><td>Generalizes</td><td/><td>Inverse of Specializes.  Only included as a derived relationship.</td><td>Coding</td></tr><tr><td>internalId</td><td>http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id</td><td>The internal identifier for the concept in the HL7 Access database repository.</td><td>code</td></tr><tr><td>notSelectable</td><td>http://hl7.org/fhir/concept-properties#notSelectable</td><td>Indicates that the code is abstract - only intended to be used as a selector for other concepts</td><td>boolean</td></tr><tr><td>status</td><td>http://hl7.org/fhir/concept-properties#status</td><td>Designation of a concept's state. Normally is not populated unless the state is retired.</td><td>code</td></tr></table><p>This code system http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages defines the following codes:</p><table class=\"codes\"><tr><td><b>Lvl</b></td><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td><td><b>internalId</b></td><td><b>Not Selectable</b></td><td><b>status</b></td></tr><tr><td>1</td><td style=\"white-space:nowrap\">_Algic<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Algic\"> </a></td><td>Algic</td><td/><td>20952</td><td>true</td><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  _Algonquian<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Algonquian\"> </a></td><td>Algonquian</td><td/><td>20953</td><td>true</td><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    _Arapahoan<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Arapahoan\"> </a></td><td>Arapahoan</td><td/><td>20955</td><td>true</td><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      _ArapahoGrosVentre<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_ArapahoGrosVentre\"> </a></td><td>ArapahoGrosVentre</td><td/><td>20956</td><td>true</td><td>active</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        x-ARP<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-ARP\"> </a></td><td>Arapaho</td><td/><td>18151</td><td/><td>active</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        x-ATS<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-ATS\"> </a></td><td>Gros Ventre</td><td/><td>18144</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    _CreeMontagnais<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_CreeMontagnais\"> </a></td><td>CreeMontagnais</td><td/><td>20972</td><td>true</td><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      _Cree<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Cree\"> </a></td><td>Cree</td><td/><td>20971</td><td>true</td><td>active</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        x-CRP<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-CRP\"> </a></td><td>Western Cree</td><td/><td>18137</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    _EasternAlgonquin<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_EasternAlgonquin\"> </a></td><td>EasternAlgonquin</td><td/><td>20979</td><td>true</td><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      _Abenakian<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Abenakian\"> </a></td><td>Abenakian</td><td/><td>20950</td><td>true</td><td>active</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        x-AAQ<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-AAQ\"> </a></td><td>Eastern Abenaki</td><td/><td>18177</td><td/><td>active</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        x-ABE<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-ABE\"> </a></td><td>Western Abenaki</td><td/><td>18180</td><td/><td>active</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        x-MAC<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-MAC\"> </a></td><td>Maliseet-Passamaquoddy</td><td/><td>18175</td><td/><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      _Delawaran<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Delawaran\"> </a></td><td>Delawaran</td><td/><td>20975</td><td>true</td><td>active</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        x-DEL<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-DEL\"> </a></td><td>Unami Delaware</td><td/><td>18185</td><td/><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      x-MIC<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-MIC\"> </a></td><td>Micmac</td><td/><td>18172</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    _Ojibwayan<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Ojibwayan\"> </a></td><td>Ojibwayan</td><td/><td>21003</td><td>true</td><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      x-OJB<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-OJB\"> </a></td><td>Southern Ojibwa</td><td/><td>18157</td><td/><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      x-POT<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-POT\"> </a></td><td>Potawatami</td><td/><td>18162</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    _SaukFoxKickapoo<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_SaukFoxKickapoo\"> </a></td><td>SaukFoxKickapoo</td><td/><td>21016</td><td>true</td><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      x-KIC<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-KIC\"> </a></td><td>Kickapoo</td><td/><td>18168</td><td/><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      x-SAC<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-SAC\"> </a></td><td>Mesquakie</td><td/><td>18165</td><td/><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      x-SJW<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-SJW\"> </a></td><td>Shawnee</td><td/><td>18170</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-BLC<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-BLC\"> </a></td><td>Blackfoot</td><td/><td>18133</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-CHY<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-CHY\"> </a></td><td>Cheyenne</td><td/><td>18153</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-MEZ<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-MEZ\"> </a></td><td>Menominee</td><td/><td>18154</td><td/><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  _Ritwan<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Ritwan\"> </a></td><td>Ritwan</td><td/><td>21012</td><td>true</td><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-YUR<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-YUR\"> </a></td><td>Yurok</td><td/><td>18190</td><td/><td>active</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">_Caddoan<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Caddoan\"> </a></td><td>Caddoan</td><td/><td>20959</td><td>true</td><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  _NorthernCaddoan<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_NorthernCaddoan\"> </a></td><td>NorthernCaddoan</td><td/><td>21000</td><td>true</td><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-ARI<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-ARI\"> </a></td><td>Arikara</td><td/><td>18225</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-PAW<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-PAW\"> </a></td><td>Pawnee</td><td/><td>18231</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-WIC<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-WIC\"> </a></td><td>Wichita</td><td/><td>18232</td><td/><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  _SouthernCaddoan<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_SouthernCaddoan\"> </a></td><td>SouthernCaddoan</td><td/><td>21023</td><td>true</td><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-CAD<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-CAD\"> </a></td><td>Caddo</td><td/><td>18234</td><td/><td>active</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">_Chimakuan<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Chimakuan\"> </a></td><td>Chimakuan</td><td/><td>20966</td><td>true</td><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  x-QUI<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-QUI\"> </a></td><td>Quileute</td><td/><td>18239</td><td/><td>active</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">_EskimoAleut<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_EskimoAleut\"> </a></td><td>EskimoAleut</td><td/><td>20982</td><td>true</td><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  _Aleut<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Aleut\"> </a></td><td>Aleut</td><td/><td>20951</td><td>true</td><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-ALW<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-ALW\"> </a></td><td>Aleut</td><td/><td>18222</td><td/><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  _Eskimoan<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Eskimoan\"> </a></td><td>Eskimoan</td><td/><td>20983</td><td>true</td><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    _InuitInupiaq<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_InuitInupiaq\"> </a></td><td>InuitInupiaq</td><td/><td>20986</td><td>true</td><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      x-ESI<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-ESI\"> </a></td><td>North Alaskan Inuktitut</td><td/><td>18211</td><td/><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      x-ESK<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-ESK\"> </a></td><td>Northwest Alaska Inuktitut</td><td/><td>18217</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    _SirenikskiYupik<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_SirenikskiYupik\"> </a></td><td>SirenikskiYupik</td><td/><td>21021</td><td>true</td><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      x-EMS<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-EMS\"> </a></td><td>Pacific Yupik Gulf</td><td/><td>18199</td><td/><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      x-ESS<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-ESS\"> </a></td><td>Central Siberian Yupik</td><td/><td>18194</td><td/><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      x-ESU<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-ESU\"> </a></td><td>Central Alaskan Yupik</td><td/><td>18196</td><td/><td>active</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">_Hokan<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Hokan\"> </a></td><td>Hokan</td><td/><td>20984</td><td>true</td><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  _CochimiYuman<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_CochimiYuman\"> </a></td><td>CochimiYuman</td><td/><td>20969</td><td>true</td><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    _Yuman<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Yuman\"> </a></td><td>Yuman</td><td/><td>21045</td><td>true</td><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      _DeltaCalifornia<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_DeltaCalifornia\"> </a></td><td>DeltaCalifornia</td><td/><td>20976</td><td>true</td><td>active</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        _Diegueno<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Diegueno\"> </a></td><td>Diegueno</td><td/><td>20978</td><td>true</td><td>active</td></tr><tr><td>6</td><td style=\"white-space:nowrap\">          x-DIH<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-DIH\"> </a></td><td>Kumeyaay</td><td/><td>18293</td><td/><td>active</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        x-COC<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-COC\"> </a></td><td>Cocopa</td><td/><td>18298</td><td/><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      _Pai<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Pai\"> </a></td><td>Pai</td><td/><td>21006</td><td>true</td><td>active</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        x-YUF<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-YUF\"> </a></td><td>Havasupai</td><td/><td>18277</td><td/><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      _River<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_River\"> </a></td><td>River</td><td/><td>21013</td><td>true</td><td>active</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        x-MOV<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-MOV\"> </a></td><td>Mohave</td><td/><td>18289</td><td/><td>active</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        x-MRC<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-MRC\"> </a></td><td>Maricopa</td><td/><td>18287</td><td/><td>active</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        x-YUM<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-YUM\"> </a></td><td>Quechan</td><td/><td>18283</td><td/><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  _Palaihnihan<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Palaihnihan\"> </a></td><td>Palaihnihan</td><td/><td>21007</td><td>true</td><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-ACH<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-ACH\"> </a></td><td>Achumawi</td><td/><td>18249</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-ATW<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-ATW\"> </a></td><td>Atsugewi</td><td/><td>18252</td><td/><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  _Pomoan<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Pomoan\"> </a></td><td>Pomoan</td><td/><td>21011</td><td>true</td><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-KJU<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-KJU\"> </a></td><td>Kashaya</td><td/><td>18272</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-PEF<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-PEF\"> </a></td><td>Northeastern Pomo</td><td/><td>18254</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-PEO<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-PEO\"> </a></td><td>Southeastern Pomo</td><td/><td>18256</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-PEQ<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-PEQ\"> </a></td><td>Southern Pomo</td><td/><td>18270</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-POO<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-POO\"> </a></td><td>Central Pomo</td><td/><td>18257</td><td/><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  _Shasta<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Shasta\"> </a></td><td>Shasta</td><td/><td>21018</td><td>true</td><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-SHT<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-SHT\"> </a></td><td>Shasta</td><td/><td>18245</td><td/><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  x-KYH<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-KYH\"> </a></td><td>Karok</td><td/><td>18242</td><td/><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  x-WAS<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-WAS\"> </a></td><td>Washoe</td><td/><td>18304</td><td/><td>active</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">_Iroquoian<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Iroquoian\"> </a></td><td>Iroquoian</td><td/><td>20987</td><td>true</td><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  _NorthernIroquoian<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_NorthernIroquoian\"> </a></td><td>NorthernIroquoian</td><td/><td>21001</td><td>true</td><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-CAY<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-CAY\"> </a></td><td>Cayuga</td><td/><td>18310</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-MOH<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-MOH\"> </a></td><td>Mohawk</td><td/><td>18313</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-ONE<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-ONE\"> </a></td><td>Oneida</td><td/><td>18315</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-ONO<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-ONO\"> </a></td><td>Onondaga</td><td/><td>18311</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-SEE<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-SEE\"> </a></td><td>Seneca</td><td/><td>18309</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-TUS<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-TUS\"> </a></td><td>Tuscarora</td><td/><td>18308</td><td/><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  x-CER<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-CER\"> </a></td><td>Cherokee</td><td/><td>18316</td><td/><td>active</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">_Keresan<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Keresan\"> </a></td><td>Keresan</td><td/><td>20989</td><td>true</td><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  x-KEE<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-KEE\"> </a></td><td>Rio Grande Keresan</td><td/><td>18324</td><td/><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  x-KJQ<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-KJQ\"> </a></td><td>Acoma-Laguna</td><td/><td>18320</td><td/><td>active</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">_KiowaTanoan<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_KiowaTanoan\"> </a></td><td>KiowaTanoan</td><td/><td>20990</td><td>true</td><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  _Tiwa<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Tiwa\"> </a></td><td>Tiwa</td><td/><td>21031</td><td>true</td><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-TAO<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-TAO\"> </a></td><td>Northern Tiwa</td><td/><td>18332</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-TIX<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-TIX\"> </a></td><td>Southern Tiwa</td><td/><td>18333</td><td/><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  x-KIO<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-KIO\"> </a></td><td>Kiowa</td><td/><td>18328</td><td/><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  x-TEW<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-TEW\"> </a></td><td>Tewa</td><td/><td>18334</td><td/><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  x-TOW<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-TOW\"> </a></td><td>Jemez</td><td/><td>18329</td><td/><td>active</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">_Muskogean<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Muskogean\"> </a></td><td>Muskogean</td><td/><td>20997</td><td>true</td><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  _CentralMuskogean<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_CentralMuskogean\"> </a></td><td>CentralMuskogean</td><td/><td>20963</td><td>true</td><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-AKZ<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-AKZ\"> </a></td><td>Alabama</td><td/><td>18343</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-CKU<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-CKU\"> </a></td><td>Koasati</td><td/><td>18348</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-MIK<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-MIK\"> </a></td><td>Mikasuki</td><td/><td>18344</td><td/><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  _WesternMuskogean<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_WesternMuskogean\"> </a></td><td>WesternMuskogean</td><td/><td>21040</td><td>true</td><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-CCT<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-CCT\"> </a></td><td>Choctaw</td><td/><td>18341</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-CIC<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-CIC\"> </a></td><td>Chickasaw</td><td/><td>18340</td><td/><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  x-CRK<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-CRK\"> </a></td><td>Creek</td><td/><td>18350</td><td/><td>active</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">_Nadene<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Nadene\"> </a></td><td>Nadene</td><td/><td>20998</td><td>true</td><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  _AthapaskanEyak<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_AthapaskanEyak\"> </a></td><td>AthapaskanEyak</td><td/><td>20958</td><td>true</td><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    _Athapaskan<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Athapaskan\"> </a></td><td>Athapaskan</td><td/><td>20957</td><td>true</td><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      _Apachean<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Apachean\"> </a></td><td>Apachean</td><td/><td>20954</td><td>true</td><td>active</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        _EasternApachean<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_EasternApachean\"> </a></td><td>EasternApachean</td><td/><td>20980</td><td>true</td><td>active</td></tr><tr><td>6</td><td style=\"white-space:nowrap\">          x-APJ<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-APJ\"> </a></td><td>Jicarilla</td><td/><td>18408</td><td/><td>active</td></tr><tr><td>6</td><td style=\"white-space:nowrap\">          x-APL<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-APL\"> </a></td><td>Lipan</td><td/><td>18410</td><td/><td>active</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        _WesternApachean<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_WesternApachean\"> </a></td><td>WesternApachean</td><td/><td>21038</td><td>true</td><td>active</td></tr><tr><td>6</td><td style=\"white-space:nowrap\">          x-APM<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-APM\"> </a></td><td>Mescalero-Chiricahua</td><td/><td>18406</td><td/><td>active</td></tr><tr><td>6</td><td style=\"white-space:nowrap\">          x-APW<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-APW\"> </a></td><td>Western Apache</td><td/><td>18404</td><td/><td>active</td></tr><tr><td>6</td><td style=\"white-space:nowrap\">          x-NAV<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-NAV\"> </a></td><td>Dine</td><td/><td>18401</td><td/><td>active</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        x-APK<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-APK\"> </a></td><td>Kiowa Apache</td><td/><td>18412</td><td/><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      _CentralAlaskaYukon<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_CentralAlaskaYukon\"> </a></td><td>CentralAlaskaYukon</td><td/><td>20962</td><td>true</td><td>active</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        _KoyukonIngalik<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_KoyukonIngalik\"> </a></td><td>KoyukonIngalik</td><td/><td>20991</td><td>true</td><td>active</td></tr><tr><td>6</td><td style=\"white-space:nowrap\">          x-HOI<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-HOI\"> </a></td><td>Holikachuk</td><td/><td>18368</td><td/><td>active</td></tr><tr><td>6</td><td style=\"white-space:nowrap\">          x-ING<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-ING\"> </a></td><td>Degexit'an</td><td/><td>18367</td><td/><td>active</td></tr><tr><td>6</td><td style=\"white-space:nowrap\">          x-KOY<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-KOY\"> </a></td><td>Koyukon</td><td/><td>18369</td><td/><td>active</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        _KutchinHan<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_KutchinHan\"> </a></td><td>KutchinHan</td><td/><td>20992</td><td>true</td><td>active</td></tr><tr><td>6</td><td style=\"white-space:nowrap\">          x-HAA<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-HAA\"> </a></td><td>Han</td><td/><td>18382</td><td/><td>active</td></tr><tr><td>6</td><td style=\"white-space:nowrap\">          x-KUC<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-KUC\"> </a></td><td>Kutchin</td><td/><td>18380</td><td/><td>active</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        _TananaTutchone<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_TananaTutchone\"> </a></td><td>TananaTutchone</td><td/><td>21028</td><td>true</td><td>active</td></tr><tr><td>6</td><td style=\"white-space:nowrap\">          _Tanana<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Tanana\"> </a></td><td>Tanana</td><td/><td>21027</td><td>true</td><td>active</td></tr><tr><td>7</td><td style=\"white-space:nowrap\">            x-TAA<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-TAA\"> </a></td><td>Lower Tanana</td><td/><td>18375</td><td/><td>active</td></tr><tr><td>7</td><td style=\"white-space:nowrap\">            x-TAU<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-TAU\"> </a></td><td>Upper Tanana</td><td/><td>18377</td><td/><td>active</td></tr><tr><td>7</td><td style=\"white-space:nowrap\">            x-TCB<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-TCB\"> </a></td><td>Tanacross</td><td/><td>18376</td><td/><td>active</td></tr><tr><td>6</td><td style=\"white-space:nowrap\">          x-KUU<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-KUU\"> </a></td><td>Upper Kuskokwim</td><td/><td>18372</td><td/><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      _PacificCoastAthapaskan<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_PacificCoastAthapaskan\"> </a></td><td>PacificCoastAthapaskan</td><td/><td>21005</td><td>true</td><td>active</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        _CaliforniaAthapaskan<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_CaliforniaAthapaskan\"> </a></td><td>CaliforniaAthapaskan</td><td/><td>20961</td><td>true</td><td>active</td></tr><tr><td>6</td><td style=\"white-space:nowrap\">          x-HUP<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-HUP\"> </a></td><td>Hupa</td><td/><td>18392</td><td/><td>active</td></tr><tr><td>6</td><td style=\"white-space:nowrap\">          x-KTW<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-KTW\"> </a></td><td>Cahto</td><td/><td>18394</td><td/><td>active</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        _OregonAthapaskan<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_OregonAthapaskan\"> </a></td><td>OregonAthapaskan</td><td/><td>21004</td><td>true</td><td>active</td></tr><tr><td>6</td><td style=\"white-space:nowrap\">          x-TOL<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-TOL\"> </a></td><td>Tolowa</td><td/><td>18389</td><td/><td>active</td></tr><tr><td>6</td><td style=\"white-space:nowrap\">          x-TUU<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-TUU\"> </a></td><td>Tututni</td><td/><td>18388</td><td/><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      _SouthernAlaska<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_SouthernAlaska\"> </a></td><td>SouthernAlaska</td><td/><td>21022</td><td>true</td><td>active</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        x-AHT<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-AHT\"> </a></td><td>Ahtna</td><td/><td>18360</td><td/><td>active</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        x-TFN<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-TFN\"> </a></td><td>Tanaina</td><td/><td>18364</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-EYA<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-EYA\"> </a></td><td>Eyak</td><td/><td>18357</td><td/><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  x-TLI<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-TLI\"> </a></td><td>Tlingit</td><td/><td>18353</td><td/><td>active</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">_Penutian<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Penutian\"> </a></td><td>Penutian</td><td/><td>21008</td><td>true</td><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  _Chinookan<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Chinookan\"> </a></td><td>Chinookan</td><td/><td>20967</td><td>true</td><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    _UpperChinook<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_UpperChinook\"> </a></td><td>UpperChinook</td><td/><td>21034</td><td>true</td><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      x-WAC<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-WAC\"> </a></td><td>Kiksht</td><td/><td>18416</td><td/><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  _Coosan<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Coosan\"> </a></td><td>Coosan</td><td/><td>20970</td><td>true</td><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-COS<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-COS\"> </a></td><td>Hanis</td><td/><td>18422</td><td/><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  _Maiduan<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Maiduan\"> </a></td><td>Maiduan</td><td/><td>20993</td><td>true</td><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-MAI<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-MAI\"> </a></td><td>Northwest Maidu</td><td/><td>18438</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-NMU<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-NMU\"> </a></td><td>Northeast Maidu</td><td/><td>18436</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-NSZ<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-NSZ\"> </a></td><td>Nisenan</td><td/><td>18452</td><td/><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  _PlateauPenutian<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_PlateauPenutian\"> </a></td><td>PlateauPenutian</td><td/><td>21010</td><td>true</td><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    _Sahaptian<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Sahaptian\"> </a></td><td>Sahaptian</td><td/><td>21014</td><td>true</td><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      x-UMA<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-UMA\"> </a></td><td>Umatilla</td><td/><td>18503</td><td/><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      x-WAA<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-WAA\"> </a></td><td>Walla Walla</td><td/><td>18505</td><td/><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      x-WAR<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-WAR\"> </a></td><td>Tenino</td><td/><td>18501</td><td/><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      x-YAK<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-YAK\"> </a></td><td>Yakima</td><td/><td>18507</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-KLA<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-KLA\"> </a></td><td>Klamath-Modoc</td><td/><td>18499</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-NEZ<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-NEZ\"> </a></td><td>Nez Perce</td><td/><td>18510</td><td/><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  _Takelman<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Takelman\"> </a></td><td>Takelman</td><td/><td>21025</td><td>true</td><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    _Kalapuyan<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Kalapuyan\"> </a></td><td>Kalapuyan</td><td/><td>20988</td><td>true</td><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      x-KAL<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-KAL\"> </a></td><td>Central Kalapuyan</td><td/><td>18426</td><td/><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  _Tsimshianic<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Tsimshianic\"> </a></td><td>Tsimshianic</td><td/><td>21033</td><td>true</td><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-TSI<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-TSI\"> </a></td><td>Coast Tsimshain</td><td/><td>18512</td><td/><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  _Utian<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Utian\"> </a></td><td>Utian</td><td/><td>21035</td><td>true</td><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    _Miwokan<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Miwokan\"> </a></td><td>Miwokan</td><td/><td>20996</td><td>true</td><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      _EasternMiwok<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_EasternMiwok\"> </a></td><td>EasternMiwok</td><td/><td>20981</td><td>true</td><td>active</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        x-CSM<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-CSM\"> </a></td><td>Central Sierra Miwok</td><td/><td>18467</td><td/><td>active</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        x-NSQ<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-NSQ\"> </a></td><td>Northern Sierra Miwok</td><td/><td>18466</td><td/><td>active</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        x-PMW<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-PMW\"> </a></td><td>Plains Miwok</td><td/><td>18464</td><td/><td>active</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        x-SKD<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-SKD\"> </a></td><td>Southern Sierra Miwok</td><td/><td>18468</td><td/><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      _WesternMiwok<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_WesternMiwok\"> </a></td><td>WesternMiwok</td><td/><td>21039</td><td>true</td><td>active</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        x-CSI<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-CSI\"> </a></td><td>Coast Miwok</td><td/><td>18461</td><td/><td>active</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        x-LMW<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-LMW\"> </a></td><td>Lake Miwok</td><td/><td>18462</td><td/><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  _Wintuan<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Wintuan\"> </a></td><td>Wintuan</td><td/><td>21042</td><td>true</td><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-WIT<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-WIT\"> </a></td><td>Wintu-Nomlaki</td><td/><td>18432</td><td/><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  _Yokutsan<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Yokutsan\"> </a></td><td>Yokutsan</td><td/><td>21043</td><td>true</td><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-ENH<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-ENH\"> </a></td><td>Kings River</td><td/><td>18489</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-GSH<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-GSH\"> </a></td><td>Gashowu</td><td/><td>18480</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-PYL<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-PYL\"> </a></td><td>Poso Creek</td><td/><td>18495</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-TKH<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-TKH\"> </a></td><td>Tule-Kaweah</td><td/><td>18483</td><td/><td>active</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">_Pidgin<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Pidgin\"> </a></td><td>Pidgin</td><td/><td>21009</td><td>true</td><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  x-CHH<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-CHH\"> </a></td><td>Chinook Wawa</td><td/><td>18519</td><td/><td>active</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">_Salishan<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Salishan\"> </a></td><td>Salishan</td><td/><td>21015</td><td>true</td><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  _CentralSalish<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_CentralSalish\"> </a></td><td>CentralSalish</td><td/><td>20965</td><td>true</td><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-CLM<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-CLM\"> </a></td><td>Clallam</td><td/><td>18528</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-LUT<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-LUT\"> </a></td><td>Lushootseed</td><td/><td>18532</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-STR<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-STR\"> </a></td><td>Northern Straits</td><td/><td>18525</td><td/><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  _InteriorSalish<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_InteriorSalish\"> </a></td><td>InteriorSalish</td><td/><td>20985</td><td>true</td><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-COL<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-COL\"> </a></td><td>Columbian</td><td/><td>18545</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-CRD<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-CRD\"> </a></td><td>Coeur D'alene</td><td/><td>18544</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-FLA<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-FLA\"> </a></td><td>Kalispel</td><td/><td>18541</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-OKA<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-OKA\"> </a></td><td>Okanagan</td><td/><td>18548</td><td/><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  _Tsamosan<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Tsamosan\"> </a></td><td>Tsamosan</td><td/><td>21032</td><td>true</td><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-CEA<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-CEA\"> </a></td><td>Lower Chehalis</td><td/><td>18535</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-CJH<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-CJH\"> </a></td><td>Upper Chehalis</td><td/><td>18536</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-COW<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-COW\"> </a></td><td>Cowlitz</td><td/><td>18538</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-QUN<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-QUN\"> </a></td><td>Quinault</td><td/><td>18534</td><td/><td>active</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">_SiouanCatawba<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_SiouanCatawba\"> </a></td><td>SiouanCatawba</td><td/><td>21020</td><td>true</td><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  _Siouan<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Siouan\"> </a></td><td>Siouan</td><td/><td>21019</td><td>true</td><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    _MississippiValley<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_MississippiValley\"> </a></td><td>MississippiValley</td><td/><td>20994</td><td>true</td><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      _ChiwereWinnebago<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_ChiwereWinnebago\"> </a></td><td>ChiwereWinnebago</td><td/><td>20968</td><td>true</td><td>active</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        x-IOW<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-IOW\"> </a></td><td>Chiwere</td><td/><td>18594</td><td/><td>active</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        x-WIN<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-WIN\"> </a></td><td>Hocak</td><td/><td>18597</td><td/><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      _Dakotan<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Dakotan\"> </a></td><td>Dakotan</td><td/><td>20974</td><td>true</td><td>active</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        x-ASB<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-ASB\"> </a></td><td>Assiniboine</td><td/><td>18577</td><td/><td>active</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        x-DHG<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-DHG\"> </a></td><td>Dakota</td><td/><td>18568</td><td/><td>active</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        x-LKT<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-LKT\"> </a></td><td>Lakota</td><td/><td>18564</td><td/><td>active</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        x-NKT<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-NKT\"> </a></td><td>Nakota</td><td/><td>18573</td><td/><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      _Dhegiha<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Dhegiha\"> </a></td><td>Dhegiha</td><td/><td>20977</td><td>true</td><td>active</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        x-KAA<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-KAA\"> </a></td><td>Kansa</td><td/><td>18584</td><td/><td>active</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        x-OMA<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-OMA\"> </a></td><td>Omaha-Ponca</td><td/><td>18581</td><td/><td>active</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        x-OSA<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-OSA\"> </a></td><td>Osage</td><td/><td>18582</td><td/><td>active</td></tr><tr><td>5</td><td style=\"white-space:nowrap\">        x-QUA<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-QUA\"> </a></td><td>Quapaw</td><td/><td>18588</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    _MissouriRiver<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_MissouriRiver\"> </a></td><td>MissouriRiver</td><td/><td>20995</td><td>true</td><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      x-CRO<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-CRO\"> </a></td><td>Crow</td><td/><td>18559</td><td/><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      x-HID<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-HID\"> </a></td><td>Hidatsa</td><td/><td>18555</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-MHQ<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-MHQ\"> </a></td><td>Mandan</td><td/><td>18561</td><td/><td>active</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">_UtoAztecan<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_UtoAztecan\"> </a></td><td>UtoAztecan</td><td/><td>21036</td><td>true</td><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  _Numic<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Numic\"> </a></td><td>Numic</td><td/><td>21002</td><td>true</td><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    _CentralNumic<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_CentralNumic\"> </a></td><td>CentralNumic</td><td/><td>20964</td><td>true</td><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      x-COM<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-COM\"> </a></td><td>Comanche</td><td/><td>18616</td><td/><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      x-PAR<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-PAR\"> </a></td><td>Panamint</td><td/><td>18612</td><td/><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      x-SHH<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-SHH\"> </a></td><td>Shoshone</td><td/><td>18614</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    _SouthernNumic<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_SouthernNumic\"> </a></td><td>SouthernNumic</td><td/><td>21024</td><td>true</td><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      x-KAW<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-KAW\"> </a></td><td>Kawaiisu</td><td/><td>18618</td><td/><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      x-UTE<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-UTE\"> </a></td><td>Ute-Southern Paiute</td><td/><td>18619</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    _WesternNumic<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_WesternNumic\"> </a></td><td>WesternNumic</td><td/><td>21041</td><td>true</td><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      x-MON<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-MON\"> </a></td><td>Mono</td><td/><td>18608</td><td/><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      x-PAO<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-PAO\"> </a></td><td>Northern Paiute-Bannock</td><td/><td>18609</td><td/><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  _Takic<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Takic\"> </a></td><td>Takic</td><td/><td>21026</td><td>true</td><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    _Cupan<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Cupan\"> </a></td><td>Cupan</td><td/><td>20973</td><td>true</td><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      x-CHL<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-CHL\"> </a></td><td>Cahuilla</td><td/><td>18625</td><td/><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      x-CUP<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-CUP\"> </a></td><td>Cupeno</td><td/><td>18626</td><td/><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      x-LUI<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-LUI\"> </a></td><td>Luiseno</td><td/><td>18627</td><td/><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    _SerranoGabrielino<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_SerranoGabrielino\"> </a></td><td>SerranoGabrielino</td><td/><td>21017</td><td>true</td><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      x-SER<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-SER\"> </a></td><td>Serrano</td><td/><td>18623</td><td/><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  _Taracahitan<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Taracahitan\"> </a></td><td>Taracahitan</td><td/><td>21029</td><td>true</td><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    _Cahitan<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Cahitan\"> </a></td><td>Cahitan</td><td/><td>20960</td><td>true</td><td>active</td></tr><tr><td>4</td><td style=\"white-space:nowrap\">      x-YAQ<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-YAQ\"> </a></td><td>Yaqui</td><td/><td>18638</td><td/><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  _Tepiman<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Tepiman\"> </a></td><td>Tepiman</td><td/><td>21030</td><td>true</td><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-PAP<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-PAP\"> </a></td><td>Papago-Pima</td><td/><td>18630</td><td/><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  x-HOP<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-HOP\"> </a></td><td>Hopi</td><td/><td>18628</td><td/><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  x-TUB<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-TUB\"> </a></td><td>Tubatululabal</td><td/><td>18620</td><td/><td>active</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">_Wakashan<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Wakashan\"> </a></td><td>Wakashan</td><td/><td>21037</td><td>true</td><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  _Nootkan<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Nootkan\"> </a></td><td>Nootkan</td><td/><td>20999</td><td>true</td><td>active</td></tr><tr><td>3</td><td style=\"white-space:nowrap\">    x-MYH<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-MYH\"> </a></td><td>Makah</td><td/><td>18643</td><td/><td>active</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">_Yukian<a name=\"v3-AmericanIndianAlaskaNativeLanguages-_Yukian\"> </a></td><td>Yukian</td><td/><td>21044</td><td>true</td><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  x-WAO<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-WAO\"> </a></td><td>Wappo</td><td/><td>18648</td><td/><td>active</td></tr><tr><td>2</td><td style=\"white-space:nowrap\">  x-YUK<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-YUK\"> </a></td><td>Yuki</td><td/><td>18647</td><td/><td>active</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">x-HAI<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-HAI\"> </a></td><td>Haida</td><td/><td>18240</td><td/><td>active</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">x-KUN<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-KUN\"> </a></td><td>Kootenai</td><td/><td>18335</td><td/><td>active</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">x-PSD<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-PSD\"> </a></td><td>Plains Indian Sign Language</td><td/><td>18651</td><td/><td>active</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">x-YUC<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-YUC\"> </a></td><td>Yuchi</td><td/><td>18639</td><td/><td>active</td></tr><tr><td>1</td><td style=\"white-space:nowrap\">x-ZUN<a name=\"v3-AmericanIndianAlaskaNativeLanguages-x-ZUN\"> </a></td><td>Zuni</td><td/><td>18649</td><td/><td>active</td></tr></table><p><b>Additional Language Displays</b></p><table class=\"codes\"><tr><td><b>Code</b></td><td><b>English (English, en)</b></td></tr><tr><td>_Algic</td><td></td></tr><tr><td>_Caddoan</td><td></td></tr><tr><td>_Chimakuan</td><td></td></tr><tr><td>_EskimoAleut</td><td></td></tr><tr><td>_Hokan</td><td></td></tr><tr><td>_Iroquoian</td><td></td></tr><tr><td>_Keresan</td><td></td></tr><tr><td>_KiowaTanoan</td><td></td></tr><tr><td>_Muskogean</td><td></td></tr><tr><td>_Nadene</td><td></td></tr><tr><td>_Penutian</td><td></td></tr><tr><td>_Pidgin</td><td></td></tr><tr><td>_Salishan</td><td></td></tr><tr><td>_SiouanCatawba</td><td></td></tr><tr><td>_UtoAztecan</td><td></td></tr><tr><td>_Wakashan</td><td></td></tr><tr><td>_Yukian</td><td></td></tr><tr><td>x-HAI</td><td></td></tr><tr><td>x-KUN</td><td>Kutenai</td></tr><tr><td>x-PSD</td><td></td></tr><tr><td>x-YUC</td><td></td></tr><tr><td>x-ZUN</td><td>Zuñi</td></tr></table></div>"
  ];
  fhir:CodeSystem.url [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages"];
  fhir:CodeSystem.identifier [
     fhir:index 0;
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
     fhir:Identifier.value [ fhir:value "urn:oid:2.16.840.1.113883.5.1054" ]
  ];
  fhir:CodeSystem.version [ fhir:value "2.0.0"];
  fhir:CodeSystem.name [ fhir:value "AmericanIndianAlaskaNativeLanguages"];
  fhir:CodeSystem.title [ fhir:value "AmericanIndianAlaskaNativeLanguages"];
  fhir:CodeSystem.status [ fhir:value "active"];
  fhir:CodeSystem.date [ fhir:value "2019-03-20T00:00:00-04:00"^^xsd:dateTime];
  fhir:CodeSystem.publisher [ fhir:value "Health Level 7"];
  fhir:CodeSystem.contact [
     fhir:index 0;
     fhir:ContactDetail.name [ fhir:value "Health Level Seven" ]
  ];
  fhir:CodeSystem.description [ fhir:value "American Indian and Alaska Native languages currently being used in the United States."];
  fhir:CodeSystem.hierarchyMeaning [ fhir:value "is-a"];
  fhir:CodeSystem.content [ fhir:value "complete"];
  fhir:CodeSystem.property [
     fhir:index 0;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-symmetry" ];
       fhir:Extension.valueCode [ fhir:value "antisymmetric" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-transitivity" ];
       fhir:Extension.valueCode [ fhir:value "transitive" ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-reflexivity" ];
       fhir:Extension.valueCode [ fhir:value "irreflexive" ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-isNavigable" ];
       fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 4;
       fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-relationshipKind" ];
       fhir:Extension.valueCode [ fhir:value "Specializes" ]     ], [
       fhir:index 5;
       fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-inverseName" ];
       fhir:Extension.valueString [ fhir:value "Generalizes" ]     ];
     fhir:CodeSystem.property.code [ fhir:value "Specializes" ];
     fhir:CodeSystem.property.description [ fhir:value "The child code is a more narrow version of the concept represented by the parent code.  I.e. Every child concept is also a valid parent concept.  Used to allow determination of subsumption.  Must be transitive, irreflexive, antisymmetric." ];
     fhir:CodeSystem.property.type [ fhir:value "Coding" ]
  ], [
     fhir:index 1;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-symmetry" ];
       fhir:Extension.valueCode [ fhir:value "antisymmetric" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-transitivity" ];
       fhir:Extension.valueCode [ fhir:value "transitive" ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-reflexivity" ];
       fhir:Extension.valueCode [ fhir:value "irreflexive" ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-isNavigable" ];
       fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 4;
       fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-relationshipKind" ];
       fhir:Extension.valueCode [ fhir:value "Generalizes" ]     ], [
       fhir:index 5;
       fhir:Extension.url [ fhir:value "http://terminology.hl7.org/StructureDefinition/ext-mif-relationship-inverseName" ];
       fhir:Extension.valueString [ fhir:value "Specializes" ]     ];
     fhir:CodeSystem.property.code [ fhir:value "Generalizes" ];
     fhir:CodeSystem.property.description [ fhir:value "Inverse of Specializes.  Only included as a derived relationship." ];
     fhir:CodeSystem.property.type [ fhir:value "Coding" ]
  ], [
     fhir:index 2;
     fhir:CodeSystem.property.code [ fhir:value "internalId" ];
     fhir:CodeSystem.property.uri [ fhir:value "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id" ];
     fhir:CodeSystem.property.description [ fhir:value "The internal identifier for the concept in the HL7 Access database repository." ];
     fhir:CodeSystem.property.type [ fhir:value "code" ]
  ], [
     fhir:index 3;
     fhir:CodeSystem.property.code [ fhir:value "notSelectable" ];
     fhir:CodeSystem.property.uri [ fhir:value "http://hl7.org/fhir/concept-properties#notSelectable" ];
     fhir:CodeSystem.property.description [ fhir:value "Indicates that the code is abstract - only intended to be used as a selector for other concepts" ];
     fhir:CodeSystem.property.type [ fhir:value "boolean" ]
  ], [
     fhir:index 4;
     fhir:CodeSystem.property.code [ fhir:value "status" ];
     fhir:CodeSystem.property.uri [ fhir:value "http://hl7.org/fhir/concept-properties#status" ];
     fhir:CodeSystem.property.description [ fhir:value "Designation of a concept's state. Normally is not populated unless the state is retired." ];
     fhir:CodeSystem.property.type [ fhir:value "code" ]
  ];
  fhir:CodeSystem.concept [
     fhir:index 0;
     fhir:CodeSystem.concept.code [ fhir:value "_Algic" ];
     fhir:CodeSystem.concept.display [ fhir:value "Algic" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
       fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "20952" ]     ];
     fhir:CodeSystem.concept.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "_Algonquian" ];
       fhir:CodeSystem.concept.display [ fhir:value "Algonquian" ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
         fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "20953" ]       ];
       fhir:CodeSystem.concept.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "_Arapahoan" ];
         fhir:CodeSystem.concept.display [ fhir:value "Arapahoan" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
           fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 2;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "20955" ]         ];
         fhir:CodeSystem.concept.concept [
           fhir:index 0;
           fhir:CodeSystem.concept.code [ fhir:value "_ArapahoGrosVentre" ];
           fhir:CodeSystem.concept.display [ fhir:value "ArapahoGrosVentre" ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
             fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 2;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "20956" ]           ];
           fhir:CodeSystem.concept.concept [
             fhir:index 0;
             fhir:CodeSystem.concept.code [ fhir:value "x-ARP" ];
             fhir:CodeSystem.concept.display [ fhir:value "Arapaho" ];
             fhir:CodeSystem.concept.designation [
               fhir:index 0;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Arrapahoe" ]             ];
             fhir:CodeSystem.concept.property [
               fhir:index 0;
               fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "18151" ]             ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.code [ fhir:value "x-ATS" ];
             fhir:CodeSystem.concept.display [ fhir:value "Gros Ventre" ];
             fhir:CodeSystem.concept.designation [
               fhir:index 0;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "A'ananin" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Ahahnelin" ]             ], [
               fhir:index 2;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Ahe" ]             ], [
               fhir:index 3;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Atsina" ]             ], [
               fhir:index 4;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Fall Indians" ]             ], [
               fhir:index 5;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "White Clay People" ]             ];
             fhir:CodeSystem.concept.property [
               fhir:index 0;
               fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "18144" ]             ]           ]         ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.code [ fhir:value "_CreeMontagnais" ];
         fhir:CodeSystem.concept.display [ fhir:value "CreeMontagnais" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
           fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 2;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "20972" ]         ];
         fhir:CodeSystem.concept.concept [
           fhir:index 0;
           fhir:CodeSystem.concept.code [ fhir:value "_Cree" ];
           fhir:CodeSystem.concept.display [ fhir:value "Cree" ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
             fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 2;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "20971" ]           ];
           fhir:CodeSystem.concept.concept [
             fhir:index 0;
             fhir:CodeSystem.concept.code [ fhir:value "x-CRP" ];
             fhir:CodeSystem.concept.display [ fhir:value "Western Cree" ];
             fhir:CodeSystem.concept.designation [
               fhir:index 0;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Mitchif" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Plains Cree" ]             ], [
               fhir:index 2;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Western Swampy Cree" ]             ], [
               fhir:index 3;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Woods Cree" ]             ];
             fhir:CodeSystem.concept.property [
               fhir:index 0;
               fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "18137" ]             ]           ]         ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.code [ fhir:value "_EasternAlgonquin" ];
         fhir:CodeSystem.concept.display [ fhir:value "EasternAlgonquin" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
           fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 2;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "20979" ]         ];
         fhir:CodeSystem.concept.concept [
           fhir:index 0;
           fhir:CodeSystem.concept.code [ fhir:value "_Abenakian" ];
           fhir:CodeSystem.concept.display [ fhir:value "Abenakian" ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
             fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 2;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "20950" ]           ];
           fhir:CodeSystem.concept.concept [
             fhir:index 0;
             fhir:CodeSystem.concept.code [ fhir:value "x-AAQ" ];
             fhir:CodeSystem.concept.display [ fhir:value "Eastern Abenaki" ];
             fhir:CodeSystem.concept.designation [
               fhir:index 0;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Eastern Abnaki" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Penobscot" ]             ];
             fhir:CodeSystem.concept.property [
               fhir:index 0;
               fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "18177" ]             ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.code [ fhir:value "x-ABE" ];
             fhir:CodeSystem.concept.display [ fhir:value "Western Abenaki" ];
             fhir:CodeSystem.concept.designation [
               fhir:index 0;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Abenaki" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Abenaqui" ]             ], [
               fhir:index 2;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "St. Francis" ]             ];
             fhir:CodeSystem.concept.property [
               fhir:index 0;
               fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "18180" ]             ]           ], [
             fhir:index 2;
             fhir:CodeSystem.concept.code [ fhir:value "x-MAC" ];
             fhir:CodeSystem.concept.display [ fhir:value "Maliseet-Passamaquoddy" ];
             fhir:CodeSystem.concept.designation [
               fhir:index 0;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Malecite-Passamaquoddy" ]             ];
             fhir:CodeSystem.concept.property [
               fhir:index 0;
               fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "18175" ]             ]           ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.code [ fhir:value "_Delawaran" ];
           fhir:CodeSystem.concept.display [ fhir:value "Delawaran" ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
             fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 2;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "20975" ]           ];
           fhir:CodeSystem.concept.concept [
             fhir:index 0;
             fhir:CodeSystem.concept.code [ fhir:value "x-DEL" ];
             fhir:CodeSystem.concept.display [ fhir:value "Unami Delaware" ];
             fhir:CodeSystem.concept.designation [
               fhir:index 0;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Delaware" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Lenape" ]             ], [
               fhir:index 2;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Lenni-Lenape" ]             ];
             fhir:CodeSystem.concept.property [
               fhir:index 0;
               fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "18185" ]             ]           ]         ], [
           fhir:index 2;
           fhir:CodeSystem.concept.code [ fhir:value "x-MIC" ];
           fhir:CodeSystem.concept.display [ fhir:value "Micmac" ];
           fhir:CodeSystem.concept.designation [
             fhir:index 0;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Restigouche" ]           ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "18172" ]           ]         ]       ], [
         fhir:index 3;
         fhir:CodeSystem.concept.code [ fhir:value "_Ojibwayan" ];
         fhir:CodeSystem.concept.display [ fhir:value "Ojibwayan" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
           fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 2;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "21003" ]         ];
         fhir:CodeSystem.concept.concept [
           fhir:index 0;
           fhir:CodeSystem.concept.code [ fhir:value "x-OJB" ];
           fhir:CodeSystem.concept.display [ fhir:value "Southern Ojibwa" ];
           fhir:CodeSystem.concept.designation [
             fhir:index 0;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Chippewa" ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Mississippi Ojibwa" ]           ], [
             fhir:index 2;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Saulteaux" ]           ], [
             fhir:index 3;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Western Ojibwa" ]           ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "18157" ]           ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.code [ fhir:value "x-POT" ];
           fhir:CodeSystem.concept.display [ fhir:value "Potawatami" ];
           fhir:CodeSystem.concept.designation [
             fhir:index 0;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Pottawotomi" ]           ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "18162" ]           ]         ]       ], [
         fhir:index 4;
         fhir:CodeSystem.concept.code [ fhir:value "_SaukFoxKickapoo" ];
         fhir:CodeSystem.concept.display [ fhir:value "SaukFoxKickapoo" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
           fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 2;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "21016" ]         ];
         fhir:CodeSystem.concept.concept [
           fhir:index 0;
           fhir:CodeSystem.concept.code [ fhir:value "x-KIC" ];
           fhir:CodeSystem.concept.display [ fhir:value "Kickapoo" ];
           fhir:CodeSystem.concept.designation [
             fhir:index 0;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Kikapu" ]           ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "18168" ]           ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.code [ fhir:value "x-SAC" ];
           fhir:CodeSystem.concept.display [ fhir:value "Mesquakie" ];
           fhir:CodeSystem.concept.designation [
             fhir:index 0;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Sac and Fox" ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Sauk-Fox" ]           ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "18165" ]           ]         ], [
           fhir:index 2;
           fhir:CodeSystem.concept.code [ fhir:value "x-SJW" ];
           fhir:CodeSystem.concept.display [ fhir:value "Shawnee" ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "18170" ]           ]         ]       ], [
         fhir:index 5;
         fhir:CodeSystem.concept.code [ fhir:value "x-BLC" ];
         fhir:CodeSystem.concept.display [ fhir:value "Blackfoot" ];
         fhir:CodeSystem.concept.designation [
           fhir:index 0;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Pikanii" ]         ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18133" ]         ]       ], [
         fhir:index 6;
         fhir:CodeSystem.concept.code [ fhir:value "x-CHY" ];
         fhir:CodeSystem.concept.display [ fhir:value "Cheyenne" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18153" ]         ]       ], [
         fhir:index 7;
         fhir:CodeSystem.concept.code [ fhir:value "x-MEZ" ];
         fhir:CodeSystem.concept.display [ fhir:value "Menominee" ];
         fhir:CodeSystem.concept.designation [
           fhir:index 0;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Menomini" ]         ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18154" ]         ]       ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "_Ritwan" ];
       fhir:CodeSystem.concept.display [ fhir:value "Ritwan" ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
         fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "21012" ]       ];
       fhir:CodeSystem.concept.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "x-YUR" ];
         fhir:CodeSystem.concept.display [ fhir:value "Yurok" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18190" ]         ]       ]     ]
  ], [
     fhir:index 1;
     fhir:CodeSystem.concept.code [ fhir:value "_Caddoan" ];
     fhir:CodeSystem.concept.display [ fhir:value "Caddoan" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
       fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "20959" ]     ];
     fhir:CodeSystem.concept.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "_NorthernCaddoan" ];
       fhir:CodeSystem.concept.display [ fhir:value "NorthernCaddoan" ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
         fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "21000" ]       ];
