{
  "resourceType" : "ValueSet",
  "id" : "R5-v3-Penutian-for-R4",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet R5-v3-Penutian-for-R4</b></p><a name=\"R5-v3-Penutian-for-R4\"> </a><a name=\"hcR5-v3-Penutian-for-R4\"> </a><p>This value set expansion contains 39 concepts.</p><table class=\"codes\"><tr><td><b>System</b></td><td><b>Version</b></td><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a name=\"R5-v3-Penutian-for-R4-http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages-_Chinookan\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0_Chinookan</td><td>Chinookan</td></tr><tr><td><a name=\"R5-v3-Penutian-for-R4-http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages-_Coosan\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0_Coosan</td><td>Coosan</td></tr><tr><td><a name=\"R5-v3-Penutian-for-R4-http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages-_EasternMiwok\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0_EasternMiwok</td><td>EasternMiwok</td></tr><tr><td><a name=\"R5-v3-Penutian-for-R4-http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages-_Kalapuyan\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0_Kalapuyan</td><td>Kalapuyan</td></tr><tr><td><a name=\"R5-v3-Penutian-for-R4-http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages-_Maiduan\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0_Maiduan</td><td>Maiduan</td></tr><tr><td><a name=\"R5-v3-Penutian-for-R4-http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages-_Miwokan\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0_Miwokan</td><td>Miwokan</td></tr><tr><td><a name=\"R5-v3-Penutian-for-R4-http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages-_PlateauPenutian\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0_PlateauPenutian</td><td>PlateauPenutian</td></tr><tr><td><a name=\"R5-v3-Penutian-for-R4-http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages-_Sahaptian\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0_Sahaptian</td><td>Sahaptian</td></tr><tr><td><a name=\"R5-v3-Penutian-for-R4-http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages-_Takelman\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0_Takelman</td><td>Takelman</td></tr><tr><td><a name=\"R5-v3-Penutian-for-R4-http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages-_Tsimshianic\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0_Tsimshianic</td><td>Tsimshianic</td></tr><tr><td><a name=\"R5-v3-Penutian-for-R4-http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages-_UpperChinook\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0_UpperChinook</td><td>UpperChinook</td></tr><tr><td><a name=\"R5-v3-Penutian-for-R4-http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages-_Utian\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0_Utian</td><td>Utian</td></tr><tr><td><a name=\"R5-v3-Penutian-for-R4-http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages-_WesternMiwok\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0_WesternMiwok</td><td>WesternMiwok</td></tr><tr><td><a name=\"R5-v3-Penutian-for-R4-http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages-_Wintuan\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0_Wintuan</td><td>Wintuan</td></tr><tr><td><a name=\"R5-v3-Penutian-for-R4-http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages-_Yokutsan\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0_Yokutsan</td><td>Yokutsan</td></tr><tr><td><a name=\"R5-v3-Penutian-for-R4-http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages-x-COS\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0x-COS</td><td>Hanis</td></tr><tr><td><a name=\"R5-v3-Penutian-for-R4-http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages-x-CSI\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0x-CSI</td><td>Coast Miwok</td></tr><tr><td><a name=\"R5-v3-Penutian-for-R4-http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages-x-CSM\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0x-CSM</td><td>Central Sierra Miwok</td></tr><tr><td><a name=\"R5-v3-Penutian-for-R4-http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages-x-ENH\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0x-ENH</td><td>Kings River</td></tr><tr><td><a name=\"R5-v3-Penutian-for-R4-http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages-x-GSH\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0x-GSH</td><td>Gashowu</td></tr><tr><td><a name=\"R5-v3-Penutian-for-R4-http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages-x-KAL\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0x-KAL</td><td>Central Kalapuyan</td></tr><tr><td><a