Release 5 Snapshot #1

This page is part of the FHIR Specification (v5.0.0-snapshot1: Release 5 Snapshot #1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R4B R4 R3

Codesystem-resource-types.xml

Infrastructure And Messaging Work GroupMaturity Level: N/AStandards Status: Informative

Raw XML (canonical form + also see XML Format Specification)

Definition for Code System ResourceType

<?xml version="1.0" encoding="UTF-8"?>

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="resource-types"/> 
  <meta> 
    <lastUpdated value="2021-12-19T08:15:41.873+11:00"/> 
  </meta> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p> This code system http://hl7.org/fhir/resource-types 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> 
        </tr> 
        <tr> 
          <td> 1</td> 
          <td style="white-space:nowrap">Resource
            <a name="resource-types-Resource"> </a> 
          </td> 
          <td> Resource</td> 
          <td> --- Abstract Type! ---This is the base resource type for everything.</td> 
        </tr> 
        <tr> 
          <td> 2</td> 
          <td style="white-space:nowrap">  Binary
            <a name="resource-types-Binary"> </a> 
          </td> 
          <td> Binary</td> 
          <td> A resource that represents the data of a single raw artifact as digital content accessible
             in its native format.  A Binary resource can contain any content, whether text, image,
             pdf, zip archive, etc.</td> 
        </tr> 
        <tr> 
          <td> 2</td> 
          <td style="white-space:nowrap">  Bundle
            <a name="resource-types-Bundle"> </a> 
          </td> 
          <td> Bundle</td> 
          <td> A container for a collection of resources.</td> 
        </tr> 
        <tr> 
          <td> 2</td> 
          <td style="white-space:nowrap">  DomainResource
            <a name="resource-types-DomainResource"> </a> 
          </td> 
          <td> DomainResource</td> 
          <td> --- Abstract Type! ---A resource that includes narrative, extensions, and contained resources.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    Account
            <a name="resource-types-Account"> </a> 
          </td> 
          <td> Account</td> 
          <td> A financial tool for tracking value accrued for a particular purpose.  In the healthcare
             field, used to track charges for a patient, cost centers, etc.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    AdministrableProductDefinition
            <a name="resource-types-AdministrableProductDefinition"> </a> 
          </td> 
          <td> AdministrableProductDefinition</td> 
          <td> A medicinal product in the final form which is suitable for administering to a patient
             (after any mixing of multiple components, dissolution etc. has been performed).</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    AdverseEvent
            <a name="resource-types-AdverseEvent"> </a> 
          </td> 
          <td> AdverseEvent</td> 
          <td> An event (i.e. any change to current patient status) that may be related to unintended
             effects on a patient or research subject.  The unintended effects may require additional
             monitoring, treatment or hospitalization or may result in death.  The AdverseEvent resource
             also extends to potential or avoided events that could have had such effects.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    AllergyIntolerance
            <a name="resource-types-AllergyIntolerance"> </a> 
          </td> 
          <td> AllergyIntolerance</td> 
          <td> Risk of harmful or undesirable, physiological response which is unique to an individual
             and associated with exposure to a substance.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    Appointment
            <a name="resource-types-Appointment"> </a> 
          </td> 
          <td> Appointment</td> 
          <td> A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or
             device(s) for a specific date/time. This may result in one or more Encounter(s).</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    AppointmentResponse
            <a name="resource-types-AppointmentResponse"> </a> 
          </td> 
          <td> AppointmentResponse</td> 
          <td> A reply to an appointment request for a patient and/or practitioner(s), such as a confirmation
             or rejection.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    AuditEvent
            <a name="resource-types-AuditEvent"> </a> 
          </td> 
          <td> AuditEvent</td> 
          <td> A record of an event relevant for purposes such as operations, privacy, security, maintenance,
             and performance analysis.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    Basic
            <a name="resource-types-Basic"> </a> 
          </td> 
          <td> Basic</td> 
          <td> Basic is used for handling concepts not yet defined in FHIR, narrative-only resources
             that don't map to an existing resource, and custom resources not appropriate for inclusion
             in the FHIR specification.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    BiologicallyDerivedProduct
            <a name="resource-types-BiologicallyDerivedProduct"> </a> 
          </td> 
          <td> BiologicallyDerivedProduct</td> 
          <td> A biological material originating from a biological entity intended to be transplanted
             or infused into another (possibly the same) biological entity.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    BodyStructure
            <a name="resource-types-BodyStructure"> </a> 
          </td> 
          <td> BodyStructure</td> 
          <td> Record details about an anatomical structure.  This resource may be used when a coded
             concept does not provide the necessary detail needed for the use case.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    CanonicalResource
            <a name="resource-types-CanonicalResource"> </a> 
          </td> 
          <td> CanonicalResource</td> 
          <td> --- Abstract Type! ---Common Ancestor declaration for conformance and knowledge artifact
             resources.</td> 
        </tr> 
        <tr> 
          <td> 4</td> 
          <td style="white-space:nowrap">      CapabilityStatement
            <a name="resource-types-CapabilityStatement"> </a> 
          </td> 
          <td> CapabilityStatement</td> 
          <td> A Capability Statement documents a set of capabilities (behaviors) of a FHIR Server for
             a particular version of FHIR that may be used as a statement of actual server functionality
             or a statement of required or desired server implementation.</td> 
        </tr> 
        <tr> 
          <td> 4</td> 
          <td style="white-space:nowrap">      CapabilityStatement2
            <a name="resource-types-CapabilityStatement2"> </a> 
          </td> 
          <td> CapabilityStatement2</td> 
          <td> A Capability Statement documents a set of capabilities (behaviors) of a FHIR Server for
             a particular version of FHIR that may be used as a statement of actual server functionality
             or a statement of required or desired server implementation.</td> 
        </tr> 
        <tr> 
          <td> 4</td> 
          <td style="white-space:nowrap">      CodeSystem
            <a name="resource-types-CodeSystem"> </a> 
          </td> 
          <td> CodeSystem</td> 
          <td> The CodeSystem resource is used to declare the existence of and describe a code system
             or code system supplement and its key properties, and optionally define a part or all
             of its content.</td> 
        </tr> 
        <tr> 
          <td> 4</td> 
          <td style="white-space:nowrap">      CompartmentDefinition
            <a name="resource-types-CompartmentDefinition"> </a> 
          </td> 
          <td> CompartmentDefinition</td> 
          <td> A compartment definition that defines how resources are accessed on a server.</td> 
        </tr> 
        <tr> 
          <td> 4</td> 
          <td style="white-space:nowrap">      ConceptMap
            <a name="resource-types-ConceptMap"> </a> 
          </td> 
          <td> ConceptMap</td> 
          <td> A statement of relationships from one set of concepts to one or more other concepts -
             either concepts in code systems, or data element/data element concepts, or classes in
             class models.</td> 
        </tr> 
        <tr> 
          <td> 4</td> 
          <td style="white-space:nowrap">      ConceptMap2
            <a name="resource-types-ConceptMap2"> </a> 
          </td> 
          <td> ConceptMap2</td> 
          <td> A statement of relationships from one set of concepts to one or more other concepts -
             either concepts in code systems, or data element/data element concepts, or classes in
             class models.</td> 
        </tr> 
        <tr> 
          <td> 4</td> 
          <td style="white-space:nowrap">      ExampleScenario
            <a name="resource-types-ExampleScenario"> </a> 
          </td> 
          <td> ExampleScenario</td> 
          <td> Example of workflow instance.</td> 
        </tr> 
        <tr> 
          <td> 4</td> 
          <td style="white-space:nowrap">      GraphDefinition
            <a name="resource-types-GraphDefinition"> </a> 
          </td> 
          <td> GraphDefinition</td> 
          <td> A formal computable definition of a graph of resources - that is, a coherent set of resources
             that form a graph by following references. The Graph Definition resource defines a set
             and makes rules about the set.</td> 
        </tr> 
        <tr> 
          <td> 4</td> 
          <td style="white-space:nowrap">      ImplementationGuide
            <a name="resource-types-ImplementationGuide"> </a> 
          </td> 
          <td> ImplementationGuide</td> 
          <td> A set of rules of how a particular interoperability or standards problem is solved - typically
             through the use of FHIR resources. This resource is used to gather all the parts of an
             implementation guide into a logical whole and to publish a computable definition of all
             the parts.</td> 
        </tr> 
        <tr> 
          <td> 4</td> 
          <td style="white-space:nowrap">      MessageDefinition
            <a name="resource-types-MessageDefinition"> </a> 
          </td> 
          <td> MessageDefinition</td> 
          <td> Defines the characteristics of a message that can be shared between systems, including
             the type of event that initiates the message, the content to be transmitted and what response(s),
             if any, are permitted.</td> 
        </tr> 
        <tr> 
          <td> 4</td> 
          <td style="white-space:nowrap">      MetadataResource
            <a name="resource-types-MetadataResource"> </a> 
          </td> 
          <td> MetadataResource</td> 
          <td> --- Abstract Type! ---Common Ancestor declaration for conformance and knowledge artifact
             resources.</td> 
        </tr> 
        <tr> 
          <td> 5</td> 
          <td style="white-space:nowrap">        ActivityDefinition
            <a name="resource-types-ActivityDefinition"> </a> 
          </td> 
          <td> ActivityDefinition</td> 
          <td> This resource allows for the definition of some activity to be performed, independent
             of a particular patient, practitioner, or other performance context.</td> 
        </tr> 
        <tr> 
          <td> 5</td> 
          <td style="white-space:nowrap">        ArtifactAssessment
            <a name="resource-types-ArtifactAssessment"> </a> 
          </td> 
          <td> ArtifactAssessment</td> 
          <td> This Resource provides one or more comments, classifiers or ratings about a Resource and
             supports attribution and rights management metadata for the added content.</td> 
        </tr> 
        <tr> 
          <td> 5</td> 
          <td style="white-space:nowrap">        ChargeItemDefinition
            <a name="resource-types-ChargeItemDefinition"> </a> 
          </td> 
          <td> ChargeItemDefinition</td> 
          <td> The ChargeItemDefinition resource provides the properties that apply to the (billing)
             codes necessary to calculate costs and prices. The properties may differ largely depending
             on type and realm, therefore this resource gives only a rough structure and requires profiling
             for each type of billing code system.</td> 
        </tr> 
        <tr> 
          <td> 5</td> 
          <td style="white-space:nowrap">        Citation
            <a name="resource-types-Citation"> </a> 
          </td> 
          <td> Citation</td> 
          <td> The Citation Resource enables reference to any knowledge artifact for purposes of identification
             and attribution. The Citation Resource supports existing reference structures and developing
             publication practices such as versioning, expressing complex contributorship roles, and
             referencing computable resources.</td> 
        </tr> 
        <tr> 
          <td> 5</td> 
          <td style="white-space:nowrap">        ConditionDefinition
            <a name="resource-types-ConditionDefinition"> </a> 
          </td> 
          <td> ConditionDefinition</td> 
          <td> A definition of a condition and information relevant to managing it.</td> 
        </tr> 
        <tr> 
          <td> 5</td> 
          <td style="white-space:nowrap">        EventDefinition
            <a name="resource-types-EventDefinition"> </a> 
          </td> 
          <td> EventDefinition</td> 
          <td> The EventDefinition resource provides a reusable description of when a particular event
             can occur.</td> 
        </tr> 
        <tr> 
          <td> 5</td> 
          <td style="white-space:nowrap">        Evidence
            <a name="resource-types-Evidence"> </a> 
          </td> 
          <td> Evidence</td> 
          <td> The Evidence Resource provides a machine-interpretable expression of an evidence concept
             including the evidence variables (e.g., population, exposures/interventions, comparators,
             outcomes, measured variables, confounding variables), the statistics, and the certainty
             of this evidence.</td> 
        </tr> 
        <tr> 
          <td> 5</td> 
          <td style="white-space:nowrap">        EvidenceReport
            <a name="resource-types-EvidenceReport"> </a> 
          </td> 
          <td> EvidenceReport</td> 
          <td> The EvidenceReport Resource is a specialized container for a collection of resources and
             codeable concepts, adapted to support compositions of Evidence, EvidenceVariable, and
             Citation resources and related concepts.</td> 
        </tr> 
        <tr> 
          <td> 5</td> 
          <td style="white-space:nowrap">        EvidenceVariable
            <a name="resource-types-EvidenceVariable"> </a> 
          </td> 
          <td> EvidenceVariable</td> 
          <td> The EvidenceVariable resource describes an element that knowledge (Evidence) is about.</td> 
        </tr> 
        <tr> 
          <td> 5</td> 
          <td style="white-space:nowrap">        Library
            <a name="resource-types-Library"> </a> 
          </td> 
          <td> Library</td> 
          <td> The Library resource is a general-purpose container for knowledge asset definitions. It
             can be used to describe and expose existing knowledge assets such as logic libraries and
             information model descriptions, as well as to describe a collection of knowledge assets.</td> 
        </tr> 
        <tr> 
          <td> 5</td> 
          <td style="white-space:nowrap">        Measure
            <a name="resource-types-Measure"> </a> 
          </td> 
          <td> Measure</td> 
          <td> The Measure resource provides the definition of a quality measure.</td> 
        </tr> 
        <tr> 
          <td> 5</td> 
          <td style="white-space:nowrap">        PlanDefinition
            <a name="resource-types-PlanDefinition"> </a> 
          </td> 
          <td> PlanDefinition</td> 
          <td> This resource allows for the definition of various types of plans as a sharable, consumable,
             and executable artifact. The resource is general enough to support the description of
             a broad range of clinical and non-clinical artifacts such as clinical decision support
             rules, order sets, protocols, and drug quality specifications.</td> 
        </tr> 
        <tr> 
          <td> 5</td> 
          <td style="white-space:nowrap">        Questionnaire
            <a name="resource-types-Questionnaire"> </a> 
          </td> 
          <td> Questionnaire</td> 
          <td> A structured set of questions intended to guide the collection of answers from end-users.
