Blue Button 2.0 Implementation Guide

Line Berenson-Eggers Type of Service (BETOS) Code

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@prefix fhir: <https://bluebutton.cms.gov/assets/ig/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

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

 a fhir:CodeSystem;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "betos-cd"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>Line Berenson-Eggers Type of Service (BETOS) Code</h2><div><p>The Berenson-Eggers type of service (BETOS) for the procedure code based on generally agreed upon clinically meaningful groupings of procedures and services. This field is included as a line item on the non-institutional claim. Source: https://bluebutton.cms.gov/resources/variables/betos_cd</p>\n</div><p>This code system https://bluebutton.cms.gov/assets/ig/CodeSystem-betos-cd defines the following codes:</p><table class=\"codes\"><tr><td><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td>M1A<a name=\"betos-cd-M1A\"> </a></td><td>Office visits - new</td><td>Office visits - new</td></tr><tr><td>M1B<a name=\"betos-cd-M1B\"> </a></td><td>Office visits - established</td><td>Office visits - established</td></tr><tr><td>M2A<a name=\"betos-cd-M2A\"> </a></td><td>Hospital visit - initial</td><td>Hospital visit - initial</td></tr><tr><td>M2B<a name=\"betos-cd-M2B\"> </a></td><td>Hospital visit - subsequent</td><td>Hospital visit - subsequent</td></tr><tr><td>M2C<a name=\"betos-cd-M2C\"> </a></td><td>Hospital visit - critical care</td><td>Hospital visit - critical care</td></tr><tr><td>M3<a name=\"betos-cd-M3\"> </a></td><td>Emergency room visit</td><td>Emergency room visit</td></tr><tr><td>M4A<a name=\"betos-cd-M4A\"> </a></td><td>Home visit</td><td>Home visit</td></tr><tr><td>M4B<a name=\"betos-cd-M4B\"> </a></td><td>Nursing home visit</td><td>Nursing home visit</td></tr><tr><td>M5A<a name=\"betos-cd-M5A\"> </a></td><td>Specialist - pathology</td><td>Specialist - pathology</td></tr><tr><td>M5B<a name=\"betos-cd-M5B\"> </a></td><td>Specialist - psychiatry</td><td>Specialist - psychiatry</td></tr><tr><td>M5C<a name=\"betos-cd-M5C\"> </a></td><td>Specialist - ophthalmology</td><td>Specialist - ophthalmology</td></tr><tr><td>M5D<a name=\"betos-cd-M5D\"> </a></td><td>Specialist - other</td><td>Specialist - other</td></tr><tr><td>M6<a name=\"betos-cd-M6\"> </a></td><td>Consultations</td><td>Consultations</td></tr><tr><td>P0<a name=\"betos-cd-P0\"> </a></td><td>Anesthesia</td><td>Anesthesia</td></tr><tr><td>P1A<a name=\"betos-cd-P1A\"> </a></td><td>Major procedure - breast</td><td>Major procedure - breast</td></tr><tr><td>P1B<a name=\"betos-cd-P1B\"> </a></td><td>Major procedure - colectomy</td><td>Major procedure - colectomy</td></tr><tr><td>P1C<a name=\"betos-cd-P1C\"> </a></td><td>Major procedure - cholecystectomy</td><td>Major procedure - cholecystectomy</td></tr><tr><td>P1D<a name=\"betos-cd-P1D\"> </a></td><td>Major procedure - turp</td><td>Major procedure - turp</td></tr><tr><td>P1E<a name=\"betos-cd-P1E\"> </a></td><td>Major procedure - hysterectomy</td><td>Major procedure - hysterectomy</td></tr><tr><td>P1F<a name=\"betos-cd-P1F\"> </a></td><td>Major procedure - explor/decompr/excisdisc</td><td>Major procedure - explor/decompr/excisdisc</td></tr><tr><td>P1G<a name=\"betos-cd-P1G\"> </a></td><td>Major procedure - Other</td><td>Major procedure - Other</td></tr><tr><td>P2A<a name=\"betos-cd-P2A\"> </a></td><td>Major procedure, cardiovascular-CABG</td><td>Major procedure, cardiovascular-CABG</td></tr><tr><td>P2B<a name=\"betos-cd-P2B\"> </a></td><td>Major procedure, cardiovascular-Aneurysm repair</td><td>Major procedure, cardiovascular-Aneurysm repair</td></tr><tr><td>P2C<a name=\"betos-cd-P2C\"> </a></td><td>Major Procedure, cardiovascular-Thromboendarterectomy</td><td>Major Procedure, cardiovascular-Thromboendarterectomy</td></tr><tr><td>P2D<a name=\"betos-cd-P2D\"> </a></td><td>Major procedure, cardiovascualr-Coronary angioplasty (PTCA)</td><td>Major procedure, cardiovascualr-Coronary angioplasty (PTCA)</td></tr><tr><td>P2E<a name=\"betos-cd-P2E\"> </a></td><td>Major procedure, cardiovascular-Pacemaker insertion</td><td>Major procedure, cardiovascular-Pacemaker insertion</td></tr><tr><td>P2F<a name=\"betos-cd-P2F\"> </a></td><td>Major procedure, cardiovascular-Other</td><td>Major procedure, cardiovascular-Other</td></tr><tr><td>P3A<a name=\"betos-cd-P3A\"> </a></td><td>Major procedure, orthopedic - Hip fracture repair</td><td>Major procedure, orthopedic - Hip fracture repair</td></tr><tr><td>P3B<a name=\"betos-cd-P3B\"> </a></td><td>Major procedure, orthopedic - Hip replacement</td><td>Major procedure, orthopedic - Hip replacement</td></tr><tr><td>P3C<a name=\"betos-cd-P3C\"> </a></td><td>Major procedure, orthopedic - Knee replacement</td><td>Major procedure, orthopedic - Knee replacement</td></tr><tr><td>P3D<a name=\"betos-cd-P3D\"> </a></td><td>Major procedure, orthopedic - other</td><td>Major procedure, orthopedic - other</td></tr><tr><td>P4A<a name=\"betos-cd-P4A\"> </a></td><td>Eye procedure - corneal transplant</td><td>Eye procedure - corneal transplant</td></tr><tr><td>P4B<a name=\"betos-cd-P4B\"> </a></td><td>Eye procedure - cataract removal/lens insertion</td><td>Eye procedure - cataract removal/lens insertion</td></tr><tr><td>P4C<a name=\"betos-cd-P4C\"> </a></td><td>Eye