name=\"R5-v3-Penutian-for-R4-http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages-x-KLA\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0x-KLA</td><td>Klamath-Modoc</td></tr><tr><td><a name=\"R5-v3-Penutian-for-R4-http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages-x-LMW\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0x-LMW</td><td>Lake Miwok</td></tr><tr><td><a name=\"R5-v3-Penutian-for-R4-http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages-x-MAI\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0x-MAI</td><td>Northwest Maidu</td></tr><tr><td><a name=\"R5-v3-Penutian-for-R4-http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages-x-NEZ\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0x-NEZ</td><td>Nez Perce</td></tr><tr><td><a name=\"R5-v3-Penutian-for-R4-http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages-x-NMU\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0x-NMU</td><td>Northeast Maidu</td></tr><tr><td><a name=\"R5-v3-Penutian-for-R4-http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages-x-NSQ\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0x-NSQ</td><td>Northern Sierra Miwok</td></tr><tr><td><a name=\"R5-v3-Penutian-for-R4-http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages-x-NSZ\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0x-NSZ</td><td>Nisenan</td></tr><tr><td><a name=\"R5-v3-Penutian-for-R4-http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages-x-PMW\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0x-PMW</td><td>Plains Miwok</td></tr><tr><td><a name=\"R5-v3-Penutian-for-R4-http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages-x-PYL\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0x-PYL</td><td>Poso Creek</td></tr><tr><td><a name=\"R5-v3-Penutian-for-R4-http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages-x-SKD\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0x-SKD</td><td>Southern Sierra Miwok</td></tr><tr><td><a name=\"R5-v3-Penutian-for-R4-http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages-x-TKH\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0x-TKH</td><td>Tule-Kaweah</td></tr><tr><td><a name=\"R5-v3-Penutian-for-R4-http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages-x-TSI\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0x-TSI</td><td>Coast Tsimshain</td></tr><tr><td><a name=\"R5-v3-Penutian-for-R4-http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages-x-UMA\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0x-UMA</td><td>Umatilla</td></tr><tr><td><a name=\"R5-v3-Penutian-for-R4-http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages-x-WAA\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0x-WAA</td><td>Walla Walla</td></tr><tr><td><a name=\"R5-v3-Penutian-for-R4-http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages-x-WAC\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0x-WAC</td><td>Kiksht</td></tr><tr><td><a name=\"R5-v3-Penutian-for-R4-http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages-x-WAR\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0x-WAR</td><td>Tenino</td></tr><tr><td><a name=\"R5-v3-Penutian-for-R4-http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages-x-WIT\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0x-WIT</td><td>Wintu-Nomlaki</td></tr><tr><td><a name=\"R5-v3-Penutian-for-R4-http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages-x-YAK\"> </a><code>http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages</code></td><td>2.1.0</td><td style=\"white-space:nowrap\">\u00a0\u00a0x-YAK</td><td>Yakima</td></tr></table></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "fhir"
  },
  {
    "extension" : [{
      "url" : "packageId",
      "valueId" : "hl7.fhir.uv.xver-r5.r4"
    },
    {
      "url" : "version",
      "valueString" : "0.1.0"
    },
    {
      "url" : "uri",
      "valueUri" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
    }],
    "url" : "http://hl7.org/fhir/StructureDefinition/package-source"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 0,
    "_valueInteger" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
      }]
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use",
    "_valueCode" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
      }]
    }
  }],
  "url" : "http://hl7.org/fhir/uv/xver/ValueSet/R5-v3-Penutian-for-R4",
  "version" : "0.1.0",
  "name" : "R5V3PenutianForR4",
  "title" : "Cross-version ValueSet R5.Penutian for use in FHIR R4",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-03-17T21:02:03.8104715+00:00",
  "publisher" : "FHIR Infrastructure",