             Questionnaires provide detailed control over order, presentation, phraseology and grouping
             to allow coherent, consistent data collection.</td> 
        </tr> 
        <tr> 
          <td> 4</td> 
          <td style="white-space:nowrap">      NamingSystem
            <a name="resource-types-NamingSystem"> </a> 
          </td> 
          <td> NamingSystem</td> 
          <td> A curated namespace that issues unique symbols within that namespace for the identification
             of concepts, people, devices, etc.  Represents a &quot;System&quot; used within the Identifier
             and Coding data types.</td> 
        </tr> 
        <tr> 
          <td> 4</td> 
          <td style="white-space:nowrap">      OperationDefinition
            <a name="resource-types-OperationDefinition"> </a> 
          </td> 
          <td> OperationDefinition</td> 
          <td> A formal computable definition of an operation (on the RESTful interface) or a named query
             (using the search interaction).</td> 
        </tr> 
        <tr> 
          <td> 4</td> 
          <td style="white-space:nowrap">      SearchParameter
            <a name="resource-types-SearchParameter"> </a> 
          </td> 
          <td> SearchParameter</td> 
          <td> A search parameter that defines a named search item that can be used to search/filter
             on a resource.</td> 
        </tr> 
        <tr> 
          <td> 4</td> 
          <td style="white-space:nowrap">      StructureDefinition
            <a name="resource-types-StructureDefinition"> </a> 
          </td> 
          <td> StructureDefinition</td> 
          <td> A definition of a FHIR structure. This resource is used to describe the underlying resources,
             data types defined in FHIR, and also for describing extensions and constraints on resources
             and data types.</td> 
        </tr> 
        <tr> 
          <td> 4</td> 
          <td style="white-space:nowrap">      StructureMap
            <a name="resource-types-StructureMap"> </a> 
          </td> 
          <td> StructureMap</td> 
          <td> A Map of relationships between 2 structures that can be used to transform data.</td> 
        </tr> 
        <tr> 
          <td> 4</td> 
          <td style="white-space:nowrap">      TerminologyCapabilities
            <a name="resource-types-TerminologyCapabilities"> </a> 
          </td> 
          <td> TerminologyCapabilities</td> 
          <td> A TerminologyCapabilities resource documents a set of capabilities (behaviors) of a FHIR
             Terminology Server that may be used as a statement of actual server functionality or a
             statement of required or desired server implementation.</td> 
        </tr> 
        <tr> 
          <td> 4</td> 
          <td style="white-space:nowrap">      TestScript
            <a name="resource-types-TestScript"> </a> 
          </td> 
          <td> TestScript</td> 
          <td> A structured set of tests against a FHIR server or client implementation to determine
             compliance against the FHIR specification.</td> 
        </tr> 
        <tr> 
          <td> 4</td> 
          <td style="white-space:nowrap">      ValueSet
            <a name="resource-types-ValueSet"> </a> 
          </td> 
          <td> ValueSet</td> 
          <td> A ValueSet resource instance specifies a set of codes drawn from one or more code systems,
             intended for use in a particular context. Value sets link between [[[CodeSystem]]] definitions
             and their use in [coded elements](terminologies.html).</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    CarePlan
            <a name="resource-types-CarePlan"> </a> 
          </td> 
          <td> CarePlan</td> 
          <td> Describes the intention of how one or more practitioners intend to deliver care for a
             particular patient, group or community for a period of time, possibly limited to care
             for a specific condition or set of conditions.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    CareTeam
            <a name="resource-types-CareTeam"> </a> 
          </td> 
          <td> CareTeam</td> 
          <td> The Care Team includes all the people and organizations who plan to participate in the
             coordination and delivery of care.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    ChargeItem
            <a name="resource-types-ChargeItem"> </a> 
          </td> 
          <td> ChargeItem</td> 
          <td> The resource ChargeItem describes the provision of healthcare provider products for a
             certain patient, therefore referring not only to the product, but containing in addition
             details of the provision, like date, time, amounts and participating organizations and
             persons. Main Usage of the ChargeItem is to enable the billing process and internal cost
             allocation.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    Claim
            <a name="resource-types-Claim"> </a> 
          </td> 
          <td> Claim</td> 
          <td> A provider issued list of professional services and products which have been provided,
             or are to be provided, to a patient which is sent to an insurer for reimbursement.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    ClaimResponse
            <a name="resource-types-ClaimResponse"> </a> 
          </td> 
          <td> ClaimResponse</td> 
          <td> This resource provides the adjudication details from the processing of a Claim resource.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    ClinicalImpression
            <a name="resource-types-ClinicalImpression"> </a> 
          </td> 
          <td> ClinicalImpression</td> 
          <td> A record of a clinical assessment performed to determine what problem(s) may affect the
             patient and before planning the treatments or management strategies that are best to manage
             a patient's condition. Assessments are often 1:1 with a clinical consultation / encounter,
              but this varies greatly depending on the clinical workflow. This resource is called &quot;ClinicalI
            mpression&quot; rather than &quot;ClinicalAssessment&quot; to avoid confusion with the
             recording of assessment tools such as Apgar score.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    ClinicalUseDefinition
            <a name="resource-types-ClinicalUseDefinition"> </a> 
          </td> 
          <td> ClinicalUseDefinition</td> 
          <td> A single issue - either an indication, contraindication, interaction or an undesirable
             effect for a medicinal product, medication, device or procedure.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    ClinicalUseIssue
            <a name="resource-types-ClinicalUseIssue"> </a> 
          </td> 
          <td> ClinicalUseIssue</td> 
          <td> A single issue - either an indication, contraindication, interaction or an undesirable
             effect for a medicinal product, medication, device or procedure.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    Communication
            <a name="resource-types-Communication"> </a> 
          </td> 
          <td> Communication</td> 
          <td> A clinical or business level record of information being transmitted or shared; e.g. an
             alert that was sent to a responsible provider, a public health agency communication to
             a provider/reporter in response to a case report for a reportable condition.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    CommunicationRequest
            <a name="resource-types-CommunicationRequest"> </a> 
          </td> 
          <td> CommunicationRequest</td> 
          <td> A request to convey information; e.g. the CDS system proposes that an alert be sent to
             a responsible provider, the CDS system proposes that the public health agency be notified
             about a reportable condition.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    Composition
            <a name="resource-types-Composition"> </a> 
          </td> 
          <td> Composition</td> 
          <td> A set of healthcare-related information that is assembled together into a single logical
             package that provides a single coherent statement of meaning, establishes its own context
             and that has clinical attestation with regard to who is making the statement. A Composition
             defines the structure and narrative content necessary for a document. However, a Composition
             alone does not constitute a document. Rather, the Composition must be the first entry
             in a Bundle where Bundle.type=document, and any other resources referenced from Composition
             must be included as subsequent entries in the Bundle (for example Patient, Practitioner,
             Encounter, etc.).</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    Condition
            <a name="resource-types-Condition"> </a> 
          </td> 
          <td> Condition</td> 
          <td> A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical
             concept that has risen to a level of concern.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    Consent
            <a name="resource-types-Consent"> </a> 
          </td> 
          <td> Consent</td> 
          <td> A record of a healthcare consumer’s  choices  or choices made on their behalf by a third
             party, which permits or denies identified recipient(s) or recipient role(s) to perform
             one or more actions within a given policy context, for specific purposes and periods of
             time.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    Contract
            <a name="resource-types-Contract"> </a> 
          </td> 
          <td> Contract</td> 
          <td> Legally enforceable, formally recorded unilateral or bilateral directive i.e., a policy
             or agreement.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    Coverage
            <a name="resource-types-Coverage"> </a> 
          </td> 
          <td> Coverage</td> 
          <td> Financial instrument which may be used to reimburse or pay for health care products and
             services. Includes both insurance and self-payment.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    CoverageEligibilityRequest
            <a name="resource-types-CoverageEligibilityRequest"> </a> 
          </td> 
          <td> CoverageEligibilityRequest</td> 
          <td> The CoverageEligibilityRequest provides patient and insurance coverage information to
             an insurer for them to respond, in the form of an CoverageEligibilityResponse, with information
             regarding whether the stated coverage is valid and in-force and optionally to provide
             the insurance details of the policy.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    CoverageEligibilityResponse
            <a name="resource-types-CoverageEligibilityResponse"> </a> 
          </td> 
          <td> CoverageEligibilityResponse</td> 
          <td> This resource provides eligibility and plan details from the processing of an CoverageEligibilityReq
            uest resource.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    DetectedIssue
            <a name="resource-types-DetectedIssue"> </a> 
          </td> 
          <td> DetectedIssue</td> 
          <td> Indicates an actual or potential clinical issue with or between one or more active or
             proposed clinical actions for a patient; e.g. Drug-drug interaction, Ineffective treatment
             frequency, Procedure-condition conflict, etc.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    Device
            <a name="resource-types-Device"> </a> 
          </td> 
          <td> Device</td> 
          <td> This resource describes the properties (regulated, has real time clock, etc.), adminstrative
             (manufacturer name, model number, serial number, firmware, etc), and type (knee replacement,
             blood pressure cuff, MRI, etc.) of a physical unit (these values do not change much within
             a given module, for example the serail number, manufacturer name, and model number). An
             actual unit may consist of several modules in a distinct hierarchy and these are represented
             by multiple Device resources and bound through the 'parent' element.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    DeviceDefinition
            <a name="resource-types-DeviceDefinition"> </a> 
          </td> 
          <td> DeviceDefinition</td> 
          <td> This is a specialized resource that defines the characteristics and capabilities of a
             device.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    DeviceDispense
            <a name="resource-types-DeviceDispense"> </a> 
          </td> 
          <td> DeviceDispense</td> 
          <td> Indicates that a device is to be or has been dispensed for a named person/patient.  This
             includes a description of the product (supply) provided and the instructions for using
             the device.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    DeviceMetric
            <a name="resource-types-DeviceMetric"> </a> 
          </td> 
          <td> DeviceMetric</td> 
          <td> Describes a measurement, calculation or setting capability of a medical device.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    DeviceRequest
            <a name="resource-types-DeviceRequest"> </a> 
          </td> 
          <td> DeviceRequest</td> 
          <td> Represents a request a device to be provided to a specific patient. The device may be
             an implantable device to be subsequently implanted, or an external assistive device, such
             as a walker, to be delivered and subsequently be used.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    DeviceUsage
            <a name="resource-types-DeviceUsage"> </a> 
          </td> 
          <td> DeviceUsage</td> 
          <td> A record of a device being used by a patient where the record is the result of a report
             from the patient or a clinician.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    DiagnosticReport
            <a name="resource-types-DiagnosticReport"> </a> 
          </td> 
          <td> DiagnosticReport</td> 
          <td> The findings and interpretation of diagnostic tests performed on patients, groups of patients,
             products, substances, devices, and locations, and/or specimens derived from these. The
             report includes clinical context such as requesting provider information, and some mix
             of atomic results, images, textual and coded interpretations, and formatted representation
             of diagnostic reports. The report also includes non-clinical context such as batch analysis
             and stability reporting of products and substances.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    DocumentManifest
            <a name="resource-types-DocumentManifest"> </a> 
          </td> 
          <td> DocumentManifest</td> 
          <td> A collection of documents compiled for a purpose together with metadata that applies to
             the collection.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    DocumentReference
            <a name="resource-types-DocumentReference"> </a> 
          </td> 
          <td> DocumentReference</td> 
          <td> A reference to a document of any kind for any purpose. While the term “document” implies
             a more narrow focus, for this resource this &quot;document&quot; encompasses *any* serialized
             object with a mime-type, it includes formal patient-centric documents (CDA), clinical
             notes, scanned paper, non-patient specific documents like policy text, as well as a photo,
             video, or audio recording acquired or used in healthcare.  The DocumentReference resource
             provides metadata about the document so that the document can be discovered and managed.