procedure - retinal detachment</td><td>Eye procedure - retinal detachment</td></tr><tr><td>P4D<a name=\"betos-cd-P4D\"> </a></td><td>Eye procedure - treatment of retinal lesions</td><td>Eye procedure - treatment of retinal lesions</td></tr><tr><td>P4E<a name=\"betos-cd-P4E\"> </a></td><td>Eye procedure - other</td><td>Eye procedure - other</td></tr><tr><td>P5A<a name=\"betos-cd-P5A\"> </a></td><td>Ambulatory procedures - skin</td><td>Ambulatory procedures - skin</td></tr><tr><td>P5B<a name=\"betos-cd-P5B\"> </a></td><td>Ambulatory procedures - musculoskeletal</td><td>Ambulatory procedures - musculoskeletal</td></tr><tr><td>P5C<a name=\"betos-cd-P5C\"> </a></td><td>Ambulatory procedures - inguinal hernia repair</td><td>Ambulatory procedures - inguinal hernia repair</td></tr><tr><td>P5D<a name=\"betos-cd-P5D\"> </a></td><td>Ambulatory procedures - lithotripsy</td><td>Ambulatory procedures - lithotripsy</td></tr><tr><td>P5E<a name=\"betos-cd-P5E\"> </a></td><td>Ambulatory procedures - other</td><td>Ambulatory procedures - other</td></tr><tr><td>P6A<a name=\"betos-cd-P6A\"> </a></td><td>Minor procedures - skin</td><td>Minor procedures - skin</td></tr><tr><td>P6B<a name=\"betos-cd-P6B\"> </a></td><td>Minor procedures - musculoskeletal</td><td>Minor procedures - musculoskeletal</td></tr><tr><td>P6C<a name=\"betos-cd-P6C\"> </a></td><td>Minor procedures - other (Medicare fee schedule)</td><td>Minor procedures - other (Medicare fee schedule)</td></tr><tr><td>P6D<a name=\"betos-cd-P6D\"> </a></td><td>Minor procedures - other (non-Medicare fee schedule)</td><td>Minor procedures - other (non-Medicare fee schedule)</td></tr><tr><td>P7A<a name=\"betos-cd-P7A\"> </a></td><td>Oncology - radiation therapy</td><td>Oncology - radiation therapy</td></tr><tr><td>P7B<a name=\"betos-cd-P7B\"> </a></td><td>Oncology - other</td><td>Oncology - other</td></tr><tr><td>P8A<a name=\"betos-cd-P8A\"> </a></td><td>Endoscopy - arthroscopy</td><td>Endoscopy - arthroscopy</td></tr><tr><td>P8B<a name=\"betos-cd-P8B\"> </a></td><td>Endoscopy - upper gastrointestinal</td><td>Endoscopy - upper gastrointestinal</td></tr><tr><td>P8C<a name=\"betos-cd-P8C\"> </a></td><td>Endoscopy - sigmoidoscopy</td><td>Endoscopy - sigmoidoscopy</td></tr><tr><td>P8D<a name=\"betos-cd-P8D\"> </a></td><td>Endoscopy - colonoscopy</td><td>Endoscopy - colonoscopy</td></tr><tr><td>P8E<a name=\"betos-cd-P8E\"> </a></td><td>Endoscopy - cystoscopy</td><td>Endoscopy - cystoscopy</td></tr><tr><td>P8F<a name=\"betos-cd-P8F\"> </a></td><td>Endoscopy - bronchoscopy</td><td>Endoscopy - bronchoscopy</td></tr><tr><td>P8G<a name=\"betos-cd-P8G\"> </a></td><td>Endoscopy - laparoscopic cholecystectomy</td><td>Endoscopy - laparoscopic cholecystectomy</td></tr><tr><td>P8H<a name=\"betos-cd-P8H\"> </a></td><td>Endoscopy - laryngoscopy</td><td>Endoscopy - laryngoscopy</td></tr><tr><td>P8I<a name=\"betos-cd-P8I\"> </a></td><td>Endoscopy - other</td><td>Endoscopy - other</td></tr><tr><td>P9A<a name=\"betos-cd-P9A\"> </a></td><td>Dialysis services (Medicare fee schedule)</td><td>Dialysis services (Medicare fee schedule)</td></tr><tr><td>P9B<a name=\"betos-cd-P9B\"> </a></td><td>Dialysis services (non-Medicare fee schedule)</td><td>Dialysis services (non-Medicare fee schedule)</td></tr><tr><td>I1A<a name=\"betos-cd-I1A\"> </a></td><td>Standard imaging - chest</td><td>Standard imaging - chest</td></tr><tr><td>I1B<a name=\"betos-cd-I1B\"> </a></td><td>Standard imaging - musculoskeletal</td><td>Standard imaging - musculoskeletal</td></tr><tr><td>I1C<a name=\"betos-cd-I1C\"> </a></td><td>Standard imaging - breast</td><td>Standard imaging - breast</td></tr><tr><td>I1D<a name=\"betos-cd-I1D\"> </a></td><td>Standard imaging - contrast gastrointestinal</td><td>Standard imaging - contrast gastrointestinal</td></tr><tr><td>I1E<a name=\"betos-cd-I1E\"> </a></td><td>Standard imaging - nuclear medicine</td><td>Standard imaging - nuclear medicine</td></tr><tr><td>I1F<a name=\"betos-cd-I1F\"> </a></td><td>Standard imaging - other</td><td>Standard imaging - other</td></tr><tr><td>I2A<a name=\"betos-cd-I2A\"> </a></td><td>Advanced imaging - CAT/CT/CTA: brain/head/neck</td><td>Advanced imaging - CAT/CT/CTA: brain/head/neck</td></tr><tr><td>I2B<a name=\"betos-cd-I2B\"> </a></td><td>Advanced imaging - CAT/CT/CTA: other</td><td>Advanced imaging - CAT/CT/CTA: other</td></tr><tr><td>I2C<a name=\"betos-cd-I2C\"> </a></td><td>Advanced imaging - MRI/MRA: brain/head/neck</td><td>Advanced imaging - MRI/MRA: brain/head/neck</td></tr><tr><td>I2D<a name=\"betos-cd-I2D\"> </a></td><td>Advanced imaging - MRI/MRA: other</td><td>Advanced imaging - MRI/MRA: other</td></tr><tr><td>I3A<a name=\"betos-cd-I3A\"> </a></td><td>Echography/ultrasonography - eye</td><td>Echography/ultrasonography - eye</td></tr><tr><td>I3B<a name=\"betos-cd-I3B\"> </a></td><td>Echography/ultrasonography - abdomen/pelvis</td><td>Echography/ultrasonography - abdomen/pelvis</td></tr><tr><td>I3C<a name=\"betos-cd-I3C\"> </a></td><td>Echography/ultrasonography - heart</td><td>Echography/ultrasonography - heart</td></tr><tr><td>I3D<a name=\"betos-cd-I3D\"> </a></td><td>Echography/ultrasonography - carotid arteries</td><td>Echography/ultrasonography - carotid arteries</td></tr><tr><td>I3E<a name=\"betos-cd-I3E\"> </a></td><td>Echography/ultrasonography - prostate, transrectal</td><td>Echography/ultrasonography - prostate, transrectal</td></tr><tr><td>I3F<a name=\"betos-cd-I3F\"> </a></td><td>Echography/ultrasonography - other</td><td>Echography/ultrasonography - other</td></tr><tr><td>I4A<a name=\"betos-cd-I4A\"> </a></td><td>Imaging/procedure - heart including cardiac catheterization</td><td>Imaging/procedure - heart including cardiac catheterization</td></tr><tr><td>I4B<a name=\"betos-cd-I4B\"> </a></td><td>Imaging/procedure - other</td><td>Imaging/procedure - other</td></tr><tr><td>T1A<a name=\"betos-cd-T1A\"> </a></td><td>Lab tests - routine venipuncture (non-Medicare fee schedule)</td><td>Lab tests - routine venipuncture (non-Medicare fee schedule)</td></tr><tr><td>T1B<a name=\"betos-cd-T1B\"> </a></td><td>Lab tests - automated general profiles</td><td>Lab tests - automated general profiles</td></tr><tr><td>T1C<a name=\"betos-cd-T1C\"> </a></td><td>Lab tests - urinalysis</td><td>Lab tests - urinalysis</td></tr><tr><td>T1D<a name=\"betos-cd-T1D\"> </a></td><td>Lab tests - blood counts</td><td>Lab tests - blood counts</td></tr><tr><td>T1E<a name=\"betos-cd-T1E\"> </a></td><td>Lab tests - glucose</td><td>Lab tests - glucose</td></tr><tr><td>T1F<a name=\"betos-cd-T1F\"> </a></td><td>Lab tests - bacterial cultures</td><td>Lab tests - bacterial cultures</td></tr><tr><td>T1G<a name=\"betos-cd-T1G\"> </a></td><td>Lab tests - other (Medicare fee schedule)</td><td>Lab tests - other (Medicare fee schedule)</td></tr><tr><td>T1H<a name=\"betos-cd-T1H\"> </a></td><td>Lab tests - other (non-Medicare fee schedule)</td><td>Lab tests - other (non-Medicare fee schedule)</td></tr><tr><td>T2A<a name=\"betos-cd-T2A\"> </a></td><td>Other tests - electrocardiograms</td><td>Other tests - electrocardiograms</td></tr><tr><td>T2B<a name=\"betos-cd-T2B\"> </a></td><td>Other tests - cardiovascular stress tests</td><td>Other tests - cardiovascular stress tests</td></tr><tr><td>T2C<a name=\"betos-cd-T2C\"> </a></td><td>Other tests - EKG monitoring</td><td>Other tests - EKG monitoring</td></tr><tr><td>T2D<a name=\"betos-cd-T2D\"> </a></td><td>Other tests - other</td><td>Other tests - other</td></tr><tr><td>D1A<a name=\"betos-cd-D1A\"> </a></td><td>Medical/surgical supplies</td><td>Medical/surgical supplies</td></tr><tr><td>D1B<a name=\"betos-cd-D1B\"> </a></td><td>Hospital beds</td><td>Hospital beds</td></tr><tr><td>D1C<a name=\"betos-cd-D1C\"> </a></td><td>Oxygen and supplies</td><td>Oxygen and supplies</td></tr><tr><td>D1D<a name=\"betos-cd-D1D\"> </a></td><td>Wheelchairs</td><td>Wheelchairs</td></tr><tr><td>D1E<a name=\"betos-cd-D1E\"> </a></td><td>Other DME</td><td>Other DME</td></tr><tr><td>D1F<a name=\"betos-cd-D1F\"> </a></td><td>Prosthetic/Orthotic devices</td><td>Prosthetic/Orthotic devices</td></tr><tr><td>D1G<a name=\"betos-cd-D1G\"> </a></td><td>Drugs Administered through DME</td><td>Drugs Administered through DME</td></tr><tr><td>O1A<a name=\"betos-cd-O1A\"> </a></td><td>Ambulance</td><td>Ambulance</td></tr><tr><td>O1B<a name=\"betos-cd-O1B\"> </a></td><td>Chiropractic</td><td>Chiropractic</td></tr><tr><td>O1C<a name=\"betos-cd-O1C\"> </a></td><td>Enteral and parenteral</td><td>Enteral and parenteral</td></tr><tr><td>O1D<a name=\"betos-cd-O1D\"> </a></td><td>Chemotherapy</td><td>Chemotherapy</td></tr><tr><td>O1E<a name=\"betos-cd-O1E\"> </a></td><td>Other drugs</td><td>Other drugs</td></tr><tr><td>O1F<a name=\"betos-cd-O1F\"> </a></td><td>Hearing and speech services</td><td>Hearing and speech services</td></tr><tr><td>O1G<a name=\"betos-cd-O1G\"> </a></td><td>Immunizations/Vaccinations</td><td>Immunizations/Vaccinations</td></tr><tr><td>Y1<a name=\"betos-cd-Y1\"> </a></td><td>Other - Medicare fee schedule</td><td>Other - Medicare fee schedule</td></tr><tr><td>Y2<a name=\"betos-cd-Y2\"> </a></td><td>Other - non-Medicare fee schedule</td><td>Other - non-Medicare fee schedule</td></tr><tr><td>Z1<a name=\"betos-cd-Z1\"> </a></td><td>Local codes</td><td>Local codes</td></tr><tr><td>Z2<a name=\"betos-cd-Z2\"> </a></td><td>Undefined codes</td><td>Undefined codes</td></tr></table></div>"
  ];
  fhir:CodeSystem.url [ fhir:value "https://bluebutton.cms.gov/assets/ig/CodeSystem-betos-cd"];
  fhir:CodeSystem.identifier [
     fhir:Identifier.value [ fhir:value "https://bluebutton.cms.gov/assets/ig/CodeSystem-betos-cd.html" ]
  ];
  fhir:CodeSystem.version [ fhir:value "1.1.1"];
  fhir:CodeSystem.name [ fhir:value "Line Berenson-Eggers Type of Service (BETOS) Code"];
  fhir:CodeSystem.title [ fhir:value "Line Berenson-Eggers Type of Service (BETOS) Code"];
  fhir:CodeSystem.status [ fhir:value "active"];
  fhir:CodeSystem.date [ fhir:value "2018-11-27T15:56:35+00:00"^^xsd:dateTime];
  fhir:CodeSystem.publisher [ fhir:value "CMS Blue Button 2.0 Team"];
  fhir:CodeSystem.description [ fhir:value "The Berenson-Eggers type of service (BETOS) for the procedure code based on generally agreed upon clinically meaningful groupings of procedures and services. This field is included as a line item on the non-institutional claim. Source: https://bluebutton.cms.gov/resources/variables/betos_cd"];
  fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean];
  fhir:CodeSystem.valueSet [ fhir:value "https://bluebutton.cms.gov/assets/ig/ValueSet-betos-cd"];
  fhir:CodeSystem.hierarchyMeaning [ fhir:value "is-a"];
  fhir:CodeSystem.content [ fhir:value "complete"];
  fhir:CodeSystem.concept [
     fhir:index 0;
