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<ValueSet xmlns="http://hl7.org/fhir">
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  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet R4-parent-relationship-codes-for-R4B</b></p><a name="R4-parent-relationship-codes-for-R4B"> </a><a name="hcR4-parent-relationship-codes-for-R4B"> </a><p>This value set expansion contains 21 concepts.</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>System</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style="white-space:nowrap"><a name="R4-parent-relationship-codes-for-R4B-http://terminology.hl7.org/CodeSystem/v3-RoleCode-ADOPTF"> </a>  <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-RoleCode.html#v3-RoleCode-ADOPTF">ADOPTF</a></td><td>http://terminology.hl7.org/CodeSystem/v3-RoleCode</td><td>adoptive father</td><td><div><p>The player of the role (father) is a male who has taken the scoper (child) into their family through legal means and raises them as his own child.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R4-parent-relationship-codes-for-R4B-http://terminology.hl7.org/CodeSystem/v3-RoleCode-ADOPTM"> </a>  <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-RoleCode.html#v3-RoleCode-ADOPTM">ADOPTM</a></td><td>http://terminology.hl7.org/CodeSystem/v3-RoleCode</td><td>adoptive mother</td><td><div><p>The player of the role (father) is a female who has taken the scoper (child) into their family through legal means and raises them as her own child.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R4-parent-relationship-codes-for-R4B-http://terminology.hl7.org/CodeSystem/v3-RoleCode-ADOPTP"> </a>  <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-RoleCode.html#v3-RoleCode-ADOPTP">ADOPTP</a></td><td>http://terminology.hl7.org/CodeSystem/v3-RoleCode</td><td>adoptive parent</td><td><div><p>The player of the role (parent) has taken the scoper (child) into their family through legal means and raises them as his or her own child.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R4-parent-relationship-codes-for-R4B-http://terminology.hl7.org/CodeSystem/v3-RoleCode-FTHFOST"> </a>  <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-RoleCode.html#v3-RoleCode-FTHFOST">FTHFOST</a></td><td>http://terminology.hl7.org/CodeSystem/v3-RoleCode</td><td>foster father</td><td><div><p>The player of the role (parent) who is a male state-certified caregiver responsible for the scoper (child) who has been placed in the parent's care. The placement of the child is usually arranged through the government or a social-service agency, and temporary.</p>
<p>The state, via a jurisdiction recognized child protection agency, stands as in loco parentis to the child, making all legal decisions while the foster parent is responsible for the day-to-day care of the specified child.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R4-parent-relationship-codes-for-R4B-http://terminology.hl7.org/CodeSystem/v3-RoleCode-NFTHF"> </a>  <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-RoleCode.html#v3-RoleCode-NFTHF">NFTHF</a></td><td>http://terminology.hl7.org/CodeSystem/v3-RoleCode</td><td>natural father of fetus</td><td><div><p>Indicates the biologic male parent of a fetus.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R4-parent-relationship-codes-for-R4B-http://terminology.hl7.org/CodeSystem/v3-RoleCode-NFTH"> </a>  <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-RoleCode.html#v3-RoleCode-NFTH">NFTH</a></td><td>http://terminology.hl7.org/CodeSystem/v3-RoleCode</td><td>natural father</td><td><div><p>The player of the role is a male who begets the scoping entity (child).</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R4-parent-relationship-codes-for-R4B-http://terminology.hl7.org/CodeSystem/v3-RoleCode-STPFTH"> </a>  <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-RoleCode.html#v3-RoleCode-STPFTH">STPFTH</a></td><td>http://terminology.hl7.org/CodeSystem/v3-RoleCode</td><td>stepfather</td><td><div><p>The player of the role is the husband of scoping person's mother and not the scoping person's natural father.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R4-parent-relationship-codes-for-R4B-http://terminology.hl7.org/CodeSystem/v3-RoleCode-FTH"> </a>  <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-RoleCode.html#v3-RoleCode-FTH">FTH</a></td><td>http://terminology.hl7.org/CodeSystem/v3-RoleCode</td><td>father</td><td><div><p>The player of the role is a male who begets or raises or nurtures the scoping entity (child).