       fhir:CodeSystem.concept.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "x-ARI" ];
         fhir:CodeSystem.concept.display [ fhir:value "Arikara" ];
         fhir:CodeSystem.concept.designation [
           fhir:index 0;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Arikaree" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Arikari" ]         ], [
           fhir:index 2;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Arikaris" ]         ], [
           fhir:index 3;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Ree" ]         ], [
           fhir:index 4;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Ris" ]         ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18225" ]         ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.code [ fhir:value "x-PAW" ];
         fhir:CodeSystem.concept.display [ fhir:value "Pawnee" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18231" ]         ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.code [ fhir:value "x-WIC" ];
         fhir:CodeSystem.concept.display [ fhir:value "Wichita" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18232" ]         ]       ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "_SouthernCaddoan" ];
       fhir:CodeSystem.concept.display [ fhir:value "SouthernCaddoan" ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
         fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "21023" ]       ];
       fhir:CodeSystem.concept.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "x-CAD" ];
         fhir:CodeSystem.concept.display [ fhir:value "Caddo" ];
         fhir:CodeSystem.concept.designation [
           fhir:index 0;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Caddoe" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Kado" ]         ], [
           fhir:index 2;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Kadohadacho" ]         ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18234" ]         ]       ]     ]
  ], [
     fhir:index 2;
     fhir:CodeSystem.concept.code [ fhir:value "_Chimakuan" ];
     fhir:CodeSystem.concept.display [ fhir:value "Chimakuan" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
       fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "20966" ]     ];
     fhir:CodeSystem.concept.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "x-QUI" ];
       fhir:CodeSystem.concept.display [ fhir:value "Quileute" ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "18239" ]       ]     ]
  ], [
     fhir:index 3;
     fhir:CodeSystem.concept.code [ fhir:value "_EskimoAleut" ];
     fhir:CodeSystem.concept.display [ fhir:value "EskimoAleut" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
       fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "20982" ]     ];
     fhir:CodeSystem.concept.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "_Aleut" ];
       fhir:CodeSystem.concept.display [ fhir:value "Aleut" ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
         fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "20951" ]       ];
       fhir:CodeSystem.concept.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "x-ALW" ];
         fhir:CodeSystem.concept.display [ fhir:value "Aleut" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18222" ]         ]       ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "_Eskimoan" ];
       fhir:CodeSystem.concept.display [ fhir:value "Eskimoan" ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
         fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "20983" ]       ];
       fhir:CodeSystem.concept.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "_InuitInupiaq" ];
         fhir:CodeSystem.concept.display [ fhir:value "InuitInupiaq" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
           fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 2;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "20986" ]         ];
         fhir:CodeSystem.concept.concept [
           fhir:index 0;
           fhir:CodeSystem.concept.code [ fhir:value "x-ESI" ];
           fhir:CodeSystem.concept.display [ fhir:value "North Alaskan Inuktitut" ];
           fhir:CodeSystem.concept.designation [
             fhir:index 0;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Inupiaq" ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Inupiat Eskimo" ]           ], [
             fhir:index 2;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Inupik" ]           ], [
             fhir:index 3;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "North Alaskan Eskimo" ]           ], [
             fhir:index 4;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "North Alaskan Inupiaq" ]           ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "18211" ]           ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.code [ fhir:value "x-ESK" ];
           fhir:CodeSystem.concept.display [ fhir:value "Northwest Alaska Inuktitut" ];
           fhir:CodeSystem.concept.designation [
             fhir:index 0;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Inupiatun" ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Northwest Alaska Inupiat Eskimo" ]           ], [
             fhir:index 2;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Seward Peninsula Inupiaq" ]           ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "18217" ]           ]         ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.code [ fhir:value "_SirenikskiYupik" ];
         fhir:CodeSystem.concept.display [ fhir:value "SirenikskiYupik" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
           fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 2;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "21021" ]         ];
         fhir:CodeSystem.concept.concept [
           fhir:index 0;
           fhir:CodeSystem.concept.code [ fhir:value "x-EMS" ];
           fhir:CodeSystem.concept.display [ fhir:value "Pacific Yupik Gulf" ];
           fhir:CodeSystem.concept.designation [
             fhir:index 0;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Aleut" ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Alutiiq" ]           ], [
             fhir:index 2;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Chugach Eskimo" ]           ], [
             fhir:index 3;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Koniag-Chugach" ]           ], [
             fhir:index 4;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Pacific Yupik" ]           ], [
             fhir:index 5;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "South Alaska Eskimo" ]           ], [
             fhir:index 6;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Sugcestun" ]           ], [
             fhir:index 7;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Sugpiak Eskimo" ]           ], [
             fhir:index 8;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Sugpiaq Eskimo" ]           ], [
             fhir:index 9;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Suk" ]           ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "18199" ]           ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.code [ fhir:value "x-ESS" ];
           fhir:CodeSystem.concept.display [ fhir:value "Central Siberian Yupik" ];
           fhir:CodeSystem.concept.designation [
             fhir:index 0;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "St. Lawrence Island Eskimo" ]           ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "18194" ]           ]         ], [
           fhir:index 2;
           fhir:CodeSystem.concept.code [ fhir:value "x-ESU" ];
           fhir:CodeSystem.concept.display [ fhir:value "Central Alaskan Yupik" ];
           fhir:CodeSystem.concept.designation [
             fhir:index 0;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Central Yupik" ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "West Alaska Eskimo" ]           ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "18196" ]           ]         ]       ]     ]
  ], [
     fhir:index 4;
     fhir:CodeSystem.concept.code [ fhir:value "_Hokan" ];
     fhir:CodeSystem.concept.display [ fhir:value "Hokan" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
       fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "20984" ]     ];
     fhir:CodeSystem.concept.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "_CochimiYuman" ];
       fhir:CodeSystem.concept.display [ fhir:value "CochimiYuman" ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
         fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "20969" ]       ];
       fhir:CodeSystem.concept.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "_Yuman" ];
         fhir:CodeSystem.concept.display [ fhir:value "Yuman" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
           fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 2;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "21045" ]         ];
         fhir:CodeSystem.concept.concept [
           fhir:index 0;
           fhir:CodeSystem.concept.code [ fhir:value "_DeltaCalifornia" ];
           fhir:CodeSystem.concept.display [ fhir:value "DeltaCalifornia" ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
             fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 2;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "20976" ]           ];
           fhir:CodeSystem.concept.concept [
             fhir:index 0;
             fhir:CodeSystem.concept.code [ fhir:value "_Diegueno" ];
             fhir:CodeSystem.concept.display [ fhir:value "Diegueno" ];
             fhir:CodeSystem.concept.property [
               fhir:index 0;
               fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
               fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]             ], [
               fhir:index 2;
               fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "20978" ]             ];
             fhir:CodeSystem.concept.concept [
               fhir:index 0;
               fhir:CodeSystem.concept.code [ fhir:value "x-DIH" ];
               fhir:CodeSystem.concept.display [ fhir:value "Kumeyaay" ];
               fhir:CodeSystem.concept.designation [
                 fhir:index 0;
                 fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
                 fhir:CodeSystem.concept.designation.use [
                   a sct:900000000000013009;
                   fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                   fhir:Coding.code [ fhir:value "900000000000013009" ]                 ];
                 fhir:CodeSystem.concept.designation.value [ fhir:value "Campo" ]               ], [
                 fhir:index 1;
                 fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
                 fhir:CodeSystem.concept.designation.use [
                   a sct:900000000000013009;
                   fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                   fhir:Coding.code [ fhir:value "900000000000013009" ]                 ];
                 fhir:CodeSystem.concept.designation.value [ fhir:value "Diegueño" ]               ], [
                 fhir:index 2;
                 fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
                 fhir:CodeSystem.concept.designation.use [
                   a sct:900000000000013009;
                   fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                   fhir:Coding.code [ fhir:value "900000000000013009" ]                 ];
                 fhir:CodeSystem.concept.designation.value [ fhir:value "Kamia" ]               ], [
                 fhir:index 3;
                 fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
                 fhir:CodeSystem.concept.designation.use [
                   a sct:900000000000013009;
                   fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                   fhir:Coding.code [ fhir:value "900000000000013009" ]                 ];
                 fhir:CodeSystem.concept.designation.value [ fhir:value "Kumiái" ]               ];
               fhir:CodeSystem.concept.property [
                 fhir:index 0;
                 fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
                 fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]               ], [
                 fhir:index 1;
                 fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
                 fhir:CodeSystem.concept.property.valueCode [ fhir:value "18293" ]               ]             ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.code [ fhir:value "x-COC" ];
             fhir:CodeSystem.concept.display [ fhir:value "Cocopa" ];
             fhir:CodeSystem.concept.designation [
               fhir:index 0;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Cocopah" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Cucapá" ]             ], [
               fhir:index 2;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Delta River Yuman" ]             ], [
               fhir:index 3;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Kikima" ]             ], [
               fhir:index 4;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Kwikapa" ]             ];
             fhir:CodeSystem.concept.property [
               fhir:index 0;
               fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "18298" ]             ]           ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.code [ fhir:value "_Pai" ];
           fhir:CodeSystem.concept.display [ fhir:value "Pai" ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
             fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 2;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "21006" ]           ];
           fhir:CodeSystem.concept.concept [
             fhir:index 0;
             fhir:CodeSystem.concept.code [ fhir:value "x-YUF" ];
             fhir:CodeSystem.concept.display [ fhir:value "Havasupai" ];
             fhir:CodeSystem.concept.designation [
               fhir:index 0;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Upland Yuman" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Upper Colorado River Yuman" ]             ], [
               fhir:index 2;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Walapai" ]             ], [
               fhir:index 3;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Yavapai" ]             ];
             fhir:CodeSystem.concept.property [
               fhir:index 0;
               fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "18277" ]             ]           ]         ], [
           fhir:index 2;
           fhir:CodeSystem.concept.code [ fhir:value "_River" ];
           fhir:CodeSystem.concept.display [ fhir:value "River" ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
             fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 2;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "21013" ]           ];
           fhir:CodeSystem.concept.concept [
             fhir:index 0;
             fhir:CodeSystem.concept.code [ fhir:value "x-MOV" ];
             fhir:CodeSystem.concept.display [ fhir:value "Mohave" ];
             fhir:CodeSystem.concept.designation [
               fhir:index 0;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Mojave" ]             ];
             fhir:CodeSystem.concept.property [
               fhir:index 0;
               fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "18289" ]             ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.code [ fhir:value "x-MRC" ];
             fhir:CodeSystem.concept.display [ fhir:value "Maricopa" ];
             fhir:CodeSystem.concept.designation [
               fhir:index 0;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Cocomaricopa" ]             ];
             fhir:CodeSystem.concept.property [
               fhir:index 0;
               fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "18287" ]             ]           ], [
             fhir:index 2;
             fhir:CodeSystem.concept.code [ fhir:value "x-YUM" ];
             fhir:CodeSystem.concept.display [ fhir:value "Quechan" ];
             fhir:CodeSystem.concept.designation [
               fhir:index 0;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Kechan" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Quecl" ]             ], [
               fhir:index 2;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Yuma" ]             ];
             fhir:CodeSystem.concept.property [
               fhir:index 0;
               fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "18283" ]             ]           ]         ]       ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "_Palaihnihan" ];
       fhir:CodeSystem.concept.display [ fhir:value "Palaihnihan" ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
         fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "21007" ]       ];
       fhir:CodeSystem.concept.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "x-ACH" ];
         fhir:CodeSystem.concept.display [ fhir:value "Achumawi" ];
         fhir:CodeSystem.concept.designation [
           fhir:index 0;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Achomawi" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Pitt River" ]         ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18249" ]         ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.code [ fhir:value "x-ATW" ];
         fhir:CodeSystem.concept.display [ fhir:value "Atsugewi" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18252" ]         ]       ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "_Pomoan" ];
       fhir:CodeSystem.concept.display [ fhir:value "Pomoan" ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
         fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "21011" ]       ];
       fhir:CodeSystem.concept.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "x-KJU" ];
         fhir:CodeSystem.concept.display [ fhir:value "Kashaya" ];
         fhir:CodeSystem.concept.designation [
           fhir:index 0;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Southwestern Pomo" ]         ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18272" ]         ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.code [ fhir:value "x-PEF" ];
         fhir:CodeSystem.concept.display [ fhir:value "Northeastern Pomo" ];
         fhir:CodeSystem.concept.designation [
           fhir:index 0;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Salt Pomo" ]         ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18254" ]         ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.code [ fhir:value "x-PEO" ];
         fhir:CodeSystem.concept.display [ fhir:value "Southeastern Pomo" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18256" ]         ]       ], [
         fhir:index 3;
         fhir:CodeSystem.concept.code [ fhir:value "x-PEQ" ];
         fhir:CodeSystem.concept.display [ fhir:value "Southern Pomo" ];
         fhir:CodeSystem.concept.designation [
           fhir:index 0;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Lower Lake Pomo" ]         ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18270" ]         ]       ], [
         fhir:index 4;
         fhir:CodeSystem.concept.code [ fhir:value "x-POO" ];
         fhir:CodeSystem.concept.display [ fhir:value "Central Pomo" ];
         fhir:CodeSystem.concept.designation [
           fhir:index 0;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Ballo-Kai-Pomo" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Cabanapo" ]         ], [
           fhir:index 2;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Habenapo" ]         ], [
           fhir:index 3;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "H'hana" ]         ], [
           fhir:index 4;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Kábinapek" ]         ], [
           fhir:index 5;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Khabenapo" ]         ], [
           fhir:index 6;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Khana" ]         ], [
           fhir:index 7;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Kulanapan" ]         ], [
           fhir:index 8;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Kulanapo" ]         ], [
           fhir:index 9;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Venaambakaia" ]         ], [
           fhir:index 10;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Venambakaiia" ]         ], [
           fhir:index 11;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Yokaia" ]         ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18257" ]         ]       ]     ], [
       fhir:index 3;
       fhir:CodeSystem.concept.code [ fhir:value "_Shasta" ];
       fhir:CodeSystem.concept.display [ fhir:value "Shasta" ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
         fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "21018" ]       ];
       fhir:CodeSystem.concept.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "x-SHT" ];
         fhir:CodeSystem.concept.display [ fhir:value "Shasta" ];
         fhir:CodeSystem.concept.designation [
           fhir:index 0;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Sastean" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Shastan" ]         ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18245" ]         ]       ]     ], [
       fhir:index 4;
       fhir:CodeSystem.concept.code [ fhir:value "x-KYH" ];
       fhir:CodeSystem.concept.display [ fhir:value "Karok" ];
       fhir:CodeSystem.concept.designation [
         fhir:index 0;
         fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
         fhir:CodeSystem.concept.designation.use [
           a sct:900000000000013009;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "900000000000013009" ]         ];
         fhir:CodeSystem.concept.designation.value [ fhir:value "Karuk" ]       ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "18242" ]       ]     ], [
       fhir:index 5;
       fhir:CodeSystem.concept.code [ fhir:value "x-WAS" ];
       fhir:CodeSystem.concept.display [ fhir:value "Washoe" ];
       fhir:CodeSystem.concept.designation [
         fhir:index 0;
         fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
         fhir:CodeSystem.concept.designation.use [
           a sct:900000000000013009;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "900000000000013009" ]         ];