     fhir:CodeSystem.concept.code [ fhir:value "M1A" ];
     fhir:CodeSystem.concept.display [ fhir:value "Office visits - new" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Office visits - new" ]
  ], [
     fhir:index 1;
     fhir:CodeSystem.concept.code [ fhir:value "M1B" ];
     fhir:CodeSystem.concept.display [ fhir:value "Office visits - established" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Office visits - established" ]
  ], [
     fhir:index 2;
     fhir:CodeSystem.concept.code [ fhir:value "M2A" ];
     fhir:CodeSystem.concept.display [ fhir:value "Hospital visit - initial" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Hospital visit - initial" ]
  ], [
     fhir:index 3;
     fhir:CodeSystem.concept.code [ fhir:value "M2B" ];
     fhir:CodeSystem.concept.display [ fhir:value "Hospital visit - subsequent" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Hospital visit - subsequent" ]
  ], [
     fhir:index 4;
     fhir:CodeSystem.concept.code [ fhir:value "M2C" ];
     fhir:CodeSystem.concept.display [ fhir:value "Hospital visit - critical care" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Hospital visit - critical care" ]
  ], [
     fhir:index 5;
     fhir:CodeSystem.concept.code [ fhir:value "M3" ];
     fhir:CodeSystem.concept.display [ fhir:value "Emergency room visit" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Emergency room visit" ]
  ], [
     fhir:index 6;
     fhir:CodeSystem.concept.code [ fhir:value "M4A" ];
     fhir:CodeSystem.concept.display [ fhir:value "Home visit" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Home visit" ]
  ], [
     fhir:index 7;
     fhir:CodeSystem.concept.code [ fhir:value "M4B" ];
     fhir:CodeSystem.concept.display [ fhir:value "Nursing home visit" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Nursing home visit" ]
  ], [
     fhir:index 8;
     fhir:CodeSystem.concept.code [ fhir:value "M5A" ];
     fhir:CodeSystem.concept.display [ fhir:value "Specialist - pathology" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Specialist - pathology" ]
  ], [
     fhir:index 9;
     fhir:CodeSystem.concept.code [ fhir:value "M5B" ];
     fhir:CodeSystem.concept.display [ fhir:value "Specialist - psychiatry" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Specialist - psychiatry" ]
  ], [
     fhir:index 10;
     fhir:CodeSystem.concept.code [ fhir:value "M5C" ];
     fhir:CodeSystem.concept.display [ fhir:value "Specialist - ophthalmology" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Specialist - ophthalmology" ]
  ], [
     fhir:index 11;
     fhir:CodeSystem.concept.code [ fhir:value "M5D" ];
     fhir:CodeSystem.concept.display [ fhir:value "Specialist - other" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Specialist - other" ]
  ], [
     fhir:index 12;
     fhir:CodeSystem.concept.code [ fhir:value "M6" ];
     fhir:CodeSystem.concept.display [ fhir:value "Consultations" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Consultations" ]
  ], [
     fhir:index 13;
     fhir:CodeSystem.concept.code [ fhir:value "P0" ];
     fhir:CodeSystem.concept.display [ fhir:value "Anesthesia" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Anesthesia" ]
  ], [
     fhir:index 14;
     fhir:CodeSystem.concept.code [ fhir:value "P1A" ];
     fhir:CodeSystem.concept.display [ fhir:value "Major procedure - breast" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Major procedure - breast" ]
  ], [
     fhir:index 15;
     fhir:CodeSystem.concept.code [ fhir:value "P1B" ];
     fhir:CodeSystem.concept.display [ fhir:value "Major procedure - colectomy" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Major procedure - colectomy" ]
  ], [
     fhir:index 16;
     fhir:CodeSystem.concept.code [ fhir:value "P1C" ];
     fhir:CodeSystem.concept.display [ fhir:value "Major procedure - cholecystectomy" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Major procedure - cholecystectomy" ]
  ], [
     fhir:index 17;
     fhir:CodeSystem.concept.code [ fhir:value "P1D" ];
     fhir:CodeSystem.concept.display [ fhir:value "Major procedure - turp" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Major procedure - turp" ]
  ], [
     fhir:index 18;
     fhir:CodeSystem.concept.code [ fhir:value "P1E" ];
     fhir:CodeSystem.concept.display [ fhir:value "Major procedure - hysterectomy" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Major procedure - hysterectomy" ]
  ], [
     fhir:index 19;
     fhir:CodeSystem.concept.code [ fhir:value "P1F" ];
     fhir:CodeSystem.concept.display [ fhir:value "Major procedure - explor/decompr/excisdisc" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Major procedure - explor/decompr/excisdisc" ]
  ], [
     fhir:index 20;
     fhir:CodeSystem.concept.code [ fhir:value "P1G" ];
     fhir:CodeSystem.concept.display [ fhir:value "Major procedure - Other" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Major procedure - Other" ]
  ], [
     fhir:index 21;
     fhir:CodeSystem.concept.code [ fhir:value "P2A" ];
     fhir:CodeSystem.concept.display [ fhir:value "Major procedure, cardiovascular-CABG" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Major procedure, cardiovascular-CABG" ]
  ], [
     fhir:index 22;
     fhir:CodeSystem.concept.code [ fhir:value "P2B" ];
