Valueset-languages.ttl - FHIR v5.0.0-snapshot3

This ~~page~~ is ~~part of the~~ Snapshot #3 for FHIR ~~Specification (v4.3.0: R4B - STU ). The current version which supercedes this version is 5.0.0~~ R5 , released to support Connectathon 32 . For a full list of available versions, see the Directory of published versions . ~~Page versions: R5 R4B R4~~
~~Valueset-languages.ttl~~
Example ValueSet/languages (Turtle)

Vocabulary Work Group
Maturity Level : N/A
Standards Status : Informative
Raw Turtle (+ also see Turtle/RDF Format Specification )
Definition for Value SetCommon Languages
@prefix fhir: <http://hl7.org/fhir/> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .

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

[] a fhir:ValueSet;
  fhir:Resource.id [ fhir:value "languages"];
  fhir:Resource.meta [
     fhir:Meta.lastUpdated [ fhir:value "2022-05-28T02:47:40.239+00:00" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/StructureDefinition/shareablevalueset";
       fhir:index 0
     ]

     fhir:Meta.lastUpdated [ fhir:value "2022-12-13T20:12:54.019+00:00" ];
     fhir:Meta.profile [ fhir:value "http://hl7.org/fhir/StructureDefinition/shareablevalueset" ]

  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ]
  ];
  fhir:DomainResource.extension [
     fhir:index 0;

     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg" ];
     fhir:Extension.value [ fhir:value "fhir" ]
  ], [
     fhir:index 1;

     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status" ];
     fhir:Extension.value [ fhir:value "trial-use" ]
  ], [
     fhir:index 2;

     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm" ];
     fhir:Extension.value [ fhir:value "3" ]
  ];
  fhir:CanonicalResource.url [ fhir:value "http://hl7.org/fhir/ValueSet/languages"];
  fhir:CanonicalResource.identifier [
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
     fhir:Identifier.value [ fhir:value "urn:oid:2.16.840.1.113883.4.642.3.20" ]
  ], [
     fhir:Identifier.use [ fhir:value "old" ];
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
     fhir:Identifier.value [ fhir:value "urn:oid:2.16.840.1.113883.4.642.3.891" ]
  ];
  fhir:CanonicalResource.version [ fhir:value "5.0.0-snapshot3"];
  fhir:CanonicalResource.name [ fhir:value "CommonLanguages"];
  fhir:CanonicalResource.title [ fhir:value "Common Languages"];
  fhir:CanonicalResource.status [ fhir:value "draft"];
  fhir:CanonicalResource.experimental [ fhir:value "true"];
  fhir:CanonicalResource.date [ fhir:value "2016-08-22T09:53:05+00:00"];
  fhir:CanonicalResource.publisher [ fhir:value "HL7 International - FHIR-Infrastructure"];
  fhir:CanonicalResource.contact [
     fhir:ContactDetail.telecom [
       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "http://hl7.org/fhir" ]
     ]
  ];
  fhir:CanonicalResource.description [ fhir:value "This value set includes common codes from BCP-47 (http://tools.ietf.org/html/bcp47)"];
  fhir:CanonicalResource.jurisdiction [
     fhir:CodeableConcept.coding [
       fhir:Coding.system [ fhir:value "http://unstats.un.org/unsd/methods/m49/m49.htm" ];
       fhir:Coding.code [ fhir:value "001" ];
       fhir:Coding.display [ fhir:value "World" ]
     ]
  ];

  fhir:ValueSet.url [ fhir:value "http://hl7.org/fhir/ValueSet/languages"];
  fhir:ValueSet.identifier [
     fhir:index 0;

     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
     fhir:Identifier.value [ fhir:value "urn:oid:2.16.840.1.113883.4.642.3.20" ]
  ], [
     fhir:Identifier.use [ fhir:value "old" ];
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ];
     fhir:Identifier.value [ fhir:value "urn:oid:2.16.840.1.113883.4.642.3.891" ]

  ];
  fhir:ValueSet.version [ fhir:value "4.3.0"];

  fhir:ValueSet.version [ fhir:value "5.0.0-snapshot3"];

  fhir:ValueSet.name [ fhir:value "CommonLanguages"];
  fhir:ValueSet.title [ fhir:value "Common Languages"];
  fhir:ValueSet.status [ fhir:value "draft"];
  fhir:ValueSet.experimental [ fhir:value "true"];
  fhir:ValueSet.date [ fhir:value "2016-08-22T09:53:05+00:00"];
  fhir:ValueSet.publisher [ fhir:value "HL7 International - FHIR-Infrastructure"];
  fhir:ValueSet.contact [
     fhir:index 0;

     fhir:ContactDetail.telecom [
       fhir:index 0;