              The actual content may be inline base64 encoded data or provided by direct reference.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    Encounter
            <a name="resource-types-Encounter"> </a> 
          </td> 
          <td> Encounter</td> 
          <td> An interaction between a patient and healthcare provider(s) for the purpose of providing
             healthcare service(s) or assessing the health status of a patient.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    Endpoint
            <a name="resource-types-Endpoint"> </a> 
          </td> 
          <td> Endpoint</td> 
          <td> The technical details of an endpoint that can be used for electronic services, such as
             for web services providing XDS.b or a REST endpoint for another FHIR server. This may
             include any security context information.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    EnrollmentRequest
            <a name="resource-types-EnrollmentRequest"> </a> 
          </td> 
          <td> EnrollmentRequest</td> 
          <td> This resource provides the insurance enrollment details to the insurer regarding a specified
             coverage.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    EnrollmentResponse
            <a name="resource-types-EnrollmentResponse"> </a> 
          </td> 
          <td> EnrollmentResponse</td> 
          <td> This resource provides enrollment and plan details from the processing of an EnrollmentRequest
             resource.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    EpisodeOfCare
            <a name="resource-types-EpisodeOfCare"> </a> 
          </td> 
          <td> EpisodeOfCare</td> 
          <td> An association between a patient and an organization / healthcare provider(s) during which
             time encounters may occur. The managing organization assumes a level of responsibility
             for the patient during this time.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    ExplanationOfBenefit
            <a name="resource-types-ExplanationOfBenefit"> </a> 
          </td> 
          <td> ExplanationOfBenefit</td> 
          <td> This resource provides: the claim details; adjudication details from the processing of
             a Claim; and optionally account balance information, for informing the subscriber of the
             benefits provided.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    FamilyMemberHistory
            <a name="resource-types-FamilyMemberHistory"> </a> 
          </td> 
          <td> FamilyMemberHistory</td> 
          <td> Significant health conditions for a person related to the patient relevant in the context
             of care for the patient.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    Flag
            <a name="resource-types-Flag"> </a> 
          </td> 
          <td> Flag</td> 
          <td> Prospective warnings of potential issues when providing care to the patient.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    Goal
            <a name="resource-types-Goal"> </a> 
          </td> 
          <td> Goal</td> 
          <td> Describes the intended objective(s) for a patient, group or organization care, for example,
             weight loss, restoring an activity of daily living, obtaining herd immunity via immunization,
             meeting a process improvement objective, etc.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    Group
            <a name="resource-types-Group"> </a> 
          </td> 
          <td> Group</td> 
          <td> Represents a defined collection of entities that may be discussed or acted upon collectively
             but which are not expected to act collectively, and are not formally or legally recognized;
             i.e. a collection of entities that isn't an Organization.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    GuidanceResponse
            <a name="resource-types-GuidanceResponse"> </a> 
          </td> 
          <td> GuidanceResponse</td> 
          <td> A guidance response is the formal response to a guidance request, including any output
             parameters returned by the evaluation, as well as the description of any proposed actions
             to be taken.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    HealthcareService
            <a name="resource-types-HealthcareService"> </a> 
          </td> 
          <td> HealthcareService</td> 
          <td> The details of a healthcare service available at a location.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    ImagingSelection
            <a name="resource-types-ImagingSelection"> </a> 
          </td> 
          <td> ImagingSelection</td> 
          <td> A selection of DICOM SOP instances and/or frames within a single Study and Series. This
             might include additional specifics such as an image region, an Observation UID or a Segmentation
             Number, allowing linkage to an Observation Resource or transferring this information along
             with the ImagingStudy Resource.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    ImagingStudy
            <a name="resource-types-ImagingStudy"> </a> 
          </td> 
          <td> ImagingStudy</td> 
          <td> Representation of the content produced in a DICOM imaging study. A study comprises a set
             of series, each of which includes a set of Service-Object Pair Instances (SOP Instances
             - images or other data) acquired or produced in a common context.  A series is of only
             one modality (e.g. X-ray, CT, MR, ultrasound), but a study may have multiple series of
             different modalities.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    Immunization
            <a name="resource-types-Immunization"> </a> 
          </td> 
          <td> Immunization</td> 
          <td> Describes the event of a patient being administered a vaccine or a record of an immunization
             as reported by a patient, a clinician or another party.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    ImmunizationEvaluation
            <a name="resource-types-ImmunizationEvaluation"> </a> 
          </td> 
          <td> ImmunizationEvaluation</td> 
          <td> Describes a comparison of an immunization event against published recommendations to determine
             if the administration is &quot;valid&quot; in relation to those  recommendations.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    ImmunizationRecommendation
            <a name="resource-types-ImmunizationRecommendation"> </a> 
          </td> 
          <td> ImmunizationRecommendation</td> 
          <td> A patient's point-in-time set of recommendations (i.e. forecasting) according to a published
             schedule with optional supporting justification.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    Ingredient
            <a name="resource-types-Ingredient"> </a> 
          </td> 
          <td> Ingredient</td> 
          <td> An ingredient of a manufactured item or pharmaceutical product.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    InsurancePlan
            <a name="resource-types-InsurancePlan"> </a> 
          </td> 
          <td> InsurancePlan</td> 
          <td> Details of a Health Insurance product/plan provided by an organization.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    InventoryReport
            <a name="resource-types-InventoryReport"> </a> 
          </td> 
          <td> InventoryReport</td> 
          <td> A report of inventory or stock items.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    Invoice
            <a name="resource-types-Invoice"> </a> 
          </td> 
          <td> Invoice</td> 
          <td> Invoice containing collected ChargeItems from an Account with calculated individual and
             total price for Billing purpose.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    Linkage
            <a name="resource-types-Linkage"> </a> 
          </td> 
          <td> Linkage</td> 
          <td> Identifies two or more records (resource instances) that refer to the same real-world
             &quot;occurrence&quot;.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    List
            <a name="resource-types-List"> </a> 
          </td> 
          <td> List</td> 
          <td> A list is a curated collection of resources.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    Location
            <a name="resource-types-Location"> </a> 
          </td> 
          <td> Location</td> 
          <td> Details and position information for a physical place where services are provided and
             resources and participants may be stored, found, contained, or accommodated.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    ManufacturedItemDefinition
            <a name="resource-types-ManufacturedItemDefinition"> </a> 
          </td> 
          <td> ManufacturedItemDefinition</td> 
          <td> The definition and characteristics of a medicinal manufactured item, such as a tablet
             or capsule, as contained in a packaged medicinal product.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    MeasureReport
            <a name="resource-types-MeasureReport"> </a> 
          </td> 
          <td> MeasureReport</td> 
          <td> The MeasureReport resource contains the results of the calculation of a measure; and optionally
             a reference to the resources involved in that calculation.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    Medication
            <a name="resource-types-Medication"> </a> 
          </td> 
          <td> Medication</td> 
          <td> This resource is primarily used for the identification and definition of a medication,
             including ingredients, for the purposes of prescribing, dispensing, and administering
             a medication as well as for making statements about medication use.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    MedicationAdministration
            <a name="resource-types-MedicationAdministration"> </a> 
          </td> 
          <td> MedicationAdministration</td> 
          <td> Describes the event of a patient consuming or otherwise being administered a medication.
              This may be as simple as swallowing a tablet or it may be a long running infusion.  Related
             resources tie this event to the authorizing prescription, and the specific encounter between
             patient and health care practitioner.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    MedicationDispense
            <a name="resource-types-MedicationDispense"> </a> 
          </td> 
          <td> MedicationDispense</td> 
          <td> Indicates that a medication product is to be or has been dispensed for a named person/patient.
              This includes a description of the medication product (supply) provided and the instructions
             for administering the medication.  The medication dispense is the result of a pharmacy
             system responding to a medication order.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    MedicationKnowledge
            <a name="resource-types-MedicationKnowledge"> </a> 
          </td> 
          <td> MedicationKnowledge</td> 
          <td> Information about a medication that is used to support knowledge.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    MedicationRequest
            <a name="resource-types-MedicationRequest"> </a> 
          </td> 
          <td> MedicationRequest</td> 
          <td> An order or request for both supply of the medication and the instructions for administration
             of the medication to a patient. The resource is called &quot;MedicationRequest&quot; rather
             than &quot;MedicationPrescription&quot; or &quot;MedicationOrder&quot; to generalize the
             use across inpatient and outpatient settings, including care plans, etc., and to harmonize
             with workflow patterns.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    MedicationUsage
            <a name="resource-types-MedicationUsage"> </a> 
          </td> 
          <td> MedicationUsage</td> 
          <td> A record of a medication that is being consumed by a patient.   A MedicationUsage may
             indicate that the patient may be taking the medication now or has taken the medication
             in the past or will be taking the medication in the future.  The source of this information
             can be the patient, significant other (such as a family member or spouse), or a clinician.
              A common scenario where this information is captured is during the history taking process
             during a patient visit or stay.   The medication information may come from sources such
             as the patient's memory, from a prescription bottle,  or from a list of medications the
             patient, clinician or other party maintains. 

The primary difference between a medicationusage and a medicationadministration is that
             the medication administration has complete administration information and is based on
             actual administration information from the person who administered the medication.  A
             medicationusage is often, if not always, less specific.  There is no required date/time
             when the medication was administered, in fact we only know that a source has reported
             the patient is taking this medication, where details such as time, quantity, or rate or
             even medication product may be incomplete or missing or less precise.  As stated earlier,
             the Medication Usage information may come from the patient's memory, from a prescription
             bottle or from a list of medications the patient, clinician or other party maintains.
              Medication administration is more formal and is not missing detailed information.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    MedicinalProductDefinition
            <a name="resource-types-MedicinalProductDefinition"> </a> 
          </td> 
          <td> MedicinalProductDefinition</td> 
          <td> Detailed definition of a medicinal product, typically for uses other than direct patient
             care (e.g. regulatory use, drug catalogs).</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    MessageHeader
            <a name="resource-types-MessageHeader"> </a> 
          </td> 
          <td> MessageHeader</td> 
          <td> The header for a message exchange that is either requesting or responding to an action.
              The reference(s) that are the subject of the action as well as other information related
             to the action are typically transmitted in a bundle in which the MessageHeader resource
             instance is the first resource in the bundle.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    MolecularSequence
            <a name="resource-types-MolecularSequence"> </a> 
          </td> 
          <td> MolecularSequence</td> 
          <td> Raw data describing a biological sequence.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    NutritionIntake
            <a name="resource-types-NutritionIntake"> </a> 
          </td> 
          <td> NutritionIntake</td> 
          <td> A record of food or fluid that is being consumed by a patient.   A NutritionIntake may
             indicate that the patient may be consuming the food or fluid now or has consumed the food
             or fluid in the past.  The source of this information can be the patient, significant
             other (such as a family member or spouse), or a clinician.  A common scenario where this
             information is captured is during the history taking process during a patient visit or
             stay or through an app that tracks food or fluids consumed.   The consumption information
             may come from sources such as the patient's memory, from a nutrition label,  or from a
             clinician documenting observed intake.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    NutritionOrder
            <a name="resource-types-NutritionOrder"> </a> 
          </td> 
          <td> NutritionOrder</td> 
          <td> A request to supply a diet, formula feeding (enteral) or oral nutritional supplement to
             a patient/resident.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    NutritionProduct
            <a name="resource-types-NutritionProduct"> </a> 
          </td> 
          <td> NutritionProduct</td> 
          <td> A food or fluid product that is consumed by patients.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    Observation
            <a name="resource-types-Observation"> </a> 
          </td> 
          <td> Observation</td> 
          <td> Measurements and simple assertions made about a patient, device or other subject.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    ObservationDefinition
            <a name="resource-types-ObservationDefinition"> </a> 
          </td> 
          <td> ObservationDefinition</td> 
          <td> Set of definitional characteristics for a kind of observation or measurement produced
             or consumed by an orderable health care service.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    OperationOutcome
            <a name="resource-types-OperationOutcome"> </a> 
          </td> 
          <td> OperationOutcome</td> 
          <td> A collection of error, warning, or information messages that result from a system action.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    Organization
            <a name="resource-types-Organization"> </a> 
          </td> 
          <td> Organization</td> 
          <td> A formally or informally recognized grouping of people or organizations formed for the
             purpose of achieving some form of collective action.  Includes companies, institutions,
             corporations, departments, community groups, healthcare practice groups, payer/insurer,
             etc.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    OrganizationAffiliation
            <a name="resource-types-OrganizationAffiliation"> </a> 
          </td> 
          <td> OrganizationAffiliation</td> 
          <td> Defines an affiliation/assotiation/relationship between 2 distinct organizations, that
             is not a part-of relationship/sub-division relationship.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    PackagedProductDefinition
            <a name="resource-types-PackagedProductDefinition"> </a> 
          </td> 
          <td> PackagedProductDefinition</td> 
          <td> A medically related item or items, in a container or package.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    Patient
            <a name="resource-types-Patient"> </a> 
          </td> 
          <td> Patient</td> 
          <td> Demographics and other administrative information about an individual or animal receiving
             care or other health-related services.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    PaymentNotice
            <a name="resource-types-PaymentNotice"> </a> 
          </td> 
          <td> PaymentNotice</td> 
          <td> This resource provides the status of the payment for goods and services rendered, and
             the request and response resource references.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    PaymentReconciliation
            <a name="resource-types-PaymentReconciliation"> </a> 
          </td> 
          <td> PaymentReconciliation</td> 
          <td> This resource provides the details including amount of a payment and allocates the payment
             items being paid.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    Permission
            <a name="resource-types-Permission"> </a> 
          </td> 
          <td> Permission</td> 
          <td> Permission.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    Person
            <a name="resource-types-Person"> </a> 
          </td> 
          <td> Person</td> 
          <td> Demographics and administrative information about a person independent of a specific health-related
             context.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    Practitioner
            <a name="resource-types-Practitioner"> </a> 
          </td> 
          <td> Practitioner</td> 
          <td> A person who is directly or indirectly involved in the provisioning of healthcare.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    PractitionerRole
            <a name="resource-types-PractitionerRole"> </a> 
          </td> 
          <td> PractitionerRole</td> 
          <td> A specific set of Roles/Locations/specialties/services that a practitioner may perform
             at an organization for a period of time.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    Procedure
            <a name="resource-types-Procedure"> </a> 
          </td> 
          <td> Procedure</td> 
          <td> An action that is or was performed on or for a patient, practitioner, device, organization,
             or location. For example, this can be a physical intervention on a patient like an operation,
             or less invasive like long term services, counseling, or hypnotherapy.  This can be a
             quality or safety inspection for a location, organization, or device.  This can be an
             accreditation procedure on a practitioner for licensing.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    Provenance
            <a name="resource-types-Provenance"> </a> 
          </td> 
          <td> Provenance</td> 
          <td> Provenance of a resource is a record that describes entities and processes involved in
             producing and delivering or otherwise influencing that resource. Provenance provides a
             critical foundation for assessing authenticity, enabling trust, and allowing reproducibility.
             Provenance assertions are a form of contextual metadata and can themselves become important
             records with their own provenance. Provenance statement indicates clinical significance
             in terms of confidence in authenticity, reliability, and trustworthiness, integrity, and
             stage in lifecycle (e.g. Document Completion - has the artifact been legally authenticated),
             all of which may impact security, privacy, and trust policies.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    QuestionnaireResponse
            <a name="resource-types-QuestionnaireResponse"> </a> 
          </td> 
          <td> QuestionnaireResponse</td> 
          <td> A structured set of questions and their answers. The questions are ordered and grouped
             into coherent subsets, corresponding to the structure of the grouping of the questionnaire
             being responded to.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    RegulatedAuthorization
            <a name="resource-types-RegulatedAuthorization"> </a> 
          </td> 
          <td> RegulatedAuthorization</td> 
          <td> Regulatory approval, clearance or licencing related to a regulated product, treatment,
             facility or activity that is cited in a guidance, regulation, rule or legislative act.