     fhir:CodeSystem.concept.display [ fhir:value "Major procedure, cardiovascular-Aneurysm repair" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Major procedure, cardiovascular-Aneurysm repair" ]
  ], [
     fhir:index 23;
     fhir:CodeSystem.concept.code [ fhir:value "P2C" ];
     fhir:CodeSystem.concept.display [ fhir:value "Major Procedure, cardiovascular-Thromboendarterectomy" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Major Procedure, cardiovascular-Thromboendarterectomy" ]
  ], [
     fhir:index 24;
     fhir:CodeSystem.concept.code [ fhir:value "P2D" ];
     fhir:CodeSystem.concept.display [ fhir:value "Major procedure, cardiovascualr-Coronary angioplasty (PTCA)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Major procedure, cardiovascualr-Coronary angioplasty (PTCA)" ]
  ], [
     fhir:index 25;
     fhir:CodeSystem.concept.code [ fhir:value "P2E" ];
     fhir:CodeSystem.concept.display [ fhir:value "Major procedure, cardiovascular-Pacemaker insertion" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Major procedure, cardiovascular-Pacemaker insertion" ]
  ], [
     fhir:index 26;
     fhir:CodeSystem.concept.code [ fhir:value "P2F" ];
     fhir:CodeSystem.concept.display [ fhir:value "Major procedure, cardiovascular-Other" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Major procedure, cardiovascular-Other" ]
  ], [
     fhir:index 27;
     fhir:CodeSystem.concept.code [ fhir:value "P3A" ];
     fhir:CodeSystem.concept.display [ fhir:value "Major procedure, orthopedic - Hip fracture repair" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Major procedure, orthopedic - Hip fracture repair" ]
  ], [
     fhir:index 28;
     fhir:CodeSystem.concept.code [ fhir:value "P3B" ];
     fhir:CodeSystem.concept.display [ fhir:value "Major procedure, orthopedic - Hip replacement" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Major procedure, orthopedic - Hip replacement" ]
  ], [
     fhir:index 29;
     fhir:CodeSystem.concept.code [ fhir:value "P3C" ];
     fhir:CodeSystem.concept.display [ fhir:value "Major procedure, orthopedic - Knee replacement" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Major procedure, orthopedic - Knee replacement" ]
  ], [
     fhir:index 30;
     fhir:CodeSystem.concept.code [ fhir:value "P3D" ];
     fhir:CodeSystem.concept.display [ fhir:value "Major procedure, orthopedic - other" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Major procedure, orthopedic - other" ]
  ], [
     fhir:index 31;
     fhir:CodeSystem.concept.code [ fhir:value "P4A" ];
     fhir:CodeSystem.concept.display [ fhir:value "Eye procedure - corneal transplant" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Eye procedure - corneal transplant" ]
  ], [
     fhir:index 32;
     fhir:CodeSystem.concept.code [ fhir:value "P4B" ];
     fhir:CodeSystem.concept.display [ fhir:value "Eye procedure - cataract removal/lens insertion" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Eye procedure - cataract removal/lens insertion" ]
  ], [
     fhir:index 33;
     fhir:CodeSystem.concept.code [ fhir:value "P4C" ];
     fhir:CodeSystem.concept.display [ fhir:value "Eye procedure - retinal detachment" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Eye procedure - retinal detachment" ]
  ], [
     fhir:index 34;
     fhir:CodeSystem.concept.code [ fhir:value "P4D" ];
     fhir:CodeSystem.concept.display [ fhir:value "Eye procedure - treatment of retinal lesions" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Eye procedure - treatment of retinal lesions" ]
  ], [
     fhir:index 35;
     fhir:CodeSystem.concept.code [ fhir:value "P4E" ];
     fhir:CodeSystem.concept.display [ fhir:value "Eye procedure - other" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Eye procedure - other" ]
  ], [
     fhir:index 36;
     fhir:CodeSystem.concept.code [ fhir:value "P5A" ];
     fhir:CodeSystem.concept.display [ fhir:value "Ambulatory procedures - skin" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulatory procedures - skin" ]
  ], [
     fhir:index 37;
     fhir:CodeSystem.concept.code [ fhir:value "P5B" ];
     fhir:CodeSystem.concept.display [ fhir:value "Ambulatory procedures - musculoskeletal" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulatory procedures - musculoskeletal" ]
  ], [
     fhir:index 38;
     fhir:CodeSystem.concept.code [ fhir:value "P5C" ];
     fhir:CodeSystem.concept.display [ fhir:value "Ambulatory procedures - inguinal hernia repair" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulatory procedures - inguinal hernia repair" ]
  ], [
     fhir:index 39;
     fhir:CodeSystem.concept.code [ fhir:value "P5D" ];
     fhir:CodeSystem.concept.display [ fhir:value "Ambulatory procedures - lithotripsy" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulatory procedures - lithotripsy" ]
  ], [
     fhir:index 40;
     fhir:CodeSystem.concept.code [ fhir:value "P5E" ];
     fhir:CodeSystem.concept.display [ fhir:value "Ambulatory procedures - other" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulatory procedures - other" ]
  ], [
     fhir:index 41;
     fhir:CodeSystem.concept.code [ fhir:value "P6A" ];
     fhir:CodeSystem.concept.display [ fhir:value "Minor procedures - skin" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Minor procedures - skin" ]
  ], [
     fhir:index 42;
     fhir:CodeSystem.concept.code [ fhir:value "P6B" ];