       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "http://hl7.org/fhir" ]
     ]
  ];
  fhir:ValueSet.description [ fhir:value "This value set includes common codes from BCP-47 (http://tools.ietf.org/html/bcp47)"];
  fhir:ValueSet.jurisdiction [
     fhir:CodeableConcept.coding [
       fhir:Coding.system [ fhir:value "http://unstats.un.org/unsd/methods/m49/m49.htm" ];
       fhir:Coding.code [ fhir:value "001" ];
       fhir:Coding.display [ fhir:value "World" ]
     ]
  ];

  fhir:ValueSet.compose [
     fhir:ValueSet.include [
       fhir:index 0;
       fhir:ValueSet.system [ fhir:value "urn:ietf:bcp:47" ];
       fhir:ValueSet.concept [
         fhir:index 0;
         fhir:ValueSet.code [ fhir:value "ar" ];
         fhir:ValueSet.display [ fhir:value "Arabic" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

     fhir:ValueSetComposeComponent.include [
       fhir:ConceptSetComponent.system [ fhir:value "urn:ietf:bcp:47" ];
       fhir:ConceptSetComponent.concept [
         fhir:ConceptReferenceComponent.code [ fhir:value "ar" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "Arabic" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Arabisk" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Arabisk" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Arabic" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Arabic" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Arabisch" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Arabisch" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "阿拉伯语" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "阿拉伯语" ]

         ]
       ], [
         fhir:index 1;
         fhir:ValueSet.code [ fhir:value "bn" ];
         fhir:ValueSet.display [ fhir:value "Bengali" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "bn" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "Bengali" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Bengali" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Bengali" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Bengaals" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Bengaals" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Бенгальский" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Бенгальский" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "孟加拉语" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "孟加拉语" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Bengalisch" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Bengalisch" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Bengalsk" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Bengalsk" ]

         ]
       ], [
         fhir:index 2;
         fhir:ValueSet.code [ fhir:value "cs" ];
         fhir:ValueSet.display [ fhir:value "Czech" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "cs" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "Czech" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Czech" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Czech" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Tsjechisch" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Tsjechisch" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Чешский" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Чешский" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "捷克语" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "捷克语" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Tschechisch" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Tschechisch" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Tjekkisk" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Tjekkisk" ]

         ]
       ], [
         fhir:index 3;
         fhir:ValueSet.code [ fhir:value "da" ];
         fhir:ValueSet.display [ fhir:value "Danish" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "da" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "Danish" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Danish" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Danish" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Deens" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Deens" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Датский" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Датский" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "丹麦语" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "丹麦语" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Dänisch" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Dänisch" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Dansk" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Dansk" ]

         ]
       ], [
         fhir:index 4;
         fhir:ValueSet.code [ fhir:value "de" ];
         fhir:ValueSet.display [ fhir:value "German" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "de" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "German" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "German" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "German" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Duits" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Duits" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Немецкий" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Немецкий" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "德语" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "德语" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Deutsch" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Deutsch" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Tysk" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Tysk" ]

         ]
       ], [
         fhir:index 5;
         fhir:ValueSet.code [ fhir:value "de-AT" ];
         fhir:ValueSet.display [ fhir:value "German (Austria)" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "de-AT" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "German (Austria)" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "German (Austria)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "German (Austria)" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Duits (Oostenrijk)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Duits (Oostenrijk)" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Немецкий (Австрия)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Немецкий (Австрия)" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "德语 （奥地利）" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "德语 （奥地利）" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Deutsch (Österreich)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Deutsch (Österreich)" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Tysk (Østrig" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Tysk (Østrig" ]

         ]
       ], [
         fhir:index 6;
         fhir:ValueSet.code [ fhir:value "de-CH" ];
         fhir:ValueSet.display [ fhir:value "German (Switzerland)" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "de-CH" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "German (Switzerland)" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "German (Switzerland)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "German (Switzerland)" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Duits (Zwitserland)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Duits (Zwitserland)" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Немецкий (Швейцария)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Немецкий (Швейцария)" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "德语 （瑞士）" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "德语 （瑞士）" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Deutsch (Schweiz)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Deutsch (Schweiz)" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Tysk (Schweiz)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Tysk (Schweiz)" ]