         fhir:CodeSystem.concept.designation.value [ fhir:value "Washo" ]       ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "18304" ]       ]     ]
  ], [
     fhir:index 5;
     fhir:CodeSystem.concept.code [ fhir:value "_Iroquoian" ];
     fhir:CodeSystem.concept.display [ fhir:value "Iroquoian" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
       fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "20987" ]     ];
     fhir:CodeSystem.concept.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "_NorthernIroquoian" ];
       fhir:CodeSystem.concept.display [ fhir:value "NorthernIroquoian" ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
         fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "21001" ]       ];
       fhir:CodeSystem.concept.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "x-CAY" ];
         fhir:CodeSystem.concept.display [ fhir:value "Cayuga" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18310" ]         ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.code [ fhir:value "x-MOH" ];
         fhir:CodeSystem.concept.display [ fhir:value "Mohawk" ];
         fhir:CodeSystem.concept.designation [
           fhir:index 0;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Kanien'kehaka" ]         ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18313" ]         ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.code [ fhir:value "x-ONE" ];
         fhir:CodeSystem.concept.display [ fhir:value "Oneida" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18315" ]         ]       ], [
         fhir:index 3;
         fhir:CodeSystem.concept.code [ fhir:value "x-ONO" ];
         fhir:CodeSystem.concept.display [ fhir:value "Onondaga" ];
         fhir:CodeSystem.concept.designation [
           fhir:index 0;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Onandaga" ]         ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18311" ]         ]       ], [
         fhir:index 4;
         fhir:CodeSystem.concept.code [ fhir:value "x-SEE" ];
         fhir:CodeSystem.concept.display [ fhir:value "Seneca" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18309" ]         ]       ], [
         fhir:index 5;
         fhir:CodeSystem.concept.code [ fhir:value "x-TUS" ];
         fhir:CodeSystem.concept.display [ fhir:value "Tuscarora" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18308" ]         ]       ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "x-CER" ];
       fhir:CodeSystem.concept.display [ fhir:value "Cherokee" ];
       fhir:CodeSystem.concept.designation [
         fhir:index 0;
         fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
         fhir:CodeSystem.concept.designation.use [
           a sct:900000000000013009;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "900000000000013009" ]         ];
         fhir:CodeSystem.concept.designation.value [ fhir:value "Tsalagi" ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
         fhir:CodeSystem.concept.designation.use [
           a sct:900000000000013009;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "900000000000013009" ]         ];
         fhir:CodeSystem.concept.designation.value [ fhir:value "Tslagi" ]       ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "18316" ]       ]     ]
  ], [
     fhir:index 6;
     fhir:CodeSystem.concept.code [ fhir:value "_Keresan" ];
     fhir:CodeSystem.concept.display [ fhir:value "Keresan" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
       fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "20989" ]     ];
     fhir:CodeSystem.concept.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "x-KEE" ];
       fhir:CodeSystem.concept.display [ fhir:value "Rio Grande Keresan" ];
       fhir:CodeSystem.concept.designation [
         fhir:index 0;
         fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
         fhir:CodeSystem.concept.designation.use [
           a sct:900000000000013009;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "900000000000013009" ]         ];
         fhir:CodeSystem.concept.designation.value [ fhir:value "Eastern Keres Pueblo" ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
         fhir:CodeSystem.concept.designation.use [
           a sct:900000000000013009;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "900000000000013009" ]         ];
         fhir:CodeSystem.concept.designation.value [ fhir:value "Eastern Keresan" ]       ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "18324" ]       ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "x-KJQ" ];
       fhir:CodeSystem.concept.display [ fhir:value "Acoma-Laguna" ];
       fhir:CodeSystem.concept.designation [
         fhir:index 0;
         fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
         fhir:CodeSystem.concept.designation.use [
           a sct:900000000000013009;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "900000000000013009" ]         ];
         fhir:CodeSystem.concept.designation.value [ fhir:value "Western Keres" ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
         fhir:CodeSystem.concept.designation.use [
           a sct:900000000000013009;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "900000000000013009" ]         ];
         fhir:CodeSystem.concept.designation.value [ fhir:value "Western Keres Pueblo" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
         fhir:CodeSystem.concept.designation.use [
           a sct:900000000000013009;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "900000000000013009" ]         ];
         fhir:CodeSystem.concept.designation.value [ fhir:value "Western Keresan" ]       ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "18320" ]       ]     ]
  ], [
     fhir:index 7;
     fhir:CodeSystem.concept.code [ fhir:value "_KiowaTanoan" ];
     fhir:CodeSystem.concept.display [ fhir:value "KiowaTanoan" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
       fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "20990" ]     ];
     fhir:CodeSystem.concept.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "_Tiwa" ];
       fhir:CodeSystem.concept.display [ fhir:value "Tiwa" ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
         fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "21031" ]       ];
       fhir:CodeSystem.concept.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "x-TAO" ];
         fhir:CodeSystem.concept.display [ fhir:value "Northern Tiwa" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18332" ]         ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.code [ fhir:value "x-TIX" ];
         fhir:CodeSystem.concept.display [ fhir:value "Southern Tiwa" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18333" ]         ]       ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "x-KIO" ];
       fhir:CodeSystem.concept.display [ fhir:value "Kiowa" ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "18328" ]       ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "x-TEW" ];
       fhir:CodeSystem.concept.display [ fhir:value "Tewa" ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "18334" ]       ]     ], [
       fhir:index 3;
       fhir:CodeSystem.concept.code [ fhir:value "x-TOW" ];
       fhir:CodeSystem.concept.display [ fhir:value "Jemez" ];
       fhir:CodeSystem.concept.designation [
         fhir:index 0;
         fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
         fhir:CodeSystem.concept.designation.use [
           a sct:900000000000013009;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "900000000000013009" ]         ];
         fhir:CodeSystem.concept.designation.value [ fhir:value "Towa" ]       ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "18329" ]       ]     ]
  ], [
     fhir:index 8;
     fhir:CodeSystem.concept.code [ fhir:value "_Muskogean" ];
     fhir:CodeSystem.concept.display [ fhir:value "Muskogean" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
       fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "20997" ]     ];
     fhir:CodeSystem.concept.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "_CentralMuskogean" ];
       fhir:CodeSystem.concept.display [ fhir:value "CentralMuskogean" ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
         fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "20963" ]       ];
       fhir:CodeSystem.concept.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "x-AKZ" ];
         fhir:CodeSystem.concept.display [ fhir:value "Alabama" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18343" ]         ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.code [ fhir:value "x-CKU" ];
         fhir:CodeSystem.concept.display [ fhir:value "Koasati" ];
         fhir:CodeSystem.concept.designation [
           fhir:index 0;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Coushatta" ]         ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18348" ]         ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.code [ fhir:value "x-MIK" ];
         fhir:CodeSystem.concept.display [ fhir:value "Mikasuki" ];
         fhir:CodeSystem.concept.designation [
           fhir:index 0;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Hitchiti" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Miccosukee" ]         ], [
           fhir:index 2;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Mikasuki Seminole" ]         ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18344" ]         ]       ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "_WesternMuskogean" ];
       fhir:CodeSystem.concept.display [ fhir:value "WesternMuskogean" ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
         fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "21040" ]       ];
       fhir:CodeSystem.concept.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "x-CCT" ];
         fhir:CodeSystem.concept.display [ fhir:value "Choctaw" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18341" ]         ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.code [ fhir:value "x-CIC" ];
         fhir:CodeSystem.concept.display [ fhir:value "Chickasaw" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18340" ]         ]       ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "x-CRK" ];
       fhir:CodeSystem.concept.display [ fhir:value "Creek" ];
       fhir:CodeSystem.concept.designation [
         fhir:index 0;
         fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
         fhir:CodeSystem.concept.designation.use [
           a sct:900000000000013009;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "900000000000013009" ]         ];
         fhir:CodeSystem.concept.designation.value [ fhir:value "Muskogee" ]       ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "18350" ]       ]     ]
  ], [
     fhir:index 9;
     fhir:CodeSystem.concept.code [ fhir:value "_Nadene" ];
     fhir:CodeSystem.concept.display [ fhir:value "Nadene" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
       fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "20998" ]     ];
     fhir:CodeSystem.concept.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "_AthapaskanEyak" ];
       fhir:CodeSystem.concept.display [ fhir:value "AthapaskanEyak" ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
         fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "20958" ]       ];
       fhir:CodeSystem.concept.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "_Athapaskan" ];
         fhir:CodeSystem.concept.display [ fhir:value "Athapaskan" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
           fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 2;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "20957" ]         ];
         fhir:CodeSystem.concept.concept [
           fhir:index 0;
           fhir:CodeSystem.concept.code [ fhir:value "_Apachean" ];
           fhir:CodeSystem.concept.display [ fhir:value "Apachean" ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
             fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 2;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "20954" ]           ];
           fhir:CodeSystem.concept.concept [
             fhir:index 0;
             fhir:CodeSystem.concept.code [ fhir:value "_EasternApachean" ];
             fhir:CodeSystem.concept.display [ fhir:value "EasternApachean" ];
             fhir:CodeSystem.concept.property [
               fhir:index 0;
               fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
               fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]             ], [
               fhir:index 2;
               fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "20980" ]             ];
             fhir:CodeSystem.concept.concept [
               fhir:index 0;
               fhir:CodeSystem.concept.code [ fhir:value "x-APJ" ];
               fhir:CodeSystem.concept.display [ fhir:value "Jicarilla" ];
               fhir:CodeSystem.concept.designation [
                 fhir:index 0;
                 fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
                 fhir:CodeSystem.concept.designation.use [
                   a sct:900000000000013009;
                   fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                   fhir:Coding.code [ fhir:value "900000000000013009" ]                 ];
                 fhir:CodeSystem.concept.designation.value [ fhir:value "Jicarilla Apache" ]               ];
               fhir:CodeSystem.concept.property [
                 fhir:index 0;
                 fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
                 fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]               ], [
                 fhir:index 1;
                 fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
                 fhir:CodeSystem.concept.property.valueCode [ fhir:value "18408" ]               ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.code [ fhir:value "x-APL" ];
               fhir:CodeSystem.concept.display [ fhir:value "Lipan" ];
               fhir:CodeSystem.concept.designation [
                 fhir:index 0;
                 fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
                 fhir:CodeSystem.concept.designation.use [
                   a sct:900000000000013009;
                   fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                   fhir:Coding.code [ fhir:value "900000000000013009" ]                 ];
                 fhir:CodeSystem.concept.designation.value [ fhir:value "Lipan Apache" ]               ];
               fhir:CodeSystem.concept.property [
                 fhir:index 0;
                 fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
                 fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]               ], [
                 fhir:index 1;
                 fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
                 fhir:CodeSystem.concept.property.valueCode [ fhir:value "18410" ]               ]             ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.code [ fhir:value "_WesternApachean" ];
             fhir:CodeSystem.concept.display [ fhir:value "WesternApachean" ];
             fhir:CodeSystem.concept.property [
               fhir:index 0;
               fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
               fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]             ], [
               fhir:index 2;
               fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "21038" ]             ];
             fhir:CodeSystem.concept.concept [
               fhir:index 0;
               fhir:CodeSystem.concept.code [ fhir:value "x-APM" ];
               fhir:CodeSystem.concept.display [ fhir:value "Mescalero-Chiricahua" ];
               fhir:CodeSystem.concept.property [
                 fhir:index 0;
                 fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
                 fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]               ], [
                 fhir:index 1;
                 fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
                 fhir:CodeSystem.concept.property.valueCode [ fhir:value "18406" ]               ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.code [ fhir:value "x-APW" ];
               fhir:CodeSystem.concept.display [ fhir:value "Western Apache" ];
               fhir:CodeSystem.concept.designation [
                 fhir:index 0;
                 fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
                 fhir:CodeSystem.concept.designation.use [
                   a sct:900000000000013009;
                   fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                   fhir:Coding.code [ fhir:value "900000000000013009" ]                 ];
                 fhir:CodeSystem.concept.designation.value [ fhir:value "Coyotero" ]               ];
               fhir:CodeSystem.concept.property [
                 fhir:index 0;
                 fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
                 fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]               ], [
                 fhir:index 1;
                 fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
                 fhir:CodeSystem.concept.property.valueCode [ fhir:value "18404" ]               ]             ], [
               fhir:index 2;
               fhir:CodeSystem.concept.code [ fhir:value "x-NAV" ];
               fhir:CodeSystem.concept.display [ fhir:value "Dine" ];
               fhir:CodeSystem.concept.designation [
                 fhir:index 0;
                 fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
                 fhir:CodeSystem.concept.designation.use [
                   a sct:900000000000013009;
                   fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                   fhir:Coding.code [ fhir:value "900000000000013009" ]                 ];
                 fhir:CodeSystem.concept.designation.value [ fhir:value "Navajo" ]               ];
               fhir:CodeSystem.concept.property [
                 fhir:index 0;
                 fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
                 fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]               ], [
                 fhir:index 1;
                 fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
                 fhir:CodeSystem.concept.property.valueCode [ fhir:value "18401" ]               ]             ]           ], [
             fhir:index 2;
             fhir:CodeSystem.concept.code [ fhir:value "x-APK" ];
             fhir:CodeSystem.concept.display [ fhir:value "Kiowa Apache" ];
             fhir:CodeSystem.concept.property [
               fhir:index 0;
               fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "18412" ]             ]           ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.code [ fhir:value "_CentralAlaskaYukon" ];
           fhir:CodeSystem.concept.display [ fhir:value "CentralAlaskaYukon" ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
             fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 2;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "20962" ]           ];
           fhir:CodeSystem.concept.concept [
             fhir:index 0;
             fhir:CodeSystem.concept.code [ fhir:value "_KoyukonIngalik" ];
             fhir:CodeSystem.concept.display [ fhir:value "KoyukonIngalik" ];
             fhir:CodeSystem.concept.property [
               fhir:index 0;
               fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
               fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]             ], [
               fhir:index 2;
               fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "20991" ]             ];
             fhir:CodeSystem.concept.concept [
               fhir:index 0;
               fhir:CodeSystem.concept.code [ fhir:value "x-HOI" ];
               fhir:CodeSystem.concept.display [ fhir:value "Holikachuk" ];
               fhir:CodeSystem.concept.property [
                 fhir:index 0;
                 fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
                 fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]               ], [
                 fhir:index 1;
                 fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
                 fhir:CodeSystem.concept.property.valueCode [ fhir:value "18368" ]               ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.code [ fhir:value "x-ING" ];
               fhir:CodeSystem.concept.display [ fhir:value "Degexit'an" ];
               fhir:CodeSystem.concept.property [
                 fhir:index 0;
                 fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
                 fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]               ], [
                 fhir:index 1;
                 fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
                 fhir:CodeSystem.concept.property.valueCode [ fhir:value "18367" ]               ]             ], [
               fhir:index 2;
               fhir:CodeSystem.concept.code [ fhir:value "x-KOY" ];
               fhir:CodeSystem.concept.display [ fhir:value "Koyukon" ];
               fhir:CodeSystem.concept.property [
                 fhir:index 0;
                 fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
                 fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]               ], [
                 fhir:index 1;
                 fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
                 fhir:CodeSystem.concept.property.valueCode [ fhir:value "18369" ]               ]             ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.code [ fhir:value "_KutchinHan" ];
             fhir:CodeSystem.concept.display [ fhir:value "KutchinHan" ];
             fhir:CodeSystem.concept.property [
               fhir:index 0;
               fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
               fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]             ], [
               fhir:index 2;
               fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "20992" ]             ];
             fhir:CodeSystem.concept.concept [
               fhir:index 0;
               fhir:CodeSystem.concept.code [ fhir:value "x-HAA" ];
               fhir:CodeSystem.concept.display [ fhir:value "Han" ];