     fhir:CodeSystem.concept.display [ fhir:value "Minor procedures - musculoskeletal" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Minor procedures - musculoskeletal" ]
  ], [
     fhir:index 43;
     fhir:CodeSystem.concept.code [ fhir:value "P6C" ];
     fhir:CodeSystem.concept.display [ fhir:value "Minor procedures - other (Medicare fee schedule)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Minor procedures - other (Medicare fee schedule)" ]
  ], [
     fhir:index 44;
     fhir:CodeSystem.concept.code [ fhir:value "P6D" ];
     fhir:CodeSystem.concept.display [ fhir:value "Minor procedures - other (non-Medicare fee schedule)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Minor procedures - other (non-Medicare fee schedule)" ]
  ], [
     fhir:index 45;
     fhir:CodeSystem.concept.code [ fhir:value "P7A" ];
     fhir:CodeSystem.concept.display [ fhir:value "Oncology - radiation therapy" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Oncology - radiation therapy" ]
  ], [
     fhir:index 46;
     fhir:CodeSystem.concept.code [ fhir:value "P7B" ];
     fhir:CodeSystem.concept.display [ fhir:value "Oncology - other" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Oncology - other" ]
  ], [
     fhir:index 47;
     fhir:CodeSystem.concept.code [ fhir:value "P8A" ];
     fhir:CodeSystem.concept.display [ fhir:value "Endoscopy - arthroscopy" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Endoscopy - arthroscopy" ]
  ], [
     fhir:index 48;
     fhir:CodeSystem.concept.code [ fhir:value "P8B" ];
     fhir:CodeSystem.concept.display [ fhir:value "Endoscopy - upper gastrointestinal" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Endoscopy - upper gastrointestinal" ]
  ], [
     fhir:index 49;
     fhir:CodeSystem.concept.code [ fhir:value "P8C" ];
     fhir:CodeSystem.concept.display [ fhir:value "Endoscopy - sigmoidoscopy" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Endoscopy - sigmoidoscopy" ]
  ], [
     fhir:index 50;
     fhir:CodeSystem.concept.code [ fhir:value "P8D" ];
     fhir:CodeSystem.concept.display [ fhir:value "Endoscopy - colonoscopy" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Endoscopy - colonoscopy" ]
  ], [
     fhir:index 51;
     fhir:CodeSystem.concept.code [ fhir:value "P8E" ];
     fhir:CodeSystem.concept.display [ fhir:value "Endoscopy - cystoscopy" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Endoscopy - cystoscopy" ]
  ], [
     fhir:index 52;
     fhir:CodeSystem.concept.code [ fhir:value "P8F" ];
     fhir:CodeSystem.concept.display [ fhir:value "Endoscopy - bronchoscopy" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Endoscopy - bronchoscopy" ]
  ], [
     fhir:index 53;
     fhir:CodeSystem.concept.code [ fhir:value "P8G" ];
     fhir:CodeSystem.concept.display [ fhir:value "Endoscopy - laparoscopic cholecystectomy" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Endoscopy - laparoscopic cholecystectomy" ]
  ], [
     fhir:index 54;
     fhir:CodeSystem.concept.code [ fhir:value "P8H" ];
     fhir:CodeSystem.concept.display [ fhir:value "Endoscopy - laryngoscopy" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Endoscopy - laryngoscopy" ]
  ], [
     fhir:index 55;
     fhir:CodeSystem.concept.code [ fhir:value "P8I" ];
     fhir:CodeSystem.concept.display [ fhir:value "Endoscopy - other" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Endoscopy - other" ]
  ], [
     fhir:index 56;
     fhir:CodeSystem.concept.code [ fhir:value "P9A" ];
     fhir:CodeSystem.concept.display [ fhir:value "Dialysis services (Medicare fee schedule)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Dialysis services (Medicare fee schedule)" ]
  ], [
     fhir:index 57;
     fhir:CodeSystem.concept.code [ fhir:value "P9B" ];
     fhir:CodeSystem.concept.display [ fhir:value "Dialysis services (non-Medicare fee schedule)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Dialysis services (non-Medicare fee schedule)" ]
  ], [
     fhir:index 58;
     fhir:CodeSystem.concept.code [ fhir:value "I1A" ];
     fhir:CodeSystem.concept.display [ fhir:value "Standard imaging - chest" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Standard imaging - chest" ]
  ], [
     fhir:index 59;
     fhir:CodeSystem.concept.code [ fhir:value "I1B" ];
     fhir:CodeSystem.concept.display [ fhir:value "Standard imaging - musculoskeletal" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Standard imaging - musculoskeletal" ]
  ], [
     fhir:index 60;
     fhir:CodeSystem.concept.code [ fhir:value "I1C" ];
     fhir:CodeSystem.concept.display [ fhir:value "Standard imaging - breast" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Standard imaging - breast" ]
  ], [
     fhir:index 61;
     fhir:CodeSystem.concept.code [ fhir:value "I1D" ];
     fhir:CodeSystem.concept.display [ fhir:value "Standard imaging - contrast gastrointestinal" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Standard imaging - contrast gastrointestinal" ]
  ], [
     fhir:index 62;
     fhir:CodeSystem.concept.code [ fhir:value "I1E" ];
     fhir:CodeSystem.concept.display [ fhir:value "Standard imaging - nuclear medicine" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Standard imaging - nuclear medicine" ]
  ], [
     fhir:index 63;
     fhir:CodeSystem.concept.code [ fhir:value "I1F" ];