</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R4-parent-relationship-codes-for-R4B-http://terminology.hl7.org/CodeSystem/v3-RoleCode-GESTM"> </a>  <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-RoleCode.html#v3-RoleCode-GESTM">GESTM</a></td><td>http://terminology.hl7.org/CodeSystem/v3-RoleCode</td><td>gestational mother</td><td><div><p>The player is a female whose womb carries the fetus of the scoper. Generally used when the gestational mother and natural mother are not the same.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R4-parent-relationship-codes-for-R4B-http://terminology.hl7.org/CodeSystem/v3-RoleCode-MTHFOST"> </a>  <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-RoleCode.html#v3-RoleCode-MTHFOST">MTHFOST</a></td><td>http://terminology.hl7.org/CodeSystem/v3-RoleCode</td><td>foster mother</td><td><div><p>The player of the role (parent) who is a female state-certified caregiver responsible for the scoper (child) who has been placed in the parent's care. The placement of the child is usually arranged through the government or a social-service agency, and temporary.</p>
<p>The state, via a jurisdiction recognized child protection agency, stands as in loco parentis to the child, making all legal decisions while the foster parent is responsible for the day-to-day care of the specified child.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R4-parent-relationship-codes-for-R4B-http://terminology.hl7.org/CodeSystem/v3-RoleCode-NMTHF"> </a>  <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-RoleCode.html#v3-RoleCode-NMTHF">NMTHF</a></td><td>http://terminology.hl7.org/CodeSystem/v3-RoleCode</td><td>natural mother of fetus</td><td><div><p>The player is the biologic female parent of the scoping fetus.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R4-parent-relationship-codes-for-R4B-http://terminology.hl7.org/CodeSystem/v3-RoleCode-NMTH"> </a>  <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-RoleCode.html#v3-RoleCode-NMTH">NMTH</a></td><td>http://terminology.hl7.org/CodeSystem/v3-RoleCode</td><td>natural mother</td><td><div><p>The player of the role is a female who conceives or gives birth to the scoping entity (child).</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R4-parent-relationship-codes-for-R4B-http://terminology.hl7.org/CodeSystem/v3-RoleCode-STPMTH"> </a>  <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-RoleCode.html#v3-RoleCode-STPMTH">STPMTH</a></td><td>http://terminology.hl7.org/CodeSystem/v3-RoleCode</td><td>stepmother</td><td><div><p>The player of the role is the wife of scoping person's father and not the scoping person's natural mother.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R4-parent-relationship-codes-for-R4B-http://terminology.hl7.org/CodeSystem/v3-RoleCode-MTH"> </a>  <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-RoleCode.html#v3-RoleCode-MTH">MTH</a></td><td>http://terminology.hl7.org/CodeSystem/v3-RoleCode</td><td>mother</td><td><div><p>The player of the role is a female who conceives, gives birth to, or raises and nurtures the scoping entity (child).</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R4-parent-relationship-codes-for-R4B-http://terminology.hl7.org/CodeSystem/v3-RoleCode-NPRN"> </a>  <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-RoleCode.html#v3-RoleCode-NPRN">NPRN</a></td><td>http://terminology.hl7.org/CodeSystem/v3-RoleCode</td><td>natural parent</td><td><div/></td></tr><tr><td style="white-space:nowrap"><a name="R4-parent-relationship-codes-for-R4B-http://terminology.hl7.org/CodeSystem/v3-RoleCode-PRNFOST"> </a>  <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-RoleCode.html#v3-RoleCode-PRNFOST">PRNFOST</a></td><td>http://terminology.hl7.org/CodeSystem/v3-RoleCode</td><td>foster parent</td><td><div><p>The player of the role (parent) who is a state-certified caregiver responsible for the scoper (child) who has been placed in the parent's care. The placement of the child is usually arranged through the government or a social-service agency, and temporary.</p>