         ]
       ], [
         fhir:index 7;
         fhir:ValueSet.code [ fhir:value "de-DE" ];
         fhir:ValueSet.display [ fhir:value "German (Germany)" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "de-DE" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "German (Germany)" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "German (Germany)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "German (Germany)" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Duits (Duitsland)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Duits (Duitsland)" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Немецкий (Германия)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Немецкий (Германия)" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "德语 （德国）" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "德语 （德国）" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Deutsch (Deutschland)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Deutsch (Deutschland)" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Tysk (Tyskland)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Tysk (Tyskland)" ]

         ]
       ], [
         fhir:index 8;
         fhir:ValueSet.code [ fhir:value "el" ];
         fhir:ValueSet.display [ fhir:value "Greek" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "el" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "Greek" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Greek" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Greek" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Grieks" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Grieks" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Греческий" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Греческий" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "希腊语" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "希腊语" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Griechisch" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Griechisch" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Græsk" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Græsk" ]

         ]
       ], [
         fhir:index 9;
         fhir:ValueSet.code [ fhir:value "en" ];
         fhir:ValueSet.display [ fhir:value "English" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "en" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "English" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "English" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "English" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Engels" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Engels" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Английский" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Английский" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "英语" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "英语" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Englisch" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Englisch" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Engelsk" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Engelsk" ]

         ]
       ], [
         fhir:index 10;
         fhir:ValueSet.code [ fhir:value "en-AU" ];
         fhir:ValueSet.display [ fhir:value "English (Australia)" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "en-AU" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "English (Australia)" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "English (Australia)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "English (Australia)" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Engels (Australië)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Engels (Australië)" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Английский (Австралия)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Английский (Австралия)" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "英语 （澳大利亚）" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "英语 （澳大利亚）" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Englisch (Australien)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Englisch (Australien)" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Engelsk (Australien)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Engelsk (Australien)" ]

         ]
       ], [
         fhir:index 11;
         fhir:ValueSet.code [ fhir:value "en-CA" ];
         fhir:ValueSet.display [ fhir:value "English (Canada)" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "en-CA" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "English (Canada)" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "English (Canada)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "English (Canada)" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Engels (Canada)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Engels (Canada)" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Английский (Канада)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Английский (Канада)" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "英语 （加拿大）" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "英语 （加拿大）" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Englisch (Kanada)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Englisch (Kanada)" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Engelsk (Canada)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Engelsk (Canada)" ]

         ]
       ], [
         fhir:index 12;
         fhir:ValueSet.code [ fhir:value "en-GB" ];
         fhir:ValueSet.display [ fhir:value "English (Great Britain)" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "en-GB" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "English (Great Britain)" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "English (Great Britain)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "English (Great Britain)" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Engels (Groot Brittannië)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Engels (Groot Brittannië)" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Английский (Великобритания)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Английский (Великобритания)" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "英语 （英国）" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "英语 （英国）" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Englisch (Großbritannien)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Englisch (Großbritannien)" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Engelsk (Storbritannien)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Engelsk (Storbritannien)" ]

         ]
       ], [
         fhir:index 13;
         fhir:ValueSet.code [ fhir:value "en-IN" ];
         fhir:ValueSet.display [ fhir:value "English (India)" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "en-IN" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "English (India)" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "English (India)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "English (India)" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Engels (India)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Engels (India)" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Английский (Индия)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Английский (Индия)" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "英语 （印度）" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "英语 （印度）" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Englisch (Indien)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Englisch (Indien)" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Engelsk (Indien)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Engelsk (Indien)" ]

         ]
       ], [
         fhir:index 14;
         fhir:ValueSet.code [ fhir:value "en-NZ" ];
         fhir:ValueSet.display [ fhir:value "English (New Zeland)" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "en-NZ" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "English (New Zealand)" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "English (New Zeland)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "English (New Zealand)" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Engels (Nieuw Zeeland)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Engels (Nieuw Zeeland)" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Английский (Новая Зеландия)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Английский (Новая Зеландия)" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "英语 （新西兰）" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "英语 （新西兰）" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Englisch (Neuseeland)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Englisch (Neuseeland)" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Engelsk (New Zeeland)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Engelsk (New Zeeland)" ]

         ]
       ], [
         fhir:index 15;
         fhir:ValueSet.code [ fhir:value "en-SG" ];
         fhir:ValueSet.display [ fhir:value "English (Singapore)" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "en-SG" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "English (Singapore)" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "English (Singapore)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "English (Singapore)" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Engels (Singapore)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Engels (Singapore)" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Английский (Сингапур)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Английский (Сингапур)" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "英语 （新加坡）" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "英语 （新加坡）" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Englisch (Singapur)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Englisch (Singapur)" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Engelsk (Singapore)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Engelsk (Singapore)" ]