     fhir:CodeSystem.concept.display [ fhir:value "Standard imaging - other" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Standard imaging - other" ]
  ], [
     fhir:index 64;
     fhir:CodeSystem.concept.code [ fhir:value "I2A" ];
     fhir:CodeSystem.concept.display [ fhir:value "Advanced imaging - CAT/CT/CTA: brain/head/neck" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Advanced imaging - CAT/CT/CTA: brain/head/neck" ]
  ], [
     fhir:index 65;
     fhir:CodeSystem.concept.code [ fhir:value "I2B" ];
     fhir:CodeSystem.concept.display [ fhir:value "Advanced imaging - CAT/CT/CTA: other" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Advanced imaging - CAT/CT/CTA: other" ]
  ], [
     fhir:index 66;
     fhir:CodeSystem.concept.code [ fhir:value "I2C" ];
     fhir:CodeSystem.concept.display [ fhir:value "Advanced imaging - MRI/MRA: brain/head/neck" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Advanced imaging - MRI/MRA: brain/head/neck" ]
  ], [
     fhir:index 67;
     fhir:CodeSystem.concept.code [ fhir:value "I2D" ];
     fhir:CodeSystem.concept.display [ fhir:value "Advanced imaging - MRI/MRA: other" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Advanced imaging - MRI/MRA: other" ]
  ], [
     fhir:index 68;
     fhir:CodeSystem.concept.code [ fhir:value "I3A" ];
     fhir:CodeSystem.concept.display [ fhir:value "Echography/ultrasonography - eye" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Echography/ultrasonography - eye" ]
  ], [
     fhir:index 69;
     fhir:CodeSystem.concept.code [ fhir:value "I3B" ];
     fhir:CodeSystem.concept.display [ fhir:value "Echography/ultrasonography - abdomen/pelvis" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Echography/ultrasonography - abdomen/pelvis" ]
  ], [
     fhir:index 70;
     fhir:CodeSystem.concept.code [ fhir:value "I3C" ];
     fhir:CodeSystem.concept.display [ fhir:value "Echography/ultrasonography - heart" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Echography/ultrasonography - heart" ]
  ], [
     fhir:index 71;
     fhir:CodeSystem.concept.code [ fhir:value "I3D" ];
     fhir:CodeSystem.concept.display [ fhir:value "Echography/ultrasonography - carotid arteries" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Echography/ultrasonography - carotid arteries" ]
  ], [
     fhir:index 72;
     fhir:CodeSystem.concept.code [ fhir:value "I3E" ];
     fhir:CodeSystem.concept.display [ fhir:value "Echography/ultrasonography - prostate, transrectal" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Echography/ultrasonography - prostate, transrectal" ]
  ], [
     fhir:index 73;
     fhir:CodeSystem.concept.code [ fhir:value "I3F" ];
     fhir:CodeSystem.concept.display [ fhir:value "Echography/ultrasonography - other" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Echography/ultrasonography - other" ]
  ], [
     fhir:index 74;
     fhir:CodeSystem.concept.code [ fhir:value "I4A" ];
     fhir:CodeSystem.concept.display [ fhir:value "Imaging/procedure - heart including cardiac catheterization" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Imaging/procedure - heart including cardiac catheterization" ]
  ], [
     fhir:index 75;
     fhir:CodeSystem.concept.code [ fhir:value "I4B" ];
     fhir:CodeSystem.concept.display [ fhir:value "Imaging/procedure - other" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Imaging/procedure - other" ]
  ], [
     fhir:index 76;
     fhir:CodeSystem.concept.code [ fhir:value "T1A" ];
     fhir:CodeSystem.concept.display [ fhir:value "Lab tests - routine venipuncture (non-Medicare fee schedule)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Lab tests - routine venipuncture (non-Medicare fee schedule)" ]
  ], [
     fhir:index 77;
     fhir:CodeSystem.concept.code [ fhir:value "T1B" ];
     fhir:CodeSystem.concept.display [ fhir:value "Lab tests - automated general profiles" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Lab tests - automated general profiles" ]
  ], [
     fhir:index 78;
     fhir:CodeSystem.concept.code [ fhir:value "T1C" ];
     fhir:CodeSystem.concept.display [ fhir:value "Lab tests - urinalysis" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Lab tests - urinalysis" ]
  ], [
     fhir:index 79;
     fhir:CodeSystem.concept.code [ fhir:value "T1D" ];
     fhir:CodeSystem.concept.display [ fhir:value "Lab tests - blood counts" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Lab tests - blood counts" ]
  ], [
     fhir:index 80;
     fhir:CodeSystem.concept.code [ fhir:value "T1E" ];
     fhir:CodeSystem.concept.display [ fhir:value "Lab tests - glucose" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Lab tests - glucose" ]
  ], [
     fhir:index 81;
     fhir:CodeSystem.concept.code [ fhir:value "T1F" ];
     fhir:CodeSystem.concept.display [ fhir:value "Lab tests - bacterial cultures" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Lab tests - bacterial cultures" ]
  ], [
     fhir:index 82;
     fhir:CodeSystem.concept.code [ fhir:value "T1G" ];
     fhir:CodeSystem.concept.display [ fhir:value "Lab tests - other (Medicare fee schedule)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Lab tests - other (Medicare fee schedule)" ]
  ], [
     fhir:index 83;
     fhir:CodeSystem.concept.code [ fhir:value "T1H" ];