               fhir:CodeSystem.concept.designation [
                 fhir:index 0;
                 fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
                 fhir:CodeSystem.concept.designation.use [
                   a sct:900000000000013009;
                   fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                   fhir:Coding.code [ fhir:value "900000000000013009" ]                 ];
                 fhir:CodeSystem.concept.designation.value [ fhir:value "Dawson" ]               ], [
                 fhir:index 1;
                 fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
                 fhir:CodeSystem.concept.designation.use [
                   a sct:900000000000013009;
                   fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                   fhir:Coding.code [ fhir:value "900000000000013009" ]                 ];
                 fhir:CodeSystem.concept.designation.value [ fhir:value "Han-Kutchin" ]               ], [
                 fhir:index 2;
                 fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
                 fhir:CodeSystem.concept.designation.use [
                   a sct:900000000000013009;
                   fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                   fhir:Coding.code [ fhir:value "900000000000013009" ]                 ];
                 fhir:CodeSystem.concept.designation.value [ fhir:value "Moosehide" ]               ];
               fhir:CodeSystem.concept.property [
                 fhir:index 0;
                 fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
                 fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]               ], [
                 fhir:index 1;
                 fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
                 fhir:CodeSystem.concept.property.valueCode [ fhir:value "18382" ]               ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.code [ fhir:value "x-KUC" ];
               fhir:CodeSystem.concept.display [ fhir:value "Kutchin" ];
               fhir:CodeSystem.concept.designation [
                 fhir:index 0;
                 fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
                 fhir:CodeSystem.concept.designation.use [
                   a sct:900000000000013009;
                   fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                   fhir:Coding.code [ fhir:value "900000000000013009" ]                 ];
                 fhir:CodeSystem.concept.designation.value [ fhir:value "Gwich'in" ]               ];
               fhir:CodeSystem.concept.property [
                 fhir:index 0;
                 fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
                 fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]               ], [
                 fhir:index 1;
                 fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
                 fhir:CodeSystem.concept.property.valueCode [ fhir:value "18380" ]               ]             ]           ], [
             fhir:index 2;
             fhir:CodeSystem.concept.code [ fhir:value "_TananaTutchone" ];
             fhir:CodeSystem.concept.display [ fhir:value "TananaTutchone" ];
             fhir:CodeSystem.concept.property [
               fhir:index 0;
               fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
               fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]             ], [
               fhir:index 2;
               fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "21028" ]             ];
             fhir:CodeSystem.concept.concept [
               fhir:index 0;
               fhir:CodeSystem.concept.code [ fhir:value "_Tanana" ];
               fhir:CodeSystem.concept.display [ fhir:value "Tanana" ];
               fhir:CodeSystem.concept.property [
                 fhir:index 0;
                 fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
                 fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]               ], [
                 fhir:index 1;
                 fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
                 fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]               ], [
                 fhir:index 2;
                 fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
                 fhir:CodeSystem.concept.property.valueCode [ fhir:value "21027" ]               ];
               fhir:CodeSystem.concept.concept [
                 fhir:index 0;
                 fhir:CodeSystem.concept.code [ fhir:value "x-TAA" ];
                 fhir:CodeSystem.concept.display [ fhir:value "Lower Tanana" ];
                 fhir:CodeSystem.concept.property [
                   fhir:index 0;
                   fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
                   fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]                 ], [
                   fhir:index 1;
                   fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
                   fhir:CodeSystem.concept.property.valueCode [ fhir:value "18375" ]                 ]               ], [
                 fhir:index 1;
                 fhir:CodeSystem.concept.code [ fhir:value "x-TAU" ];
                 fhir:CodeSystem.concept.display [ fhir:value "Upper Tanana" ];
                 fhir:CodeSystem.concept.designation [
                   fhir:index 0;
                   fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
                   fhir:CodeSystem.concept.designation.use [
                     a sct:900000000000013009;
                     fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                     fhir:Coding.code [ fhir:value "900000000000013009" ]                   ];
                   fhir:CodeSystem.concept.designation.value [ fhir:value "Nabesna" ]                 ];
                 fhir:CodeSystem.concept.property [
                   fhir:index 0;
                   fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
                   fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]                 ], [
                   fhir:index 1;
                   fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
                   fhir:CodeSystem.concept.property.valueCode [ fhir:value "18377" ]                 ]               ], [
                 fhir:index 2;
                 fhir:CodeSystem.concept.code [ fhir:value "x-TCB" ];
                 fhir:CodeSystem.concept.display [ fhir:value "Tanacross" ];
                 fhir:CodeSystem.concept.property [
                   fhir:index 0;
                   fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
                   fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]                 ], [
                   fhir:index 1;
                   fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
                   fhir:CodeSystem.concept.property.valueCode [ fhir:value "18376" ]                 ]               ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.code [ fhir:value "x-KUU" ];
               fhir:CodeSystem.concept.display [ fhir:value "Upper Kuskokwim" ];
               fhir:CodeSystem.concept.designation [
                 fhir:index 0;
                 fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
                 fhir:CodeSystem.concept.designation.use [
                   a sct:900000000000013009;
                   fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                   fhir:Coding.code [ fhir:value "900000000000013009" ]                 ];
                 fhir:CodeSystem.concept.designation.value [ fhir:value "Mcgrath Ingalik" ]               ];
               fhir:CodeSystem.concept.property [
                 fhir:index 0;
                 fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
                 fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]               ], [
                 fhir:index 1;
                 fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
                 fhir:CodeSystem.concept.property.valueCode [ fhir:value "18372" ]               ]             ]           ]         ], [
           fhir:index 2;
           fhir:CodeSystem.concept.code [ fhir:value "_PacificCoastAthapaskan" ];
           fhir:CodeSystem.concept.display [ fhir:value "PacificCoastAthapaskan" ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
             fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 2;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "21005" ]           ];
           fhir:CodeSystem.concept.concept [
             fhir:index 0;
             fhir:CodeSystem.concept.code [ fhir:value "_CaliforniaAthapaskan" ];
             fhir:CodeSystem.concept.display [ fhir:value "CaliforniaAthapaskan" ];
             fhir:CodeSystem.concept.property [
               fhir:index 0;
               fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
               fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]             ], [
               fhir:index 2;
               fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "20961" ]             ];
             fhir:CodeSystem.concept.concept [
               fhir:index 0;
               fhir:CodeSystem.concept.code [ fhir:value "x-HUP" ];
               fhir:CodeSystem.concept.display [ fhir:value "Hupa" ];
               fhir:CodeSystem.concept.designation [
                 fhir:index 0;
                 fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
                 fhir:CodeSystem.concept.designation.use [
                   a sct:900000000000013009;
                   fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                   fhir:Coding.code [ fhir:value "900000000000013009" ]                 ];
                 fhir:CodeSystem.concept.designation.value [ fhir:value "Hoopa" ]               ];
               fhir:CodeSystem.concept.property [
                 fhir:index 0;
                 fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
                 fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]               ], [
                 fhir:index 1;
                 fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
                 fhir:CodeSystem.concept.property.valueCode [ fhir:value "18392" ]               ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.code [ fhir:value "x-KTW" ];
               fhir:CodeSystem.concept.display [ fhir:value "Cahto" ];
               fhir:CodeSystem.concept.designation [
                 fhir:index 0;
                 fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
                 fhir:CodeSystem.concept.designation.use [
                   a sct:900000000000013009;
                   fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                   fhir:Coding.code [ fhir:value "900000000000013009" ]                 ];
                 fhir:CodeSystem.concept.designation.value [ fhir:value "Batem-da-kai-ee" ]               ], [
                 fhir:index 1;
                 fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
                 fhir:CodeSystem.concept.designation.use [
                   a sct:900000000000013009;
                   fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                   fhir:Coding.code [ fhir:value "900000000000013009" ]                 ];
                 fhir:CodeSystem.concept.designation.value [ fhir:value "Kai Po-mo" ]               ], [
                 fhir:index 2;
                 fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
                 fhir:CodeSystem.concept.designation.use [
                   a sct:900000000000013009;
                   fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                   fhir:Coding.code [ fhir:value "900000000000013009" ]                 ];
                 fhir:CodeSystem.concept.designation.value [ fhir:value "Kato" ]               ], [
                 fhir:index 3;
                 fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
                 fhir:CodeSystem.concept.designation.use [
                   a sct:900000000000013009;
                   fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                   fhir:Coding.code [ fhir:value "900000000000013009" ]                 ];
                 fhir:CodeSystem.concept.designation.value [ fhir:value "Tlokeang" ]               ];
               fhir:CodeSystem.concept.property [
                 fhir:index 0;
                 fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
                 fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]               ], [
                 fhir:index 1;
                 fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
                 fhir:CodeSystem.concept.property.valueCode [ fhir:value "18394" ]               ]             ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.code [ fhir:value "_OregonAthapaskan" ];
             fhir:CodeSystem.concept.display [ fhir:value "OregonAthapaskan" ];
             fhir:CodeSystem.concept.property [
               fhir:index 0;
               fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
               fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]             ], [
               fhir:index 2;
               fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "21004" ]             ];
             fhir:CodeSystem.concept.concept [
               fhir:index 0;
               fhir:CodeSystem.concept.code [ fhir:value "x-TOL" ];
               fhir:CodeSystem.concept.display [ fhir:value "Tolowa" ];
               fhir:CodeSystem.concept.designation [
                 fhir:index 0;
                 fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
                 fhir:CodeSystem.concept.designation.use [
                   a sct:900000000000013009;
                   fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                   fhir:Coding.code [ fhir:value "900000000000013009" ]                 ];
                 fhir:CodeSystem.concept.designation.value [ fhir:value "Smith River" ]               ];
               fhir:CodeSystem.concept.property [
                 fhir:index 0;
                 fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
                 fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]               ], [
                 fhir:index 1;
                 fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
                 fhir:CodeSystem.concept.property.valueCode [ fhir:value "18389" ]               ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.code [ fhir:value "x-TUU" ];
               fhir:CodeSystem.concept.display [ fhir:value "Tututni" ];
               fhir:CodeSystem.concept.property [
                 fhir:index 0;
                 fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
                 fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]               ], [
                 fhir:index 1;
                 fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
                 fhir:CodeSystem.concept.property.valueCode [ fhir:value "18388" ]               ]             ]           ]         ], [
           fhir:index 3;
           fhir:CodeSystem.concept.code [ fhir:value "_SouthernAlaska" ];
           fhir:CodeSystem.concept.display [ fhir:value "SouthernAlaska" ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
             fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 2;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "21022" ]           ];
           fhir:CodeSystem.concept.concept [
             fhir:index 0;
             fhir:CodeSystem.concept.code [ fhir:value "x-AHT" ];
             fhir:CodeSystem.concept.display [ fhir:value "Ahtna" ];
             fhir:CodeSystem.concept.designation [
               fhir:index 0;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Ahtena" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Atna" ]             ], [
               fhir:index 2;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Copper River" ]             ];
             fhir:CodeSystem.concept.property [
               fhir:index 0;
               fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "18360" ]             ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.code [ fhir:value "x-TFN" ];
             fhir:CodeSystem.concept.display [ fhir:value "Tanaina" ];
             fhir:CodeSystem.concept.property [
               fhir:index 0;
               fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "18364" ]             ]           ]         ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.code [ fhir:value "x-EYA" ];
         fhir:CodeSystem.concept.display [ fhir:value "Eyak" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18357" ]         ]       ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "x-TLI" ];
       fhir:CodeSystem.concept.display [ fhir:value "Tlingit" ];
       fhir:CodeSystem.concept.designation [
         fhir:index 0;
         fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
         fhir:CodeSystem.concept.designation.use [
           a sct:900000000000013009;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "900000000000013009" ]         ];
         fhir:CodeSystem.concept.designation.value [ fhir:value "Thlinget" ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
         fhir:CodeSystem.concept.designation.use [
           a sct:900000000000013009;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "900000000000013009" ]         ];
         fhir:CodeSystem.concept.designation.value [ fhir:value "Tlinkit" ]       ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "18353" ]       ]     ]
  ], [
     fhir:index 10;
     fhir:CodeSystem.concept.code [ fhir:value "_Penutian" ];
     fhir:CodeSystem.concept.display [ fhir:value "Penutian" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
       fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "21008" ]     ];
     fhir:CodeSystem.concept.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "_Chinookan" ];
       fhir:CodeSystem.concept.display [ fhir:value "Chinookan" ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
         fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "20967" ]       ];
       fhir:CodeSystem.concept.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "_UpperChinook" ];
         fhir:CodeSystem.concept.display [ fhir:value "UpperChinook" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
           fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 2;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "21034" ]         ];
         fhir:CodeSystem.concept.concept [
           fhir:index 0;
           fhir:CodeSystem.concept.code [ fhir:value "x-WAC" ];
           fhir:CodeSystem.concept.display [ fhir:value "Kiksht" ];
           fhir:CodeSystem.concept.designation [
             fhir:index 0;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Cascades-Wasco-Wishram" ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Multnomah-Clackamas" ]           ], [
             fhir:index 2;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Upper Chinook" ]           ], [
             fhir:index 3;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Wasco-Wishram" ]           ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "18416" ]           ]         ]       ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "_Coosan" ];
       fhir:CodeSystem.concept.display [ fhir:value "Coosan" ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
         fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "20970" ]       ];
       fhir:CodeSystem.concept.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "x-COS" ];
         fhir:CodeSystem.concept.display [ fhir:value "Hanis" ];
         fhir:CodeSystem.concept.designation [
           fhir:index 0;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Coos" ]         ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18422" ]         ]       ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "_Maiduan" ];
       fhir:CodeSystem.concept.display [ fhir:value "Maiduan" ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
         fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "20993" ]       ];
       fhir:CodeSystem.concept.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "x-MAI" ];
         fhir:CodeSystem.concept.display [ fhir:value "Northwest Maidu" ];
         fhir:CodeSystem.concept.designation [
           fhir:index 0;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Concow" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Digger" ]         ], [
           fhir:index 2;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Holólupai" ]         ], [
           fhir:index 3;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Konkau" ]         ], [
           fhir:index 4;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Konkow" ]         ], [
           fhir:index 5;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Maiduan" ]         ], [
           fhir:index 6;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Meidoo" ]         ], [
           fhir:index 7;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Michopdo" ]         ], [
           fhir:index 8;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Nákum" ]         ], [
           fhir:index 9;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Secumne" ]         ], [
           fhir:index 10;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Sekumne" ]         ], [
           fhir:index 11;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Tsamak" ]         ], [
           fhir:index 12;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Yuba" ]         ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18438" ]         ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.code [ fhir:value "x-NMU" ];
         fhir:CodeSystem.concept.display [ fhir:value "Northeast Maidu" ];
         fhir:CodeSystem.concept.designation [
           fhir:index 0;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Mountain Maidu" ]         ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18436" ]         ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.code [ fhir:value "x-NSZ" ];
         fhir:CodeSystem.concept.display [ fhir:value "Nisenan" ];
         fhir:CodeSystem.concept.designation [