<p>The state, via a jurisdiction recognized child protection agency, stands as in loco parentis to the child, making all legal decisions while the foster parent is responsible for the day-to-day care of the specified child.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R4-parent-relationship-codes-for-R4B-http://terminology.hl7.org/CodeSystem/v3-RoleCode-STPPRN"> </a>  <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-RoleCode.html#v3-RoleCode-STPPRN">STPPRN</a></td><td>http://terminology.hl7.org/CodeSystem/v3-RoleCode</td><td>step parent</td><td><div><p>The player of the role is the spouse of the scoping person's parent and not the scoping person's natural parent.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R4-parent-relationship-codes-for-R4B-http://terminology.hl7.org/CodeSystem/v3-RoleCode-PRN"> </a>  <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-RoleCode.html#v3-RoleCode-PRN">PRN</a></td><td>http://terminology.hl7.org/CodeSystem/v3-RoleCode</td><td>parent</td><td><div><p>The player of the role is one who begets, gives birth to, or nurtures and raises the scoping entity (child).</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R4-parent-relationship-codes-for-R4B-http://terminology.hl7.org/CodeSystem/v3-RoleCode-FTWIN"> </a>  <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-RoleCode.html#v3-RoleCode-FTWIN">FTWIN</a></td><td>http://terminology.hl7.org/CodeSystem/v3-RoleCode</td><td>fraternal twin</td><td><div><p>The scoper and player were carried in the same womb and share common biological parents but are the product of distinct egg/sperm pairs.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R4-parent-relationship-codes-for-R4B-http://terminology.hl7.org/CodeSystem/v3-RoleCode-ITWIN"> </a>  <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-RoleCode.html#v3-RoleCode-ITWIN">ITWIN</a></td><td>http://terminology.hl7.org/CodeSystem/v3-RoleCode</td><td>identical twin</td><td><div><p>The scoper and player are offspring of the same egg-sperm pair.</p>
</div></td></tr><tr><td style="white-space:nowrap"><a name="R4-parent-relationship-codes-for-R4B-http://terminology.hl7.org/CodeSystem/v3-RoleCode-TWIN"> </a>  <a href="http://terminology.hl7.org/6.5.0/CodeSystem-v3-RoleCode.html#v3-RoleCode-TWIN">TWIN</a></td><td>http://terminology.hl7.org/CodeSystem/v3-RoleCode</td><td>twin</td><td><div><p>The scoper and player were carried in the same womb and shared common biological parents.</p>
</div></td></tr></table></div>
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    <extension url="packageId">
      <valueId value="hl7.fhir.uv.xver-r4.r4b"/>
    </extension>
    <extension url="version">
      <valueString value="0.0.1-snapshot-2"/>
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      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical value="http://hl7.org/fhir/4.0/ImplementationGuide/hl7.fhir.uv.xver-r4.r4b"/>
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  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical value="http://hl7.org/fhir/4.0/ImplementationGuide/hl7.fhir.uv.xver-r4.r4b"/>
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  <url value="http://hl7.org/fhir/4.0/ValueSet/R4-parent-relationship-codes-for-R4B"/>
  <version value="0.0.1-snapshot-2"/>
  <name value="R4_parent_relationship_codes_for_R4B"/>
  <title value="Cross-version VS for R4.ParentRelationshipCodes for use in FHIR R4B"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2025-09-01T22:36:16.861791+10:00"/>
  <publisher value="Patient Care"/>
  <contact>
    <name value="Patient Care"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/patientcare"/>
    </telecom>
  </contact>
  <description value="This cross-version ValueSet represents concepts from http://hl7.org/fhir/ValueSet/parent-relationship-codes|4.0.1 for use in FHIR R4B. Concepts not present here have direct `equivalent` mappings crossing all versions from R4 to R4B."/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
      <display value="World"/>
    </coding>
  </jurisdiction>
  <compose>
    <include>
      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
      <version value="2018-08-12"/>
      <concept>
        <code value="ADOPTF"/>
        <display value="adoptive father"/>
      </concept>
      <concept>
        <code value="ADOPTM"/>
        <display value="adoptive mother"/>
      </concept>
      <concept>
        <code value="ADOPTP"/>
        <display value="adoptive parent"/>
      </concept>
      <concept>
        <code value="FTHFOST"/>
        <display value="foster father"/>
      </concept>
      <concept>
        <code value="NFTHF"/>
        <display value="natural father of fetus"/>
      </concept>
      <concept>
        <code value="NFTH"/>
        <display value="natural father"/>
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      <concept>
        <code value="STPFTH"/>
        <display value="stepfather"/>
      </concept>
      <concept>
        <code value="FTH"/>
        <display value="father"/>
      </concept>
      <concept>
        <code value="GESTM"/>
        <display value="gestational mother"/>
      </concept>
      <concept>
        <code value="MTHFOST"/>