     fhir:CodeSystem.concept.display [ fhir:value "Lab tests - other (non-Medicare fee schedule)" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Lab tests - other (non-Medicare fee schedule)" ]
  ], [
     fhir:index 84;
     fhir:CodeSystem.concept.code [ fhir:value "T2A" ];
     fhir:CodeSystem.concept.display [ fhir:value "Other tests - electrocardiograms" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Other tests - electrocardiograms" ]
  ], [
     fhir:index 85;
     fhir:CodeSystem.concept.code [ fhir:value "T2B" ];
     fhir:CodeSystem.concept.display [ fhir:value "Other tests - cardiovascular stress tests" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Other tests - cardiovascular stress tests" ]
  ], [
     fhir:index 86;
     fhir:CodeSystem.concept.code [ fhir:value "T2C" ];
     fhir:CodeSystem.concept.display [ fhir:value "Other tests - EKG monitoring" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Other tests - EKG monitoring" ]
  ], [
     fhir:index 87;
     fhir:CodeSystem.concept.code [ fhir:value "T2D" ];
     fhir:CodeSystem.concept.display [ fhir:value "Other tests - other" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Other tests - other" ]
  ], [
     fhir:index 88;
     fhir:CodeSystem.concept.code [ fhir:value "D1A" ];
     fhir:CodeSystem.concept.display [ fhir:value "Medical/surgical supplies" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Medical/surgical supplies" ]
  ], [
     fhir:index 89;
     fhir:CodeSystem.concept.code [ fhir:value "D1B" ];
     fhir:CodeSystem.concept.display [ fhir:value "Hospital beds" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Hospital beds" ]
  ], [
     fhir:index 90;
     fhir:CodeSystem.concept.code [ fhir:value "D1C" ];
     fhir:CodeSystem.concept.display [ fhir:value "Oxygen and supplies" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Oxygen and supplies" ]
  ], [
     fhir:index 91;
     fhir:CodeSystem.concept.code [ fhir:value "D1D" ];
     fhir:CodeSystem.concept.display [ fhir:value "Wheelchairs" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Wheelchairs" ]
  ], [
     fhir:index 92;
     fhir:CodeSystem.concept.code [ fhir:value "D1E" ];
     fhir:CodeSystem.concept.display [ fhir:value "Other DME" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Other DME" ]
  ], [
     fhir:index 93;
     fhir:CodeSystem.concept.code [ fhir:value "D1F" ];
     fhir:CodeSystem.concept.display [ fhir:value "Prosthetic/Orthotic devices" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Prosthetic/Orthotic devices" ]
  ], [
     fhir:index 94;
     fhir:CodeSystem.concept.code [ fhir:value "D1G" ];
     fhir:CodeSystem.concept.display [ fhir:value "Drugs Administered through DME" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Drugs Administered through DME" ]
  ], [
     fhir:index 95;
     fhir:CodeSystem.concept.code [ fhir:value "O1A" ];
     fhir:CodeSystem.concept.display [ fhir:value "Ambulance" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Ambulance" ]
  ], [
     fhir:index 96;
     fhir:CodeSystem.concept.code [ fhir:value "O1B" ];
     fhir:CodeSystem.concept.display [ fhir:value "Chiropractic" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Chiropractic" ]
  ], [
     fhir:index 97;
     fhir:CodeSystem.concept.code [ fhir:value "O1C" ];
     fhir:CodeSystem.concept.display [ fhir:value "Enteral and parenteral" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Enteral and parenteral" ]
  ], [
     fhir:index 98;
     fhir:CodeSystem.concept.code [ fhir:value "O1D" ];
     fhir:CodeSystem.concept.display [ fhir:value "Chemotherapy" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Chemotherapy" ]
  ], [
     fhir:index 99;
     fhir:CodeSystem.concept.code [ fhir:value "O1E" ];
     fhir:CodeSystem.concept.display [ fhir:value "Other drugs" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Other drugs" ]
  ], [
     fhir:index 100;
     fhir:CodeSystem.concept.code [ fhir:value "O1F" ];
     fhir:CodeSystem.concept.display [ fhir:value "Hearing and speech services" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Hearing and speech services" ]
  ], [
     fhir:index 101;
     fhir:CodeSystem.concept.code [ fhir:value "O1G" ];
     fhir:CodeSystem.concept.display [ fhir:value "Immunizations/Vaccinations" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Immunizations/Vaccinations" ]
  ], [
     fhir:index 102;
     fhir:CodeSystem.concept.code [ fhir:value "Y1" ];
     fhir:CodeSystem.concept.display [ fhir:value "Other - Medicare fee schedule" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Other - Medicare fee schedule" ]
  ], [
     fhir:index 103;
     fhir:CodeSystem.concept.code [ fhir:value "Y2" ];
     fhir:CodeSystem.concept.display [ fhir:value "Other - non-Medicare fee schedule" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Other - non-Medicare fee schedule" ]
  ], [
     fhir:index 104;
     fhir:CodeSystem.concept.code [ fhir:value "Z1" ];
     fhir:CodeSystem.concept.display [ fhir:value "Local codes" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Local codes" ]
  ], [
     fhir:index 105;
     fhir:CodeSystem.concept.code [ fhir:value "Z2" ];
     fhir:CodeSystem.concept.display [ fhir:value "Undefined codes" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Undefined codes" ]
  ].

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

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