           fhir:index 0;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Neeshenam" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Nishinam" ]         ], [
           fhir:index 2;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Pujuni" ]         ], [
           fhir:index 3;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Southern Maidu" ]         ], [
           fhir:index 4;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Wapumni" ]         ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18452" ]         ]       ]     ], [
       fhir:index 3;
       fhir:CodeSystem.concept.code [ fhir:value "_PlateauPenutian" ];
       fhir:CodeSystem.concept.display [ fhir:value "PlateauPenutian" ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
         fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "21010" ]       ];
       fhir:CodeSystem.concept.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "_Sahaptian" ];
         fhir:CodeSystem.concept.display [ fhir:value "Sahaptian" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
           fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 2;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "21014" ]         ];
         fhir:CodeSystem.concept.concept [
           fhir:index 0;
           fhir:CodeSystem.concept.code [ fhir:value "x-UMA" ];
           fhir:CodeSystem.concept.display [ fhir:value "Umatilla" ];
           fhir:CodeSystem.concept.designation [
             fhir:index 0;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Columbia River Sahaptin" ]           ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "18503" ]           ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.code [ fhir:value "x-WAA" ];
           fhir:CodeSystem.concept.display [ fhir:value "Walla Walla" ];
           fhir:CodeSystem.concept.designation [
             fhir:index 0;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Northeast Sahaptin" ]           ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "18505" ]           ]         ], [
           fhir:index 2;
           fhir:CodeSystem.concept.code [ fhir:value "x-WAR" ];
           fhir:CodeSystem.concept.display [ fhir:value "Tenino" ];
           fhir:CodeSystem.concept.designation [
             fhir:index 0;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Warm Springs" ]           ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "18501" ]           ]         ], [
           fhir:index 3;
           fhir:CodeSystem.concept.code [ fhir:value "x-YAK" ];
           fhir:CodeSystem.concept.display [ fhir:value "Yakima" ];
           fhir:CodeSystem.concept.designation [
             fhir:index 0;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Northwest Sahaptin" ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Yakima And Klikitat" ]           ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "18507" ]           ]         ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.code [ fhir:value "x-KLA" ];
         fhir:CodeSystem.concept.display [ fhir:value "Klamath-Modoc" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18499" ]         ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.code [ fhir:value "x-NEZ" ];
         fhir:CodeSystem.concept.display [ fhir:value "Nez Perce" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18510" ]         ]       ]     ], [
       fhir:index 4;
       fhir:CodeSystem.concept.code [ fhir:value "_Takelman" ];
       fhir:CodeSystem.concept.display [ fhir:value "Takelman" ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
         fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "21025" ]       ];
       fhir:CodeSystem.concept.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "_Kalapuyan" ];
         fhir:CodeSystem.concept.display [ fhir:value "Kalapuyan" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
           fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 2;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "20988" ]         ];
         fhir:CodeSystem.concept.concept [
           fhir:index 0;
           fhir:CodeSystem.concept.code [ fhir:value "x-KAL" ];
           fhir:CodeSystem.concept.display [ fhir:value "Central Kalapuyan" ];
           fhir:CodeSystem.concept.designation [
             fhir:index 0;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Kalapuya" ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Lukamiute" ]           ], [
             fhir:index 2;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Santiam" ]           ], [
             fhir:index 3;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Wapatu" ]           ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "18426" ]           ]         ]       ]     ], [
       fhir:index 5;
       fhir:CodeSystem.concept.code [ fhir:value "_Tsimshianic" ];
       fhir:CodeSystem.concept.display [ fhir:value "Tsimshianic" ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
         fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "21033" ]       ];
       fhir:CodeSystem.concept.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "x-TSI" ];
         fhir:CodeSystem.concept.display [ fhir:value "Coast Tsimshain" ];
         fhir:CodeSystem.concept.designation [
           fhir:index 0;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Chimmezyan" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Coast And Southern Tsimshian" ]         ], [
           fhir:index 2;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Sm'algyax" ]         ], [
           fhir:index 3;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Tsimpshean" ]         ], [
           fhir:index 4;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Zimshian" ]         ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18512" ]         ]       ]     ], [
       fhir:index 6;
       fhir:CodeSystem.concept.code [ fhir:value "_Utian" ];
       fhir:CodeSystem.concept.display [ fhir:value "Utian" ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
         fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "21035" ]       ];
       fhir:CodeSystem.concept.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "_Miwokan" ];
         fhir:CodeSystem.concept.display [ fhir:value "Miwokan" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
           fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 2;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "20996" ]         ];
         fhir:CodeSystem.concept.concept [
           fhir:index 0;
           fhir:CodeSystem.concept.code [ fhir:value "_EasternMiwok" ];
           fhir:CodeSystem.concept.display [ fhir:value "EasternMiwok" ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
             fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 2;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "20981" ]           ];
           fhir:CodeSystem.concept.concept [
             fhir:index 0;
             fhir:CodeSystem.concept.code [ fhir:value "x-CSM" ];
             fhir:CodeSystem.concept.display [ fhir:value "Central Sierra Miwok" ];
             fhir:CodeSystem.concept.property [
               fhir:index 0;
               fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "18467" ]             ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.code [ fhir:value "x-NSQ" ];
             fhir:CodeSystem.concept.display [ fhir:value "Northern Sierra Miwok" ];
             fhir:CodeSystem.concept.property [
               fhir:index 0;
               fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "18466" ]             ]           ], [
             fhir:index 2;
             fhir:CodeSystem.concept.code [ fhir:value "x-PMW" ];
             fhir:CodeSystem.concept.display [ fhir:value "Plains Miwok" ];
             fhir:CodeSystem.concept.designation [
               fhir:index 0;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Valley Miwok" ]             ];
             fhir:CodeSystem.concept.property [
               fhir:index 0;
               fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "18464" ]             ]           ], [
             fhir:index 3;
             fhir:CodeSystem.concept.code [ fhir:value "x-SKD" ];
             fhir:CodeSystem.concept.display [ fhir:value "Southern Sierra Miwok" ];
             fhir:CodeSystem.concept.designation [
               fhir:index 0;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Meewoc" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Mewoc" ]             ], [
               fhir:index 2;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Me-Wuk" ]             ], [
               fhir:index 3;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Miwoc" ]             ], [
               fhir:index 4;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Miwokan" ]             ], [
               fhir:index 5;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Mokélumne" ]             ], [
               fhir:index 6;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Moquelumnan" ]             ], [
               fhir:index 7;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "San Raphael" ]             ], [
               fhir:index 8;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Talatui" ]             ], [
               fhir:index 9;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Talutui" ]             ];
             fhir:CodeSystem.concept.property [
               fhir:index 0;
               fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "18468" ]             ]           ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.code [ fhir:value "_WesternMiwok" ];
           fhir:CodeSystem.concept.display [ fhir:value "WesternMiwok" ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
             fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 2;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "21039" ]           ];
           fhir:CodeSystem.concept.concept [
             fhir:index 0;
             fhir:CodeSystem.concept.code [ fhir:value "x-CSI" ];
             fhir:CodeSystem.concept.display [ fhir:value "Coast Miwok" ];
             fhir:CodeSystem.concept.property [
               fhir:index 0;
               fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "18461" ]             ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.code [ fhir:value "x-LMW" ];
             fhir:CodeSystem.concept.display [ fhir:value "Lake Miwok" ];
             fhir:CodeSystem.concept.property [
               fhir:index 0;
               fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "18462" ]             ]           ]         ]       ]     ], [
       fhir:index 7;
       fhir:CodeSystem.concept.code [ fhir:value "_Wintuan" ];
       fhir:CodeSystem.concept.display [ fhir:value "Wintuan" ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
         fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "21042" ]       ];
       fhir:CodeSystem.concept.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "x-WIT" ];
         fhir:CodeSystem.concept.display [ fhir:value "Wintu-Nomlaki" ];
         fhir:CodeSystem.concept.designation [
           fhir:index 0;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Wintu" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Wintun" ]         ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18432" ]         ]       ]     ], [
       fhir:index 8;
       fhir:CodeSystem.concept.code [ fhir:value "_Yokutsan" ];
       fhir:CodeSystem.concept.display [ fhir:value "Yokutsan" ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
         fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "21043" ]       ];
       fhir:CodeSystem.concept.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "x-ENH" ];
         fhir:CodeSystem.concept.display [ fhir:value "Kings River" ];
         fhir:CodeSystem.concept.designation [
           fhir:index 0;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Aiticha" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Choinimni" ]         ], [
           fhir:index 2;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Chukaimina" ]         ], [
           fhir:index 3;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Entimbich" ]         ], [
           fhir:index 4;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Kocheyali" ]         ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18489" ]         ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.code [ fhir:value "x-GSH" ];
         fhir:CodeSystem.concept.display [ fhir:value "Gashowu" ];
         fhir:CodeSystem.concept.designation [
           fhir:index 0;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Goshowi" ]         ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18480" ]         ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.code [ fhir:value "x-PYL" ];
         fhir:CodeSystem.concept.display [ fhir:value "Poso Creek" ];
         fhir:CodeSystem.concept.designation [
           fhir:index 0;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Kumachisi" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Paleuyami" ]         ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18495" ]         ]       ], [
         fhir:index 3;
         fhir:CodeSystem.concept.code [ fhir:value "x-TKH" ];
         fhir:CodeSystem.concept.display [ fhir:value "Tule-Kaweah" ];
         fhir:CodeSystem.concept.designation [
           fhir:index 0;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Bokninuwad" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Kawia" ]         ], [
           fhir:index 2;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Wükchamni" ]         ], [
           fhir:index 3;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Yawdanchi" ]         ], [
           fhir:index 4;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Yokod" ]         ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18483" ]         ]       ]     ]
  ], [
     fhir:index 11;
     fhir:CodeSystem.concept.code [ fhir:value "_Pidgin" ];
     fhir:CodeSystem.concept.display [ fhir:value "Pidgin" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
       fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "21009" ]     ];
     fhir:CodeSystem.concept.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "x-CHH" ];
       fhir:CodeSystem.concept.display [ fhir:value "Chinook Wawa" ];
       fhir:CodeSystem.concept.designation [
         fhir:index 0;
         fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
         fhir:CodeSystem.concept.designation.use [
           a sct:900000000000013009;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "900000000000013009" ]         ];
         fhir:CodeSystem.concept.designation.value [ fhir:value "Chinook Jargon" ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
         fhir:CodeSystem.concept.designation.use [
           a sct:900000000000013009;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "900000000000013009" ]         ];
         fhir:CodeSystem.concept.designation.value [ fhir:value "Chinook Pidgin" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
         fhir:CodeSystem.concept.designation.use [
           a sct:900000000000013009;
           fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
           fhir:Coding.code [ fhir:value "900000000000013009" ]         ];
         fhir:CodeSystem.concept.designation.value [ fhir:value "Tshinuk Wawa" ]       ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "18519" ]       ]     ]
  ], [
     fhir:index 12;
     fhir:CodeSystem.concept.code [ fhir:value "_Salishan" ];
     fhir:CodeSystem.concept.display [ fhir:value "Salishan" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
       fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "21015" ]     ];
     fhir:CodeSystem.concept.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "_CentralSalish" ];
       fhir:CodeSystem.concept.display [ fhir:value "CentralSalish" ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
         fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "20965" ]       ];
       fhir:CodeSystem.concept.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "x-CLM" ];
         fhir:CodeSystem.concept.display [ fhir:value "Clallam" ];
         fhir:CodeSystem.concept.designation [
           fhir:index 0;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Klallam" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Na'klallam" ]         ], [
           fhir:index 2;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "S'klallam" ]         ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18528" ]         ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.code [ fhir:value "x-LUT" ];
         fhir:CodeSystem.concept.display [ fhir:value "Lushootseed" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18532" ]         ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.code [ fhir:value "x-STR" ];
         fhir:CodeSystem.concept.display [ fhir:value "Northern Straits" ];
         fhir:CodeSystem.concept.designation [
           fhir:index 0;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Straits" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Straits Salish" ]         ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18525" ]         ]       ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "_InteriorSalish" ];
       fhir:CodeSystem.concept.display [ fhir:value "InteriorSalish" ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
         fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "20985" ]       ];
       fhir:CodeSystem.concept.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "x-COL" ];
         fhir:CodeSystem.concept.display [ fhir:value "Columbian" ];
         fhir:CodeSystem.concept.designation [
           fhir:index 0;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Columbia-Wenatchi" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Wenatchee-Columbia" ]         ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18545" ]         ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.code [ fhir:value "x-CRD" ];
         fhir:CodeSystem.concept.display [ fhir:value "Coeur D'alene" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18544" ]         ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.code [ fhir:value "x-FLA" ];
         fhir:CodeSystem.concept.display [ fhir:value "Kalispel" ];
         fhir:CodeSystem.concept.designation [
           fhir:index 0;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Flathead-Kalispel" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Kalispel-Flathead" ]         ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18541" ]         ]       ], [
         fhir:index 3;
         fhir:CodeSystem.concept.code [ fhir:value "x-OKA" ];
         fhir:CodeSystem.concept.display [ fhir:value "Okanagan" ];
         fhir:CodeSystem.concept.designation [
           fhir:index 0;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Okanagan-Colville" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Okanagon" ]         ], [
           fhir:index 2;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Okanogan" ]         ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18548" ]         ]       ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "_Tsamosan" ];
       fhir:CodeSystem.concept.display [ fhir:value "Tsamosan" ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
         fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "21032" ]       ];
       fhir:CodeSystem.concept.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "x-CEA" ];
         fhir:CodeSystem.concept.display [ fhir:value "Lower Chehalis" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18535" ]         ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.code [ fhir:value "x-CJH" ];
         fhir:CodeSystem.concept.display [ fhir:value "Upper Chehalis" ];
         fhir:CodeSystem.concept.designation [
           fhir:index 0;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Chehalis" ]         ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18536" ]         ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.code [ fhir:value "x-COW" ];
         fhir:CodeSystem.concept.display [ fhir:value "Cowlitz" ];
         fhir:CodeSystem.concept.designation [
           fhir:index 0;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Lower Cowlitz" ]         ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18538" ]         ]       ], [
         fhir:index 3;
         fhir:CodeSystem.concept.code [ fhir:value "x-QUN" ];
         fhir:CodeSystem.concept.display [ fhir:value "Quinault" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18534" ]         ]       ]     ]
  ], [
     fhir:index 13;
     fhir:CodeSystem.concept.code [ fhir:value "_SiouanCatawba" ];
     fhir:CodeSystem.concept.display [ fhir:value "SiouanCatawba" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
       fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "21020" ]     ];
     fhir:CodeSystem.concept.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "_Siouan" ];
       fhir:CodeSystem.concept.display [ fhir:value "Siouan" ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
         fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "21019" ]       ];
       fhir:CodeSystem.concept.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "_MississippiValley" ];
         fhir:CodeSystem.concept.display [ fhir:value "MississippiValley" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
           fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 2;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "20994" ]         ];
         fhir:CodeSystem.concept.concept [
           fhir:index 0;
           fhir:CodeSystem.concept.code [ fhir:value "_ChiwereWinnebago" ];
           fhir:CodeSystem.concept.display [ fhir:value "ChiwereWinnebago" ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
             fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 2;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "20968" ]           ];
           fhir:CodeSystem.concept.concept [
             fhir:index 0;
             fhir:CodeSystem.concept.code [ fhir:value "x-IOW" ];
             fhir:CodeSystem.concept.display [ fhir:value "Chiwere" ];
             fhir:CodeSystem.concept.designation [
               fhir:index 0;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Iowa-Oto" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Iowa-Otoe" ]             ];
             fhir:CodeSystem.concept.property [