        <display value="foster mother"/>
      </concept>
      <concept>
        <code value="NMTHF"/>
        <display value="natural mother of fetus"/>
      </concept>
      <concept>
        <code value="NMTH"/>
        <display value="natural mother"/>
      </concept>
      <concept>
        <code value="STPMTH"/>
        <display value="stepmother"/>
      </concept>
      <concept>
        <code value="MTH"/>
        <display value="mother"/>
      </concept>
      <concept>
        <code value="NPRN"/>
        <display value="natural parent"/>
      </concept>
      <concept>
        <code value="PRNFOST"/>
        <display value="foster parent"/>
      </concept>
      <concept>
        <code value="STPPRN"/>
        <display value="step parent"/>
      </concept>
      <concept>
        <code value="PRN"/>
        <display value="parent"/>
      </concept>
      <concept>
        <code value="FTWIN"/>
        <display value="fraternal twin"/>
      </concept>
      <concept>
        <code value="ITWIN"/>
        <display value="identical twin"/>
      </concept>
      <concept>
        <code value="TWIN"/>
        <display value="twin"/>
      </concept>
    </include>
  </compose>
  <expansion>
    <timestamp value="2025-09-01T22:36:16.861792+10:00"/>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
      <version value="2018-08-12"/>
      <code value="ADOPTF"/>
      <display value="adoptive father"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
      <version value="2018-08-12"/>
      <code value="ADOPTM"/>
      <display value="adoptive mother"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
      <version value="2018-08-12"/>
      <code value="ADOPTP"/>
      <display value="adoptive parent"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
      <version value="2018-08-12"/>
      <code value="FTHFOST"/>
      <display value="foster father"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
      <version value="2018-08-12"/>
      <code value="NFTHF"/>
      <display value="natural father of fetus"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
      <version value="2018-08-12"/>
      <code value="NFTH"/>
      <display value="natural father"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
      <version value="2018-08-12"/>
      <code value="STPFTH"/>
      <display value="stepfather"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
      <version value="2018-08-12"/>
      <code value="FTH"/>
      <display value="father"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
      <version value="2018-08-12"/>
      <code value="GESTM"/>
      <display value="gestational mother"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
      <version value="2018-08-12"/>
      <code value="MTHFOST"/>
      <display value="foster mother"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
      <version value="2018-08-12"/>
      <code value="NMTHF"/>
      <display value="natural mother of fetus"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
      <version value="2018-08-12"/>
      <code value="NMTH"/>
      <display value="natural mother"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
      <version value="2018-08-12"/>
      <code value="STPMTH"/>
      <display value="stepmother"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
      <version value="2018-08-12"/>
      <code value="MTH"/>
      <display value="mother"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
      <version value="2018-08-12"/>
      <code value="NPRN"/>
      <display value="natural parent"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
      <version value="2018-08-12"/>
      <code value="PRNFOST"/>
      <display value="foster parent"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
      <version value="2018-08-12"/>
      <code value="STPPRN"/>
      <display value="step parent"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
      <version value="2018-08-12"/>
      <code value="PRN"/>
      <display value="parent"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
      <version value="2018-08-12"/>
      <code value="FTWIN"/>
      <display value="fraternal twin"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
      <version value="2018-08-12"/>
      <code value="ITWIN"/>
      <display value="identical twin"/>
    </contains>
    <contains>
      <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
      <version value="2018-08-12"/>
      <code value="TWIN"/>
      <display value="twin"/>
    </contains>
  </expansion>
</ValueSet>