             An example is Market Authorization relating to a Medicinal Product.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    RelatedPerson
            <a name="resource-types-RelatedPerson"> </a> 
          </td> 
          <td> RelatedPerson</td> 
          <td> Information about a person that is involved in the care for a patient, but who is not
             the target of healthcare, nor has a formal responsibility in the care process.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    RequestGroup
            <a name="resource-types-RequestGroup"> </a> 
          </td> 
          <td> RequestGroup</td> 
          <td> A group of related requests that can be used to capture intended activities that have
             inter-dependencies such as &quot;give this medication after that one&quot;.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    ResearchStudy
            <a name="resource-types-ResearchStudy"> </a> 
          </td> 
          <td> ResearchStudy</td> 
          <td> A process where a researcher or organization plans and then executes a series of steps
             intended to increase the field of healthcare-related knowledge.  This includes studies
             of safety, efficacy, comparative effectiveness and other information about medications,
             devices, therapies and other interventional and investigative techniques.  A ResearchStudy
             involves the gathering of information about human or animal subjects.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    ResearchSubject
            <a name="resource-types-ResearchSubject"> </a> 
          </td> 
          <td> ResearchSubject</td> 
          <td> A physical entity which is the primary unit of operational and/or administrative interest
             in a study.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    RiskAssessment
            <a name="resource-types-RiskAssessment"> </a> 
          </td> 
          <td> RiskAssessment</td> 
          <td> An assessment of the likely outcome(s) for a patient or other subject as well as the likelihood
             of each outcome.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    Schedule
            <a name="resource-types-Schedule"> </a> 
          </td> 
          <td> Schedule</td> 
          <td> A container for slots of time that may be available for booking appointments.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    ServiceRequest
            <a name="resource-types-ServiceRequest"> </a> 
          </td> 
          <td> ServiceRequest</td> 
          <td> A record of a request for service such as diagnostic investigations, treatments, or operations
             to be performed.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    Slot
            <a name="resource-types-Slot"> </a> 
          </td> 
          <td> Slot</td> 
          <td> A slot of time on a schedule that may be available for booking appointments.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    Specimen
            <a name="resource-types-Specimen"> </a> 
          </td> 
          <td> Specimen</td> 
          <td> A sample to be used for analysis.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    SpecimenDefinition
            <a name="resource-types-SpecimenDefinition"> </a> 
          </td> 
          <td> SpecimenDefinition</td> 
          <td> A kind of specimen with associated set of requirements.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    Subscription
            <a name="resource-types-Subscription"> </a> 
          </td> 
          <td> Subscription</td> 
          <td> The subscription resource describes a particular client's request to be notified about
             a SubscriptionTopic.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    SubscriptionStatus
            <a name="resource-types-SubscriptionStatus"> </a> 
          </td> 
          <td> SubscriptionStatus</td> 
          <td> The SubscriptionStatus resource describes the state of a Subscription during notifications.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    SubscriptionTopic
            <a name="resource-types-SubscriptionTopic"> </a> 
          </td> 
          <td> SubscriptionTopic</td> 
          <td> Describes a stream of resource state changes identified by trigger criteria and annotated
             with labels useful to filter projections from this topic.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    Substance
            <a name="resource-types-Substance"> </a> 
          </td> 
          <td> Substance</td> 
          <td> A homogeneous material with a definite composition.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    SubstanceDefinition
            <a name="resource-types-SubstanceDefinition"> </a> 
          </td> 
          <td> SubstanceDefinition</td> 
          <td> The detailed description of a substance, typically at a level beyond what is used for
             prescribing.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    SubstanceNucleicAcid
            <a name="resource-types-SubstanceNucleicAcid"> </a> 
          </td> 
          <td> SubstanceNucleicAcid</td> 
          <td> Nucleic acids are defined by three distinct elements: the base, sugar and linkage. Individual
             substance/moiety IDs will be created for each of these elements. The nucleotide sequence
             will be always entered in the 5’-3’ direction.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    SubstancePolymer
            <a name="resource-types-SubstancePolymer"> </a> 
          </td> 
          <td> SubstancePolymer</td> 
          <td> Properties of a substance specific to it being a polymer.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    SubstanceProtein
            <a name="resource-types-SubstanceProtein"> </a> 
          </td> 
          <td> SubstanceProtein</td> 
          <td> A SubstanceProtein is defined as a single unit of a linear amino acid sequence, or a combination
             of subunits that are either covalently linked or have a defined invariant stoichiometric
             relationship. This includes all synthetic, recombinant and purified SubstanceProteins
             of defined sequence, whether the use is therapeutic or prophylactic. This set of elements
             will be used to describe albumins, coagulation factors, cytokines, growth factors, peptide/Substance
            Protein hormones, enzymes, toxins, toxoids, recombinant vaccines, and immunomodulators.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    SubstanceReferenceInformation
            <a name="resource-types-SubstanceReferenceInformation"> </a> 
          </td> 
          <td> SubstanceReferenceInformation</td> 
          <td> Todo.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    SubstanceSourceMaterial
            <a name="resource-types-SubstanceSourceMaterial"> </a> 
          </td> 
          <td> SubstanceSourceMaterial</td> 
          <td> Source material shall capture information on the taxonomic and anatomical origins as well
             as the fraction of a material that can result in or can be modified to form a substance.
             This set of data elements shall be used to define polymer substances isolated from biological
             matrices. Taxonomic and anatomical origins shall be described using a controlled vocabulary
             as required. This information is captured for naturally derived polymers ( . starch) and
             structurally diverse substances. For Organisms belonging to the Kingdom Plantae the Substance
             level defines the fresh material of a single species or infraspecies, the Herbal Drug
             and the Herbal preparation. For Herbal preparations, the fraction information will be
             captured at the Substance information level and additional information for herbal extracts
             will be captured at the Specified Substance Group 1 information level. See for further
             explanation the Substance Class: Structurally Diverse and the herbal annex.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    SupplyDelivery
            <a name="resource-types-SupplyDelivery"> </a> 
          </td> 
          <td> SupplyDelivery</td> 
          <td> Record of delivery of what is supplied.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    SupplyRequest
            <a name="resource-types-SupplyRequest"> </a> 
          </td> 
          <td> SupplyRequest</td> 
          <td> A record of a non-patient specific request for a medication, substance, device, certain
             types of biologically derived product, and nutrition product used in the healthcare setting.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    Task
            <a name="resource-types-Task"> </a> 
          </td> 
          <td> Task</td> 
          <td> A task to be performed.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    TestReport
            <a name="resource-types-TestReport"> </a> 
          </td> 
          <td> TestReport</td> 
          <td> A summary of information based on the results of executing a TestScript.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    VerificationResult
            <a name="resource-types-VerificationResult"> </a> 
          </td> 
          <td> VerificationResult</td> 
          <td> Describes validation requirements, source(s), status and dates for one or more elements.</td> 
        </tr> 
        <tr> 
          <td> 3</td> 
          <td style="white-space:nowrap">    VisionPrescription
            <a name="resource-types-VisionPrescription"> </a> 
          </td> 
          <td> VisionPrescription</td> 
          <td> An authorization for the provision of glasses and/or contact lenses to a patient.</td> 
        </tr> 
        <tr> 
          <td> 2</td> 
          <td style="white-space:nowrap">  Parameters
            <a name="resource-types-Parameters"> </a> 
          </td> 
          <td> Parameters</td> 
          <td> This resource is a non-persisted resource used to pass information into and back from
             an [operation](operations.html). It has no other use, and there is no RESTful endpoint
             associated with it.</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> 
          <td> 
            <b> Spanish (es)</b> 
          </td> 
          <td> 
            <b> French (fr)</b> 
          </td> 
          <td> 
            <b> Italian (it)</b> 
          </td> 
          <td> 
            <b> 中文 (Chinese, zh)</b> 
          </td> 
        </tr> 
        <tr> 
          <td> Resource</td> 
          <td> Resource</td> 
          <td> Recurso</td> 
          <td/>  
          <td/>  
          <td> 资源</td> 
        </tr> 
      </table> 
    </div> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/valueset-special-status">
    <valueString value="This Code System is normative - it is generated based on the information defined in this
     specification. The definition will remain fixed  across versions, but the actual contents
     will change from version to version"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="normative"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
    <valueCode value="4.0.0"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="5"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="inm"/> 
  </extension> 
  <url value="http://hl7.org/fhir/resource-types"/> 
  <version value="5.0.0-snapshot1"/> 
  <name value="ResourceType"/> 
  <title value="ResourceType"/> 
  <status value="active"/> 
  <experimental value="false"/> 
  <date value="2021-12-19T08:15:41+11:00"/> 
  <publisher value="HL7 (FHIR Project)"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://hl7.org/fhir"/> 
    </telecom> 
    <telecom> 
      <system value="email"/> 
      <value value="fhir@lists.hl7.org"/> 
    </telecom> 
  </contact> 
  <description value="One of the resource types defined as part of this version of FHIR."/> 
  <caseSensitive value="true"/> 
  <hierarchyMeaning value="is-a"/> 
  <content value="complete"/> 
  <concept> 
    <code value="Resource"/> 
    <display value="Resource"/> 
    <definition value="--- Abstract Type! ---This is the base resource type for everything."/> 
    <designation> 
      <language value="en"/> 
      <use> 
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
        <code value="display"/> 
      </use> 
      <value value="Resource"/> 
    </designation> 
    <designation> 
      <language value="es"/> 
      <use> 
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
        <code value="display"/> 
      </use> 
      <value value="Recurso"/> 
    </designation> 
    <designation> 
      <language value="zh"/> 
      <use> 
        <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
        <code value="display"/> 
      </use> 
      <value value="资源"/> 
    </designation> 
    <concept> 
      <code value="Binary"/> 
      <display value="Binary"/> 
      <definition value="A resource that represents the data of a single raw artifact as digital content accessible
       in its native format.  A Binary resource can contain any content, whether text, image,
       pdf, zip archive, etc."/> 
      <designation> 
        <language value="en"/> 
        <use> 
          <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
          <code value="display"/> 
        </use> 
        <value value="Binary"/> 
      </designation> 
      <designation> 
        <language value="it"/> 
        <use> 
          <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
          <code value="display"/> 
        </use> 
        <value value="Binario"/> 
      </designation> 
      <designation> 
        <language value="fr"/> 
        <use> 
          <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
          <code value="display"/> 
        </use> 
        <value value="Binaire"/> 
      </designation> 
      <designation> 
        <language value="es"/> 
        <use> 
          <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
          <code value="display"/> 
        </use> 
        <value value="Binario"/> 
      </designation> 
      <designation> 
        <language value="zh"/> 
        <use> 
          <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
          <code value="display"/> 
        </use> 
        <value value="二进制资源"/> 
      </designation> 
    </concept> 
    <concept> 
      <code value="Bundle"/> 
      <display value="Bundle"/> 
      <definition value="A container for a collection of resources."/> 
      <designation> 
        <language value="en"/> 
        <use> 
          <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
          <code value="display"/> 
        </use> 
        <value value="Bundle"/> 
      </designation> 
      <designation> 
        <language value="fr"/> 
        <use> 
          <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
          <code value="display"/> 
        </use> 
        <value value="Paquet"/> 
      </designation> 
      <designation> 
        <language value="es"/> 
        <use> 
          <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
          <code value="display"/> 
        </use> 
        <value value="Paquete"/> 
      </designation> 
      <designation> 
        <language value="zh"/> 
        <use> 
          <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
          <code value="display"/> 
        </use> 
        <value value="捆束"/> 
      </designation> 
    </concept> 
    <concept> 
      <code value="DomainResource"/> 
      <display value="DomainResource"/> 
      <definition value="--- Abstract Type! ---A resource that includes narrative, extensions, and contained resources."/> 
      <designation> 
        <language value="en"/> 
        <use> 
          <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
          <code value="display"/> 
        </use> 
        <value value="DomainResource"/> 
      </designation> 
      <designation> 
        <language value="es"/> 
        <use> 
          <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
          <code value="display"/> 
        </use> 
        <value value="RecursoDeDominio"/> 
      </designation> 
      <designation> 
        <language value="zh"/> 
        <use> 
          <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
          <code value="display"/> 
        </use> 
        <value value="领域资源"/> 
      </designation> 
      <concept> 
        <code value="Account"/> 
        <display value="Account"/> 
        <definition value="A financial tool for tracking value accrued for a particular purpose.  In the healthcare
         field, used to track charges for a patient, cost centers, etc."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Account"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Cuenta"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="账户"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="AdministrableProductDefinition"/> 
        <display value="AdministrableProductDefinition"/> 
        <definition value="A medicinal product in the final form which is suitable for administering to a patient
         (after any mixing of multiple components, dissolution etc. has been performed)."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="AdministrableProductDefinition"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="AdverseEvent"/> 
        <display value="AdverseEvent"/> 
        <definition value="An event (i.e. any change to current patient status) that may be related to unintended
         effects on a patient or research subject.  The unintended effects may require additional
         monitoring, treatment or hospitalization or may result in death.  The AdverseEvent resource
         also extends to potential or avoided events that could have had such effects."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="AdverseEvent"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="EventoAvverso"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="EventoAdverso"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="不良事件"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="AllergyIntolerance"/> 
        <display value="AllergyIntolerance"/> 
        <definition value="Risk of harmful or undesirable, physiological response which is unique to an individual
         and associated with exposure to a substance."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="AllergyIntolerance"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="AllergiaIntolleranza"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="IntoléranceAllergique"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="AllergiaIntolerancia"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="变态反应与不耐性"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="Appointment"/> 
        <display value="Appointment"/> 
        <definition value="A booking of a healthcare event among patient(s), practitioner(s), related person(s) and/or
         device(s) for a specific date/time. This may result in one or more Encounter(s)."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Appointment"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Appuntamento"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="RendezVous"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Cita"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="预约"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="AppointmentResponse"/> 
        <display value="AppointmentResponse"/> 
        <definition value="A reply to an appointment request for a patient and/or practitioner(s), such as a confirmation
         or rejection."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="AppointmentResponse"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="RispostaAppuntamento"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="RéponseRendezVous"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="CitaRespuesta"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="预约响应"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="AuditEvent"/> 
        <display value="AuditEvent"/> 
        <definition value="A record of an event relevant for purposes such as operations, privacy, security, maintenance,
         and performance analysis."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="AuditEvent"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="ÉvènementSécurité"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="EventoSeguridad"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="审计事件"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="Basic"/> 
        <display value="Basic"/> 
        <definition value="Basic is used for handling concepts not yet defined in FHIR, narrative-only resources
         that don't map to an existing resource, and custom resources not appropriate for inclusion
         in the FHIR specification."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Basic"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Basique"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Basico"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="初级资源"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="BiologicallyDerivedProduct"/> 
        <display value="BiologicallyDerivedProduct"/> 
        <definition value="A biological material originating from a biological entity intended to be transplanted
         or infused into another (possibly the same) biological entity."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="BiologicallyDerivedProduct"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="BodyStructure"/> 
        <display value="BodyStructure"/> 
        <definition value="Record details about an anatomical structure.  This resource may be used when a coded
         concept does not provide the necessary detail needed for the use case."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="BodyStructure"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="StrutturaDelCorpo"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="MorphologieDeCorps"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="EstructuraDelCuerpo"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="身体结构"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="CanonicalResource"/> 