         ]
       ], [
         fhir:index 16;
         fhir:ValueSet.code [ fhir:value "en-US" ];
         fhir:ValueSet.display [ fhir:value "English (United States)" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "en-US" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "English (United States)" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "English (United States)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "English (United States)" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Engels (Verenigde Staten)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Engels (Verenigde Staten)" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Английский (США)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Английский (США)" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "英语 （美国）" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "英语 （美国）" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Englisch (USA)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Englisch (USA)" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Engelsk (Amerikansk)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Engelsk (Amerikansk)" ]

         ]
       ], [
         fhir:index 17;
         fhir:ValueSet.code [ fhir:value "es" ];
         fhir:ValueSet.display [ fhir:value "Spanish" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "es" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "Spanish" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Spanish" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Spanish" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Spaans" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Spaans" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Испанский" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Испанский" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "西班牙语" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "西班牙语" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Spanisch" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Spanisch" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Spansk" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Spansk" ]

         ]
       ], [
         fhir:index 18;
         fhir:ValueSet.code [ fhir:value "es-AR" ];
         fhir:ValueSet.display [ fhir:value "Spanish (Argentina)" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "es-AR" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "Spanish (Argentina)" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Spanish (Argentina)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Spanish (Argentina)" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Spaans (Argentinië)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Spaans (Argentinië)" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Испанский (Аргентина)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Испанский (Аргентина)" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "西班牙语 （阿根廷）" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "西班牙语 （阿根廷）" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Spanisch (Argentinien)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Spanisch (Argentinien)" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Spansk (Argentina)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Spansk (Argentina)" ]

         ]
       ], [
         fhir:index 19;
         fhir:ValueSet.code [ fhir:value "es-ES" ];
         fhir:ValueSet.display [ fhir:value "Spanish (Spain)" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "es-ES" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "Spanish (Spain)" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Spanish (Spain)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Spanish (Spain)" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Spaans (Spanje)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Spaans (Spanje)" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Испанский (Испания)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Испанский (Испания)" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "西班牙语 （西班牙）" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "西班牙语 （西班牙）" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Spanisch (Spanien)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Spanisch (Spanien)" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Spansk (Spanien)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Spansk (Spanien)" ]

         ]
       ], [
         fhir:index 20;
         fhir:ValueSet.code [ fhir:value "es-UY" ];
         fhir:ValueSet.display [ fhir:value "Spanish (Uruguay)" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "es-UY" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "Spanish (Uruguay)" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Spanish (Uruguay)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Spanish (Uruguay)" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Spaans (Uruguay)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Spaans (Uruguay)" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Испанский (Уругвай)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Испанский (Уругвай)" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "西班牙语 （乌拉圭）" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "西班牙语 （乌拉圭）" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Spanisch (Uruguay)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Spanisch (Uruguay)" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Spansk (Uruguay)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Spansk (Uruguay)" ]

         ]
       ], [
         fhir:index 21;
         fhir:ValueSet.code [ fhir:value "fi" ];
         fhir:ValueSet.display [ fhir:value "Finnish" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "fi" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "Finnish" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Finnish" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Finnish" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Fins" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Fins" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Финский" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Финский" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "芬兰语" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "芬兰语" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Finnisch" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Finnisch" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Finsk" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Finsk" ]

         ]
       ], [
         fhir:index 22;
         fhir:ValueSet.code [ fhir:value "fr" ];
         fhir:ValueSet.display [ fhir:value "French" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "fr" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "French" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "French" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "French" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Frans" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Frans" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Французский" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Французский" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "法语" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "法语" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Französisch" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Französisch" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Fransk" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Fransk" ]

         ]
       ], [
         fhir:index 23;
         fhir:ValueSet.code [ fhir:value "fr-BE" ];
         fhir:ValueSet.display [ fhir:value "French (Belgium)" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "fr-BE" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "French (Belgium)" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "French (Belgium)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "French (Belgium)" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Frans (België)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Frans (België)" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Französisch (Belgien)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Französisch (Belgien)" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Finsk (Belgien)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Finsk (Belgien)" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "法语 （比利时）" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "法语 （比利时）" ]