               fhir:index 0;
               fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "18594" ]             ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.code [ fhir:value "x-WIN" ];
             fhir:CodeSystem.concept.display [ fhir:value "Hocak" ];
             fhir:CodeSystem.concept.designation [
               fhir:index 0;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Hocak Wazijaci" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Hocank" ]             ], [
               fhir:index 2;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Hochank" ]             ], [
               fhir:index 3;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Hochunk" ]             ], [
               fhir:index 4;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Winnebago" ]             ];
             fhir:CodeSystem.concept.property [
               fhir:index 0;
               fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "18597" ]             ]           ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.code [ fhir:value "_Dakotan" ];
           fhir:CodeSystem.concept.display [ fhir:value "Dakotan" ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
             fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 2;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "20974" ]           ];
           fhir:CodeSystem.concept.concept [
             fhir:index 0;
             fhir:CodeSystem.concept.code [ fhir:value "x-ASB" ];
             fhir:CodeSystem.concept.display [ fhir:value "Assiniboine" ];
             fhir:CodeSystem.concept.designation [
               fhir:index 0;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Assiniboin" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Hohe" ]             ];
             fhir:CodeSystem.concept.property [
               fhir:index 0;
               fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "18577" ]             ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.code [ fhir:value "x-DHG" ];
             fhir:CodeSystem.concept.display [ fhir:value "Dakota" ];
             fhir:CodeSystem.concept.designation [
               fhir:index 0;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Dakhota" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Santee" ]             ], [
               fhir:index 2;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Santee-Sisseton" ]             ], [
               fhir:index 3;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Sioux" ]             ];
             fhir:CodeSystem.concept.property [
               fhir:index 0;
               fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "18568" ]             ]           ], [
             fhir:index 2;
             fhir:CodeSystem.concept.code [ fhir:value "x-LKT" ];
             fhir:CodeSystem.concept.display [ fhir:value "Lakota" ];
             fhir:CodeSystem.concept.designation [
               fhir:index 0;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Teton" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Lakhota" ]             ];
             fhir:CodeSystem.concept.property [
               fhir:index 0;
               fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "18564" ]             ]           ], [
             fhir:index 3;
             fhir:CodeSystem.concept.code [ fhir:value "x-NKT" ];
             fhir:CodeSystem.concept.display [ fhir:value "Nakota" ];
             fhir:CodeSystem.concept.designation [
               fhir:index 0;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Nakoda" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Yankton" ]             ], [
               fhir:index 2;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Yankton-Yanktonais" ]             ];
             fhir:CodeSystem.concept.property [
               fhir:index 0;
               fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "18573" ]             ]           ]         ], [
           fhir:index 2;
           fhir:CodeSystem.concept.code [ fhir:value "_Dhegiha" ];
           fhir:CodeSystem.concept.display [ fhir:value "Dhegiha" ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
             fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 2;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "20977" ]           ];
           fhir:CodeSystem.concept.concept [
             fhir:index 0;
             fhir:CodeSystem.concept.code [ fhir:value "x-KAA" ];
             fhir:CodeSystem.concept.display [ fhir:value "Kansa" ];
             fhir:CodeSystem.concept.designation [
               fhir:index 0;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Kanze" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Kaw" ]             ], [
               fhir:index 2;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Konze" ]             ];
             fhir:CodeSystem.concept.property [
               fhir:index 0;
               fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "18584" ]             ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.code [ fhir:value "x-OMA" ];
             fhir:CodeSystem.concept.display [ fhir:value "Omaha-Ponca" ];
             fhir:CodeSystem.concept.property [
               fhir:index 0;
               fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "18581" ]             ]           ], [
             fhir:index 2;
             fhir:CodeSystem.concept.code [ fhir:value "x-OSA" ];
             fhir:CodeSystem.concept.display [ fhir:value "Osage" ];
             fhir:CodeSystem.concept.designation [
               fhir:index 0;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Wazhazhe" ]             ];
             fhir:CodeSystem.concept.property [
               fhir:index 0;
               fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "18582" ]             ]           ], [
             fhir:index 3;
             fhir:CodeSystem.concept.code [ fhir:value "x-QUA" ];
             fhir:CodeSystem.concept.display [ fhir:value "Quapaw" ];
             fhir:CodeSystem.concept.designation [
               fhir:index 0;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Alkansea" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Arkansas" ]             ], [
               fhir:index 2;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Capa" ]             ], [
               fhir:index 3;
               fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
               fhir:CodeSystem.concept.designation.use [
                 a sct:900000000000013009;
                 fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
                 fhir:Coding.code [ fhir:value "900000000000013009" ]               ];
               fhir:CodeSystem.concept.designation.value [ fhir:value "Ogaxpa" ]             ];
             fhir:CodeSystem.concept.property [
               fhir:index 0;
               fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]             ], [
               fhir:index 1;
               fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
               fhir:CodeSystem.concept.property.valueCode [ fhir:value "18588" ]             ]           ]         ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.code [ fhir:value "_MissouriRiver" ];
         fhir:CodeSystem.concept.display [ fhir:value "MissouriRiver" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
           fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 2;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "20995" ]         ];
         fhir:CodeSystem.concept.concept [
           fhir:index 0;
           fhir:CodeSystem.concept.code [ fhir:value "x-CRO" ];
           fhir:CodeSystem.concept.display [ fhir:value "Crow" ];
           fhir:CodeSystem.concept.designation [
             fhir:index 0;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Apsaaloke" ]           ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "18559" ]           ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.code [ fhir:value "x-HID" ];
           fhir:CodeSystem.concept.display [ fhir:value "Hidatsa" ];
           fhir:CodeSystem.concept.designation [
             fhir:index 0;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Hinatsa" ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Hiraca" ]           ], [
             fhir:index 2;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Minitari" ]           ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "18555" ]           ]         ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.code [ fhir:value "x-MHQ" ];
         fhir:CodeSystem.concept.display [ fhir:value "Mandan" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18561" ]         ]       ]     ]
  ], [
     fhir:index 14;
     fhir:CodeSystem.concept.code [ fhir:value "_UtoAztecan" ];
     fhir:CodeSystem.concept.display [ fhir:value "UtoAztecan" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
       fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "21036" ]     ];
     fhir:CodeSystem.concept.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "_Numic" ];
       fhir:CodeSystem.concept.display [ fhir:value "Numic" ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
         fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "21002" ]       ];
       fhir:CodeSystem.concept.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "_CentralNumic" ];
         fhir:CodeSystem.concept.display [ fhir:value "CentralNumic" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
           fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 2;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "20964" ]         ];
         fhir:CodeSystem.concept.concept [
           fhir:index 0;
           fhir:CodeSystem.concept.code [ fhir:value "x-COM" ];
           fhir:CodeSystem.concept.display [ fhir:value "Comanche" ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "18616" ]           ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.code [ fhir:value "x-PAR" ];
           fhir:CodeSystem.concept.display [ fhir:value "Panamint" ];
           fhir:CodeSystem.concept.designation [
             fhir:index 0;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Koso" ]           ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "18612" ]           ]         ], [
           fhir:index 2;
           fhir:CodeSystem.concept.code [ fhir:value "x-SHH" ];
           fhir:CodeSystem.concept.display [ fhir:value "Shoshone" ];
           fhir:CodeSystem.concept.designation [
             fhir:index 0;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Shoshoni" ]           ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "18614" ]           ]         ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.code [ fhir:value "_SouthernNumic" ];
         fhir:CodeSystem.concept.display [ fhir:value "SouthernNumic" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
           fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 2;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "21024" ]         ];
         fhir:CodeSystem.concept.concept [
           fhir:index 0;
           fhir:CodeSystem.concept.code [ fhir:value "x-KAW" ];
           fhir:CodeSystem.concept.display [ fhir:value "Kawaiisu" ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "18618" ]           ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.code [ fhir:value "x-UTE" ];
           fhir:CodeSystem.concept.display [ fhir:value "Ute-Southern Paiute" ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "18619" ]           ]         ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.code [ fhir:value "_WesternNumic" ];
         fhir:CodeSystem.concept.display [ fhir:value "WesternNumic" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
           fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 2;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "21041" ]         ];
         fhir:CodeSystem.concept.concept [
           fhir:index 0;
           fhir:CodeSystem.concept.code [ fhir:value "x-MON" ];
           fhir:CodeSystem.concept.display [ fhir:value "Mono" ];
           fhir:CodeSystem.concept.designation [
             fhir:index 0;
             fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
             fhir:CodeSystem.concept.designation.use [
               a sct:900000000000013009;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "900000000000013009" ]             ];
             fhir:CodeSystem.concept.designation.value [ fhir:value "Paviotso" ]           ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "18608" ]           ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.code [ fhir:value "x-PAO" ];
           fhir:CodeSystem.concept.display [ fhir:value "Northern Paiute-Bannock" ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "18609" ]           ]         ]       ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "_Takic" ];
       fhir:CodeSystem.concept.display [ fhir:value "Takic" ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
         fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "21026" ]       ];
       fhir:CodeSystem.concept.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "_Cupan" ];
         fhir:CodeSystem.concept.display [ fhir:value "Cupan" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
           fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 2;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "20973" ]         ];
         fhir:CodeSystem.concept.concept [
           fhir:index 0;
           fhir:CodeSystem.concept.code [ fhir:value "x-CHL" ];
           fhir:CodeSystem.concept.display [ fhir:value "Cahuilla" ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "18625" ]           ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.code [ fhir:value "x-CUP" ];
           fhir:CodeSystem.concept.display [ fhir:value "Cupeno" ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "18626" ]           ]         ], [
           fhir:index 2;
           fhir:CodeSystem.concept.code [ fhir:value "x-LUI" ];
           fhir:CodeSystem.concept.display [ fhir:value "Luiseno" ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "18627" ]           ]         ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.code [ fhir:value "_SerranoGabrielino" ];
         fhir:CodeSystem.concept.display [ fhir:value "SerranoGabrielino" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
           fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 2;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "21017" ]         ];
         fhir:CodeSystem.concept.concept [
           fhir:index 0;
           fhir:CodeSystem.concept.code [ fhir:value "x-SER" ];
           fhir:CodeSystem.concept.display [ fhir:value "Serrano" ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "18623" ]           ]         ]       ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.code [ fhir:value "_Taracahitan" ];
       fhir:CodeSystem.concept.display [ fhir:value "Taracahitan" ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
         fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "21029" ]       ];
       fhir:CodeSystem.concept.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "_Cahitan" ];
         fhir:CodeSystem.concept.display [ fhir:value "Cahitan" ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
           fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 2;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "20960" ]         ];
         fhir:CodeSystem.concept.concept [
           fhir:index 0;
           fhir:CodeSystem.concept.code [ fhir:value "x-YAQ" ];
           fhir:CodeSystem.concept.display [ fhir:value "Yaqui" ];
           fhir:CodeSystem.concept.property [
             fhir:index 0;
             fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]           ], [
             fhir:index 1;
             fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
             fhir:CodeSystem.concept.property.valueCode [ fhir:value "18638" ]           ]         ]       ]     ], [
       fhir:index 3;
       fhir:CodeSystem.concept.code [ fhir:value "_Tepiman" ];
       fhir:CodeSystem.concept.display [ fhir:value "Tepiman" ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
         fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "21030" ]       ];
       fhir:CodeSystem.concept.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "x-PAP" ];
         fhir:CodeSystem.concept.display [ fhir:value "Papago-Pima" ];
         fhir:CodeSystem.concept.designation [
           fhir:index 0;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Nebome" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Nevome" ]         ], [
           fhir:index 2;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "O'odham" ]         ], [
           fhir:index 3;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "O'othham" ]         ], [
           fhir:index 4;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Upper Piman" ]         ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18630" ]         ]       ]     ], [
       fhir:index 4;
       fhir:CodeSystem.concept.code [ fhir:value "x-HOP" ];
       fhir:CodeSystem.concept.display [ fhir:value "Hopi" ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "18628" ]       ]     ], [
       fhir:index 5;
       fhir:CodeSystem.concept.code [ fhir:value "x-TUB" ];
       fhir:CodeSystem.concept.display [ fhir:value "Tubatululabal" ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "18620" ]       ]     ]
  ], [
     fhir:index 15;
     fhir:CodeSystem.concept.code [ fhir:value "_Wakashan" ];
     fhir:CodeSystem.concept.display [ fhir:value "Wakashan" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
       fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "21037" ]     ];
     fhir:CodeSystem.concept.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "_Nootkan" ];
       fhir:CodeSystem.concept.display [ fhir:value "Nootkan" ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
         fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "20999" ]       ];
       fhir:CodeSystem.concept.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "x-MYH" ];
         fhir:CodeSystem.concept.display [ fhir:value "Makah" ];
         fhir:CodeSystem.concept.designation [
           fhir:index 0;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Kweedishchaaht" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
           fhir:CodeSystem.concept.designation.use [
             a sct:900000000000013009;
             fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
             fhir:Coding.code [ fhir:value "900000000000013009" ]           ];
           fhir:CodeSystem.concept.designation.value [ fhir:value "Kwe-Nee-Chee-Aht" ]         ];
         fhir:CodeSystem.concept.property [
           fhir:index 0;
           fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]         ], [
           fhir:index 1;
           fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
           fhir:CodeSystem.concept.property.valueCode [ fhir:value "18643" ]         ]       ]     ]
  ], [
     fhir:index 16;
     fhir:CodeSystem.concept.code [ fhir:value "_Yukian" ];
     fhir:CodeSystem.concept.display [ fhir:value "Yukian" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "notSelectable" ];
       fhir:CodeSystem.concept.property.valueBoolean [ fhir:value "true"^^xsd:boolean ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 2;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "21044" ]     ];
     fhir:CodeSystem.concept.concept [
       fhir:index 0;
       fhir:CodeSystem.concept.code [ fhir:value "x-WAO" ];
       fhir:CodeSystem.concept.display [ fhir:value "Wappo" ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "18648" ]       ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.code [ fhir:value "x-YUK" ];
       fhir:CodeSystem.concept.display [ fhir:value "Yuki" ];
       fhir:CodeSystem.concept.property [
         fhir:index 0;
         fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
         fhir:CodeSystem.concept.property.valueCode [ fhir:value "18647" ]       ]     ]
  ], [
     fhir:index 17;
     fhir:CodeSystem.concept.code [ fhir:value "x-HAI" ];
     fhir:CodeSystem.concept.display [ fhir:value "Haida" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "18240" ]     ]
  ], [
     fhir:index 18;
     fhir:CodeSystem.concept.code [ fhir:value "x-KUN" ];
     fhir:CodeSystem.concept.display [ fhir:value "Kootenai" ];
     fhir:CodeSystem.concept.designation [
       fhir:index 0;
       fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "900000000000013009" ]       ];
       fhir:CodeSystem.concept.designation.value [ fhir:value "Ktunaxa" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "900000000000013009" ]       ];
       fhir:CodeSystem.concept.designation.value [ fhir:value "Kutenai" ]     ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "18335" ]     ]
  ], [
     fhir:index 19;
     fhir:CodeSystem.concept.code [ fhir:value "x-PSD" ];
     fhir:CodeSystem.concept.display [ fhir:value "Plains Indian Sign Language" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "18651" ]     ]
  ], [
     fhir:index 20;
     fhir:CodeSystem.concept.code [ fhir:value "x-YUC" ];
     fhir:CodeSystem.concept.display [ fhir:value "Yuchi" ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "18639" ]     ]
  ], [
     fhir:index 21;
     fhir:CodeSystem.concept.code [ fhir:value "x-ZUN" ];
     fhir:CodeSystem.concept.display [ fhir:value "Zuni" ];
     fhir:CodeSystem.concept.designation [
       fhir:index 0;
       fhir:CodeSystem.concept.designation.language [ fhir:value "en" ];
       fhir:CodeSystem.concept.designation.use [
         a sct:900000000000013009;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
         fhir:Coding.code [ fhir:value "900000000000013009" ]       ];
       fhir:CodeSystem.concept.designation.value [ fhir:value "Zuñi" ]     ];
     fhir:CodeSystem.concept.property [
       fhir:index 0;
       fhir:CodeSystem.concept.property.code [ fhir:value "status" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "active" ]     ], [
       fhir:index 1;
       fhir:CodeSystem.concept.property.code [ fhir:value "internalId" ];
       fhir:CodeSystem.concept.property.valueCode [ fhir:value "18649" ]     ]
  ].

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

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