        <display value="CanonicalResource"/> 
        <definition value="--- Abstract Type! ---Common Ancestor declaration for conformance and knowledge artifact
         resources."/> 
        <concept> 
          <code value="CapabilityStatement"/> 
          <display value="CapabilityStatement"/> 
          <definition value="A Capability Statement documents a set of capabilities (behaviors) of a FHIR Server for
           a particular version of FHIR that may be used as a statement of actual server functionality
           or a statement of required or desired server implementation."/> 
          <designation> 
            <language value="en"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="CapabilityStatement"/> 
          </designation> 
          <designation> 
            <language value="es"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="DeclaracionDeCapacidad"/> 
          </designation> 
          <designation> 
            <language value="zh"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="能力声明"/> 
          </designation> 
        </concept> 
        <concept> 
          <code value="CapabilityStatement2"/> 
          <display value="CapabilityStatement2"/> 
          <definition value="A Capability Statement documents a set of capabilities (behaviors) of a FHIR Server for
           a particular version of FHIR that may be used as a statement of actual server functionality
           or a statement of required or desired server implementation."/> 
          <designation> 
            <language value="en"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="CapabilityStatement2"/> 
          </designation> 
        </concept> 
        <concept> 
          <code value="CodeSystem"/> 
          <display value="CodeSystem"/> 
          <definition value="The CodeSystem resource is used to declare the existence of and describe a code system
           or code system supplement and its key properties, and optionally define a part or all
           of its content."/> 
          <designation> 
            <language value="en"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="CodeSystem"/> 
          </designation> 
          <designation> 
            <language value="it"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="SistemaDiCodifica"/> 
          </designation> 
          <designation> 
            <language value="es"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="SistemaDeCodigos"/> 
          </designation> 
          <designation> 
            <language value="zh"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="代码系统"/> 
          </designation> 
        </concept> 
        <concept> 
          <code value="CompartmentDefinition"/> 
          <display value="CompartmentDefinition"/> 
          <definition value="A compartment definition that defines how resources are accessed on a server."/> 
          <designation> 
            <language value="en"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="CompartmentDefinition"/> 
          </designation> 
          <designation> 
            <language value="es"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="DefinicionDeCompartimento"/> 
          </designation> 
          <designation> 
            <language value="zh"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="逻辑区块定义"/> 
          </designation> 
        </concept> 
        <concept> 
          <code value="ConceptMap"/> 
          <display value="ConceptMap"/> 
          <definition value="A statement of relationships from one set of concepts to one or more other concepts -
           either concepts in code systems, or data element/data element concepts, or classes in
           class models."/> 
          <designation> 
            <language value="en"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="ConceptMap"/> 
          </designation> 
          <designation> 
            <language value="it"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="MappaDiConcetti"/> 
          </designation> 
          <designation> 
            <language value="fr"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="CarteDeConcepts"/> 
          </designation> 
          <designation> 
            <language value="es"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="MapaDeConceptos"/> 
          </designation> 
          <designation> 
            <language value="zh"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="概念映射"/> 
          </designation> 
        </concept> 
        <concept> 
          <code value="ConceptMap2"/> 
          <display value="ConceptMap2"/> 
          <definition value="A statement of relationships from one set of concepts to one or more other concepts -
           either concepts in code systems, or data element/data element concepts, or classes in
           class models."/> 
          <designation> 
            <language value="en"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="ConceptMap2"/> 
          </designation> 
          <designation> 
            <language value="it"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="MappaDiConcetti2"/> 
          </designation> 
          <designation> 
            <language value="fr"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="CarteDeConcepts2"/> 
          </designation> 
          <designation> 
            <language value="es"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="MapaDeConceptos2"/> 
          </designation> 
          <designation> 
            <language value="zh"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="概念映射2"/> 
          </designation> 
        </concept> 
        <concept> 
          <code value="ExampleScenario"/> 
          <display value="ExampleScenario"/> 
          <definition value="Example of workflow instance."/> 
          <designation> 
            <language value="en"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="ExampleScenario"/> 
          </designation> 
          <designation> 
            <language value="it"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="ScenarioDiEsempio"/> 
          </designation> 
          <designation> 
            <language value="es"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="EjemploDeEscenario"/> 
          </designation> 
          <designation> 
            <language value="zh"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="示例场景"/> 
          </designation> 
        </concept> 
        <concept> 
          <code value="GraphDefinition"/> 
          <display value="GraphDefinition"/> 
          <definition value="A formal computable definition of a graph of resources - that is, a coherent set of resources
           that form a graph by following references. The Graph Definition resource defines a set
           and makes rules about the set."/> 
          <designation> 
            <language value="en"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="GraphDefinition"/> 
          </designation> 
          <designation> 
            <language value="es"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="DefinitionGrafico"/> 
          </designation> 
          <designation> 
            <language value="zh"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="图形定义"/> 
          </designation> 
        </concept> 
        <concept> 
          <code value="ImplementationGuide"/> 
          <display value="ImplementationGuide"/> 
          <definition value="A set of rules of how a particular interoperability or standards problem is solved - typically
           through the use of FHIR resources. This resource is used to gather all the parts of an
           implementation guide into a logical whole and to publish a computable definition of all
           the parts."/> 
          <designation> 
            <language value="en"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="ImplementationGuide"/> 
          </designation> 
          <designation> 
            <language value="es"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="GuiaDeImplementacion"/> 
          </designation> 
          <designation> 
            <language value="zh"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="实施指南"/> 
          </designation> 
        </concept> 
        <concept> 
          <code value="MessageDefinition"/> 
          <display value="MessageDefinition"/> 
          <definition value="Defines the characteristics of a message that can be shared between systems, including
           the type of event that initiates the message, the content to be transmitted and what response(s),
           if any, are permitted."/> 
          <designation> 
            <language value="en"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="MessageDefinition"/> 
          </designation> 
          <designation> 
            <language value="it"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="DefinizioneMessaggio"/> 
          </designation> 
          <designation> 
            <language value="es"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="DefinicionMensaje"/> 
          </designation> 
          <designation> 
            <language value="zh"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="消息定义"/> 
          </designation> 
        </concept> 
        <concept> 
          <code value="MetadataResource"/> 
          <display value="MetadataResource"/> 
          <definition value="--- Abstract Type! ---Common Ancestor declaration for conformance and knowledge artifact
           resources."/> 
          <concept> 
            <code value="ActivityDefinition"/> 
            <display value="ActivityDefinition"/> 
            <definition value="This resource allows for the definition of some activity to be performed, independent
             of a particular patient, practitioner, or other performance context."/> 
            <designation> 
              <language value="en"/> 
              <use> 
                <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
                <code value="display"/> 
              </use> 
              <value value="ActivityDefinition"/> 
            </designation> 
            <designation> 
              <language value="it"/> 
              <use> 
                <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
                <code value="display"/> 
              </use> 
              <value value="DefinizioneAttivita"/> 
            </designation> 
            <designation> 
              <language value="es"/> 
              <use> 
                <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
                <code value="display"/> 
              </use> 
              <value value="DefinicionDeActividad"/> 
            </designation> 
            <designation> 
              <language value="zh"/> 
              <use> 
                <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
                <code value="display"/> 
              </use> 
              <value value="活动定义"/> 
            </designation> 
          </concept> 
          <concept> 
            <code value="ArtifactAssessment"/> 
            <display value="ArtifactAssessment"/> 
            <definition value="This Resource provides one or more comments, classifiers or ratings about a Resource and
             supports attribution and rights management metadata for the added content."/> 
            <designation> 
              <language value="en"/> 
              <use> 
                <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
                <code value="display"/> 
              </use> 
              <value value="ArtifactAssessment"/> 
            </designation> 
            <designation> 
              <language value="it"/> 
              <use> 
                <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
                <code value="display"/> 
              </use> 
              <value value="ArtefattoValutazione"/> 
            </designation> 
            <designation> 
              <language value="es"/> 
              <use> 
                <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
                <code value="display"/> 
              </use> 
              <value value="ArtefactoEvaluacion"/> 
            </designation> 
          </concept> 
          <concept> 
            <code value="ChargeItemDefinition"/> 
            <display value="ChargeItemDefinition"/> 
            <definition value="The ChargeItemDefinition resource provides the properties that apply to the (billing)
             codes necessary to calculate costs and prices. The properties may differ largely depending
             on type and realm, therefore this resource gives only a rough structure and requires profiling
             for each type of billing code system."/> 
            <designation> 
              <language value="en"/> 
              <use> 
                <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
                <code value="display"/> 
              </use> 
              <value value="ChargeItemDefinition"/> 
            </designation> 
          </concept> 
          <concept> 
            <code value="Citation"/> 
            <display value="Citation"/> 
            <definition value="The Citation Resource enables reference to any knowledge artifact for purposes of identification
             and attribution. The Citation Resource supports existing reference structures and developing
             publication practices such as versioning, expressing complex contributorship roles, and
             referencing computable resources."/> 
            <designation> 
              <language value="en"/> 
              <use> 
                <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
                <code value="display"/> 
              </use> 
              <value value="Citation"/> 
            </designation> 
          </concept> 
          <concept> 
            <code value="ConditionDefinition"/> 
            <display value="ConditionDefinition"/> 
            <definition value="A definition of a condition and information relevant to managing it."/> 
            <designation> 
              <language value="en"/> 
              <use> 
                <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
                <code value="display"/> 
              </use> 
              <value value="ConditionDefinition"/> 
            </designation> 
          </concept> 
          <concept> 
            <code value="EventDefinition"/> 
            <display value="EventDefinition"/> 
            <definition value="The EventDefinition resource provides a reusable description of when a particular event
             can occur."/> 
            <designation> 
              <language value="en"/> 
              <use> 
                <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
                <code value="display"/> 
              </use> 
              <value value="EventDefinition"/> 
            </designation> 
            <designation> 
              <language value="it"/> 
              <use> 
                <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
                <code value="display"/> 
              </use> 
              <value value="DefinizioneEvento"/> 
            </designation> 
            <designation> 
              <language value="es"/> 
              <use> 
                <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
                <code value="display"/> 
              </use> 
              <value value="DefinitionDeEvento"/> 
            </designation> 
            <designation> 
              <language value="zh"/> 
              <use> 
                <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
                <code value="display"/> 
              </use> 
              <value value="事件定义"/> 
            </designation> 
          </concept> 
          <concept> 
            <code value="Evidence"/> 
            <display value="Evidence"/> 
            <definition value="The Evidence Resource provides a machine-interpretable expression of an evidence concept
             including the evidence variables (e.g., population, exposures/interventions, comparators,
             outcomes, measured variables, confounding variables), the statistics, and the certainty
             of this evidence."/> 
            <designation> 
              <language value="en"/> 
              <use> 
                <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
                <code value="display"/> 
              </use> 
              <value value="Evidence"/> 
            </designation> 
          </concept> 
          <concept> 
            <code value="EvidenceReport"/> 
            <display value="EvidenceReport"/> 
            <definition value="The EvidenceReport Resource is a specialized container for a collection of resources and
             codeable concepts, adapted to support compositions of Evidence, EvidenceVariable, and
             Citation resources and related concepts."/> 
            <designation> 
              <language value="en"/> 
              <use> 
                <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
                <code value="display"/> 
              </use> 
              <value value="EvidenceReport"/> 
            </designation> 
          </concept> 
          <concept> 
            <code value="EvidenceVariable"/> 
            <display value="EvidenceVariable"/> 
            <definition value="The EvidenceVariable resource describes an element that knowledge (Evidence) is about."/> 
            <designation> 
              <language value="en"/> 
              <use> 
                <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
                <code value="display"/> 
              </use> 
              <value value="EvidenceVariable"/> 
            </designation> 
          </concept> 
          <concept> 
            <code value="Library"/> 
            <display value="Library"/> 
            <definition value="The Library resource is a general-purpose container for knowledge asset definitions. It
             can be used to describe and expose existing knowledge assets such as logic libraries and
             information model descriptions, as well as to describe a collection of knowledge assets."/> 
            <designation> 
              <language value="en"/> 
              <use> 
                <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
                <code value="display"/> 
              </use> 
              <value value="Library"/> 
            </designation> 
            <designation> 
              <language value="es"/> 
              <use> 
                <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
                <code value="display"/> 
              </use> 
              <value value="Librería"/> 
            </designation> 
            <designation> 
              <language value="zh"/> 
              <use> 
                <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
                <code value="display"/> 
              </use> 
              <value value=""/> 
            </designation> 
          </concept> 
          <concept> 
            <code value="Measure"/> 
            <display value="Measure"/> 
            <definition value="The Measure resource provides the definition of a quality measure."/> 
            <designation> 
              <language value="en"/> 
              <use> 
                <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
                <code value="display"/> 
              </use> 
              <value value="Measure"/> 
            </designation> 
            <designation> 
              <language value="it"/> 
              <use> 
                <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
                <code value="display"/> 
              </use> 
              <value value="Misura"/> 
            </designation> 
            <designation> 
              <language value="es"/> 
              <use> 
                <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
                <code value="display"/> 
              </use> 
              <value value="Medida"/> 
            </designation> 
            <designation> 
              <language value="zh"/> 
              <use> 
                <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
                <code value="display"/> 
              </use> 
              <value value="指标"/> 
            </designation> 
          </concept> 
          <concept> 
            <code value="PlanDefinition"/> 
            <display value="PlanDefinition"/> 
            <definition value="This resource allows for the definition of various types of plans as a sharable, consumable,
             and executable artifact. The resource is general enough to support the description of
             a broad range of clinical and non-clinical artifacts such as clinical decision support
             rules, order sets, protocols, and drug quality specifications."/> 
            <designation> 
              <language value="en"/> 
              <use> 
                <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
                <code value="display"/> 
              </use> 
              <value value="PlanDefinition"/> 
            </designation> 
            <designation> 
              <language value="es"/> 
              <use> 
                <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
                <code value="display"/> 
              </use> 
              <value value="DefinicionDePlan"/> 
            </designation> 
            <designation> 
              <language value="zh"/> 
              <use> 
                <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
                <code value="display"/> 
              </use> 
              <value value="计划定义"/> 
            </designation> 
          </concept> 
          <concept> 
            <code value="Questionnaire"/> 
            <display value="Questionnaire"/> 
            <definition value="A structured set of questions intended to guide the collection of answers from end-users.