         ]
       ], [
         fhir:index 24;
         fhir:ValueSet.code [ fhir:value "fr-CH" ];
         fhir:ValueSet.display [ fhir:value "French (Switzerland)" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "fr-CH" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "French (Switzerland)" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "French (Switzerland)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "French (Switzerland)" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Frans (Zwitserland)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Frans (Zwitserland)" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Французский (Швейцария)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Французский (Швейцария)" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "法语 （瑞士）" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "法语 （瑞士）" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Französisch (Schweiz)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Französisch (Schweiz)" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Fransk (Schweiz)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Fransk (Schweiz)" ]

         ]
       ], [
         fhir:index 25;
         fhir:ValueSet.code [ fhir:value "fr-FR" ];
         fhir:ValueSet.display [ fhir:value "French (France)" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "fr-FR" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "French (France)" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "French (France)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "French (France)" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Frans (Frankrijk)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Frans (Frankrijk)" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Французский (Франция)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Французский (Франция)" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "法语 （法国）" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "法语 （法国）" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Französisch (Frankreich)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Französisch (Frankreich)" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Fransk (Frankrig)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Fransk (Frankrig)" ]

         ]
       ], [
         fhir:index 26;
         fhir:ValueSet.code [ fhir:value "fy" ];
         fhir:ValueSet.display [ fhir:value "Frysian" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "fr-CA" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "French (Canada)" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Frysian" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "French (Canada)" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Fries" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Frans (Frankrijk)" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "弗里士兰语" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Французский (Канада)" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Friesisch" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "法语 （加拿大）" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Frisisk" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Französisch (Kanada)" ]
         ], [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [
             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Fransk (Canada)" ]

         ]
       ], [
         fhir:index 27;
         fhir:ValueSet.code [ fhir:value "fy-NL" ];
         fhir:ValueSet.display [ fhir:value "Frysian (Netherlands)" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "fy" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "Frysian" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Frysian (Netherlands)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Frysian" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Fries (Nederland)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Fries" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "弗里士兰语（荷兰）" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "弗里士兰语" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Friesisch (Niederlande)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Friesisch" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Frisisk (Holland)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Frisisk" ]

         ]
       ], [
         fhir:index 28;
         fhir:ValueSet.code [ fhir:value "hi" ];
         fhir:ValueSet.display [ fhir:value "Hindi" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "fy-NL" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "Frysian (Netherlands)" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Hindi" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Frysian (Netherlands)" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Hindi" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Fries (Nederland)" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Hindi" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "弗里士兰语（荷兰）" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "印地语" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Friesisch (Niederlande)" ]
         ], [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [
             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Frisisk (Holland)" ]

         ]
       ], [
         fhir:index 29;
         fhir:ValueSet.code [ fhir:value "hr" ];
         fhir:ValueSet.display [ fhir:value "Croatian" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "hi" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "Hindi" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Croatian" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Hindi" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Kroatisch" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Hindi" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Хорватский" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Hindi" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "克罗地亚语" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "印地语" ]
         ]
       ], [
         fhir:ConceptReferenceComponent.code [ fhir:value "hr" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "Croatian" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [
             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Croatian" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Kroatisch" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Kroatisch" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Kroatisk" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Хорватский" ]
         ], [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [
             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "克罗地亚语" ]
         ], [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [
             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Kroatisch" ]
         ], [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [
             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Kroatisk" ]

         ]
       ], [
         fhir:index 30;
         fhir:ValueSet.code [ fhir:value "it" ];
         fhir:ValueSet.display [ fhir:value "Italian" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "it" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "Italian" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Italian" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Italian" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Italiaans" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Italiaans" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Итальянский" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Итальянский" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "意大利语" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "意大利语" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Italienisch" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Italienisch" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Italiensk" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Italiensk" ]

         ]
       ], [
         fhir:index 31;
         fhir:ValueSet.code [ fhir:value "it-CH" ];
         fhir:ValueSet.display [ fhir:value "Italian (Switzerland)" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "it-CH" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "Italian (Switzerland)" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Italian (Switzerland)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Italian (Switzerland)" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Italiaans (Zwitserland)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Italiaans (Zwitserland)" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Итальянский (Швейцария)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Итальянский (Швейцария)" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "意大利语 （瑞士）" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "意大利语 （瑞士）" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Italienisch (Schweiz)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Italienisch (Schweiz)" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Italiensk (Schweiz)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Italiensk (Schweiz)" ]

         ]
       ], [
         fhir:index 32;
         fhir:ValueSet.code [ fhir:value "it-IT" ];
         fhir:ValueSet.display [ fhir:value "Italian (Italy)" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "it-IT" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "Italian (Italy)" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Italian (Italy)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Italian (Italy)" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Italiaans (Italië)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Italiaans (Italië)" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Итальянский (Италия)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Итальянский (Италия)" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "意大利语 （意大利）" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "意大利语 （意大利）" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Italienisch (Italien)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Italienisch (Italien)" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Italiensk (Italien)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Italiensk (Italien)" ]