  "contact" : [{
    "name" : "FHIR Infrastructure",
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/fiwg"
    }]
  }],
  "description" : "This cross-version ValueSet represents content from `http://terminology.hl7.org/ValueSet/v3-Penutian|2.0.0` for use in FHIR R4.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "001",
      "display" : "World"
    }]
  }],
  "purpose" : "This value set is part of the cross-version definitions generated to enable use of the\r\nvalue set `http://terminology.hl7.org/ValueSet/v3-Penutian|2.0.0` as defined in FHIR R5\r\nin FHIR R4.\r\n\r\nThe source value set is bound to the following FHIR R5 elements:\r\n* \r\n\r\nNote that all concepts are included in this cross-version definition because no concepts have compatible representations\r\n\r\nFollowing are the generation technical comments:\r\n\nFHIR ValueSet `http://terminology.hl7.org/ValueSet/v3-Penutian|2.0.0`, defined in FHIR R5 does not have any mapping to FHIR R4",
  "compose" : {
    "include" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages",
      "version" : "2.1.0",
      "concept" : [{
        "code" : "_Chinookan",
        "display" : "Chinookan"
      },
      {
        "code" : "_Coosan",
        "display" : "Coosan"
      },
      {
        "code" : "_EasternMiwok",
        "display" : "EasternMiwok"
      },
      {
        "code" : "_Kalapuyan",
        "display" : "Kalapuyan"
      },
      {
        "code" : "_Maiduan",
        "display" : "Maiduan"
      },
      {
        "code" : "_Miwokan",
        "display" : "Miwokan"
      },
      {
        "code" : "_PlateauPenutian",
        "display" : "PlateauPenutian"
      },
      {
        "code" : "_Sahaptian",
        "display" : "Sahaptian"
      },
      {
        "code" : "_Takelman",
        "display" : "Takelman"
      },
      {
        "code" : "_Tsimshianic",
        "display" : "Tsimshianic"
      },
      {
        "code" : "_UpperChinook",
        "display" : "UpperChinook"
      },
      {
        "code" : "_Utian",
        "display" : "Utian"
      },
      {
        "code" : "_WesternMiwok",
        "display" : "WesternMiwok"
      },
      {
        "code" : "_Wintuan",
        "display" : "Wintuan"
      },
      {
        "code" : "_Yokutsan",
        "display" : "Yokutsan"
      },
      {
        "code" : "x-COS",
        "display" : "Hanis"
      },
      {
        "code" : "x-CSI",
        "display" : "Coast Miwok"
      },
      {
        "code" : "x-CSM",
        "display" : "Central Sierra Miwok"
      },
      {
        "code" : "x-ENH",
        "display" : "Kings River"
      },
      {
        "code" : "x-GSH",
        "display" : "Gashowu"
      },
      {
        "code" : "x-KAL",
        "display" : "Central Kalapuyan"
      },
      {
        "code" : "x-KLA",
        "display" : "Klamath-Modoc"
      },
      {
        "code" : "x-LMW",
        "display" : "Lake Miwok"
      },
      {
        "code" : "x-MAI",
        "display" : "Northwest Maidu"
      },
      {
        "code" : "x-NEZ",
        "display" : "Nez Perce"
      },
      {
        "code" : "x-NMU",
        "display" : "Northeast Maidu"
      },
      {
        "code" : "x-NSQ",
        "display" : "Northern Sierra Miwok"
      },
      {
        "code" : "x-NSZ",
        "display" : "Nisenan"
      },
      {
        "code" : "x-PMW",
        "display" : "Plains Miwok"
      },
      {
        "code" : "x-PYL",
        "display" : "Poso Creek"
      },
      {
        "code" : "x-SKD",
        "display" : "Southern Sierra Miwok"
      },
      {
        "code" : "x-TKH",
        "display" : "Tule-Kaweah"
      },
      {
        "code" : "x-TSI",
        "display" : "Coast Tsimshain"
      },
      {
        "code" : "x-UMA",
        "display" : "Umatilla"
      },
      {
        "code" : "x-WAA",
        "display" : "Walla Walla"
      },
      {
        "code" : "x-WAC",
        "display" : "Kiksht"
      },
      {
        "code" : "x-WAR",
        "display" : "Tenino"
      },
      {
        "code" : "x-WIT",
        "display" : "Wintu-Nomlaki"
      },
      {
        "code" : "x-YAK",
        "display" : "Yakima"
      }]
    }]
  },
  "expansion" : {
    "timestamp" : "2026-03-17T21:02:03.8104715+00:00",
    "contains" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages",
      "version" : "2.1.0",
      "code" : "_Chinookan",
      "display" : "Chinookan"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/v3-AmericanIndianAlaskaNativeLanguages",
      "version" : "2.1.0",
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      "code" : "x-YAK",
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}