             Questionnaires provide detailed control over order, presentation, phraseology and grouping
             to allow coherent, consistent data collection."/> 
            <designation> 
              <language value="en"/> 
              <use> 
                <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
                <code value="display"/> 
              </use> 
              <value value="Questionnaire"/> 
            </designation> 
            <designation> 
              <language value="it"/> 
              <use> 
                <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
                <code value="display"/> 
              </use> 
              <value value="Questionario"/> 
            </designation> 
            <designation> 
              <language value="fr"/> 
              <use> 
                <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
                <code value="display"/> 
              </use> 
              <value value="Questionnaire"/> 
            </designation> 
            <designation> 
              <language value="zh"/> 
              <use> 
                <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
                <code value="display"/> 
              </use> 
              <value value="调查问卷"/> 
            </designation> 
            <designation> 
              <language value="es"/> 
              <use> 
                <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
                <code value="display"/> 
              </use> 
              <value value="Cuestionario"/> 
            </designation> 
          </concept> 
        </concept> 
        <concept> 
          <code value="NamingSystem"/> 
          <display value="NamingSystem"/> 
          <definition value="A curated namespace that issues unique symbols within that namespace for the identification
           of concepts, people, devices, etc.  Represents a &quot;System&quot; used within the Identifier
           and Coding data types."/> 
          <designation> 
            <language value="en"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="NamingSystem"/> 
          </designation> 
          <designation> 
            <language value="fr"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="SystèmeDeNommage"/> 
          </designation> 
          <designation> 
            <language value="es"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="SistemaDeNombres"/> 
          </designation> 
          <designation> 
            <language value="zh"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="命名系统"/> 
          </designation> 
        </concept> 
        <concept> 
          <code value="OperationDefinition"/> 
          <display value="OperationDefinition"/> 
          <definition value="A formal computable definition of an operation (on the RESTful interface) or a named query
           (using the search interaction)."/> 
          <designation> 
            <language value="en"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="OperationDefinition"/> 
          </designation> 
          <designation> 
            <language value="it"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="DefinizioneOperazione"/> 
          </designation> 
          <designation> 
            <language value="fr"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="DéfinitionOpération"/> 
          </designation> 
          <designation> 
            <language value="es"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="DefinicionDeOperacion"/> 
          </designation> 
          <designation> 
            <language value="zh"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="操作定义"/> 
          </designation> 
        </concept> 
        <concept> 
          <code value="SearchParameter"/> 
          <display value="SearchParameter"/> 
          <definition value="A search parameter that defines a named search item that can be used to search/filter
           on a resource."/> 
          <designation> 
            <language value="en"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="SearchParameter"/> 
          </designation> 
          <designation> 
            <language value="it"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="ParametroDiRicerca"/> 
          </designation> 
          <designation> 
            <language value="fr"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="ParamètreRecherche"/> 
          </designation> 
          <designation> 
            <language value="es"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="ParametroDeBusqueda"/> 
          </designation> 
          <designation> 
            <language value="zh"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="搜索参数"/> 
          </designation> 
        </concept> 
        <concept> 
          <code value="StructureDefinition"/> 
          <display value="StructureDefinition"/> 
          <definition value="A definition of a FHIR structure. This resource is used to describe the underlying resources,
           data types defined in FHIR, and also for describing extensions and constraints on resources
           and data types."/> 
          <designation> 
            <language value="en"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="StructureDefinition"/> 
          </designation> 
          <designation> 
            <language value="it"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="DefinizioneStruttura"/> 
          </designation> 
          <designation> 
            <language value="fr"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="DéfinitionStructure"/> 
          </designation> 
          <designation> 
            <language value="es"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="DefinicionDeEstructura"/> 
          </designation> 
          <designation> 
            <language value="zh"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="结构定义"/> 
          </designation> 
        </concept> 
        <concept> 
          <code value="StructureMap"/> 
          <display value="StructureMap"/> 
          <definition value="A Map of relationships between 2 structures that can be used to transform data."/> 
          <designation> 
            <language value="en"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="StructureMap"/> 
          </designation> 
          <designation> 
            <language value="es"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="MapaDeEstructura"/> 
          </designation> 
          <designation> 
            <language value="zh"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="结构映射"/> 
          </designation> 
        </concept> 
        <concept> 
          <code value="TerminologyCapabilities"/> 
          <display value="TerminologyCapabilities"/> 
          <definition value="A TerminologyCapabilities resource documents a set of capabilities (behaviors) of a FHIR
           Terminology Server that may be used as a statement of actual server functionality or a
           statement of required or desired server implementation."/> 
          <designation> 
            <language value="en"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="TerminologyCapabilities"/> 
          </designation> 
          <designation> 
            <language value="es"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="CapacidadTerminologica"/> 
          </designation> 
          <designation> 
            <language value="zh"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="术语服务能力"/> 
          </designation> 
        </concept> 
        <concept> 
          <code value="TestScript"/> 
          <display value="TestScript"/> 
          <definition value="A structured set of tests against a FHIR server or client implementation to determine
           compliance against the FHIR specification."/> 
          <designation> 
            <language value="en"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="TestScript"/> 
          </designation> 
          <designation> 
            <language value="fr"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="ScriptTest"/> 
          </designation> 
          <designation> 
            <language value="es"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="ScriptDePrueba"/> 
          </designation> 
          <designation> 
            <language value="zh"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="测试脚本"/> 
          </designation> 
        </concept> 
        <concept> 
          <code value="ValueSet"/> 
          <display value="ValueSet"/> 
          <definition value="A ValueSet resource instance specifies a set of codes drawn from one or more code systems,
           intended for use in a particular context. Value sets link between [[[CodeSystem]]] definitions
           and their use in [coded elements](terminologies.html)."/> 
          <designation> 
            <language value="en"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="ValueSet"/> 
          </designation> 
          <designation> 
            <language value="fr"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="EnsembleValeurs"/> 
          </designation> 
          <designation> 
            <language value="zh"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="取值集合"/> 
          </designation> 
          <designation> 
            <language value="es"/> 
            <use> 
              <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
              <code value="display"/> 
            </use> 
            <value value="ConjuntoValores / ConjuntoDeValores"/> 
          </designation> 
        </concept> 
      </concept> 
      <concept> 
        <code value="CarePlan"/> 
        <display value="CarePlan"/> 
        <definition value="Describes the intention of how one or more practitioners intend to deliver care for a
         particular patient, group or community for a period of time, possibly limited to care
         for a specific condition or set of conditions."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="CarePlan"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="PianoDiCura"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="PlanDeSoins"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="PlanDeCuidado"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="照护计划"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="CareTeam"/> 
        <display value="CareTeam"/> 
        <definition value="The Care Team includes all the people and organizations who plan to participate in the
         coordination and delivery of care."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="CareTeam"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="EquipoDeCuidado"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="照护团队"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="ChargeItem"/> 
        <display value="ChargeItem"/> 
        <definition value="The resource ChargeItem describes the provision of healthcare provider products for a
         certain patient, therefore referring not only to the product, but containing in addition
         details of the provision, like date, time, amounts and participating organizations and
         persons. Main Usage of the ChargeItem is to enable the billing process and internal cost
         allocation."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="ChargeItem"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="CargoDeItem"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="收费项目"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="Claim"/> 
        <display value="Claim"/> 
        <definition value="A provider issued list of professional services and products which have been provided,
         or are to be provided, to a patient which is sent to an insurer for reimbursement."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Claim"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Réclamation"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Reclamación / Factura"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="赔单"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="ClaimResponse"/> 
        <display value="ClaimResponse"/> 
        <definition value="This resource provides the adjudication details from the processing of a Claim resource."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="ClaimResponse"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="RéponseARéclamation"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="赔单请求"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="ClinicalImpression"/> 
        <display value="ClinicalImpression"/> 
        <definition value="A record of a clinical assessment performed to determine what problem(s) may affect the
         patient and before planning the treatments or management strategies that are best to manage
         a patient's condition. Assessments are often 1:1 with a clinical consultation / encounter,
          but this varies greatly depending on the clinical workflow. This resource is called &quot;ClinicalI
        mpression&quot; rather than &quot;ClinicalAssessment&quot; to avoid confusion with the
         recording of assessment tools such as Apgar score."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="ClinicalImpression"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="ImpressioneClinica"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="ImpressionClinique"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="HallazgoClinico"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="临床印象"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="ClinicalUseDefinition"/> 
        <display value="ClinicalUseDefinition"/> 
        <definition value="A single issue - either an indication, contraindication, interaction or an undesirable
         effect for a medicinal product, medication, device or procedure."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="ClinicalUseDefinition"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="ClinicalUseIssue"/> 
        <display value="ClinicalUseIssue"/> 
        <definition value="A single issue - either an indication, contraindication, interaction or an undesirable
         effect for a medicinal product, medication, device or procedure."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="ClinicalUseIssue"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="Communication"/> 
        <display value="Communication"/> 
        <definition value="A clinical or business level record of information being transmitted or shared; e.g. an
         alert that was sent to a responsible provider, a public health agency communication to
         a provider/reporter in response to a case report for a reportable condition."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Communication"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Comunicazione"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Communication"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Comunicación"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="通讯"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="CommunicationRequest"/> 
        <display value="CommunicationRequest"/> 
        <definition value="A request to convey information; e.g. the CDS system proposes that an alert be sent to
         a responsible provider, the CDS system proposes that the public health agency be notified
         about a reportable condition."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="CommunicationRequest"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="RichiestaDiComunicazione"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="DemandeDeCommunication"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="ComunicaciónRequerimiento"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="通讯请求"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="Composition"/> 
        <display value="Composition"/> 
        <definition value="A set of healthcare-related information that is assembled together into a single logical
         package that provides a single coherent statement of meaning, establishes its own context
         and that has clinical attestation with regard to who is making the statement. A Composition
         defines the structure and narrative content necessary for a document. However, a Composition
         alone does not constitute a document. Rather, the Composition must be the first entry
         in a Bundle where Bundle.type=document, and any other resources referenced from Composition
         must be included as subsequent entries in the Bundle (for example Patient, Practitioner,
         Encounter, etc.)."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Composition"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Composizione"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Composition"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Composición"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="组合式文书"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="Condition"/> 
        <display value="Condition"/> 
        <definition value="A clinical condition, problem, diagnosis, or other event, situation, issue, or clinical
         concept that has risen to a level of concern."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Condition"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Condizione"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Condition"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Condición"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="情况"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="Consent"/> 
        <display value="Consent"/> 
        <definition value="A record of a healthcare consumer’s  choices  or choices made on their behalf by a third
         party, which permits or denies identified recipient(s) or recipient role(s) to perform
         one or more actions within a given policy context, for specific purposes and periods of
         time."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Consent"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Consenso"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Consentimiento"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="同意书"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="Contract"/> 
        <display value="Contract"/> 
        <definition value="Legally enforceable, formally recorded unilateral or bilateral directive i.e., a policy
         or agreement."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Contract"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Contratto"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Contrat"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Contato"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="合同"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="Coverage"/> 
        <display value="Coverage"/> 
        <definition value="Financial instrument which may be used to reimburse or pay for health care products and
         services. Includes both insurance and self-payment."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Coverage"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Copertura"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Couverture"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Cobertura"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="保险责任"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="CoverageEligibilityRequest"/> 
        <display value="CoverageEligibilityRequest"/> 
        <definition value="The CoverageEligibilityRequest provides patient and insurance coverage information to
         an insurer for them to respond, in the form of an CoverageEligibilityResponse, with information
         regarding whether the stated coverage is valid and in-force and optionally to provide
         the insurance details of the policy."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="CoverageEligibilityRequest"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="RichiestaEleggibilitaCopertura"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="CouvertureDemandeEligibilité"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="资格请求"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="CoverageEligibilityResponse"/> 
        <display value="CoverageEligibilityResponse"/> 
        <definition value="This resource provides eligibility and plan details from the processing of an CoverageEligibilityReq
        uest resource."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="CoverageEligibilityResponse"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="RispostaEleggibilitaCopertura"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="RéponseEligibilitéCouverture"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="资格响应"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="DetectedIssue"/> 
        <display value="DetectedIssue"/> 
        <definition value="Indicates an actual or potential clinical issue with or between one or more active or
         proposed clinical actions for a patient; e.g. Drug-drug interaction, Ineffective treatment
         frequency, Procedure-condition conflict, etc."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="DetectedIssue"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="ProblemaRilevato"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Problème Détecté"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Problema-Detectado /ProblemaDetectado"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="已发现问题"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="Device"/> 
        <display value="Device"/> 
        <definition value="This resource describes the properties (regulated, has real time clock, etc.), adminstrative
         (manufacturer name, model number, serial number, firmware, etc), and type (knee replacement,
         blood pressure cuff, MRI, etc.) of a physical unit (these values do not change much within
         a given module, for example the serail number, manufacturer name, and model number). An
         actual unit may consist of several modules in a distinct hierarchy and these are represented
         by multiple Device resources and bound through the 'parent' element."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Device"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Dispositivo"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Dispositif"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Dispositivo"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="装置"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="DeviceDefinition"/> 
        <display value="DeviceDefinition"/> 
        <definition value="This is a specialized resource that defines the characteristics and capabilities of a
         device."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="DeviceDefinition"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="DéfinitionDeDispositif"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="DefiniciónDeDispositivo"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="装置组件"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="DeviceDispense"/> 
        <display value="DeviceDispense"/> 
        <definition value="Indicates that a device is to be or has been dispensed for a named person/patient.  This
         includes a description of the product (supply) provided and the instructions for using
         the device."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="DeviceDispense"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="DispensationDeDispositif"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="DispensaciónDeDispositivo"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="DeviceMetric"/> 
        <display value="DeviceMetric"/> 
        <definition value="Describes a measurement, calculation or setting capability of a medical device."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="DeviceMetric"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="MétriqueDispositif"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="MetricaDeDispositivo"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="装置指标"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="DeviceRequest"/> 
        <display value="DeviceRequest"/> 
        <definition value="Represents a request a device to be provided to a specific patient. The device may be
         an implantable device to be subsequently implanted, or an external assistive device, such
         as a walker, to be delivered and subsequently be used."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="DeviceRequest"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="RichiestaDispositivo"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="DemandeUtilisationDispositif"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="SolicitudDeDispositivo"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="装置请求"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="DeviceUsage"/> 
        <display value="DeviceUsage"/> 
        <definition value="A record of a device being used by a patient where the record is the result of a report
         from the patient or a clinician."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="DeviceUsage"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="装置使用声明"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="DiagnosticReport"/> 
        <display value="DiagnosticReport"/> 
        <definition value="The findings and interpretation of diagnostic tests performed on patients, groups of patients,
         products, substances, devices, and locations, and/or specimens derived from these. The
         report includes clinical context such as requesting provider information, and some mix
         of atomic results, images, textual and coded interpretations, and formatted representation
         of diagnostic reports. The report also includes non-clinical context such as batch analysis
         and stability reporting of products and substances."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="DiagnosticReport"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="RefertoDiagnostico"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="RapportDiagnostique"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="诊断报告"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="InformeDiagnostico"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="DocumentManifest"/> 
        <display value="DocumentManifest"/> 
        <definition value="A collection of documents compiled for a purpose together with metadata that applies to
         the collection."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="DocumentManifest"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Manifeste"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="文档清单"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="ManifestoDocumento"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="DocumentReference"/> 
        <display value="DocumentReference"/> 
        <definition value="A reference to a document of any kind for any purpose. While the term “document” implies
         a more narrow focus, for this resource this &quot;document&quot; encompasses *any* serialized
         object with a mime-type, it includes formal patient-centric documents (CDA), clinical
         notes, scanned paper, non-patient specific documents like policy text, as well as a photo,
         video, or audio recording acquired or used in healthcare.  The DocumentReference resource
         provides metadata about the document so that the document can be discovered and managed.