         ]
       ], [
         fhir:index 33;
         fhir:ValueSet.code [ fhir:value "ja" ];
         fhir:ValueSet.display [ fhir:value "Japanese" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "ja" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "Japanese" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Japanese" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Japanese" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Japans" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Japans" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Японский" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Японский" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "日语" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "日语" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Japanisch" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Japanisch" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Japansk" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Japansk" ]

         ]
       ], [
         fhir:index 34;
         fhir:ValueSet.code [ fhir:value "ko" ];
         fhir:ValueSet.display [ fhir:value "Korean" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "ko" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "Korean" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Korean" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Korean" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Koreaans" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Koreaans" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Корейский" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Корейский" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "朝鲜语" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "朝鲜语" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Koreanisch" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Koreanisch" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Koreansk" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Koreansk" ]

         ]
       ], [
         fhir:index 35;
         fhir:ValueSet.code [ fhir:value "nl" ];
         fhir:ValueSet.display [ fhir:value "Dutch" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "nl" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "Dutch" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Dutch" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Dutch" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Nederlands" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Nederlands" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Нидерландский" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Нидерландский" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "荷兰语" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "荷兰语" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Niederländisch" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Niederländisch" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Hollandsk" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Hollandsk" ]

         ]
       ], [
         fhir:index 36;
         fhir:ValueSet.code [ fhir:value "nl-BE" ];
         fhir:ValueSet.display [ fhir:value "Dutch (Belgium)" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "nl-BE" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "Dutch (Belgium)" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Dutch (Belgium)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Dutch (Belgium)" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Nederlands (België)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Nederlands (België)" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "荷兰语 （比利时）" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "荷兰语 （比利时）" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Niederländisch (Belgien)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Niederländisch (Belgien)" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Hollandsk (Belgien)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Hollandsk (Belgien)" ]

         ]
       ], [
         fhir:index 37;
         fhir:ValueSet.code [ fhir:value "nl-NL" ];
         fhir:ValueSet.display [ fhir:value "Dutch (Netherlands)" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "nl-NL" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "Dutch (Netherlands)" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Dutch (Netherlands)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Dutch (Netherlands)" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Nederlands (Nederland)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Nederlands (Nederland)" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Нидерландский (Нидерланды)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Нидерландский (Нидерланды)" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "荷兰语 （荷兰）" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "荷兰语 （荷兰）" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Niederländisch (Niederlande)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Niederländisch (Niederlande)" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Hollandsk (Holland)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Hollandsk (Holland)" ]

         ]
       ], [
         fhir:index 38;
         fhir:ValueSet.code [ fhir:value "no" ];
         fhir:ValueSet.display [ fhir:value "Norwegian" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "no" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "Norwegian" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Norwegian" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Norwegian" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Noors" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Noors" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Норвежский" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Норвежский" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "挪威语" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "挪威语" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Norwegisch" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Norwegisch" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Norsk" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Norsk" ]

         ]
       ], [
         fhir:index 39;
         fhir:ValueSet.code [ fhir:value "no-NO" ];
         fhir:ValueSet.display [ fhir:value "Norwegian (Norway)" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "no-NO" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "Norwegian (Norway)" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Norwegian (Norway)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Norwegian (Norway)" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Noors (Noorwegen)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Noors (Noorwegen)" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Норвежский (Норвегия)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Норвежский (Норвегия)" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "挪威语 （挪威）" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "挪威语 （挪威）" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Norwegisch (Norwegen)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Norwegisch (Norwegen)" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Norsk (Norge)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Norsk (Norge)" ]

         ]
       ], [
         fhir:index 40;
         fhir:ValueSet.code [ fhir:value "pa" ];
         fhir:ValueSet.display [ fhir:value "Punjabi" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "pa" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "Punjabi" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Punjabi" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Punjabi" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Punjabi" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Punjabi" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Punjabi" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Punjabi" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "旁遮普语" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "旁遮普语" ]

         ]
       ], [
         fhir:index 41;
         fhir:ValueSet.code [ fhir:value "pl" ];
         fhir:ValueSet.display [ fhir:value "Polish" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "pl" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "pl" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "Polish" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "pl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Polskie" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Polskie" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "波兰语" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "波兰语" ]

         ]
       ], [
         fhir:index 42;
         fhir:ValueSet.code [ fhir:value "pt" ];
         fhir:ValueSet.display [ fhir:value "Portuguese" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "pt" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "Portuguese" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Portuguese" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Portuguese" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Portugees" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Portugees" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Португальский" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Португальский" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "葡萄牙语" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "葡萄牙语" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Portugiesisch" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Portugiesisch" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Portugisisk" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Portugisisk" ]

         ]
       ], [
         fhir:index 43;
         fhir:ValueSet.code [ fhir:value "pt-BR" ];
         fhir:ValueSet.display [ fhir:value "Portuguese (Brazil)" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "pt-BR" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "Portuguese (Brazil)" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Portuguese (Brazil)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Portuguese (Brazil)" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Portugees (Brazilië)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Portugees (Brazilië)" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Португальский (Бразилия)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Португальский (Бразилия)" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "葡萄牙语 （巴西）" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "葡萄牙语 （巴西）" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Portugiesisch (Brasilien)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Portugiesisch (Brasilien)" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Portugisisk (Brasilien)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Portugisisk (Brasilien)" ]

         ]
       ], [
         fhir:index 44;
         fhir:ValueSet.code [ fhir:value "ru" ];
         fhir:ValueSet.display [ fhir:value "Russian" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "ru" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "Russian" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Russian" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Russian" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Russisch" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Russisch" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Русский" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Русский" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "俄语" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "俄语" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Russisch" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Russisch" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Russisk" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Russisk" ]

         ]
       ], [
         fhir:index 45;
         fhir:ValueSet.code [ fhir:value "ru-RU" ];
         fhir:ValueSet.display [ fhir:value "Russian (Russia)" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "ru-RU" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "Russian (Russia)" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Russian (Russia)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Russian (Russia)" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Russisch (Rusland)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Russisch (Rusland)" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Русский (Россия)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Русский (Россия)" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "俄语 （俄罗斯）" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "俄语 （俄罗斯）" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Russisch (Russland)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Russisch (Russland)" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Russisk (Rusland)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Russisk (Rusland)" ]

         ]
       ], [
         fhir:index 46;
         fhir:ValueSet.code [ fhir:value "sr" ];
         fhir:ValueSet.display [ fhir:value "Serbian" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "sr" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "Serbian" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Serbian" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Serbian" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Servisch" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Servisch" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Сербский" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Сербский" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "塞尔维亚语" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "塞尔维亚语" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Serbisch" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Serbisch" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Serbisk" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Serbisk" ]

         ]
       ], [
         fhir:index 47;
         fhir:ValueSet.code [ fhir:value "sr-RS" ];
         fhir:ValueSet.display [ fhir:value "Serbian (Serbia)" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "sr-RS" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "Serbian (Serbia)" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Serbian (Serbia)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Serbian (Serbia)" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Servisch (Servië)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Servisch (Servië)" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Сербский (Сербия)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Сербский (Сербия)" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "塞尔维亚语 （塞尔维亚）" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "塞尔维亚语 （塞尔维亚）" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Serbisch (Serbien)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Serbisch (Serbien)" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Serbisk (Serbien)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Serbisk (Serbien)" ]

         ]
       ], [
         fhir:index 48;
         fhir:ValueSet.code [ fhir:value "sv" ];
         fhir:ValueSet.display [ fhir:value "Swedish" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "sv" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "Swedish" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Swedish" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Swedish" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Zweeds" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Zweeds" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Шведский" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Шведский" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "瑞典语" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "瑞典语" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Schwedisch" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Schwedisch" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Svensk" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Svensk" ]

         ]
       ], [
         fhir:index 49;
         fhir:ValueSet.code [ fhir:value "sv-SE" ];
         fhir:ValueSet.display [ fhir:value "Swedish (Sweden)" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "sv-SE" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "Swedish (Sweden)" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Swedish (Sweden)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Swedish (Sweden)" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Zweeds (Zweden)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Zweeds (Zweden)" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Шведский (Швеция)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Шведский (Швеция)" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "瑞典语 （瑞典）" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "瑞典语 （瑞典）" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Schwedisch (Schweden)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Schwedisch (Schweden)" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Svensk (Sverige)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Svensk (Sverige)" ]

         ]
       ], [
         fhir:index 50;
         fhir:ValueSet.code [ fhir:value "te" ];
         fhir:ValueSet.display [ fhir:value "Telegu" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "te" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "Telegu" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Telegu" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Telegu" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Teloegoe" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Teloegoe" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Телугу" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Телугу" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "泰卢固语" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "泰卢固语" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Telugu" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Telugu" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Telugu" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Telugu" ]