          The actual content may be inline base64 encoded data or provided by direct reference."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="DocumentReference"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="RiferimentoDocumento"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="RéférenceDocument"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="ReferenciaDocumento"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="文档引用"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="Encounter"/> 
        <display value="Encounter"/> 
        <definition value="An interaction between a patient and healthcare provider(s) for the purpose of providing
         healthcare service(s) or assessing the health status of a patient."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Encounter"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Venue"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="就医过程"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Encuentro"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="Endpoint"/> 
        <display value="Endpoint"/> 
        <definition value="The technical details of an endpoint that can be used for electronic services, such as
         for web services providing XDS.b or a REST endpoint for another FHIR server. This may
         include any security context information."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Endpoint"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Endpoint"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="端点"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="EnrollmentRequest"/> 
        <display value="EnrollmentRequest"/> 
        <definition value="This resource provides the insurance enrollment details to the insurer regarding a specified
         coverage."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="EnrollmentRequest"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="RichiestaIscrizione"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="DemandeInscription"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="SolicitudDeEnrolamiento"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="保险注册请求"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="EnrollmentResponse"/> 
        <display value="EnrollmentResponse"/> 
        <definition value="This resource provides enrollment and plan details from the processing of an EnrollmentRequest
         resource."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="EnrollmentResponse"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="RispostaIscrizione"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="RéponseInscription"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="RespuestaDeEnrolamiento"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="保险注册响应"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="EpisodeOfCare"/> 
        <display value="EpisodeOfCare"/> 
        <definition value="An association between a patient and an organization / healthcare provider(s) during which
         time encounters may occur. The managing organization assumes a level of responsibility
         for the patient during this time."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="EpisodeOfCare"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="EpisodioDiCura"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="ÉpisodeDeSoins"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="EpisodioDeCuidado"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="照护服务节段"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="ExplanationOfBenefit"/> 
        <display value="ExplanationOfBenefit"/> 
        <definition value="This resource provides: the claim details; adjudication details from the processing of
         a Claim; and optionally account balance information, for informing the subscriber of the
         benefits provided."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="ExplanationOfBenefit"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="ExplicationDuBénéfice"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="赔付说明"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="FamilyMemberHistory"/> 
        <display value="FamilyMemberHistory"/> 
        <definition value="Significant health conditions for a person related to the patient relevant in the context
         of care for the patient."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="FamilyMemberHistory"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="HistoireMembreFamille"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="HistorialMiembroFamiliar"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="家族史"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="Flag"/> 
        <display value="Flag"/> 
        <definition value="Prospective warnings of potential issues when providing care to the patient."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Flag"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Drapeau"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Bandera"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="标记"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="Goal"/> 
        <display value="Goal"/> 
        <definition value="Describes the intended objective(s) for a patient, group or organization care, for example,
         weight loss, restoring an activity of daily living, obtaining herd immunity via immunization,
         meeting a process improvement objective, etc."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Goal"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="But"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Objetivo"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="目标"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="Group"/> 
        <display value="Group"/> 
        <definition value="Represents a defined collection of entities that may be discussed or acted upon collectively
         but which are not expected to act collectively, and are not formally or legally recognized;
         i.e. a collection of entities that isn't an Organization."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Group"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Gruppo"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Groupe"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Grupo"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="群组"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="GuidanceResponse"/> 
        <display value="GuidanceResponse"/> 
        <definition value="A guidance response is the formal response to a guidance request, including any output
         parameters returned by the evaluation, as well as the description of any proposed actions
         to be taken."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="GuidanceResponse"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="RespuestaDeOrientacion"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="指导意见响应"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="HealthcareService"/> 
        <display value="HealthcareService"/> 
        <definition value="The details of a healthcare service available at a location."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="HealthcareService"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="ServizioSanitario"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="ServiceDeSanté"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="ServicioDeCuidado"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="医疗保健服务项目"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="ImagingSelection"/> 
        <display value="ImagingSelection"/> 
        <definition value="A selection of DICOM SOP instances and/or frames within a single Study and Series. This
         might include additional specifics such as an image region, an Observation UID or a Segmentation
         Number, allowing linkage to an Observation Resource or transferring this information along
         with the ImagingStudy Resource."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="ImagingSelection"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="ImagingStudy"/> 
        <display value="ImagingStudy"/> 
        <definition value="Representation of the content produced in a DICOM imaging study. A study comprises a set
         of series, each of which includes a set of Service-Object Pair Instances (SOP Instances
         - images or other data) acquired or produced in a common context.  A series is of only
         one modality (e.g. X-ray, CT, MR, ultrasound), but a study may have multiple series of
         different modalities."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="ImagingStudy"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="EtudeImagerie"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="EstudioImagen  / EstudioImagen"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="成像检查"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="Immunization"/> 
        <display value="Immunization"/> 
        <definition value="Describes the event of a patient being administered a vaccine or a record of an immunization
         as reported by a patient, a clinician or another party."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Immunization"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Immunizzazione"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Immunisation"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="免疫接种"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Inmunización"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="ImmunizationEvaluation"/> 
        <display value="ImmunizationEvaluation"/> 
        <definition value="Describes a comparison of an immunization event against published recommendations to determine
         if the administration is &quot;valid&quot; in relation to those  recommendations."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="ImmunizationEvaluation"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="ImmunizationRecommendation"/> 
        <display value="ImmunizationRecommendation"/> 
        <definition value="A patient's point-in-time set of recommendations (i.e. forecasting) according to a published
         schedule with optional supporting justification."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="ImmunizationRecommendation"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="RecommendationImmunisation"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="免疫接种建议"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="RecomendaciónInmunización /"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="Ingredient"/> 
        <display value="Ingredient"/> 
        <definition value="An ingredient of a manufactured item or pharmaceutical product."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Ingredient"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="InsurancePlan"/> 
        <display value="InsurancePlan"/> 
        <definition value="Details of a Health Insurance product/plan provided by an organization."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="InsurancePlan"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="InventoryReport"/> 
        <display value="InventoryReport"/> 
        <definition value="A report of inventory or stock items."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="InventoryReport"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="Invoice"/> 
        <display value="Invoice"/> 
        <definition value="Invoice containing collected ChargeItems from an Account with calculated individual and
         total price for Billing purpose."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Invoice"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="Linkage"/> 
        <display value="Linkage"/> 
        <definition value="Identifies two or more records (resource instances) that refer to the same real-world
         &quot;occurrence&quot;."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Linkage"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Enlace / Conexión / Vinculo / Acoplamiento "/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="链接关系"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="List"/> 
        <display value="List"/> 
        <definition value="A list is a curated collection of resources."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="List"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Lista"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Liste"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="列表"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Lista"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="Location"/> 
        <display value="Location"/> 
        <definition value="Details and position information for a physical place where services are provided and
         resources and participants may be stored, found, contained, or accommodated."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Location"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Localisation"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="位置"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Locacion"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="ManufacturedItemDefinition"/> 
        <display value="ManufacturedItemDefinition"/> 
        <definition value="The definition and characteristics of a medicinal manufactured item, such as a tablet
         or capsule, as contained in a packaged medicinal product."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="ManufacturedItemDefinition"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="MeasureReport"/> 
        <display value="MeasureReport"/> 
        <definition value="The MeasureReport resource contains the results of the calculation of a measure; and optionally
         a reference to the resources involved in that calculation."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="MeasureReport"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="ReporteMedida"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="指标报告"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="Medication"/> 
        <display value="Medication"/> 
        <definition value="This resource is primarily used for the identification and definition of a medication,
         including ingredients, for the purposes of prescribing, dispensing, and administering
         a medication as well as for making statements about medication use."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Medication"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Médication"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="药物"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Medicación /Medicamento"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="MedicationAdministration"/> 
        <display value="MedicationAdministration"/> 
        <definition value="Describes the event of a patient consuming or otherwise being administered a medication.
          This may be as simple as swallowing a tablet or it may be a long running infusion.  Related
         resources tie this event to the authorizing prescription, and the specific encounter between
         patient and health care practitioner."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="MedicationAdministration"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="AdministrationMédicaments"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="药物施用"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="AdministraciónMedicación / AdministracionMedicamento"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="MedicationDispense"/> 
        <display value="MedicationDispense"/> 
        <definition value="Indicates that a medication product is to be or has been dispensed for a named person/patient.
          This includes a description of the medication product (supply) provided and the instructions
         for administering the medication.  The medication dispense is the result of a pharmacy
         system responding to a medication order."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="MedicationDispense"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="DispensationMédicaments"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="药物配发"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="DispensaciónMedicación /DispensacionMedicamento"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="MedicationKnowledge"/> 
        <display value="MedicationKnowledge"/> 
        <definition value="Information about a medication that is used to support knowledge."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="MedicationKnowledge"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="MedicationRequest"/> 
        <display value="MedicationRequest"/> 
        <definition value="An order or request for both supply of the medication and the instructions for administration
         of the medication to a patient. The resource is called &quot;MedicationRequest&quot; rather
         than &quot;MedicationPrescription&quot; or &quot;MedicationOrder&quot; to generalize the
         use across inpatient and outpatient settings, including care plans, etc., and to harmonize
         with workflow patterns."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="MedicationRequest"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="PrescriptionMédicamenteuseTODO"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="药物请求"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="PrescripciónMedicaciónTODO  /PrescripcionMedicamento"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="MedicationUsage"/> 
        <display value="MedicationUsage"/> 
        <definition value="A record of a medication that is being consumed by a patient.   A MedicationUsage may
         indicate that the patient may be taking the medication now or has taken the medication
         in the past or will be taking the medication in the future.  The source of this information
         can be the patient, significant other (such as a family member or spouse), or a clinician.
          A common scenario where this information is captured is during the history taking process
         during a patient visit or stay.   The medication information may come from sources such
         as the patient's memory, from a prescription bottle,  or from a list of medications the
         patient, clinician or other party maintains. 

The primary difference between a medicationusage and a medicationadministration is that
         the medication administration has complete administration information and is based on
         actual administration information from the person who administered the medication.  A
         medicationusage is often, if not always, less specific.  There is no required date/time
         when the medication was administered, in fact we only know that a source has reported
         the patient is taking this medication, where details such as time, quantity, or rate or
         even medication product may be incomplete or missing or less precise.  As stated earlier,
         the Medication Usage information may come from the patient's memory, from a prescription
         bottle or from a list of medications the patient, clinician or other party maintains.
          Medication administration is more formal and is not missing detailed information."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="MedicationUsage"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="MedicinalProductDefinition"/> 
        <display value="MedicinalProductDefinition"/> 
        <definition value="Detailed definition of a medicinal product, typically for uses other than direct patient
         care (e.g. regulatory use, drug catalogs)."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="MedicinalProductDefinition"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="MessageHeader"/> 
        <display value="MessageHeader"/> 
        <definition value="The header for a message exchange that is either requesting or responding to an action.