         ]
       ], [
         fhir:index 51;
         fhir:ValueSet.code [ fhir:value "zh" ];
         fhir:ValueSet.display [ fhir:value "Chinese" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "zh" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "Chinese" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Chinese" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Chinese" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Chinees" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Chinees" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Kитайский" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Kитайский" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "中文" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "中文" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Chinesisch" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Chinesisch" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Kinesisk" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Kinesisk" ]

         ]
       ], [
         fhir:index 52;
         fhir:ValueSet.code [ fhir:value "zh-CN" ];
         fhir:ValueSet.display [ fhir:value "Chinese (China)" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "zh-CN" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "Chinese (China)" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Chinese (China)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Chinese (China)" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Chinees (China)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Chinees (China)" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Kитайский (Китай)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Kитайский (Китай)" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "中文 （中国）" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "中文 （中国）" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Chinesisch (China)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Chinesisch (China)" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Kinesisk (Kina)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Kinesisk (Kina)" ]

         ]
       ], [
         fhir:index 53;
         fhir:ValueSet.code [ fhir:value "zh-HK" ];
         fhir:ValueSet.display [ fhir:value "Chinese (Hong Kong)" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "zh-HK" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "Chinese (Hong Kong)" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Chinese (Hong Kong)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Chinese (Hong Kong)" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Chinees (Hong Kong)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Chinees (Hong Kong)" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Kитайский (Гонконг)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Kитайский (Гонконг)" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "中文 （香港特别行政区）" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "中文 （香港特别行政区）" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Chinesisch (Hong Kong)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Chinesisch (Hong Kong)" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Kinesisk (Hong Kong)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Kinesisk (Hong Kong)" ]

         ]
       ], [
         fhir:index 54;
         fhir:ValueSet.code [ fhir:value "zh-SG" ];
         fhir:ValueSet.display [ fhir:value "Chinese (Singapore)" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "zh-SG" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "Chinese (Singapore)" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Chinese (Singapore)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Chinese (Singapore)" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Chinees (Singapore)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Chinees (Singapore)" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Kитайский (Сингапур)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Kитайский (Сингапур)" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "中文 （新加坡）" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "中文 （新加坡）" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Chinesisch (Singapur)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Chinesisch (Singapur)" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Kinesisk (Singapore)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Kinesisk (Singapore)" ]

         ]
       ], [
         fhir:index 55;
         fhir:ValueSet.code [ fhir:value "zh-TW" ];
         fhir:ValueSet.display [ fhir:value "Chinese (Taiwan)" ];
         fhir:ValueSet.designation [
           fhir:index 0;
           fhir:ValueSet.language [ fhir:value "en" ];
           fhir:ValueSet.use [

         fhir:ConceptReferenceComponent.code [ fhir:value "zh-TW" ];
         fhir:ConceptReferenceComponent.display [ fhir:value "Chinese (Taiwan)" ];
         fhir:ConceptReferenceComponent.designation [
           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "en" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Chinese (Taiwan)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Chinese (Taiwan)" ]

         ], [
           fhir:index 1;
           fhir:ValueSet.language [ fhir:value "nl" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "nl" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Chinees (Taiwan)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Chinees (Taiwan)" ]

         ], [
           fhir:index 2;
           fhir:ValueSet.language [ fhir:value "ru" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "ru" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Kитайский (Тайвань)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Kитайский (Тайвань)" ]

         ], [
           fhir:index 3;
           fhir:ValueSet.language [ fhir:value "zh" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "zh" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "中文 （台湾）" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "中文 （台湾）" ]

         ], [
           fhir:index 4;
           fhir:ValueSet.language [ fhir:value "de" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "de" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Chinesisch (Taiwan)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Chinesisch (Taiwan)" ]

         ], [
           fhir:index 5;
           fhir:ValueSet.language [ fhir:value "da" ];
           fhir:ValueSet.use [

           fhir:ConceptReferenceDesignationComponent.language [ fhir:value "da" ];
           fhir:ConceptReferenceDesignationComponent.use [

             fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/designation-usage" ];
             fhir:Coding.code [ fhir:value "display" ]
           ];
           fhir:ValueSet.value [ fhir:value "Kinesisk (Taiwan)" ]

           fhir:ConceptReferenceDesignationComponent.value [ fhir:value "Kinesisk (Taiwan)" ]

         ]
       ]
     ]
  ] .

# -------------------------------------------------------------------------------------
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.