          The reference(s) that are the subject of the action as well as other information related
         to the action are typically transmitted in a bundle in which the MessageHeader resource
         instance is the first resource in the bundle."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="MessageHeader"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="EntêteMessage"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="消息标头"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="CabeceraMensaje"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="MolecularSequence"/> 
        <display value="MolecularSequence"/> 
        <definition value="Raw data describing a biological sequence."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="MolecularSequence"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="SecuenciaMolecular"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="分子序列"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="NutritionIntake"/> 
        <display value="NutritionIntake"/> 
        <definition value="A record of food or fluid that is being consumed by a patient.   A NutritionIntake may
         indicate that the patient may be consuming the food or fluid now or has consumed the food
         or fluid in the past.  The source of this information can be the patient, significant
         other (such as a family member or spouse), or a clinician.  A common scenario where this
         information is captured is during the history taking process during a patient visit or
         stay or through an app that tracks food or fluids consumed.   The consumption information
         may come from sources such as the patient's memory, from a nutrition label,  or from a
         clinician documenting observed intake."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="NutritionIntake"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="NutritionOrder"/> 
        <display value="NutritionOrder"/> 
        <definition value="A request to supply a diet, formula feeding (enteral) or oral nutritional supplement to
         a patient/resident."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="NutritionOrder"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="OrdreNutrition"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="OrdenNutrición"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="营养医嘱"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="NutritionProduct"/> 
        <display value="NutritionProduct"/> 
        <definition value="A food or fluid product that is consumed by patients."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="NutritionProduct"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="ProduitNutritionnel"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="ProductoNutricional"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="Observation"/> 
        <display value="Observation"/> 
        <definition value="Measurements and simple assertions made about a patient, device or other subject."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Observation"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Osservazione"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Observation"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="观察"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Observación"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="ObservationDefinition"/> 
        <display value="ObservationDefinition"/> 
        <definition value="Set of definitional characteristics for a kind of observation or measurement produced
         or consumed by an orderable health care service."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="ObservationDefinition"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="DefinizioneOsservazione"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="DefinicionDeEspecimen"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="观察定义"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="OperationOutcome"/> 
        <display value="OperationOutcome"/> 
        <definition value="A collection of error, warning, or information messages that result from a system action."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="OperationOutcome"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="RisultatoOperazione"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="RésultatOpération"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="操作结局"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="ResultadoOperación"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="Organization"/> 
        <display value="Organization"/> 
        <definition value="A formally or informally recognized grouping of people or organizations formed for the
         purpose of achieving some form of collective action.  Includes companies, institutions,
         corporations, departments, community groups, healthcare practice groups, payer/insurer,
         etc."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Organization"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Organizzazione"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Organisation"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="组织机构"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Organización"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="OrganizationAffiliation"/> 
        <display value="OrganizationAffiliation"/> 
        <definition value="Defines an affiliation/assotiation/relationship between 2 distinct organizations, that
         is not a part-of relationship/sub-division relationship."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="OrganizationAffiliation"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="PackagedProductDefinition"/> 
        <display value="PackagedProductDefinition"/> 
        <definition value="A medically related item or items, in a container or package."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="PackagedProductDefinition"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="Patient"/> 
        <display value="Patient"/> 
        <definition value="Demographics and other administrative information about an individual or animal receiving
         care or other health-related services."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Patient"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Paziente"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Patient"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="患者"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Paciente"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="PaymentNotice"/> 
        <display value="PaymentNotice"/> 
        <definition value="This resource provides the status of the payment for goods and services rendered, and
         the request and response resource references."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="PaymentNotice"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="AvvisoDiPagamento"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="AvisPaiement"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="AvisoDePago"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="付款通知"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="PaymentReconciliation"/> 
        <display value="PaymentReconciliation"/> 
        <definition value="This resource provides the details including amount of a payment and allocates the payment
         items being paid."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="PaymentReconciliation"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="RiconciliazionePagamento"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="RéconciliationPaiement"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="ConciliacionDePago"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="付款对账"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="Permission"/> 
        <display value="Permission"/> 
        <definition value="Permission."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Permission"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Permission"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Permiso"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="Person"/> 
        <display value="Person"/> 
        <definition value="Demographics and administrative information about a person independent of a specific health-related
         context."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Person"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Persona"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Personne"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Persona"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="人员"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="Practitioner"/> 
        <display value="Practitioner"/> 
        <definition value="A person who is directly or indirectly involved in the provisioning of healthcare."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Practitioner"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Praticien"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="执业人员"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Practicante / Profesional"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="PractitionerRole"/> 
        <display value="PractitionerRole"/> 
        <definition value="A specific set of Roles/Locations/specialties/services that a practitioner may perform
         at an organization for a period of time."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="PractitionerRole"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="RolProfesional"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="执业人员角色"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="Procedure"/> 
        <display value="Procedure"/> 
        <definition value="An action that is or was performed on or for a patient, practitioner, device, organization,
         or location. For example, this can be a physical intervention on a patient like an operation,
         or less invasive like long term services, counseling, or hypnotherapy.  This can be a
         quality or safety inspection for a location, organization, or device.  This can be an
         accreditation procedure on a practitioner for licensing."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Procedure"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Procedura"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Procédure"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="操作项目"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Procedimiento"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="Provenance"/> 
        <display value="Provenance"/> 
        <definition value="Provenance of a resource is a record that describes entities and processes involved in
         producing and delivering or otherwise influencing that resource. Provenance provides a
         critical foundation for assessing authenticity, enabling trust, and allowing reproducibility.
         Provenance assertions are a form of contextual metadata and can themselves become important
         records with their own provenance. Provenance statement indicates clinical significance
         in terms of confidence in authenticity, reliability, and trustworthiness, integrity, and
         stage in lifecycle (e.g. Document Completion - has the artifact been legally authenticated),
         all of which may impact security, privacy, and trust policies."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Provenance"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Provenienza"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Provenance"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="出处"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Procedencia"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="QuestionnaireResponse"/> 
        <display value="QuestionnaireResponse"/> 
        <definition value="A structured set of questions and their answers. The questions are ordered and grouped
         into coherent subsets, corresponding to the structure of the grouping of the questionnaire
         being responded to."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="QuestionnaireResponse"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="RispostaQuestionario"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="RéponseQuestionnaire"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="RespuestaAlCuestionario"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="调查问卷答复"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="RegulatedAuthorization"/> 
        <display value="RegulatedAuthorization"/> 
        <definition value="Regulatory approval, clearance or licencing related to a regulated product, treatment,
         facility or activity that is cited in a guidance, regulation, rule or legislative act.
         An example is Market Authorization relating to a Medicinal Product."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="RegulatedAuthorization"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="RelatedPerson"/> 
        <display value="RelatedPerson"/> 
        <definition value="Information about a person that is involved in the care for a patient, but who is not
         the target of healthcare, nor has a formal responsibility in the care process."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="RelatedPerson"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="PersonaCorrelata"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="PersonneEnRelation"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="PersonaRelacionada"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="相关人员"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="RequestGroup"/> 
        <display value="RequestGroup"/> 
        <definition value="A group of related requests that can be used to capture intended activities that have
         inter-dependencies such as &quot;give this medication after that one&quot;."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="RequestGroup"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="GruppoDiRichieste"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="GrupoDeSolicitudes"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="请求分组"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="ResearchStudy"/> 
        <display value="ResearchStudy"/> 
        <definition value="A process where a researcher or organization plans and then executes a series of steps
         intended to increase the field of healthcare-related knowledge.  This includes studies
         of safety, efficacy, comparative effectiveness and other information about medications,
         devices, therapies and other interventional and investigative techniques.  A ResearchStudy
         involves the gathering of information about human or animal subjects."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="ResearchStudy"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="EstudioDeInvestigacion"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="调查研究"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="ResearchSubject"/> 
        <display value="ResearchSubject"/> 
        <definition value="A physical entity which is the primary unit of operational and/or administrative interest
         in a study."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="ResearchSubject"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="SujetoDeInvestigacion"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="研究主题"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="RiskAssessment"/> 
        <display value="RiskAssessment"/> 
        <definition value="An assessment of the likely outcome(s) for a patient or other subject as well as the likelihood
         of each outcome."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="RiskAssessment"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="ÉvaluationRisques"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="EvaluacionDeRiesgo"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="风险评估"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="Schedule"/> 
        <display value="Schedule"/> 
        <definition value="A container for slots of time that may be available for booking appointments."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Schedule"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Agenda"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="日程安排"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="ServiceRequest"/> 
        <display value="ServiceRequest"/> 
        <definition value="A record of a request for service such as diagnostic investigations, treatments, or operations
         to be performed."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="ServiceRequest"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="RichiestaDiServizio"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="DemandeService"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="PeticiónServicio"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="服务项目请求"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="Slot"/> 
        <display value="Slot"/> 
        <definition value="A slot of time on a schedule that may be available for booking appointments."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Slot"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Slot"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="槽位"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Hueco / Zocalo / Espacio"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="Specimen"/> 
        <display value="Specimen"/> 
        <definition value="A sample to be used for analysis."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Specimen"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Campione"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Spécimen"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="标本"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Especimen"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="SpecimenDefinition"/> 
        <display value="SpecimenDefinition"/> 
        <definition value="A kind of specimen with associated set of requirements."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="SpecimenDefinition"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="DefinizioneCampione"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="DefinicionDeEspecimen"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="标本定义"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="Subscription"/> 
        <display value="Subscription"/> 
        <definition value="The subscription resource describes a particular client's request to be notified about
         a SubscriptionTopic."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Subscription"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Sottoscrizione"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Souscription"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="订阅"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Suscripción"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="SubscriptionStatus"/> 
        <display value="SubscriptionStatus"/> 
        <definition value="The SubscriptionStatus resource describes the state of a Subscription during notifications."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="SubscriptionStatus"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="SubscriptionTopic"/> 
        <display value="SubscriptionTopic"/> 
        <definition value="Describes a stream of resource state changes identified by trigger criteria and annotated
         with labels useful to filter projections from this topic."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="SubscriptionTopic"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Souscription Sujet"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Tema de Suscripción"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="话题"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="Substance"/> 
        <display value="Substance"/> 
        <definition value="A homogeneous material with a definite composition."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Substance"/> 
        </designation> 
        <designation> 
          <language value="it"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Sostanza"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Substance"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="物质"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Sustancia"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="SubstanceDefinition"/> 
        <display value="SubstanceDefinition"/> 
        <definition value="The detailed description of a substance, typically at a level beyond what is used for
         prescribing."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="SubstanceDefinition"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="SubstanceNucleicAcid"/> 
        <display value="SubstanceNucleicAcid"/> 
        <definition value="Nucleic acids are defined by three distinct elements: the base, sugar and linkage. Individual
         substance/moiety IDs will be created for each of these elements. The nucleotide sequence
         will be always entered in the 5’-3’ direction."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="SubstanceNucleicAcid"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="SubstancePolymer"/> 
        <display value="SubstancePolymer"/> 
        <definition value="Properties of a substance specific to it being a polymer."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="SubstancePolymer"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="SubstanceProtein"/> 
        <display value="SubstanceProtein"/> 
        <definition value="A SubstanceProtein is defined as a single unit of a linear amino acid sequence, or a combination
         of subunits that are either covalently linked or have a defined invariant stoichiometric
         relationship. This includes all synthetic, recombinant and purified SubstanceProteins
         of defined sequence, whether the use is therapeutic or prophylactic. This set of elements
         will be used to describe albumins, coagulation factors, cytokines, growth factors, peptide/Substance
        Protein hormones, enzymes, toxins, toxoids, recombinant vaccines, and immunomodulators."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="SubstanceProtein"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="SubstanceReferenceInformation"/> 
        <display value="SubstanceReferenceInformation"/> 
        <definition value="Todo."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="SubstanceReferenceInformation"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="SubstanceSourceMaterial"/> 
        <display value="SubstanceSourceMaterial"/> 
        <definition value="Source material shall capture information on the taxonomic and anatomical origins as well
         as the fraction of a material that can result in or can be modified to form a substance.
         This set of data elements shall be used to define polymer substances isolated from biological
         matrices. Taxonomic and anatomical origins shall be described using a controlled vocabulary
         as required. This information is captured for naturally derived polymers ( . starch) and
         structurally diverse substances. For Organisms belonging to the Kingdom Plantae the Substance
         level defines the fresh material of a single species or infraspecies, the Herbal Drug
         and the Herbal preparation. For Herbal preparations, the fraction information will be
         captured at the Substance information level and additional information for herbal extracts
         will be captured at the Specified Substance Group 1 information level. See for further
         explanation the Substance Class: Structurally Diverse and the herbal annex."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="SubstanceSourceMaterial"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="SupplyDelivery"/> 
        <display value="SupplyDelivery"/> 
        <definition value="Record of delivery of what is supplied."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="SupplyDelivery"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Supply Livraison"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="供应交付"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Entrega de Suministro"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="SupplyRequest"/> 
        <display value="SupplyRequest"/> 
        <definition value="A record of a non-patient specific request for a medication, substance, device, certain
         types of biologically derived product, and nutrition product used in the healthcare setting."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="SupplyRequest"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Demande d'approvisionnement"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="供应请求"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Solicitud de Suministro"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="Task"/> 
        <display value="Task"/> 
        <definition value="A task to be performed."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Task"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="Tarea"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="任务"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="TestReport"/> 
        <display value="TestReport"/> 
        <definition value="A summary of information based on the results of executing a TestScript."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="TestReport"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="RapportTest"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="ReporteDePrueba"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="测试报告"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="VerificationResult"/> 
        <display value="VerificationResult"/> 
        <definition value="Describes validation requirements, source(s), status and dates for one or more elements."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="VerificationResult"/> 
        </designation> 
      </concept> 
      <concept> 
        <code value="VisionPrescription"/> 
        <display value="VisionPrescription"/> 
        <definition value="An authorization for the provision of glasses and/or contact lenses to a patient."/> 
        <designation> 
          <language value="en"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="VisionPrescription"/> 
        </designation> 
        <designation> 
          <language value="fr"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="PrescriptionVision"/> 
        </designation> 
        <designation> 
          <language value="es"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="PrescripcionDeVision"/> 
        </designation> 
        <designation> 
          <language value="zh"/> 
          <use> 
            <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
            <code value="display"/> 
          </use> 
          <value value="视力处方"/> 
        </designation> 
      </concept> 
    </concept> 
    <concept> 
      <code value="Parameters"/> 
      <display value="Parameters"/> 
      <definition value="This resource is a non-persisted resource used to pass information into and back from
       an [operation](operations.html). It has no other use, and there is no RESTful endpoint
       associated with it."/> 
      <designation> 
        <language value="en"/> 
        <use> 
          <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
          <code value="display"/> 
        </use> 
        <value value="Parameters"/> 
      </designation> 
      <designation> 
        <language value="es"/> 
        <use> 
          <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
          <code value="display"/> 
        </use> 
        <value value="Parametros"/> 
      </designation> 
      <designation> 
        <language value="zh"/> 
        <use> 
          <system value="http://terminology.hl7.org/CodeSystem/designation-usage"/> 
          <code value="display"/> 
        </use> 
        <value value="参数"/> 
      </designation> 
    </concept> 
  </concept> 
</CodeSystem> 

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.